Elder Care Record

California › Marin County › Novato

Novato Healthcare Center

1565 Hill Road, Novato, CA 94947

CCN 555844 · For-profit, individual · 181 certified beds

CMS abuse icon
Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.

Certified for 181 beds, Novato Healthcare Center serves Novato in Marin County, California and has taken Medicare and Medicaid residents since 2007.

CMS gives it 1 of 5 stars overall, below the California median of 3; the health inspection rating is 1, staffing 4 and quality measures 2.

Inspectors recorded 100 health deficiencies across the three most recent survey cycles (43, 33, 24 by cycle, most recent first), 3 of them at the actual-harm or immediate-jeopardy level. That is 55.2 per 100 beds, about the same as the state median of 51.1.

CMS lists 3 penalties in the period covered: fines totalling $90K and 1 payment denial.

Reported nurse staffing is 4.0 hours per resident per day (0.5 RN), close to the California median of 4.2.

CMS flags that the facility carries the CMS abuse icon.

100health deficiencies, 3 survey cycles3 at actual harm or worse
$90Kfines listed by CMS3 penalties in period
4.0nurse hours per resident per daystate median 4.2
95%occupancy (residents ÷ beds)173 residents a day

Compared with county, state and nation

MeasureThis facilityMarin Co. medianCalifornia medianUS average
Overall star rating1333.0
Health citations, 3 cycles100454428.7
Citations per 100 beds55.256.351.126.8
Total nurse hours per resident day4.04.24.23.9
RN hours per resident day0.50.50.50.7
Nursing staff turnover—40.0%36.4%45.8%
Fines listed$90,488$8,278$0—

County and state figures are medians across facilities (11 in the county, 1165 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)43
Cycle 233
Cycle 324

Dark bar: this facility. Grey bar: California average per facility for the same cycle, as published by CMS. Standard health survey dates: 13 Nov 2025, 11 Jan 2024.

Severity mix: G ×3 D ×60 E ×26 F ×11

Health deficiencies

Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.

Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
17 Jun 2026F0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.FComplaint investigation10 Jul 2026
17 Jun 2026F0552Ensure that residents are fully informed and understand their health status, care and treatments.DComplaint investigationDeficient, Provider has no plan of correction
17 Jun 2026F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint investigationDeficient, Provider has no plan of correction
17 Jun 2026F0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.DComplaint investigationDeficient, Provider has no plan of correction
17 Jun 2026F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigationDeficient, Provider has no plan of correction
4 Jun 2026F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation25 Jun 2026
4 Jun 2026F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation25 Jun 2026
6 May 2026F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint investigation31 May 2026
16 Apr 2026F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint investigation4 May 2026
16 Apr 2026F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint investigation4 May 2026
25 Mar 2026F0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.DComplaint investigation30 Apr 2026
31 Dec 2025F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint investigation5 Jan 2026
31 Dec 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation5 Jan 2026
3 Dec 2025F0658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint investigation17 Dec 2025
20 Nov 2025F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint investigation17 Dec 2025
20 Nov 2025F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation17 Dec 2025
13 Nov 2025F0802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.FStandard survey29 Nov 2025
13 Nov 2025F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.FStandard survey29 Nov 2025
13 Nov 2025F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey29 Nov 2025
13 Nov 2025F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EStandard survey29 Nov 2025
13 Nov 2025F0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.EStandard survey29 Nov 2025
13 Nov 2025F0759Ensure medication error rates are not 5 percent or greater.EStandard survey29 Nov 2025
13 Nov 2025F0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.EStandard survey29 Nov 2025
13 Nov 2025F0880Provide and implement an infection prevention and control program.EComplaint investigation29 Nov 2025
13 Nov 2025F0558Reasonably accommodate the needs and preferences of each resident.DStandard survey29 Nov 2025
13 Nov 2025F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint investigation30 Nov 2025
13 Nov 2025F0679Provide activities to meet all resident's needs.DStandard survey29 Nov 2025
13 Nov 2025F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard survey29 Nov 2025
13 Nov 2025F0692Provide enough food/fluids to maintain a resident's health.DStandard survey29 Nov 2025
13 Nov 2025F0697Provide safe, appropriate pain management for a resident who requires such services.DStandard survey29 Nov 2025
13 Nov 2025F0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.DStandard survey29 Nov 2025
13 Nov 2025F0757Ensure each resident’s drug regimen must be free from unnecessary drugs.DStandard survey29 Nov 2025
13 Nov 2025F0760Ensure that residents are free from significant medication errors.DStandard survey29 Nov 2025
13 Nov 2025F0908Keep all essential equipment working safely.DStandard survey29 Nov 2025
13 Nov 2025F0919Make sure that a working call system is available in each resident's bathroom and bathing area.DStandard survey29 Nov 2025
8 Sep 2025F0760Ensure that residents are free from significant medication errors.GComplaint investigation7 Oct 2025
8 Sep 2025F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint investigation7 Oct 2025
8 Sep 2025F0790Provide routine and 24-hour emergency dental care for each resident.DComplaint investigation7 Oct 2025
28 Aug 2025F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint investigation16 Sep 2025
28 Aug 2025F0645PASARR screening for Mental disorders or Intellectual DisabilitiesDComplaint investigation16 Sep 2025
20 Aug 2025F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation28 Aug 2025
8 Aug 2025F0760Ensure that residents are free from significant medication errors.DComplaint investigation16 Sep 2025
8 Aug 2025F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint investigation16 Sep 2025
18 Jul 2025F0895Have a Compliance and Ethics Program.FComplaint investigation1 Aug 2025
9 Jul 2025F0677Provide care and assistance to perform activities of daily living for any resident who is unable.EComplaint investigation31 Jul 2025
9 Jul 2025F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.EComplaint investigation31 Jul 2025
9 Jul 2025F0919Make sure that a working call system is available in each resident's bathroom and bathing area.EComplaint investigation31 Jul 2025
3 Jul 2025F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint investigation22 Jul 2025
19 May 2025F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.FComplaint investigation20 Jun 2025
19 May 2025F0760Ensure that residents are free from significant medication errors.FComplaint investigation10 Jul 2025
19 May 2025F0940Develop, implement, and/or maintain an effective training program for all new and existing staff members.FComplaint investigation10 Jul 2025
19 May 2025F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint investigation20 Jun 2025
14 May 2025F0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.EComplaint investigation20 Jun 2025
14 May 2025F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedEComplaint investigation20 Jun 2025
14 May 2025F0926Have policies on smoking.EComplaint investigation20 Jun 2025
14 May 2025F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint investigation20 Jun 2025
14 May 2025F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint investigation20 Jun 2025
1 May 2025F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint investigation28 May 2025
1 May 2025F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation28 May 2025
25 Apr 2025F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.GComplaint investigation18 May 2025
23 Apr 2025F0825Provide or get specialized rehabilitative services as required for a resident.DComplaint investigation8 May 2025
5 Mar 2025F0557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.DComplaint investigation3 Apr 2025
24 Feb 2025F0658Ensure services provided by the nursing facility meet professional standards of quality.FComplaint investigation14 Mar 2025
24 Feb 2025F0838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.FComplaint investigation14 Mar 2025
9 Jan 2025F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint investigation11 Feb 2025
9 Jan 2025F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation11 Feb 2025
9 Jan 2025F0610Respond appropriately to all alleged violations.DComplaint investigation11 Feb 2025
5 Sep 2024F0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.DComplaint investigation30 Sep 2024
4 Sep 2024F0760Ensure that residents are free from significant medication errors.EComplaint investigation27 Sep 2024
17 Jul 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation13 Aug 2024
11 Jan 2024F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey21 Feb 2024
11 Jan 2024F0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.DStandard survey21 Feb 2024
11 Jan 2024F0583Keep residents' personal and medical records private and confidential.DStandard survey21 Feb 2024
11 Jan 2024F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey21 Feb 2024
11 Jan 2024F0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.DStandard survey21 Feb 2024
11 Jan 2024F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard survey21 Feb 2024
11 Jan 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey21 Feb 2024
25 Oct 2023F0790Provide routine and 24-hour emergency dental care for each resident.DComplaint investigation3 Nov 2023
9 Oct 2023F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.EComplaint investigation25 Oct 2023
5 Sep 2023F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint investigation23 Oct 2023
23 Apr 2021F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EStandard survey28 May 2021
23 Apr 2021F0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.EStandard survey28 May 2021
23 Apr 2021F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.EStandard survey28 May 2021
23 Apr 2021F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard survey28 May 2021
23 Apr 2021F0677Provide care and assistance to perform activities of daily living for any resident who is unable.EStandard survey28 May 2021
23 Apr 2021F0679Provide activities to meet all resident's needs.EStandard survey28 May 2021
23 Apr 2021F0695Provide safe and appropriate respiratory care for a resident when needed.EStandard survey28 May 2021
23 Apr 2021F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EStandard survey28 May 2021
23 Apr 2021F0741Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.EStandard survey28 May 2021
23 Apr 2021F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EStandard survey28 May 2021
23 Apr 2021F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey28 May 2021
23 Apr 2021F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.EStandard survey28 May 2021
23 Apr 2021F0880Provide and implement an infection prevention and control program.EStandard survey28 May 2021
23 Apr 2021F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DStandard survey28 May 2021
23 Apr 2021F0641Ensure each resident receives an accurate assessment.DStandard survey28 May 2021
23 Apr 2021F0658Ensure services provided by the nursing facility meet professional standards of quality.DStandard survey28 May 2021
23 Apr 2021F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey28 May 2021
23 Apr 2021F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard survey28 May 2021
23 Apr 2021F0825Provide or get specialized rehabilitative services as required for a resident.DStandard survey28 May 2021
23 Apr 2021F0865Have a plan that describes the process for conducting QAPI and QAA activities.DStandard survey28 May 2021

Penalties

DateTypeAmountDetail
8 Aug 2025Fine$17,624
23 Apr 2025Payment denial—70 days
23 Apr 2025Fine$72,864

Staffing

Total nursing3.99 h
Nurse aides2.69 h
LPN0.8 h
RN0.51 h
Weekend total3.64 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the California average. Turnover: nursing staff —, RNs —; — administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilityCalifornia medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay17.1%8.9%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.3%0.3%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay0.6%0.7%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay1.4%1.3%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay0.9%0.8%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay15.0%8.6%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay6.3%3.6%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay32.4%9.1%13.4%

Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.

Ownership

Ownership type: for-profit, individual.

OrganisationRole in the CMS recordInterestSince
Asru LLC5% or greater direct ownership interest70%06/15/2007
Corporate Interface Services LLCOperational/managerial controlNOT APPLICABLE03/18/2024
Rockport Administrative Services, LLCOperational/managerial controlNOT APPLICABLE07/01/2007
Corporate Interface Services LLCAdp of the snfNOT APPLICABLE04/10/2025
Rockport Administrative Services, LLCAdp of the snfNOT APPLICABLE04/10/2025

Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.

Other nursing homes in Marin County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Pine Ridge Care CenterSan Rafael1015354342.6—12 Feb 2026
The TamalpaisGreenbrae525451426.9—11 Sep 2025
Villa MarinSan Rafael315442167.7—18 Nov 2025
South Marin Health & Wellness CenterGreenbrae724343751.4—23 Jan 2026
Professional Post Acute CenterSan Rafael993247777.8$148K8 May 2026
Smith Ranch Skilled Nursing & Rehabilitation CenteSan Rafael803234556.3—9 Jun 2026
Marin Post Acuteabuse iconSan Rafael1682224627.4$11K25 Jun 2026
Northgate Postacute Careabuse iconSan Rafael5222265125.0$113K18 Jun 2026

All 11 facilities in Marin County

Questions and answers

How many deficiencies has Novato Healthcare Center been cited for?

100 health deficiencies across the three most recent survey cycles, 3 at the actual-harm or immediate-jeopardy level. The California median is 44 per facility.

Has Novato Healthcare Center been fined?

Yes. CMS lists fines totalling $90K in the period covered, plus 1 payment denial.

How does staffing at Novato Healthcare Center compare?

Reported total nurse staffing is 4.0 hours per resident per day against a California median of 4.2 and a national average of 3.9.

Who operates Novato Healthcare Center?

Ownership type is for-profit, individual. Organisations in the CMS ownership record include Asru LLC, Corporate Interface Services LLC and Rockport Administrative Services, LLC. Individual owners and managers are not listed on this site.

When was Novato Healthcare Center last inspected?

The most recent survey or investigation in the CMS record is dated 17 Jun 2026; the most recent standard health survey was 13 Nov 2025.

Where does this data come from?

All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.

Provenance

Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.