Novato Healthcare Center
1565 Hill Road · Novato, CA · 94947 · 4158976161
181 certified beds For profit - Individual
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspection record is far worse than the national median (deficiency count and severity).
- Staffing levels are well below research benchmarks for safe care.
- Federal penalties on record: $90,488 in fines in the last 24 months.
Red flags
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
$90,488 in federal fines in the last 24 months
2 fines — CMS fines are reserved for verified, serious non-compliance.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | — | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | — | 0.55–0.75 |
| Weekend hours / resident-day | — | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | 2 · $90,488 |
Inspection citations (94 in the current record)
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Potential for harm · D April 16, 2026 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected May 4, 2026 · Quality of Life and Care
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Potential for harm · D April 16, 2026 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected May 4, 2026 · Resident Assessment and Care Planning
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Potential for harm · D March 25, 2026 · found via complaint
Provide 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.
Corrected April 30, 2026 · Quality of Life and Care
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Potential for harm · D December 31, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected January 5, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D December 31, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected January 5, 2026 · Quality of Life and Care
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Potential for harm · D December 3, 2025 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected December 17, 2025 · Resident Assessment and Care Planning
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Potential for harm · D November 20, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected December 17, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D November 20, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected December 17, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E November 13, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected November 29, 2025 · Resident Rights
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Potential for harm · D November 13, 2025
Reasonably accommodate the needs and preferences of each resident.
Corrected November 29, 2025 · Resident Rights
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Potential for harm · E November 13, 2025
Honor 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.
Corrected November 29, 2025 · Resident Rights
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Potential for harm · D November 13, 2025
Provide activities to meet all resident's needs.
Corrected November 29, 2025 · Quality of Life and Care
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Potential for harm · D November 13, 2025
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected November 29, 2025 · Quality of Life and Care
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Potential for harm · D November 13, 2025
Provide enough food/fluids to maintain a resident's health.
Corrected November 29, 2025 · Quality of Life and Care
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Potential for harm · D November 13, 2025
Provide safe, appropriate pain management for a resident who requires such services.
Corrected November 29, 2025 · Quality of Life and Care
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Potential for harm · D November 13, 2025
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected November 29, 2025 · Nursing and Physician Services
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Potential for harm · D November 13, 2025
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected November 29, 2025 · Pharmacy Service
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Potential for harm · E November 13, 2025
Ensure medication error rates are not 5 percent or greater.
Corrected November 29, 2025 · Pharmacy Service
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Potential for harm · D November 13, 2025
Ensure that residents are free from significant medication errors.
Corrected November 29, 2025 · Pharmacy Service
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Potential for harm · E November 13, 2025
Ensure 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.
Corrected November 29, 2025 · Pharmacy Service
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Potential for harm · F November 13, 2025
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Corrected November 29, 2025 · Nutrition and Dietary
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Potential for harm · F November 13, 2025
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected November 29, 2025 · Nutrition and Dietary
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Potential for harm · F November 13, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected November 29, 2025 · Nutrition and Dietary
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Potential for harm · D November 13, 2025
Keep all essential equipment working safely.
Corrected November 29, 2025 · Environmental
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Potential for harm · D November 13, 2025
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected November 29, 2025 · Environmental
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| August 8, 2025 | Fine | $17,624 |
| April 23, 2025 | Fine | $72,864 |
| April 23, 2025 | Payment Denial | 70 days |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 555844 · certified since October 31, 2007. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.