PlainNursing
CMS Nursing Home Compare · August 2026

Novato Healthcare Center

1565 Hill Road, Novato, CA 94947

Novato Healthcare Center, a 181-bed for profit - individual nursing facility in Novato, CA, holds a 1-star CMS overall rating - below the 3.0-star national average, ranking #1,077 of 1,154 rated homes in CA on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing above the national norm. 1 inspection finding reached the actual-harm or immediate-jeopardy level.

CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.

Phone: 4158976161

Build a private shortlist as you compare, saved on this device, no account needed.

Subscribe to CMS updates for this home (RSS) for inspection findings and Care Compare snapshot refreshes, no email.

1 / 5
Much below average · CMS overall · nat'l 3.0
#1,077 of 1,154
In-state rank among rated CA homes
3.99
About average · nurse hrs/day · nat'l 3.86
50
Inspection findings · 1 serious

The verdict

Novato Healthcare Center, a 181-bed for profit - individual nursing facility in Novato, CA, holds a 1-star CMS overall rating - below the 3.0-star national average, ranking #1,077 of 1,154 rated homes in CA on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing above the national norm. 1 inspection finding reached the actual-harm or immediate-jeopardy level.

1 / 5
CMS overall · national 3.0
#1,077 of 1,154
In-state rank among rated CA homes
3.99
Nurse hrs/resident-day · national 3.86
50
Inspection findings · 1 serious

CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.

In-state ownership mix · peer inventory

How 1,165 CA nursing homes split by ownership sector

This facility is recorded as For profit - Individual. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.

Health Inspection

1/5

Staffing

4/5

Quality Measures

2/5

Long-Stay Quality

3/5

Facility Information

Provider Number
555844
Ownership
For profit - Individual
Provider Type
Medicare and Medicaid
Beds
181
Residents
173
In Hospital
No
County
Marin
Last Inspection
Nov 13, 2025
Abuse citation on record

Staffing Data

How the 3.99 total nursing hours per resident-day are staffed:

RN Hours
0.51 (nat'l avg: 0.69)
LPN Hours
0.80
CNA Hours
2.69
Total Nursing Hours
3.99 (nat'l avg: 3.86)
PT Hours
0.03

What the CMS Record Reveals About Novato Healthcare Center

According to CMS Nursing Home Compare, Novato Healthcare Center ranks #1,077 of 1,154 rated nursing homes in CA on overall stars (tie-broken by health+staffing+quality, then fewer fines). Novato Healthcare Center operates 181 certified beds in Novato, CA with approximately 173 residents currently in care, and carries a CMS overall rating of 1 out of 5 stars (health inspection 1★ · staffing 4★ · quality 2★).

The inspection file contains 50 deficiency records from recent surveys, of which 1 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. This provider has been fined 2 times by CMS, for a combined $90K. Per resident day, this facility reports 3.99 total nursing hours (national average 3.86) and 0.51 RN hours.

Classified as "For profit - Individual" ownership and operating as a "Medicare and Medicaid" provider, Novato Healthcare Center falls into a category where comparative context matters.

Why sub-scores and the CMS methodology matter

The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.

For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.

Deficiency History (50 most recent)

D - Isolated - Minimal harm Jun 17, 2026 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

D - Isolated - Minimal harm Jun 17, 2026 Tag: 0605

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

D - Isolated - Minimal harm Jun 17, 2026 Tag: 0580

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Category: Resident Rights Deficiencies

D - Isolated - Minimal harm Jun 17, 2026 Tag: 0552

Ensure that residents are fully informed and understand their health status, care and treatments.

Category: Resident Rights Deficiencies

F - Widespread - Minimal harm Jun 17, 2026 Tag: 0925

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Category: Environmental Deficiencies

Corrected: Jul 10, 2026

D - Isolated - Minimal harm Jun 4, 2026 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Jun 25, 2026

D - Isolated - Minimal harm Jun 4, 2026 Tag: 0609

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jun 25, 2026

D - Isolated - Minimal harm May 6, 2026 Tag: 0600

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: May 31, 2026

D - Isolated - Minimal harm Apr 16, 2026 Tag: 0842

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: May 4, 2026

D - Isolated - Minimal harm Apr 16, 2026 Tag: 0677

Provide care and assistance to perform activities of daily living for any resident who is unable.

Category: Quality of Life and Care Deficiencies

Corrected: May 4, 2026

D - Isolated - Minimal harm Mar 25, 2026 Tag: 0688

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.

Category: Quality of Life and Care Deficiencies

Corrected: Apr 30, 2026

D - Isolated - Minimal harm Dec 31, 2025 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Jan 5, 2026

D - Isolated - Minimal harm Dec 31, 2025 Tag: 0600

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jan 5, 2026

D - Isolated - Minimal harm Dec 3, 2025 Tag: 0658

Ensure services provided by the nursing facility meet professional standards of quality.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Dec 17, 2025

D - Isolated - Minimal harm Nov 20, 2025 Tag: 0609

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Dec 17, 2025

D - Isolated - Minimal harm Nov 20, 2025 Tag: 0600

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Dec 17, 2025

D - Isolated - Minimal harm Nov 13, 2025 Tag: 0919

Make sure that a working call system is available in each resident's bathroom and bathing area.

Category: Environmental Deficiencies

Corrected: Nov 29, 2025

D - Isolated - Minimal harm Nov 13, 2025 Tag: 0908

Keep all essential equipment working safely.

Category: Environmental Deficiencies

Corrected: Nov 29, 2025

D - Isolated - Minimal harm Nov 13, 2025 Tag: 0760

Ensure that residents are free from significant medication errors.

Category: Pharmacy Service Deficiencies

Corrected: Nov 29, 2025

D - Isolated - Minimal harm Nov 13, 2025 Tag: 0757

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Category: Pharmacy Service Deficiencies

Corrected: Nov 29, 2025

D - Isolated - Minimal harm Nov 13, 2025 Tag: 0726

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.

Category: Nursing and Physician Services Deficiencies

Corrected: Nov 29, 2025

D - Isolated - Minimal harm Nov 13, 2025 Tag: 0697

Provide safe, appropriate pain management for a resident who requires such services.

Category: Quality of Life and Care Deficiencies

Corrected: Nov 29, 2025

D - Isolated - Minimal harm Nov 13, 2025 Tag: 0692

Provide enough food/fluids to maintain a resident's health.

Category: Quality of Life and Care Deficiencies

Corrected: Nov 29, 2025

D - Isolated - Minimal harm Nov 13, 2025 Tag: 0686

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Category: Quality of Life and Care Deficiencies

Corrected: Nov 29, 2025

D - Isolated - Minimal harm Nov 13, 2025 Tag: 0679

Provide activities to meet all resident's needs.

Category: Quality of Life and Care Deficiencies

Corrected: Nov 29, 2025

D - Isolated - Minimal harm Nov 13, 2025 Tag: 0677

Provide care and assistance to perform activities of daily living for any resident who is unable.

Category: Quality of Life and Care Deficiencies

Corrected: Nov 30, 2025

D - Isolated - Minimal harm Nov 13, 2025 Tag: 0558

Reasonably accommodate the needs and preferences of each resident.

Category: Resident Rights Deficiencies

Corrected: Nov 29, 2025

E - Pattern - Minimal harm Nov 13, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Nov 29, 2025

E - Pattern - Minimal harm Nov 13, 2025 Tag: 0761

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.

Category: Pharmacy Service Deficiencies

Corrected: Nov 29, 2025

E - Pattern - Minimal harm Nov 13, 2025 Tag: 0759

Ensure medication error rates are not 5 percent or greater.

Category: Pharmacy Service Deficiencies

Corrected: Nov 29, 2025

E - Pattern - Minimal harm Nov 13, 2025 Tag: 0578

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.

Category: Resident Rights Deficiencies

Corrected: Nov 29, 2025

E - Pattern - Minimal harm Nov 13, 2025 Tag: 0550

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Category: Resident Rights Deficiencies

Corrected: Nov 29, 2025

F - Widespread - Minimal harm Nov 13, 2025 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Nov 29, 2025

F - Widespread - Minimal harm Nov 13, 2025 Tag: 0804

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Category: Nutrition and Dietary Deficiencies

Corrected: Nov 29, 2025

F - Widespread - Minimal harm Nov 13, 2025 Tag: 0802

Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

Category: Nutrition and Dietary Deficiencies

Corrected: Nov 29, 2025

D - Isolated - Minimal harm Sep 8, 2025 Tag: 0790

Provide routine and 24-hour emergency dental care for each resident.

Category: Quality of Life and Care Deficiencies

Corrected: Oct 7, 2025

D - Isolated - Minimal harm Sep 8, 2025 Tag: 0580

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Category: Resident Rights Deficiencies

Corrected: Oct 7, 2025

G - Isolated - Actual harm Sep 8, 2025 Tag: 0760

Ensure that residents are free from significant medication errors.

Category: Pharmacy Service Deficiencies

Corrected: Oct 7, 2025

D - Isolated - Minimal harm Aug 28, 2025 Tag: 0645

PASARR screening for Mental disorders or Intellectual Disabilities

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Sep 16, 2025

D - Isolated - Minimal harm Aug 28, 2025 Tag: 0600

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Sep 16, 2025

D - Isolated - Minimal harm Aug 20, 2025 Tag: 0609

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Aug 28, 2025

D - Isolated - Minimal harm Aug 8, 2025 Tag: 0842

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Sep 16, 2025

D - Isolated - Minimal harm Aug 8, 2025 Tag: 0760

Ensure that residents are free from significant medication errors.

Category: Pharmacy Service Deficiencies

Corrected: Sep 16, 2025

F - Widespread - Minimal harm Jul 18, 2025 Tag: 0895

Have a Compliance and Ethics Program.

Category: Administration Deficiencies

Corrected: Aug 1, 2025

E - Pattern - Minimal harm Jul 9, 2025 Tag: 0919

Make sure that a working call system is available in each resident's bathroom and bathing area.

Category: Environmental Deficiencies

Corrected: Jul 31, 2025

E - Pattern - Minimal harm Jul 9, 2025 Tag: 0690

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Category: Quality of Life and Care Deficiencies

Corrected: Jul 31, 2025

E - Pattern - Minimal harm Jul 9, 2025 Tag: 0677

Provide care and assistance to perform activities of daily living for any resident who is unable.

Category: Quality of Life and Care Deficiencies

Corrected: Jul 31, 2025

D - Isolated - Minimal harm Jul 3, 2025 Tag: 0842

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jul 22, 2025

D - Isolated - Minimal harm May 19, 2025 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jun 20, 2025

F - Widespread - Minimal harm May 19, 2025 Tag: 0940

Develop, implement, and/or maintain an effective training program for all new and existing staff members.

Category: Administration Deficiencies

Corrected: Jul 10, 2025

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 17.1% Yes
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.3% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 0.6% Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 1.4% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 15.0% Yes
Percentage of long-stay residents with pressure ulcers Long Stay 6.3% Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay 32.4% Yes
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 0.9% Yes
Percentage of long-stay residents who lose too much weight Long Stay 2.7% No
Percentage of long-stay residents who have depressive symptoms Long Stay 39.3% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 93.7% No
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 17.8% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 97.2% No
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 21.1% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 76.6% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 95.5% No

Penalty History 2 penalties totaling $90K

Date Type Amount
Aug 8, 2025 Fine $18K
Apr 23, 2025 Fine $73K
Apr 23, 2025 Payment Denial -

Nationwide facilities with similar scale or staffing

Two data-derived peer sets for Novato Healthcare Center, both outside CA so the neighborhoods are not the same-state geography list below.

What the CMS records show for Novato Healthcare Center

The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.

  • The CA registry aggregates state averages and the highest-rated homes in this cohort. View CA registry
  • Peer homes near 181 beds show how CMS stars vary at a similar scale in CA. Compare a similar-size peer
  • CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work

CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.

Frequently Asked Questions

What is the overall CMS rating for Novato Healthcare Center?
Novato Healthcare Center has an overall CMS rating of 1 out of 5 stars. This rating combines health inspection results (1★), staffing levels (4★), and quality measures (2★).
Where does Novato Healthcare Center rank among nursing homes in CA?
According to CMS Nursing Home Compare overall stars (with health+staffing+quality tie-breaks, then fewer fines), Novato Healthcare Center ranks 1,077th among 1,154 rated nursing homes in CA (#1,077 of 1,154). CMS force-curves the overall star within each state, so this peer set is the honest comparison.
What are the staffing levels at Novato Healthcare Center?
Novato Healthcare Center reports 3.99 total nursing hours per resident day (national average: 3.86). RN hours are 0.51 per resident day (national average: 0.69).
How many beds does Novato Healthcare Center have?
Novato Healthcare Center has 181 certified beds with approximately 173 residents. The facility is located at 1565 Hill Road, Novato, CA 94947.
Does Novato Healthcare Center have any deficiencies on record?
Yes, Novato Healthcare Center has 50 deficiencies on record from recent inspections. Of these, 1 are classified as causing actual harm or jeopardy.
Has Novato Healthcare Center received any fines or penalties?
Yes, Novato Healthcare Center has received 2 penalties totaling $90K.
Who owns Novato Healthcare Center?
Novato Healthcare Center is classified as "For profit - Individual" ownership. The facility type is "Medicare and Medicaid".
When was Novato Healthcare Center last inspected?
The most recent health inspection for Novato Healthcare Center was on Nov 13, 2025. The facility received a health inspection rating of 1 out of 5 stars.
What quality measures are tracked for Novato Healthcare Center?
Novato Healthcare Center is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.
Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.

Source: CMS Nursing Home Compare provider data (data.cms.gov). See our methodology for how this page is compiled. Ratings, staffing, health-inspection deficiency, and Civil Money Penalty records are published by the Centers for Medicare & Medicaid Services under a public-domain (CC0) license.

Found this useful? Share Novato Healthcare Center's record.