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Novato Healthcare Center

Nursing Home Facility

1565 Hill Road, Novato, CA 94947

Nursing Home Care Senior Living
Novato Healthcare Center

Novato Healthcare Center is a senior care community located in Novato, CA. It provides nursing home care and senior living for older adults in the Novato area. To learn more or schedule a tour, call (415) 897-6161.

With 181 beds, Novato Healthcare Center is one of the larger communities in the area, senior care communities in Novato average about 24 beds. Larger communities more often keep clinical staff on site around the clock and can offer a wider range of on-site therapy and activities, though some families prefer the quieter feel of a smaller setting.

Federal reporting puts occupancy at about 95% of its licensed beds, which is high; communities this full often maintain a waiting list, so it is worth calling well before you need a place.

Medicare rates this community 1 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. The individual scores differ noticeably: 4 stars for staffing against 1 star for health inspections, so it is worth reading both before deciding. Its most recent standard health inspection was in November 2025 and recorded 43 deficiencies.

Residents receive about 4.0 hours of nursing care per day on average, including 0.5 hours from a registered nurse.

The community is located in Marin County, CA.

Medicare five-star ratings

  • Overall ★★★★★ 1/5
  • Health inspections ★★★★★ 1/5
  • Staffing ★★★★★ 4/5
  • Quality measures ★★★★★ 2/5

Source: Centers for Medicare & Medicaid Services (CMS) Care Compare. Ratings apply to Medicare/Medicaid-certified nursing homes and are updated by CMS monthly.

Inspection record

In its last three standard inspections and any complaint visits, federal inspectors cited 100 problems at Novato Healthcare Center. 3 findings involved harm to a resident. 56 came from investigating complaints by residents or families.

In the last three years Medicare fined this home twice, a total of $90,488. Medicare also stopped paying for new admissions once in that period.

Findings from the most recent inspection cycle

  • Caused harm to a resident, one or a few residents Pharmacy Service

    Ensure that residents are free from significant medication errors.

    Inspected September 2025, after a complaint. Corrected by October 7, 2025.

  • Could cause more than minimal harm, widespread Environmental

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

    Inspected June 2026, after a complaint. Corrected by July 10, 2026.

  • Could cause more than minimal harm, one or a few residents Resident Rights

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

    Inspected June 2026, after a complaint.

  • Could cause more than minimal harm, one or a few residents Resident Rights

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

    Inspected June 2026, after a complaint.

  • Could cause more than minimal harm, one or a few residents Freedom from Abuse, Neglect, and Exploitation

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

    Inspected June 2026, after a complaint.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

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

    Inspected June 2026, after a complaint.

  • Could cause more than minimal harm, one or a few residents Freedom from Abuse, Neglect, and Exploitation

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

    Inspected June 2026, after a complaint. Corrected by June 25, 2026.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

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

    Inspected June 2026, after a complaint. Corrected by June 25, 2026.

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  • Could cause more than minimal harm, one or a few residents Freedom from Abuse, Neglect, and Exploitation

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

    Inspected May 2026, after a complaint. Corrected by May 31, 2026.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

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

    Inspected April 2026, after a complaint. Corrected by May 4, 2026.

  • Could cause more than minimal harm, one or a few residents Resident Assessment and Care Planning

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

    Inspected April 2026, after a complaint. Corrected by May 4, 2026.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    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.

    Inspected March 2026, after a complaint. Corrected by April 30, 2026.

  • Could cause more than minimal harm, one or a few residents Freedom from Abuse, Neglect, and Exploitation

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

    Inspected December 2025, after a complaint. Corrected by January 5, 2026.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

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

    Inspected December 2025, after a complaint. Corrected by January 5, 2026.

  • Could cause more than minimal harm, one or a few residents Resident Assessment and Care Planning

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

    Inspected December 2025, after a complaint. Corrected by December 17, 2025.

  • Could cause more than minimal harm, one or a few residents Freedom from Abuse, Neglect, and Exploitation

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

    Inspected November 2025, after a complaint. Corrected by December 17, 2025.

  • Could cause more than minimal harm, one or a few residents Freedom from Abuse, Neglect, and Exploitation

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

    Inspected November 2025, after a complaint. Corrected by December 17, 2025.

  • Could cause more than minimal harm, widespread Nutrition and Dietary

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

    Inspected November 2025. Corrected by November 29, 2025.

  • Could cause more than minimal harm, widespread Nutrition and Dietary

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

    Inspected November 2025. Corrected by November 29, 2025.

  • Could cause more than minimal harm, widespread Nutrition and Dietary

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

    Inspected November 2025. Corrected by November 29, 2025.

  • Could cause more than minimal harm, a pattern Resident Rights

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

    Inspected November 2025. Corrected by November 29, 2025.

  • Could cause more than minimal harm, a pattern Resident Rights

    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.

    Inspected November 2025. Corrected by November 29, 2025.

  • Could cause more than minimal harm, a pattern Pharmacy Service

    Ensure medication error rates are not 5 percent or greater.

    Inspected November 2025. Corrected by November 29, 2025.

  • Could cause more than minimal harm, a pattern Pharmacy Service

    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.

    Inspected November 2025. Corrected by November 29, 2025.

  • Could cause more than minimal harm, a pattern Infection Control

    Provide and implement an infection prevention and control program.

    Inspected November 2025, after a complaint. Corrected by November 29, 2025.

  • Could cause more than minimal harm, one or a few residents Resident Rights

    Reasonably accommodate the needs and preferences of each resident.

    Inspected November 2025. Corrected by November 29, 2025.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

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

    Inspected November 2025, after a complaint. Corrected by November 30, 2025.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Provide activities to meet all resident's needs.

    Inspected November 2025. Corrected by November 29, 2025.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

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

    Inspected November 2025. Corrected by November 29, 2025.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

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

    Inspected November 2025. Corrected by November 29, 2025.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

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

    Inspected November 2025. Corrected by November 29, 2025.

  • Could cause more than minimal harm, one or a few residents Nursing and Physician Services

    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.

    Inspected November 2025. Corrected by November 29, 2025.

  • Could cause more than minimal harm, one or a few residents Pharmacy Service

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

    Inspected November 2025. Corrected by November 29, 2025.

  • Could cause more than minimal harm, one or a few residents Pharmacy Service

    Ensure that residents are free from significant medication errors.

    Inspected November 2025. Corrected by November 29, 2025.

  • Could cause more than minimal harm, one or a few residents Environmental

    Keep all essential equipment working safely.

    Inspected November 2025. Corrected by November 29, 2025.

  • Could cause more than minimal harm, one or a few residents Environmental

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

    Inspected November 2025. Corrected by November 29, 2025.

  • Could cause more than minimal harm, one or a few residents Resident Rights

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

    Inspected September 2025, after a complaint. Corrected by October 7, 2025.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

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

    Inspected September 2025, after a complaint. Corrected by October 7, 2025.

  • Could cause more than minimal harm, one or a few residents Freedom from Abuse, Neglect, and Exploitation

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

    Inspected August 2025, after a complaint. Corrected by September 16, 2025.

  • Could cause more than minimal harm, one or a few residents Resident Assessment and Care Planning

    PASARR screening for Mental disorders or Intellectual Disabilities

    Inspected August 2025, after a complaint. Corrected by September 16, 2025.

  • Could cause more than minimal harm, one or a few residents Freedom from Abuse, Neglect, and Exploitation

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

    Inspected August 2025, after a complaint. Corrected by August 28, 2025.

  • Could cause more than minimal harm, one or a few residents Pharmacy Service

    Ensure that residents are free from significant medication errors.

    Inspected August 2025, after a complaint. Corrected by September 16, 2025.

  • Could cause more than minimal harm, one or a few residents Resident Assessment and Care Planning

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

    Inspected August 2025, after a complaint. Corrected by September 16, 2025.

A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.

Source: Centers for Medicare & Medicaid Services, Health Deficiencies and Penalties files, updated monthly. See the full record on Medicare Care Compare.

Novato Healthcare Center offers nursing home care and senior living.

Facility details

  • Organization type for-profit corporation
  • Beds / units 181
  • Occupancy 95%
  • Nursing hours per resident/day 4.0
  • Last health inspection November 2025

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