The Bluffs at Hamilton Hill

Overview of The Bluffs at Hamilton Hill

Discover the attentive care and warmth of The Bluffs at Hamilton Hill, situated in Novato, CA, where supportive services and a vibrant and compassionate environment come together for a truly enriching lifestyle. This community offers a wide range of services, including assisted living and memory care, with personalized support tailored to each resident’s unique needs. The devoted team is passionate about delivering quality care and fostering a joyful and uplifting atmosphere. Residents can also select from comfortable studio, one-bedroom, and two-bedroom apartments thoughtfully designed to suit individual tastes.

Offering top-tier amenities like a spacious courtyard and creative art classes, The Bluffs at Hamilton Hill promotes social connections and nurtures residents’ emotional, mental, and physical well-being. Each day is carefully planned to bring joy and purpose, making this a wonderful place to call home.

95-bed community

A larger shared setting that may offer more common spaces and organized community services.

3 years in operation

An established community with some operational experience and growing routines.

Walk Score: 42 / 100

Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

About this community

Occupancy

Occupancy rate

83%

Higher than the California average: 72.8%

Occupied beds

79 / 95

Average occupied beds in California homes 87 beds

Facility TypeResidential Care Elderly

StatusLicensed

IssuanceSeptember 15, 2022

CountyMarin

The Bluffs at Hamilton Hill is legally operated by Hamilton Hill I, Llc: Msl Community Management Llc, and administered by Melon Rivera.

Since 2022 · 4 years of data 26 citations 47 total visits 23 complaint visits 3 official inspections 17 complaint investigations

Inspection Score

22 points below the California average for assisted living residences (81/100)

Inspection Scorecard This scorecard compares key inspection, citation, and complaint metrics at this facility against the California state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Since 2022 vs. California state average

Overall vs. CA average

Latest Inspection April 28, 2026

Citations Citations are formal regulatory issues recorded during state inspections.	This Facility	CA Average	vs. CA Avg
Total citations Formal regulatory issues recorded by inspectors across all inspection types.	26	10	This facility has 160% more total citations than a typical California assisted living residence (26 vs. CA avg 10).↑ 160% worse
Serious citations (Type A) Citations that pose an immediate risk to resident health or safety. Type A citations are the most serious and typically require prompt corrective action.	13	3	This facility has 333% more serious citations (type a) than a typical California assisted living residence (13 vs. CA avg 3).↑ 333% worse Rank #1096 / 1164 Serious citations (Type A) — State benchmarked This home is ranked 1096th out of 1164 homes in California. Shows this facility's # of serious citations compared to the California average among 1164 comparable communities in the ranking pool. Rankings are based only on facilities in California that report data for that category. Facilities without available data are excluded from the ranking.
Moderate citations (Type B) Citations that do not pose an immediate risk but still represent a departure from required care or operational standards.	13	4	This facility has 225% more moderate citations (type b) than a typical California assisted living residence (13 vs. CA avg 4).↑ 225% worse
Citations per year Average citations per year since 2022.	6.5	2.5	This facility has 160% more citations per year than a typical California assisted living residence (6.5 vs. CA avg 2.5).↑ 160% worse
Citations per inspection Average citations per inspection.	0.6	3.3	This facility has 82% fewer citations per inspection than a typical California assisted living residence (0.6 vs. CA avg 3.3).↓ 82% better

Inspections & Visits State inspections evaluate whether the facility meets health and safety standards.	This Facility	CA Average	vs. CA Avg
Total visits Combined count of complaint visits, other regulatory visits, and official scheduled inspections.	47	16	This facility has 194% more total visits than a typical California assisted living residence (47 vs. CA avg 16).↑ 194% worse
Complaint visits On-site visits triggered by formal complaints filed by residents, families, or staff.	23	13	This facility has 77% more complaint visits than a typical California assisted living residence (23 vs. CA avg 13).↑ 77% worse Rank #1177 / 1397 Complaint visits — State benchmarked This home is ranked 1177th out of 1397 homes in California. Shows this facility's # of complaint visits compared to the California average among 1397 comparable communities in the ranking pool. Rankings are based only on facilities in California that report data for that category. Facilities without available data are excluded from the ranking.
Other visits Regulatory visits that are neither routine inspections nor complaint investigations — administrative check-ins, follow-up reviews, licensing-related visits.	21	7	This facility has 200% more other visits than a typical California assisted living residence (21 vs. CA avg 7).↑ 200% worse
Official inspections Routine, scheduled inspections conducted by state regulators to evaluate whether the facility meets federal and state standards.	3	4	This facility has 25% fewer official inspections than a typical California assisted living residence (3 vs. CA avg 4).↓ 25% better
Complaint investigations On-site investigations triggered by complaints filed with California regulators.	17	10	This facility has 70% more complaint investigations than a typical California assisted living residence (17 vs. CA avg 10).↑ 70% worse

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

The most recent inspection on March 19, 2026, found no deficiencies and cleared all prior citations during a follow-up visit.
Multiple substantiated complaints from late 2025 and 2024 cited repeated failures in timely medication administration, insufficient staffing, and delayed response to resident call buttons, with civil penalties issued.
The facility had repeated immediate risk findings for resident elopement and inadequate supervision between 2024 and 2025, but conducted in-service training and showed some corrective actions.

Show Inspection Reports

What does this home offer?

Pets Allowed

Room Sizes: 283 / 429 / 473 / 474 / 563 / 581 sq. ft

Housing Options: Studio / 1 Bed / 2 Bed

Building Type: 3-story

Transportation Services

Fitness and Recreation

Movie Theater

Parking Available

Living Spaces & Floor Plans for The Bluffs at Hamilton Hill

The Bluffs At Hamilton Hill3

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Compare Assisted Living around Novato

The information below is reported by the California Department of Social Services and Department of Public Health.


Atria Tamalpais Creek	AL IL MC RC	Novato	180 Facility 180 CA AVG 103 Rank #210 / 1657	Yes	47 Facility 47 CA AVG 57 Rank #1422 / 2092	89 Facility 89 CA AVG 81 Rank #461 / 1401	5	3 Facility 3 CA AVG 13 Rank #441 / 1397	2 Facility 2 CA AVG 3 Rank #600 / 1164	29 Facility 29 CA AVG 13 Rank #144 / 1487	62.2% Facility 62.2% CA AVG 74.8% Rank #1064 / 1368	-	Wg Tamalpais Creek Sh LP; Atria Management Co LLC	Studio / Suite / 1 Bed / 2 Bed
Oakmont of Novato	AL MC	Novato	118 Facility 118 CA AVG 103 Rank #601 / 1657	No	65 Facility 65 CA AVG 57 Rank #888 / 2092	59 Facility 59 CA AVG 81 Rank #1301 / 1401	4	24 Facility 24 CA AVG 13 Rank #1187 / 1397	15 Facility 15 CA AVG 3 Rank #1115 / 1164	4 Facility 4 CA AVG 13 Rank #1100 / 1487	72.0% Facility 72.0% CA AVG 74.8% Rank #798 / 1368	A+	Oakmont Sr. Lvng. Of Novato Opco LLC;Oakmont Et Al	Studio / Suite / 1 Bed / 2 Bed
The Bluffs at Hamilton Hill	AL MC	Novato	95 Facility 95 CA AVG 103 Rank #813 / 1657	Yes	42 Facility 42 CA AVG 57 Rank #1527 / 2092	59 Facility 59 CA AVG 81 Rank #1301 / 1401	3	23 Facility 23 CA AVG 13 Rank #1177 / 1397	13 Facility 13 CA AVG 3 Rank #1096 / 1164	3 Facility 3 CA AVG 13 Rank #1210 / 1487	83.2% Facility 83.2% CA AVG 74.8% Rank #524 / 1368	-	Hamilton Hill I, LLC: Msl Community Management LLC	Studio / 1 Bed / 2 Bed

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Multipurpose Senior Services Program

MSSP (Medi-Cal Waiver)

Age 65+

General California resident, Medi-Cal eligible, nursing home risk.

Income Limits (2025) ~$2,829/month 300% FBR, individual

Asset Limits $2,000 (individual), $3,000 (couple).

County-managed; waitlists possible.

Benefits

In-home support (4-6 hours/day) Respite care (14 days/year) Meals (~$6/meal) Transportation (8 trips/month) Care management

In-Home Supportive Services (IHSS)

California IHSS

Age 65+

General California resident, Medicaid-eligible or low-income.

Income Limits ~$1,732/month individual, Medi-Cal threshold

Asset Limits $2,000 individual

Can hire family as caregivers.

Benefits

Personal care (up to 283 hours/month) Homemaker services Respite (varies)

Multipurpose Senior Services Program (MSSP)

CA MSSP

Age 65+

General California resident, Medi-Cal-eligible, nursing home-eligible but community-capable.

Income Limits ~$2,829/month 300% FBR, individual

Asset Limits $2,000 individual

Available in 38 counties; waitlists common.

Benefits

Case management Respite care (up to 10 days/year) Minor home mods (avg. $500) Adult day care (~$50/day)

Property Tax Postponement Program (PTP)

CA PTP

Age 62+

General California resident, own and live in home, 40% equity.

Income Limits (2025) ~$51,500/year household, adjusted annually

Asset Limits Equity-based; no strict asset cap.

Deferred taxes accrue interest (5% as of 2024); repaid upon sale/death.

Benefits

Property tax deferral (avg. $1,000-$3,000/year, varies by county)

Assisted Living Waiver (ALW)

CA ALW

Age 65+ or disabled

General California resident, Medi-Cal-eligible, nursing home-eligible.

Income Limits ~$2,829/month 300% FBR, individual

Asset Limits $2,000 individual

Available in 15 counties (e.g., LA, Sacramento); waitlists common.

Benefits

Personal care in ALFs (5-7 hours/day) Medication management Social services

California CARES Program

CA CARES

Age —

General Caregivers of California residents 60+ needing help with 3+ daily activities; no caregiver age limit.

Income Limits No strict limit; cost-sharing above ~$2,500/month threshold.

Asset Limits Not applicable; need-based.

High demand in urban areas; complements IHSS respite.

Benefits

Respite care (up to 10 days/year) Counseling (4-6 sessions/year) Training (2-3 workshops/year) Supplies (~$200/year)

Who is the owner of The Bluffs at Hamilton Hill?

The legal owner and operator of The Bluffs at Hamilton Hill is Hamilton Hill I, Llc: Msl Community Management Llc.

Is The Bluffs at Hamilton Hill in a walkable area?

The Bluffs at Hamilton Hill has a walk score of 42. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

What is the occupancy rate at The Bluffs at Hamilton Hill?

The Bluffs at Hamilton Hill's occupancy is 83%.

Who is the administrator of The Bluffs at Hamilton Hill?

Melon Rivera is the administrator of The Bluffs at Hamilton Hill.

How many beds does The Bluffs at Hamilton Hill have?

The Bluffs at Hamilton Hill has 95 beds.

Has The Bluffs at Hamilton Hill had any recent citations?

The Bluffs at Hamilton Hill has had 27 recently reported citations.

Are there photos of The Bluffs at Hamilton Hill?

Yes — there are 4 photos of The Bluffs at Hamilton Hill in the photo gallery on this page.

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The Bluffs at Hamilton Hill