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Nursing Home in Novato

CMS overall rating Info The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.

Novato Healthcare Center

Nursing Home in Novato

CMS overall rating Info The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.

Novato Healthcare Center

1565 Hill Rd, Novato, CA 94947 View map
Overview of Novato Healthcare Center

Experience the welcoming atmosphere of Novato Healthcare Center, located in Novato, CA, a top-quality community where vibrant living is paired with exceptional care. With skilled nursing and rehabilitation services, this community provides residents with personalized support tailored to their unique needs. Residents can enjoy stylish and comfortable private and semi-private rooms. Conveniently located near shopping and recreation areas, the community offers an ideal blend of peace and accessibility.

Novato Healthcare Center features a variety of enriching amenities, including a spacious outdoor dining area with nutritious meals and inviting recreational spaces. Residents can also enjoy a wide selection of activities that align with their interests and foster a sense of community. Here, each day brings joy, comfort, and a commitment to high-quality living.

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
1/5
California average: 3.1/5
Health Inspection Info Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
1/5
California average: 2.8/5
Staffing Info Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
4/5
California average: 3.1/5

Nursing care per resident

Info This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
3h 59m per day

This home provides 6% less nursing time per resident than the California average.

California average: 4h 13m per day

Staffing hours breakdown

Info Hours of care per resident per day, broken down by staff type. Data from CMS Medicare.
Staff type Facility State avg National avg
Registered Nurse (RN) Info Registered nurse hours per resident per day. 30m per day 39m per day 41m per day
Nurse Aide Info Nurse aide hours per resident per day. 2h 59m per day 2h 39m per day 2h 21m per day
Total Nursing (Weekend) Info Total number of nurse staff hours per resident per day on weekends. 3h 56m per day 4h 5m per day 3h 26m per day
Physical Therapist Info Physical therapist staff hours per resident per day. 2m per day 5m per day 4m per day
RN (Weekend) Info Registered nurse hours per resident per day on weekends. 23m per day 30m per day 29m per day

Capacity and availability

Medium-capacity home

Offers a balance of services and community atmosphere.

Total beds 181

This home usually has limited availability

Occupancy is moderate, suggesting balanced demand.

Similar demand to the California average
Occupancy rate 90.3%
Residents per day (avg) 178
Occupancy rate
90.3%
Residents per day (avg)
178

Who this home usually serves

TYPE OF STAY

Mostly short-term rehab stays

Most residents typically stay for a few weeks or months before returning home or moving on.

Might be optimal for
Short stays Recovery Medicare-covered care

Breakdown by payment type

Medicare

54% of new residents, usually for short-term rehab.

Typical stay 2 - 3 months

Private pay

1% of new residents, often for short stays.

Typical stay 3 years

Medicaid

45% of new residents, often for long-term daily care.

Typical stay 1 - 2 years

Finances and operations

Privately-owned community
Home revenue
$34.7M
Profit
$1.9M
Privately-owned community
Home revenue
$34,650,735.00
Profit
$1,949,305.00
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$11.6M
33.4% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$21.1M
Total costs $32.7M
Walk Score
Walk Score: 65 / 100
Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

About this community

Therapy & Rehabilitation

1 service
Rehabilitation Services

Staffing & Medical

1 service
Skilled Nursing

Amenities & Lifestyle

0 amenities
Specific ProgramsSkilled Nursing, Rehabilitation, Wound Care Management, Palliative Care, Alzheimer’s and Dementia Care

What does this home offer?

Accepts Medicaid icon
Accepts Medicaid icon

Accept Medicaid: Yes, Accept

Total residents icon
Total residents icon

Total Residents: 181 Residents

Housing options icon
Housing options icon

Housing Options: Private / Semi-Private Rooms

Building type icon
Building type icon

Building Type: Single-story

Types of Care at Novato Healthcare Center

Nursing Home
Contact Novato Healthcare Center

Health Inspection History

Inspections
Total health inspections 27

California average 12.5


Last Health inspection on Nov 2025

Total health citations 89

California average 50.2

Citations per inspection
3.3

California average 4.65


Health citations are formal notices following inspections when they fail to comply with safety and care standards.

44 of 89 citations resulted from standard inspections; 43 of 89 resulted from complaint investigations; and 2 of 89 came from combined inspections (standard and complaint).

Breakdown of citation severity (last 3 years)
Critical Health citations More info 0
100% better than California average

California average: 0.4


Serious Health citations More info 3
200% worse than California average

California average: 1

0 critical citations More info California average: 0.4

3 serious citations More info California average: 1

86 moderate citations More info California average: 47.2

0 minor citations More info California average: 1.5
Citations history (last 3 years)
Environmental moderate citation Info Issues related to building safety, cleanliness, maintenance, and overall living conditions. Nov 13, 2025
Corrected

Environmental moderate citation Info Issues related to building safety, cleanliness, maintenance, and overall living conditions. Nov 13, 2025
Corrected

Infection Control moderate citation Info Issues related to preventing and controlling infections, including hygiene practices and safety protocols. Nov 13, 2025
Corrected

Nursing Services moderate citation Info Issues related to the availability and quality of nursing staff and the care they provide. Nov 13, 2025
Corrected

Compare Nursing Homes around Novato The information below is reported by the California Department of Social Services and Department of Public Health.

1 facility compared · CMS & CA Dept. of Health data · Updated Apr 2026

Filter by care type
Novato Healthcare Center
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

Novato
181
90.3%
+7%
3.98
+53%
-6%
0
89
3.3
3
178
65
Asru Llc
$32.6M
$11.6M
35.5%
555844
Private / Semi-Private Rooms

Places of interest near Novato Healthcare Center

Address 1.0 mile from city center

Address 1565 Hill Rd, Novato, CA 94947

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Address

Staffing Data (Q2 2025)

This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.

Total staff 427
Employees 168
Contractors 259
Staff to resident ratio 2.64:1
2635702% better than California average

California average ratio: 0.00:1

Avg staff/day 93
Average shift 8 hours
0% compared with California average

California average: 7.7 hours

Total staff hours (quarter) 68,106
Nursing staff breakdown
Registered Nurse

Manages medical care and health needs.

Total count 56
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.9 hours

This role is partially covered by contractors.

Licensed Practical Nurse

Assists with medical care and medications.

Total count 82
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8 hours

This role is partially covered by contractors.

Certified Nursing Assistant

Helps with daily care and mobility.

Total count 255
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.2 hours

This role is partially covered by contractors.

Contractor staffing

Total hours from contractors

18%

12,260 contractor hours this quarter

Certified Nursing Assistant: 163 Licensed Practical Nurse: 56 Registered Nurse: 36 Physical Therapy Assistant: 1 Speech Language Pathologist: 1 Occupational Therapy Assistant: 1 Medical Director: 1
Staff by category
Certified Nursing Assistant9216325541,83091100%8.2
Licensed Practical Nurse2656829,54691100%8
Registered Nurse2036566,74591100%7.9
RN Director of Nursing7071,6267987%8.1
Other Dietary Services Staff4041,0338998%7.6
Qualified Social Worker3031,0097684%6.8
Clinical Nurse Specialist4049976167%8.6
Physical Therapy Assistant1129016673%7.4
Dental Services Staff2028366470%8.1
Respiratory Therapy Technician3036577178%6.4
Administrator1015206571%8
Speech Language Pathologist0115026369%8
Mental Health Service Worker1014775864%8.2
Physical Therapy Aide1014625864%8
Therapeutic Recreation Specialist1014106268%6.6
Dietitian1014025156%7.9
Nurse Practitioner101911112%8.2
Medical Director0114089%5
Occupational Therapy Assistant0112455%4.8
255 Certified Nursing Assistant
% of Days 100%
82 Licensed Practical Nurse
% of Days 100%
56 Registered Nurse
% of Days 100%
7 RN Director of Nursing
% of Days 87%
4 Other Dietary Services Staff
% of Days 98%
3 Qualified Social Worker
% of Days 84%
4 Clinical Nurse Specialist
% of Days 67%
2 Physical Therapy Assistant
% of Days 73%
2 Dental Services Staff
% of Days 70%
3 Respiratory Therapy Technician
% of Days 78%
1 Administrator
% of Days 71%
1 Speech Language Pathologist
% of Days 69%
1 Mental Health Service Worker
% of Days 64%
1 Physical Therapy Aide
% of Days 64%
1 Therapeutic Recreation Specialist
% of Days 68%
1 Dietitian
% of Days 56%
1 Nurse Practitioner
% of Days 12%
1 Medical Director
% of Days 9%
1 Occupational Therapy Assistant
% of Days 5%

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total census
162 residents
Residents by payment source
Medicare
7 residents (4.3%)
Medicaid
140 residents (86.4%)
Private pay or other
15 residents (9.3%)
Programs & Services
Residents' Group

Residents meet regularly to discuss policies, care quality, and activities

Family Member Group

Family members meet regularly to discuss policies, care quality, and activities

Nurse Aide Training

State-approved Nurse Aide Training and Competency Evaluation Program on-site

Active Family Council

Organized group of family members that meets regularly to discuss facility policies, resident care, and activities.

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 12.1
82% worse than California average

California average: 6.6

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 22.9
102% worse than California average

California average: 11.3

Long-stay resident measures
Significantly below average California avg: 4.3 Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 21.6%
95% worse than California average

California average: 11.1%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 24.9%
108% worse than California average

California average: 12.0%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 22.3%
97% worse than California average

California average: 11.3%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 0.6%
64% better than California average

California average: 1.7%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 7.7%
55% worse than California average

California average: 5.0%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 0.9%
26% better than California average

California average: 1.2%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 5.5%
30% worse than California average

California average: 4.2%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 40.6%
507% worse than California average

California average: 6.7%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
In line with California average

California average: 98.5%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 97.2%
In line with California average

California average: 98.2%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 1.77
21% better than California average

California average: 2.25

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 1.61
In line with California average

California average: 1.59

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 97.8%
In line with California average

California average: 94.0%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 3.9%
165% worse than California average

California average: 1.5%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 95.5%
In line with California average

California average: 93.2%

Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 20.0%
14% better than California average

California average: 23.2%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 16.1%
44% worse than California average

California average: 11.2%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 1.5%
91% worse than California average

California average: 0.8%

Ability to care for self at discharge Info Percentage of residents at or above expected ability to care for themselves at discharge. 27.8%
48% worse than California average

California average: 53.7%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 45.2%
11% worse than California average

California average: 50.6%

Penalties and fines

Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.

Source: CMS Penalties Database (Data as of Jan 2026)

Total fines amount $27K
51% lower than California average

California average: $55K

Number of fines 1
58% fewer fines than California average

California average: 2.4

Payment Denials Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. 0
100% fewer payment denials than California average

California average: 0.5

Fines amount comparison
Fines amount comparison
This facility $27K
California average $55K
Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Aug 8, 2025
$27K

Last updated: Jan 2026

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Multipurpose Senior Services Program

MSSP (Medi-Cal Waiver)

Age 65+, California resident, Medi-Cal eligible, nursing home risk.

~$2,829/month (300% FBR, individual).

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

County-managed; waitlists possible.

In-Home Supportive Services (IHSS)

California IHSS

Age 65+, California resident, Medicaid-eligible or low-income.

~$1,732/month (individual, Medi-Cal threshold).

$2,000 (individual).

Can hire family as caregivers.

Multipurpose Senior Services Program (MSSP)

CA MSSP

Age 65+, California resident, Medi-Cal-eligible, nursing home-eligible but community-capable.

~$2,829/month (300% FBR, individual).

$2,000 (individual).

Available in 38 counties; waitlists common.

Property Tax Postponement Program (PTP)

CA PTP

Age 62+, California resident, own and live in home, 40% equity.

~$51,500/year (household, adjusted annually).

Equity-based; no strict asset cap.

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

Assisted Living Waiver (ALW)

CA ALW

Age 65+ or disabled, California resident, Medi-Cal-eligible, nursing home-eligible.

~$2,829/month (300% FBR, individual).

$2,000 (individual).

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

California CARES Program

CA CARES

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

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

Not applicable; need-based.

High demand in urban areas; complements IHSS respite.

Low-Income Home Energy Assistance Program (LIHEAP)

CA LIHEAP

Age 60+ priority, California resident, low-income, utility/heating need.

~$2,510/month (200% of poverty level, individual).

Not applicable; income-focused.

High demand in inland/coastal extremes; weatherization capped at $5,000/home.

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