ALM's inspection grade is 61 / 100, a D- — 23 points below the California average for CMS-certified facilities (84/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
1/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
ALM's inspection grade is 61 / 100, a D- — 23 points below the California average for CMS-certified facilities (84/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
1/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Novato Healthcare Center provides nursing home, skilled nursing, memory care, palliative care, and respite care in Novato, CA. Skilled nursing includes licensed nursing care on site around the clock, while memory care provides a secured setting with supervision for residents at risk of wandering. Palliative care centers on comfort and symptom management, and respite care offers a short stay when a resident’s usual caregiver needs to travel or recover.
The home has 181 beds, making it a larger community where residents share the setting with more residents and staff and have access to more programming. Private rooms offer one resident a single living space, while semi-private rooms accommodate two residents. If a resident’s needs change, they may be able to move among the community’s care services without leaving the setting, making Novato Healthcare Center a potential fit for someone who needs nursing oversight, memory-related supervision, comfort-focused care, or a short-term stay.
Total nurse staffing is 4 hours and 2 minutes per resident per day, which represents the daily hands-on nursing time assigned to each resident. Wound Care Management and rehabilitation services support residents who need wound treatment or therapy as part of their care. The community is in the Canyon Green neighborhood, accepts Medicare, Medicaid, and private pay, and has a Walk Score of 65. The area is somewhat walkable, so some errands can be completed on foot, and a resident who no longer drives may be able to handle certain nearby trips independently.
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.
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.
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.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Data period: Q3 2025 (July 1 – September 30, 2025).
This nursing home is ranked 113th out of 290 nursing homes we track in California for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
4h 2m5 of 6 metrics below California average
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes. 44 total: 18 of the facility's own employees and 26 agency contractors.
44 staff · 8.2-hour shifts
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care. 71 total: 27 of the facility's own employees and 44 agency contractors.
71 staff · 8.2-hour shifts
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life. 208 total: 93 of the facility's own employees and 115 agency contractors.
208 staff · 8.3-hour shifts
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
RN + LPN + aide · Sat–Sun
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
Sat–Sun
Every person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.
357
167 employees · 190 contractors · 98 on an average day
357 total staff / 162 residents. Residents: CMS Long-Term Care Facility Characteristics (data as of Jun 2026); staff: CMS Payroll-Based Journal (Q3 2025).Residents and staff come from two different CMS releases, so the two counts can be a few months apart.
2.20 : 1
↑ 23% · CA 1.79This facility: 2.20 staff per resident, 23% above the California average of 1.79 (among California facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
357 staff ÷ 162 residents
See full California ranking →
Average hours one staff member works on a day they are on shift, across every role.
8.3 h
↑ 8% · CA 7.7 hThis facility: 8.3 h, 8% above the California average of 7.7 h (among California facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
74,533 staff hours this quarter
See full California ranking →90.4% of staff hours were worked by the facility's own employees
California average: 95.3% · Contractors this quarter: Certified Nursing Assistant (115), Licensed Practical Nurse (44), Registered Nurse (26), Speech Language Pathologist (2), Respiratory Therapy Technician (1), Physical Therapy Assistant (1), Clinical Nurse Specialist (1)
Why it matters: employees work here week after week and get to know each resident's routines and needs. Agency contractors often rotate between facilities, so a higher employee share usually means more consistent care.
A mid-sized community that may balance personal attention with shared amenities and social activities.
181
Rank #80 / 341Bed count — State benchmarked This nursing home is ranked 80th out of 341 nursing homes we track in California for bed count. Shows this facility's certified or reported bed count compared to other California facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in California that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Medium-capacity home · Offers a balance of services and community atmosphere.
Somewhat walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
Rank #161 / 344Walk Score — State benchmarked This nursing home is ranked 161st out of 344 nursing homes we track in California for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across California facilities. Higher scores benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in California that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Occupancy higher than 95% suggests steady demand, but availability may be limited.
Rank #51 / 299Occupancy rate — State benchmarked This nursing home is ranked 51st out of 299 nursing homes we track in California for occupancy. Shows this facility's occupancy rate versus the California average, with its Statewide rank out of 299. Higher occupancy signals strong local demand and financial stability. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in California that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Based on residents per day and 181 beds.
Higher than the California average: 82.2%
The average number of residents living at this facility on a given day. CMS calculates this figure from the facility's Minimum Data Set (MDS) assessments and uses this value for other measures like Hours Per Resident Per Day (HPRD) and 5-Star Staffing rating.
Source: CMS Provider Information, average daily residents
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
Sourced directly from the team at Novato Healthcare Center.23 points below the California average for CMS-certified facilities (84/100)
Category breakdown
299 severity-weighted points (100 citations) · 3× higher than the typical CMS-certified CA facility (median: 95)
$90,488 in fines · 3 enforcement actions
27 days to fix issues · slower than the typical CMS-certified CA facility (median: 25)
96% corrected
96 of 100 citations corrected · 4 still open Latest inspection: Jun 17, 2026 · 5 citations, 1 corrected
Most cited category: Quality of Life & Care, 29 of 100 citations · 10 categories in total
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Showing the 50 most recent of 100 citations.
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
44 of 100 citations resulted from standard inspections; 54 of 100 resulted from complaint investigations; and 2 of 100 came from combined inspections (standard and complaint).
Includes all CMS health inspection records for this property, which could include management/ownership changes.
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Show Inspection Reports
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 Aug 2026
3 penalties in the past 3 years
Latest: Aug 8, 2025 · $17,624 civil money penalty
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$17,624
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$72,864
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
New admissions not paid
70 daysTotals count every penalty on record; the history lists the past 3 years. California and US averages are among facilities with a penalty on record.
A civil money penalty is a fine for noncompliance, per day or per instance. A payment denial stops Medicare/Medicaid payments for new residents until issues are fixed.
How residents at this home fare on health outcomes and preventive care, compared with the California average.
CMS star rating for the care of long-stay residents, who live at the home for 100 days or more. It is built from the long-stay quality measures below. 5 stars is the best.
3
/ 5
Average
↓ 29% · CA 4.2This facility: 3.0, 29% below the CA average of 4.2 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
CMS star rating for the care of short-stay residents, mostly people recovering after a hospital stay for under 100 days. It is built from the short-stay quality measures below. 5 stars is the best.
1
/ 5
Significantly below average
↓ 72% · CA 3.5This facility: 1.0, 72% below the CA average of 3.5 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Average of five long-stay measures: pressure ulcers, falls with major injury, unplanned weight loss, worsening ability to walk, and needing more help with daily activities. Each is the % of residents affected, so lower is better.
8.5
Score · lower is better
↑ 44% · CA 5.9This facility: 8.5, 44% above the CA average of 5.9 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Average of three long-stay measures: needing more help with daily activities, worsening ability to walk, and loss of bowel or bladder control. Each is the % of residents affected, so lower is better.
17.8
Score · lower is better
↑ 77% · CA 10.0This facility: 17.8, 77% above the CA average of 10.0 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.13 long-stay measures: 4 better, 6 worse, 2 near CA average, 1 without a benchmark
8 short-stay measures: 2 better, 2 worse, 1 near CA average, 3 compared with US only
People who live at the home · 13 measures
Percent of long-stay residents whose need for help with daily activities has increased
17.1%
↑ 67% · CA 10.2This facility: 17.1, 67% above the CA average of 10.2 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents whose ability to move independently worsened
15.0%
↑ 54% · CA 9.8This facility: 15.0, 54% above the CA average of 9.8 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of low risk long-stay residents who lose control of their bowels or bladder
21.1%
↑ 106% · CA 10.2This facility: 21.1, 106% above the CA average of 10.2 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents with a urinary tract infection
0.6%
↓ 48% · CA 1.2This facility: 0.6, 48% below the CA average of 1.2 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents experiencing one or more falls with major injury
1.4%
↓ 15% · CA 1.6This facility: 1.4, 15% below the CA average of 1.6 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay high risk residents with pressure ulcers
6.3%
↑ 47% · CA 4.3This facility: 6.3, 47% above the CA average of 4.3 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who lose too much weight
2.7%
↓ 32% · CA 4.0This facility: 2.7, 32% below the CA average of 4.0 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who have depressive symptoms
39.3%
Percent of long-stay residents who received an antipsychotic medication
32.4%
↑ 170% · CA 12.0This facility: 32.4, 170% above the CA average of 12.0 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
93.7%
↓ 5% · CA 98.6This facility: 93.7, 5% below the CA average of 98.6 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
97.2%
↓ 1% · CA 98.2This facility: 97.2, 1% below the CA average of 98.2 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Number of hospitalizations per 1,000 long-stay resident days.
1.77
↓ 21% · CA 2.25This facility: 1.77, 21% below the CA average of 2.25 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.61
↑ 1% · CA 1.59This facility: 1.61, 1% above the CA average of 1.59 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Rehab and recovery after a hospital stay · 8 measures
Percentage of residents at or above expected ability to care for themselves at discharge.
27.8%
↓ 48% · US 53.7This facility: 27.8, 48% below the US average of 53.7 (among US facilities reporting a recent figure).
Rate of successful return to home or community from a skilled nursing facility.
45.2%
↓ 11% · US 50.6This facility: 45.2, 11% below the US average of 50.6 (among US facilities reporting a recent figure).
Percentage of SNF residents who experience falls with major injury during their stay.
1.5%
↑ 91% · US 0.8This facility: 1.5, 91% above the US average of 0.8 (among US facilities reporting a recent figure).
Percent of short-stay residents who newly received an antipsychotic medication
0.9%
↓ 39% · CA 1.5This facility: 0.9, 39% below the CA average of 1.5 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
76.6%
↓ 19% · CA 94.4This facility: 76.6, 19% below the CA average of 94.4 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
95.5%
↑ 2% · CA 93.2This facility: 95.5, 2% above the CA average of 93.2 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
20.0%
↓ 14% · CA 23.2This facility: 20.0, 14% below the CA average of 23.2 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percentage of short-stay residents who had an outpatient emergency department visit.
16.1%
↑ 44% · CA 11.2This facility: 16.1, 44% above the CA average of 11.2 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Arrows show whether a figure is above or below the average. Green is better for residents, red is worse, and yellow means within 5% of the average. Grey compares with the US average only, because CMS publishes no state figure. The line on each bar marks the average.
Quality measures are calculated by CMS from Minimum Data Set (MDS) resident assessments and Medicare claims.
21% of new residents, usually for short-term rehab.
5% of new residents, often for short stays.
74% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jun 2026)
Total residents
162Residents meet regularly to discuss policies, care quality, and activities
Family members meet regularly to discuss policies, care quality, and activities
State-approved Nurse Aide Training and Competency Evaluation Program on-site
Organized group of family members that meets regularly to discuss facility policies, resident care, and activities.
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Novato Healthcare Center from 2011–2024, based on CMS SNF Cost Reports. Includes all financial data for this property, which could include management/ownership changes.
Key figures below are for fiscal year ending in 12/2024.
Based on CMS SNF Cost Report for fiscal year ending in 12/2024.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Rank #47 / 288Payroll costs — State benchmarked This nursing home is ranked 47th out of 288 nursing homes we track in California. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the California average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in California that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Rank #175 / 288Payroll % of net patient revenue — State benchmarked This nursing home is ranked 175th out of 288 nursing homes we track in California. Shows payroll as a percentage of net patient revenue versus the California average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in California that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
Most residents stay for extended periods and receive ongoing daily care.
Most new residents arrive under Medicaid (74% of admissions), and a typical Medicaid stay runs around 1 years.
Coverage residents most often arrive under.
Coverage residents most often leave under.
0.8 miles from city center
Estimated distance in miles from Novato's city center to Novato Healthcare Center's address, calculated via Google Maps.
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Novato Healthcare Center is located in Novato, California.
Here are the financial assistance programs available to residents in California.
Novato Healthcare Center is in the Canyon Green neighborhood of Novato.
Novato Healthcare Center has a walk score of 65. Somewhat walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
Novato Healthcare Center's occupancy is 97.1%.
No, Novato Healthcare Center has a no-pet policy.
The team at Novato Healthcare Center can be reached at administrator@novatohc.com.
Novato Healthcare Center is registered as a for-profit.
Novato Healthcare Center received a 1-star overall rating from the CMS (Centers for Medicare and Medicaid Services). This score combines results from staffing levels, quality measures, and health inspections.
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