The Bluffs at Hamilton Hill
Memory Care, Assisted Living & Respite Care · Novato, CA

The Bluffs at Hamilton Hill

Memory Care, Assisted Living & Respite Care · Novato, CA

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.

Bed community size
95-bed community Rank #811 / 1658Bed count — State benchmarkedThis home is ranked 811th out of 1658 homes in California for bed count. Shows this facility's certified or reported bed count compared to other California SNFs. Larger communities may offer more amenities, programs, and on-site services for residents and families.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A larger shared setting that may offer more common spaces and organized community services.
Years in operation
3 years in operation Rank #1208 / 1487Years in operation — State benchmarkedThis home is ranked 1208th out of 1487 homes in California for years in operation. Shows how long this facility has been in operation compared to other California SNFs. Longer operating histories may benefit residents, families, and staff.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
An established community with some operational experience and growing routines.
Walk Score
Walk Score: 42 / 100 Rank #1528 / 2093Walk Score — State benchmarkedThis home is ranked 1528th out of 2093 homes in California for walk score. Shows how walkable this facility's neighborhood is compared to the average Walk Score across California SNFs. Higher scores benefit residents, families, and staff.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

About this community

Occupancy

Occupancy rate
83%
Rank #605 / 1530Occupancy rate — State benchmarkedThis home is ranked 605th out of 1530 homes in California for occupancy rate. Shows this facility's occupancy rate versus the California average, with its Statewide rank out of 1530. Higher occupancy signals strong local demand and financial stability.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Higher than the California average: 72.8%
Occupied beds
79 / 95
Average occupied beds in California homes 87 beds

License Details

Facility TypeResidential Care Elderly
StatusLicensed
IssuanceSeptember 15, 2022
CountyMarin

Ownership & Operating Entity

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

Contact The Bluffs at Hamilton Hill

Inspection History

In California, the Department of Social Services (for assisted living facilities) and the Department of Public Health (for nursing homes) conduct inspections to ensure resident safety and regulatory compliance.

Inspection Score Info A composite 0–100 score combining this facility's inspections, citations, complaints, and enforcement actions relative to the California state average. The score below shows how many points this facility sits above or below the typical California assisted living residence score (the benchmark); higher is better.

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

Inspection score: 59 out of 100. Letter grade F. 22 points below the California average for assisted living residences (81/100)

Inspection Scorecard Info 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 8 Worse Metrics worse than California average:
• Total citations (160% above)
• Serious citations (Type A) (333% above)
• Moderate citations (Type B) (225% above)
• Citations per year (160% above)
• Total visits (194% above)
• Complaint visits (77% above)
• Other visits (200% above)
• Complaint investigations (70% above)
2 Better Metrics better than California average:
• Citations per inspection (82% below)
• Official inspections (25% below)
Latest Inspection April 28, 2026

Citations Info Citations are formal regulatory issues recorded during state inspections.

This FacilityCA Averagevs. CA Avg
Total citations Info Formal regulatory issues recorded by inspectors across all inspection types. 2610 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) Info Violations that pose an immediate risk to resident health or safety. Type A citations are the most serious and typically require prompt corrective action. 133 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.
Moderate citations (Type B) Info Violations that do not pose an immediate risk but still represent a departure from required care or operational standards. 134 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 Info Average citations per year since 2022. 6.52.5 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 Info Average citations per inspection. 0.63.3 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 Info State inspections evaluate whether the facility meets health and safety standards.

This FacilityCA Averagevs. CA Avg
Total visits Info Combined count of complaint visits, other regulatory visits, and official scheduled inspections. 4716 This facility has 194% more total visits than a typical California assisted living residence (47 vs. CA avg 16).↑ 194% worse
Complaint visits Info On-site visits triggered by formal complaints filed by residents, families, or staff. 2313 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.
Other visits Info Regulatory visits that are neither routine inspections nor complaint investigations — administrative check-ins, follow-up reviews, licensing-related visits. 217 This facility has 200% more other visits than a typical California assisted living residence (21 vs. CA avg 7).↑ 200% worse
Official inspections Info Routine, scheduled inspections conducted by state regulators to evaluate whether the facility meets federal and state standards. 34 This facility has 25% fewer official inspections than a typical California assisted living residence (3 vs. CA avg 4).↓ 25% better
Complaint investigations Info On-site investigations triggered by complaints filed with California regulators. 1710 This facility has 70% more complaint investigations than a typical California assisted living residence (17 vs. CA avg 10).↑ 70% worse

Inspection Reports Summary Info 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.

What does this home offer?

Pets allowed icon
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Pets Allowed

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Room sizes icon

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

Housing options icon
Housing options icon

Housing Options: Studio / 1 Bed / 2 Bed

Building type icon
Building type icon

Building Type: 3-story

Transportation services icon
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Transportation Services

Fitness and recreation icon
Fitness and recreation icon

Fitness and Recreation

Movie Theater icon

Movie Theater

Parking Available icon

Parking Available

Living Spaces & Floor Plans for The Bluffs at Hamilton Hill

The Bluffs At Hamilton Hill3
The Bluffs At Hamilton Hill2
The Bluffs At Hamilton Hill1
The Bluffs At Hamilton Hill

Places of interest near The Bluffs at Hamilton Hill

Address 5.4 mile from city center

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Financial Assistance for
Memory Care in California

The Bluffs at Hamilton Hill is located in Novato, California.
Here are the financial assistance programs available to residents in California.

Get Financial aid guidance

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).
CA

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
CA

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
CA

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.
CA

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
CA

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.
CA

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)

Compare Memory Care around Novato

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

Filter by care type
Atria Tamalpais Creek
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.

Novato
180
Facility 180
CA AVG 103
Rank #211 / 1658
Yes
47
Facility 47
CA AVG 57
Rank #1423 / 2093
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 #143 / 1487
62.2%
Facility 62.2%
CA AVG 74.8%
Rank #1064 / 1368
Wg Tamalpais Creek Sh LP; Atria Management Co LLCStudio / 1 Bed / 2 Bed
The Bluffs at Hamilton Hill
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.

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.

RC

Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.

Novato
95
Facility 95
CA AVG 103
Rank #811 / 1658
Yes
42
Facility 42
CA AVG 57
Rank #1528 / 2093
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 #1208 / 1487
83.2%
Facility 83.2%
CA AVG 74.8%
Rank #524 / 1368
Hamilton Hill I, LLC: Msl Community Management LLCStudio / 1 Bed / 2 Bed

Frequently Asked Questions about The Bluffs at Hamilton Hill

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 deficiencies or citations?

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

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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