Lilisity

Nursing home

Novato Healthcare Center

1565 Hill Road, Novato, CA 94947 · Map
For profit - Individual · 181 certified beds

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Novato Healthcare Center is a Medicare-certified nursing home in Novato, California. CMS rates it 1 out of 5 stars overall (4/5 for staffing, 1/5 for health inspections). Nurse staffing is 4.29 hours per resident per day, below the California average of 4.51. Its most recent inspection on Nov 13, 2025 cited 51 deficiencies. Note: it carries a CMS abuse icon.

1 out of 5Overall CMS rating
1 out of 5Health inspections
4 out of 5Staffing
181 bedsCertified beds
  • CMS abuse iconThis facility has an active abuse icon on its CMS record.
  • 2 fines totaling $90,206In CMS records: 3 total penalties, 1 Medicare payment denial.

CMS quality ratings

Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.

Overall rating1/5
Health inspections1/5
Staffing4/5
Quality measures1/5
Long-stay quality1/5
Short-stay qualityNo data

How Novato Healthcare Center compares

This facility vs. the California and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.

MetricThis facilityCalifornia avgNational avgCompared with the state
Total nurse staffing (hrs/resident/day)4.294.513.89below avg
RN staffing (hrs/resident/day)0.490.650.68below avg
Aide staffing (hrs/resident/day)2.982.642.34above avg
Nursing staff turnover40.8%38.1%46.4%above avg
Deficiencies cited, last inspection51.015.49.5above avg

Staffing

Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.

4.29Total nurse hrs/resident/day
0.49RN hrs/resident/day
0.82LPN hrs/resident/day
2.98Aide hrs/resident/day
3.94Weekend nurse hrs/resident/day

Staff turnover

Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.

Total nursing staff40.8%
Registered nurses61.5%
Administrator changes1 in last year

Recent health inspection

CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.

Nov 13, 2025Most recent inspection
51Deficiencies found
368Health inspection score
2Fines

Penalties in CMS records: 2 fines totaling $90,206, 3 total penalties, 1 Medicare payment denial.

What inspectors found at Novato Healthcare Center

Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.

  • Potential for harm

    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.

    Quality of Life and Care Deficiencies · Mar 25, 2026 · Full report (PDF)
  • Potential for harm

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

    Quality of Life and Care Deficiencies · Dec 31, 2025 · Full report (PDF)
  • Potential for harm

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

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Dec 31, 2025 · Full report (PDF)
  • Potential for harm

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

    Resident Assessment and Care Planning Deficiencies · Dec 3, 2025 · Full report (PDF)
  • Potential for harm

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

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Nov 20, 2025 · Full report (PDF)
Show all 12 deficiencies
  • Potential for harm

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

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Nov 20, 2025 · Full report (PDF)
  • Potential for harm

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

    Nutrition and Dietary Deficiencies · Nov 13, 2025 · Full report (PDF)
  • Potential for harm

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

    Nutrition and Dietary Deficiencies · Nov 13, 2025 · Full report (PDF)
  • Potential for harm

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

    Nutrition and Dietary Deficiencies · Nov 13, 2025 · Full report (PDF)
  • Potential for harm

    Provide and implement an infection prevention and control program.

    Infection Control Deficiencies · Nov 13, 2025 · Full report (PDF)
  • Potential for harm

    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.

    Pharmacy Service Deficiencies · Nov 13, 2025 · Full report (PDF)
  • Potential for harm

    Ensure medication error rates are not 5 percent or greater.

    Pharmacy Service Deficiencies · Nov 13, 2025 · Full report (PDF)

Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.

About this facility

Address
1565 Hill Road
Novato, CA 94947
CMS certification #
555844
Ownership
For profit - Individual
Certified beds
181
Avg residents/day
169.0
Provider type
Medicare and Medicaid
First certified
2007-10-31
Setting
Urban

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Location and nearby

Explore the area around Novato Healthcare Center using Google Maps.

Other public records

  • Kitchen 3 inspections by Marin County Environmental Health Services since 2023; latest Only Minor Violation(s) Found, grade Green placard (February 2026)
Full public records, with dates and sources

Kitchen inspections

The local health department inspects the kitchen that serves residents. Results are in the agency's own words.

Marin County Environmental Health Services: Novato Healthcare Center

  • Feb 26, 2026 (routine): Only Minor Violation(s) Found, grade Green placard.
    1 violation
    • Hot and cold holding temperatures
  • Mar 11, 2025 (routine): Only Minor Violation(s) Found, grade Green placard.
    1 violation
    • Hot and cold holding temperatures
  • Oct 31, 2023 (routine): Only Minor Violation(s) Found, grade Green placard.
    1 violation
    • CHSC 114189

Source: the agency's records, inspections since Oct 16, 2023, as of Oct 15, 2026. Green placard: Pass. Yellow placard: Conditional pass; follow-up required. Red placard: Closed.

Location and nearby care

Nearest hospital with an emergency room
Novato Community Hospital, Novato. 1.1 miles away, straight line. CMS overall hospital rating: 5 of 5 stars.
Nearest Medicare nursing home
Smith Ranch Skilled Nursing & Rehabilitation Cente, San Rafael. 6.0 miles away, straight line.
Nearest home health agency office
Kaiser Foundation Hospital Home Health - Novato, Novato. 0.7 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
Nearest pharmacy
Safeway. 0.7 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
Area
USDA classes ZIP code 94947 as metropolitan (metropolitan core).
Dialysis within 15 miles
Davita San Rafael Dialysis, San Rafael, 8.9 miles away, straight line (CMS rating 5 of 5 stars)
Shc Larkspur, Greenbrae, 10.4 miles away, straight line (CMS rating 4 of 5 stars)
Fresenius Kidney Care Of Petaluma, Petaluma, 11.8 miles away, straight line (CMS rating 5 of 5 stars)
Hospice
13 Medicare hospices tell CMS they serve ZIP code 94947.
Providence At Home With Compassus Hospice Care, Sonoma County, office in Petaluma, 10.1 miles away, straight line (CMS family survey rating 5 of 5 stars)
By The Bay Health, office in Larkspur, 11.1 miles away, straight line (CMS family survey rating 4 of 5 stars)
Anchor Health, office in Petaluma, 13.5 miles away, straight line (CMS family survey rating 3 of 5 stars)
Nearest geriatric medicine practice
Permanente Medical Group Inc, Richmond. 16.2 miles away, straight line. 1 geriatric medicine doctor listed there.

Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.

Emergency and natural hazard risk

Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.

Flood zone
Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
Wildfire risk to homes
In Novato, CA, risk to homes is greater than 59% of communities in California and 89% of communities nationwide. USDA rates the whole town or city, not this address. (USDA Forest Service, Wildfire Risk to Communities, April 2026)
FEMA National Risk Index
Overall: relatively high. By hazard: inland flooding very high, wildfire relatively moderate, tornado very low, heat wave relatively low, earthquake relatively high. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)

A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.

What we checked

Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.

SourceData as ofWhat we found
U.S. Department of Labor wage and hour casesOct 15, 2026Nothing on record
OSHA workplace safety inspections since 2016Oct 15, 2026Nothing on record
Marin County Environmental Health Services kitchen inspectionsOct 15, 2026See above
FEMA flood mapSee above
USDA wildfire riskApr 15, 2026See above
FEMA National Risk IndexSee above
CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmaciesSee above
HUD Multifamily Properties - AssistedJul 6, 2026Nothing on record
State Veterans Homes (NASVH directory)Sep 20, 2026Nothing on record
CMS Hospice - General InformationAug 19, 2026Nothing on record
CMS Home Health Care AgenciesMay 27, 2026Nothing on record
The community’s own websiteNo plain statements of services found

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Frequently asked questions

Is Novato Healthcare Center a good nursing home?

CMS gives Novato Healthcare Center an overall rating of 1 out of 5 stars, including 4/5 for staffing and 1/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.

How is Novato Healthcare Center staffed?

Novato Healthcare Center reports 4.29 total nurse hours per resident per day, compared with the California average of 4.51.

Has Novato Healthcare Center had inspection problems?

Its most recent CMS inspection cited 51 deficiencies.

How many beds does Novato Healthcare Center have?

Novato Healthcare Center is certified for 181 beds.