Novato Healthcare Center
A nursing home in Novato, California 94947
1565 Hill Road, Novato, California 94947. (415) 897-6161.
- A candidate for CMS’s special focus list
- Cited for abuse (CMS flag)
Watch and the shortlist are kept with a free account, on every device. Your watch list. CMS’s own record is on Care Compare.
The short answer
Record last released by CMS on Oct 28, 2026.
- 1of 5 CMS’s overall rating
- 47 health citations at the latest inspection cycle California average: 15.7
- 3.75 nurse hours per resident per day California average: 4.54
- 3 fines in the last three years (needs attention)
Each figure’s source sits beside it, in its section below.
What these words mean7
- Star ratings
- CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
- Scope and severity (A to L)
- CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7).
- Nurse staffing hours
- The hours registered nurses, licensed practical nurses and nurse aides worked, per resident per day, from the payroll records each home sends CMS. Source: CMS, Payroll-Based Journal.
- Fines and payment denials
- A fine (civil money penalty) is money CMS makes a nursing home pay when it falls short of federal rules. A payment denial means Medicare and Medicaid stop paying for new admissions until the home meets the rules again. Source: CMS; 42 CFR 488.430 and 488.417.
- Capacity
- The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.
What did inspectors find?
47 health citations at the latest inspection cycle
The California average is 15.7.
Last standard inspection Nov 13, 2025.
Most serious in three years: actual harm (G), at a complaint inspection on Jul 4, 2026
CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
When those citations happened
89 citations in 19 months of the last 36. Last cited Aug 2026. Most serious: actual harm (G). The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Dec | |||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
All 89 citations in the last three years
Grouped by inspection, newest first. Each carries CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7)., from A, the least serious, to L, the most. 65 came from complaint inspections.
CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.
Aug 28, 2026: complaint inspection3 citations
-
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
-
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
-
Respond appropriately to all alleged violations.
Aug 26, 2026: complaint inspection3 citations
-
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
-
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
-
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Jul 31, 2026: complaint inspection2 citations
-
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
-
Respond appropriately to all alleged violations.
Jul 30, 2026: complaint inspection1 citation
-
Post nurse staffing information every day.
Jul 22, 2026: complaint inspection1 citation
-
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Jul 4, 2026: complaint inspection2 citations
-
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
-
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.
Jun 17, 2026: complaint inspection5 citations
-
Ensure that residents are fully informed and understand their health status, care and treatments.
-
Immediately tell the resident, the resident’s doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
-
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident’s ability to function.
-
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Jun 4, 2026: complaint inspection2 citations
-
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
-
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
May 6, 2026: complaint inspection1 citation
-
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Apr 16, 2026: complaint inspection2 citations
-
Provide care and assistance to perform activities of daily living for any resident who is unable.
-
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Mar 25, 2026: complaint inspection1 citation
-
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.
Dec 31, 2025: complaint inspection2 citations
-
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
-
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Dec 3, 2025: complaint inspection1 citation
-
Ensure services provided by the nursing facility meet professional standards of quality.
Nov 20, 2025: complaint inspection2 citations
-
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
-
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Nov 13, 2025: standard inspection17 citations
-
Honor the resident’s right to a dignified existence, self-determination, communication, and to exercise his or her rights.
-
Reasonably accommodate the needs and preferences of each resident.
-
Honor the resident’s right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
-
Provide activities to meet all resident’s needs.
-
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
-
Provide enough food/fluids to maintain a resident’s health.
-
Provide safe, appropriate pain management for a resident who requires such services.
-
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident’s well being.
-
Ensure each resident’s drug regimen must be free from unnecessary drugs.
-
Ensure medication error rates are not 5 percent or greater.
-
Ensure that residents are free from significant medication errors.
-
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.
-
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
-
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
-
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
-
Keep all essential equipment working safely.
-
Make sure that a working call system is available in each resident’s bathroom and bathing area.
Nov 13, 2025: standard and complaint inspection2 citations
-
Provide care and assistance to perform activities of daily living for any resident who is unable.
-
Provide and implement an infection prevention and control program.
Sep 8, 2025: complaint inspection3 citations
-
Ensure that residents are free from significant medication errors.
-
Immediately tell the resident, the resident’s doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
-
Provide routine and 24-hour emergency dental care for each resident.
Aug 28, 2025: complaint inspection2 citations
-
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
-
PASARR screening for Mental disorders or Intellectual Disabilities
Aug 20, 2025: complaint inspection1 citation
-
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Aug 8, 2025: complaint inspection2 citations
-
Ensure that residents are free from significant medication errors.
-
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Jul 18, 2025: complaint inspection1 citation
-
Have a Compliance and Ethics Program.
Jul 9, 2025: complaint inspection3 citations
-
Provide care and assistance to perform activities of daily living for any resident who is unable.
-
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
-
Make sure that a working call system is available in each resident’s bathroom and bathing area.
Jul 3, 2025: complaint inspection1 citation
-
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
May 19, 2025: complaint inspection4 citations
-
Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.
-
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
-
Ensure that residents are free from significant medication errors.
-
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
May 14, 2025: complaint inspection5 citations
-
Immediately tell the resident, the resident’s doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
-
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
-
Create and put into place a plan for meeting the resident’s most immediate needs within 48 hours of being admitted
-
Provide care and assistance to perform activities of daily living for any resident who is unable.
-
Have policies on smoking.
May 1, 2025: complaint inspection2 citations
-
Honor the resident’s right to a dignified existence, self-determination, communication, and to exercise his or her rights.
-
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Apr 25, 2025: complaint inspection1 citation
-
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Apr 23, 2025: complaint inspection1 citation
-
Provide or get specialized rehabilitative services as required for a resident.
Mar 5, 2025: complaint inspection1 citation
-
Honor the resident’s right to be treated with respect and dignity and to retain and use personal possessions.
Feb 24, 2025: complaint inspection2 citations
-
Ensure services provided by the nursing facility meet professional standards of quality.
-
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Jan 9, 2025: complaint inspection3 citations
-
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
-
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
-
Respond appropriately to all alleged violations.
Sep 5, 2024: complaint inspection1 citation
-
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Sep 4, 2024: complaint inspection1 citation
-
Ensure that residents are free from significant medication errors.
Jul 17, 2024: complaint inspection1 citation
-
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Jan 11, 2024: standard inspection7 citations
-
Honor the resident’s right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
-
Keep residents’ personal and medical records private and confidential.
-
Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.
-
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
-
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
-
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Is it certified, and in good standing?
- Certified for Medicare and Medicaid since Oct 31, 2007.
- A candidate for CMS’s special focus list, which CMS keeps for homes with a history of serious problems.
- CMS marks it with its abuse icon: cited for abuse or neglect that harmed a resident.
- No change of ownership in the last 12 months.
- CMS lists its ownership as for profit, individual.
- 181 certified beds.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
Has it been fined or penalized?
- 3 fines in the last three years, $119,968 in all.
- 1 Medicare payment denial in the last three years.
- 65 citations in the last three years came from complaint inspections.
CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
| Date | Kind | Amount |
|---|---|---|
| Jun 4, 2026 | Fine | $29,480 |
| Aug 8, 2025 | Fine | $17,624 |
| Apr 23, 2025 | Medicare payment denial | Not given |
| Apr 23, 2025 | Fine | $72,864 |
Who does the caring?
3.75 nurse hours per resident per day
The California average is 4.54.
CMS publishes staffing about four months after the fact.
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | This home | California average |
|---|---|---|
| Nurse hours per resident per day | 3.75 | 4.54 |
| Of which registered nurses | 0.49 | 0.68 |
| At weekends | 3.46 | 4.10 |
| Nursing staff turnover | Not given | 36.6% |
| Registered nurse turnover | Not given | 37.8% |
| Administrators who left | Not given | Not given |
Who owns it?
- Asru LLC owns 70% directly since Jun 15, 2007; Brius LLC owns 30% directly since Jan 1, 2019.
- Rockport Administrative Services, LLC and Corporate Interface Services LLC run it.
- 6 owners or officers are people: Mark Elliot Sockell (runs it (operational or managerial control)); Mark Elliot Sockell (additional disclosable party (controls, leases property to, or provides services to the home)); Gurbinder Kaur (runs it (operational or managerial control)); Gurbinder Kaur (additional disclosable party (controls, leases property to, or provides services to the home)); Shlomo Rechnitz (runs it (operational or managerial control)); Shlomo Rechnitz (additional disclosable party (controls, leases property to, or provides services to the home)).
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, All Owners. Checked Nov 5, 2026. Updated monthly.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Organisation | Role | Share | Since |
|---|---|---|---|
| Asru LLC | Owns 5% or more directly | 70% | Jun 15, 2007 |
| Brius LLC | Owns 5% or more directly | 30% | Jan 1, 2019 |
| Rockport Administrative Services, LLC | Runs it (operational or managerial control) | Jul 1, 2007 | |
| Rockport Administrative Services, LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Apr 10, 2025 | |
| An organisation CMS lists without a name | Additional disclosable party (controls, leases property to, or provides services to the home) | Jul 1, 2007 | |
| Corporate Interface Services LLC | Runs it (operational or managerial control) | 0% | Mar 18, 2024 |
| Corporate Interface Services LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Apr 10, 2025 |
How do residents fare?
- CMS rates its quality measures 2 of 5 (California average 4.2).
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | Rating |
|---|---|
| Overall rating | 1 of 5 |
| Health inspections | 1 of 5 |
| Staffing | 3 of 5 |
| Quality measures | 2 of 5 |
How does it compare nearby?
- Among the 12 nearest homes, within 9.7 miles, this one had the 1st most health citations at the latest inspection cycle (47; the middle value was 15).
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Place | Miles away | Citations, latest cycle |
|---|---|---|
| Novato Healthcare Center This nursing home | 47 | |
| Smith Ranch Skilled Nursing & Rehabilitation Cente | 6.0 | 16 |
| Professional Post Acute Center | 6.3 | 9 |
| Pine Ridge Care Center | 6.3 | 14 |
| Northgate Postacute Care | 6.3 | 19 |
| Villa Marin | 6.7 | 10 |
| Marin Post Acute | 7.2 | 20 |
| San Rafael Healthcare & Wellness Center, LP | 8.7 | 22 |
| Ridgeway Post Acute | 9.5 | 9 |
| Petaluma Post-Acute Rehabilitation | 9.5 | 4 |
| Hillcrest Post Acute | 9.6 | 9 |
| North Bay Post Acute | 9.7 | 17 |
What the record doesn’t say
- Complaints that didn’t lead to a citation aren’t published.
- Inspections reach CMS’s data about six weeks after they happen, and staffing about four months after.
- CMS publishes the inspectors’ full written findings in a separate monthly file, which isn’t loaded yet.
- Fines and Medicare payment denials are the only enforcement CMS publishes; state licence actions aren’t included.
Sources
-
Centers for Medicare & Medicaid Services, Provider Information (4pq5-n9py).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
-
Centers for Medicare & Medicaid Services, Health Deficiencies (r5ix-sfxw).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
-
Centers for Medicare & Medicaid Services, Penalties (g6vv-u9sr).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
-
Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).
Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
-
Centers for Medicare & Medicaid Services, State and US Averages (xcdc-v8bm).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Nov 5, 2026.
From the home
The public record above comes first. Anything the home adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the home will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.
Paid listing
None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the home”, and paying will never change a finding, a rating or the order of results.