Abuse citation flag

Overview

Address
1565 HILL ROAD, NOVATO, CA 94947
Phone
4158976161
Certified beds
181
Avg daily residents
169 (93% of beds filled)
Ownership
For-profit (individual owner)
Provider type
Medicare and Medicaid
Medicare/Medicaid since
2007-10-31
Setting
Urban
1 /5
CMS Overall Rating

CMS 5-Star Ratings

CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.

Overall Rating
Composite of Health Inspection, Staffing, and Quality Measures.
1/5
Health Inspection
Based on the three most recent standard surveys, with more weight on recent results.
1/5
Staffing
Weighted combination of RN and total nurse staffing hours per resident per day, case-mix adjusted.
4/5
Quality Measures
15 resident-level quality measures split between long-stay and short-stay (post-acute) residents.
Data not available — PBJ submission issue.
1/5
Quality Measures breakdown
Long-Stay Quality Measures 1/5 Data not available — PBJ submission issue.
Short-Stay Quality Measures Data not available — PBJ submission issue.

Staffing & Workforce

Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.

Role Reported Case-mix expected Adjusted Federal floor
Total nurse
All nursing staff combined: RN + LPN + Aide
4.29 3.50 4.73 ≥ 3.48
Registered Nurse (RN)
Licensed RN hours. Strongest driver of clinical outcomes.
0.49 0.61 0.55 ≥ 0.55 Below floor
Licensed Practical Nurse (LPN)
LPN/LVN hours. Often handles medication administration.
0.82 0.78 0.90
Nurse aide
CNA hours. Bulk of direct resident care — bathing, feeding, mobility.
2.98 2.11 3.29
Licensed (RN + LPN)
Combined licensed nurse coverage.
1.31
Physical therapist
Rehabilitation therapist hours — important for post-acute / rehab admissions.
0.03

Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.

Weekend staffing

Total nurse (weekend)
3.94
hrs / resident / day
RN (weekend)
0.38
hrs / resident / day
Total nurse (adjusted, weekend)
4.35
hrs / resident / day

Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.

Staff turnover

Total nursing staff turnover
40.8%
annual
RN turnover
61.5%
annual
Administrators departed
1
last 12 months

Resident acuity

Nursing Case-Mix Index
1.24
higher acuity than avg
Case-Mix Index Ratio
0.90
facility / state ratio

Health Inspections

CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.

Cycle Date Total defs. Standard Complaint Deficiency score Revisits Total score
Cycle 1 (most recent) 2025-11-13 51 19 34 368 1 368
Cycle 2/3 (prior) 2024-01-11 22 7 15 156 1 156
Total weighted health score
315.0
lower is better

Deficiencies (93)

Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).

90 D/E/F Actual harm — potential for minor
3 G/H/I Actual harm
Tag Description Scope/Severity Survey date Corrected
0600 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. D 2025-12-31 2026-01-05
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. D 2025-12-31 2026-01-05
0658 Ensure services provided by the nursing facility meet professional standards of quality. D 2025-12-03 2025-12-17
0600 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. D 2025-11-20 2025-12-17
0609 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. D 2025-11-20 2025-12-17
0550 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. E 2025-11-13 2025-11-29
0558 Reasonably accommodate the needs and preferences of each resident. D 2025-11-13 2025-11-29
0578 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. E 2025-11-13 2025-11-29
0679 Provide activities to meet all resident's needs. D 2025-11-13 2025-11-29
0686 Provide appropriate pressure ulcer care and prevent new ulcers from developing. D 2025-11-13 2025-11-29
0692 Provide enough food/fluids to maintain a resident's health. D 2025-11-13 2025-11-29
0697 Provide safe, appropriate pain management for a resident who requires such services. D 2025-11-13 2025-11-29
0726 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. D 2025-11-13 2025-11-29
0757 Ensure each resident’s drug regimen must be free from unnecessary drugs. D 2025-11-13 2025-11-29
0759 Ensure medication error rates are not 5 percent or greater. E 2025-11-13 2025-11-29
0760 Ensure that residents are free from significant medication errors. D 2025-11-13 2025-11-29
0761 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. E 2025-11-13 2025-11-29
0802 Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. F 2025-11-13 2025-11-29
0804 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. F 2025-11-13 2025-11-29
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F 2025-11-13 2025-11-29
0908 Keep all essential equipment working safely. D 2025-11-13 2025-11-29
0919 Make sure that a working call system is available in each resident's bathroom and bathing area. D 2025-11-13 2025-11-29
0677 Provide care and assistance to perform activities of daily living for any resident who is unable. D 2025-11-13 2025-11-30
0880 Provide and implement an infection prevention and control program. E 2025-11-13 2025-11-29
0580 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. D 2025-09-08 2025-10-07
0760 Ensure that residents are free from significant medication errors. G 2025-09-08 2025-10-07
0790 Provide routine and 24-hour emergency dental care for each resident. D 2025-09-08 2025-10-07
0600 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. D 2025-08-28 2025-09-16
0645 PASARR screening for Mental disorders or Intellectual Disabilities D 2025-08-28 2025-09-16
0609 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. D 2025-08-20 2025-08-28
0760 Ensure that residents are free from significant medication errors. D 2025-08-08 2025-09-16
0842 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. D 2025-08-08 2025-09-16
0895 Have a Compliance and Ethics Program. F 2025-07-18 2025-08-01
0677 Provide care and assistance to perform activities of daily living for any resident who is unable. E 2025-07-09 2025-07-31
0690 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. E 2025-07-09 2025-07-31
0919 Make sure that a working call system is available in each resident's bathroom and bathing area. E 2025-07-09 2025-07-31
0842 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. D 2025-07-03 2025-07-22
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. D 2025-05-19 2025-06-20
0725 Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. F 2025-05-19 2025-06-20
0760 Ensure that residents are free from significant medication errors. F 2025-05-19 2025-07-10
0940 Develop, implement, and/or maintain an effective training program for all new and existing staff members. F 2025-05-19 2025-07-10
0580 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. D 2025-05-14 2025-06-20
0607 Develop and implement policies and procedures to prevent abuse, neglect, and theft. E 2025-05-14 2025-06-20
0655 Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted E 2025-05-14 2025-06-20
0677 Provide care and assistance to perform activities of daily living for any resident who is unable. D 2025-05-14 2025-06-20
0926 Have policies on smoking. E 2025-05-14 2025-06-20
0550 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. D 2025-05-01 2025-05-28
0609 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. D 2025-05-01 2025-05-28
0600 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. G 2025-04-25 2025-05-18
0825 Provide or get specialized rehabilitative services as required for a resident. D 2025-04-23 2025-05-08

Showing 50 most recent of 93. See the All Data CSV for the full list.

Penalties (3)

Fines issued
2
last 3 years
Total fines
$90,206
Payment denials
1
Date Type Fine amount
2025-08-08 Fine $17,342
2025-04-23 Fine $72,864
2025-04-23 Payment Denial

Source: CMS Nursing Home Penalties.

Financial Health (FY 2023)

Payer mix (share of resident days)

Medicare 13.3% Medicaid 83.4% Other 3.3%

Operating performance

Operating Margin
-0.6%
Total Margin
7.7%
Occupancy Rate
90.3%
Cost per Resident Day
$32

Revenue & costs

Net Patient Revenue
$23.3M
Total Costs
$1.9M
Net Income
$1.9M

Balance sheet

Total Assets
$8.5M
Total Liabilities
-$4.5M
Fund Balance
$13.0M
Current Ratio
1.28

Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.

Ownership & Corporate Structure

Owner / manager organizations (4)

Organization Role Association
ASRU LLC 5% OR GREATER DIRECT OWNERSHIP INTEREST since 06/15/2007
BRIUS LLC 5% OR GREATER DIRECT OWNERSHIP INTEREST since 01/01/2019
CORPORATE INTERFACE SERVICES LLC OPERATIONAL/MANAGERIAL CONTROL since 03/18/2024
ROCKPORT ADMINISTRATIVE SERVICES, LLC OPERATIONAL/MANAGERIAL CONTROL since 07/01/2007

Owner / manager individuals (3)

Name Role Association
KAUR, GURBINDER OPERATIONAL/MANAGERIAL CONTROL since 03/24/2025
RECHNITZ, SHLOMO OPERATIONAL/MANAGERIAL CONTROL since 01/01/2019
SOCKELL, MARK OPERATIONAL/MANAGERIAL CONTROL since 01/01/2024

Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.

Facility Features

CCRC
No
Hospital-based
No
Resident / family council
Both
Sprinkler systems
Yes
Abuse citation flag
Yes — last 2 cycles
Methodology & sources

Full methodology →

All Data

Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.

Download CSV

Show 113 rows
Source Metric Value Raw key
Cost Report Cost per Resident Day ($) $32 metrics.cost_per_resident_day
Cost Report Current Ratio 1.28 metrics.current_ratio
Cost Report fiscal_year 2,023 fiscal_year
Cost Report Medicaid Day Share (%) 83.4% metrics.medicaid_day_share
Cost Report Medicare Day Share (%) 13.3% metrics.medicare_day_share
Cost Report Net Income ($) $1,949,305 metrics.net_income
Cost Report Net Patient Revenue ($) $23,341,430 metrics.net_patient_revenue
Cost Report Occupancy Rate (%) 90.3% metrics.occupancy_rate
Cost Report Operating Margin (%) -0.6% metrics.operating_margin
Cost Report Total Assets ($) $8,547,669 metrics.total_assets
Cost Report Total Costs ($) $1,927,389 metrics.total_costs
Cost Report Total Fund Balances ($) $13,004,502 metrics.fund_balance
Cost Report Total Liabilities ($) $-4,456,833 metrics.total_liabilities
Cost Report Total Margin (%) 7.7% metrics.total_margin
Provider Information Abuse Icon Y Abuse Icon
Provider Information Adjusted LPN Staffing Hours per Resident per Day 0.90263 Adjusted LPN Staffing Hours per Resident per Day
Provider Information Adjusted Nurse Aide Staffing Hours per Resident per Day 3.28594 Adjusted Nurse Aide Staffing Hours per Resident per Day
Provider Information Adjusted RN Staffing Hours per Resident per Day 0.54589 Adjusted RN Staffing Hours per Resident per Day
Provider Information Adjusted Total Nurse Staffing Hours per Resident per Day 4.73446 Adjusted Total Nurse Staffing Hours per Resident per Day
Provider Information Adjusted Weekend Total Nurse Staffing Hours per Resident per Day 4.34520 Adjusted Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Administrator turnover footnote Administrator turnover footnote
Provider Information Automatic Sprinkler Systems in All Required Areas Yes Automatic Sprinkler Systems in All Required Areas
Provider Information Average Number of Residents per Day 169.0 Average Number of Residents per Day
Provider Information Average Number of Residents per Day Footnote Average Number of Residents per Day Footnote
Provider Information Case-Mix LPN Staffing Hours per Resident per Day 0.77635 Case-Mix LPN Staffing Hours per Resident per Day
Provider Information Case-Mix Nurse Aide Staffing Hours per Resident per Day 2.10994 Case-Mix Nurse Aide Staffing Hours per Resident per Day
Provider Information Case-Mix RN Staffing Hours per Resident per Day 0.61193 Case-Mix RN Staffing Hours per Resident per Day
Provider Information Case-Mix Total Nurse Staffing Hours per Resident per Day 3.49822 Case-Mix Total Nurse Staffing Hours per Resident per Day
Provider Information Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day 3.08331 Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Chain Average Health Inspection Rating Chain Average Health Inspection Rating
Provider Information Chain Average Overall 5-star Rating Chain Average Overall 5-star Rating
Provider Information Chain Average QM Rating Chain Average QM Rating
Provider Information Chain Average Staffing Rating Chain Average Staffing Rating
Provider Information Chain ID Chain ID
Provider Information Chain Name Chain Name
Provider Information City/Town NOVATO City/Town
Provider Information CMS Certification Number (CCN) 555844 CMS Certification Number (CCN)
Provider Information Continuing Care Retirement Community N Continuing Care Retirement Community
Provider Information County/Parish Marin County/Parish
Provider Information Date First Approved to Provide Medicare and Medicaid Services 2007-10-31 Date First Approved to Provide Medicare and Medicaid Services
Provider Information Geocoding Footnote Geocoding Footnote
Provider Information Health Inspection Rating 1 Health Inspection Rating
Provider Information Health Inspection Rating Footnote Health Inspection Rating Footnote
Provider Information Latitude 38.0964 Latitude
Provider Information Legal Business Name NOVATO HEALTHCARE CENTER LLC Legal Business Name
Provider Information Location 1565 HILL ROAD,NOVATO,CA,94947 Location
Provider Information Long-Stay QM Rating 1 Long-Stay QM Rating
Provider Information Long-Stay QM Rating Footnote 20 Long-Stay QM Rating Footnote
Provider Information Longitude -122.58 Longitude
Provider Information Most Recent Health Inspection More Than 2 Years Ago N Most Recent Health Inspection More Than 2 Years Ago
Provider Information Number of administrators who have left the nursing home 1 Number of administrators who have left the nursing home
Provider Information Number of Certified Beds 181 Number of Certified Beds
Provider Information Number of Citations from Infection Control Inspections Number of Citations from Infection Control Inspections
Provider Information Number of Facilities in Chain Number of Facilities in Chain
Provider Information Number of Fines 2 Number of Fines
Provider Information Number of Payment Denials 1 Number of Payment Denials
Provider Information Nursing Case-Mix Index 1.23926 Nursing Case-Mix Index
Provider Information Nursing Case-Mix Index Ratio 0.89955 Nursing Case-Mix Index Ratio
Provider Information Overall Rating 1 Overall Rating
Provider Information Overall Rating Footnote Overall Rating Footnote
Provider Information Ownership Type For profit - Individual Ownership Type
Provider Information Physical Therapist Staffing Footnote Physical Therapist Staffing Footnote
Provider Information Processing Date 2026-03-01 Processing Date
Provider Information Provider Address 1565 HILL ROAD Provider Address
Provider Information Provider Changed Ownership in Last 12 Months N Provider Changed Ownership in Last 12 Months
Provider Information Provider Name NOVATO HEALTHCARE CENTER Provider Name
Provider Information Provider Resides in Hospital N Provider Resides in Hospital
Provider Information Provider SSA County Code 310 Provider SSA County Code
Provider Information Provider Type Medicare and Medicaid Provider Type
Provider Information QM Rating 1 QM Rating
Provider Information QM Rating Footnote 20 QM Rating Footnote
Provider Information Rating Cycle 1 Health Deficiency Score 368 Rating Cycle 1 Health Deficiency Score
Provider Information Rating Cycle 1 Health Revisit Score 0 Rating Cycle 1 Health Revisit Score
Provider Information Rating Cycle 1 Number of Complaint Health Deficiencies 34 Rating Cycle 1 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 1 Number of Health Revisits 1 Rating Cycle 1 Number of Health Revisits
Provider Information Rating Cycle 1 Number of Standard Health Deficiencies 19 Rating Cycle 1 Number of Standard Health Deficiencies
Provider Information Rating Cycle 1 Standard Survey Health Date 2025-11-13 Rating Cycle 1 Standard Survey Health Date
Provider Information Rating Cycle 1 Total Health Score 368 Rating Cycle 1 Total Health Score
Provider Information Rating Cycle 1 Total Number of Health Deficiencies 51 Rating Cycle 1 Total Number of Health Deficiencies
Provider Information Rating Cycle 2 Number of Standard Health Deficiencies 7 Rating Cycle 2 Number of Standard Health Deficiencies
Provider Information Rating Cycle 2 Standard Health Survey Date 2024-01-11 Rating Cycle 2 Standard Health Survey Date
Provider Information Rating Cycle 2/3 Health Deficiency Score 156 Rating Cycle 2/3 Health Deficiency Score
Provider Information Rating Cycle 2/3 Health Revisit Score 0 Rating Cycle 2/3 Health Revisit Score
Provider Information Rating Cycle 2/3 Number of Complaint Health Deficiencies 15 Rating Cycle 2/3 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 2/3 Number of Health Revisits 1 Rating Cycle 2/3 Number of Health Revisits
Provider Information Rating Cycle 2/3 Total Health Score 156 Rating Cycle 2/3 Total Health Score
Provider Information Rating Cycle 2/3 Total Number of Health Deficiencies 22 Rating Cycle 2/3 Total Number of Health Deficiencies
Provider Information Registered Nurse hours per resident per day on the weekend 0.37887 Registered Nurse hours per resident per day on the weekend
Provider Information Registered Nurse turnover 61.5 Registered Nurse turnover
Provider Information Registered Nurse turnover footnote Registered Nurse turnover footnote
Provider Information Reported Licensed Staffing Hours per Resident per Day 1.31244 Reported Licensed Staffing Hours per Resident per Day
Provider Information Reported LPN Staffing Hours per Resident per Day 0.81783 Reported LPN Staffing Hours per Resident per Day
Provider Information Reported Nurse Aide Staffing Hours per Resident per Day 2.97725 Reported Nurse Aide Staffing Hours per Resident per Day
Provider Information Reported Physical Therapist Staffing Hours per Resident Per Day 0.02529 Reported Physical Therapist Staffing Hours per Resident Per Day
Provider Information Reported RN Staffing Hours per Resident per Day 0.49460 Reported RN Staffing Hours per Resident per Day
Provider Information Reported Staffing Footnote Reported Staffing Footnote
Provider Information Reported Total Nurse Staffing Hours per Resident per Day 4.28968 Reported Total Nurse Staffing Hours per Resident per Day
Provider Information Short-Stay QM Rating Short-Stay QM Rating
Provider Information Short-Stay QM Rating Footnote 20 Short-Stay QM Rating Footnote
Provider Information Special Focus Status Special Focus Status
Provider Information Staffing Rating 4 Staffing Rating
Provider Information Staffing Rating Footnote Staffing Rating Footnote
Provider Information State CA State
Provider Information Telephone Number 4158976161 Telephone Number
Provider Information Total Amount of Fines in Dollars 90206.00 Total Amount of Fines in Dollars
Provider Information Total number of nurse staff hours per resident per day on the weekend 3.93699 Total number of nurse staff hours per resident per day on the weekend
Provider Information Total Number of Penalties 3 Total Number of Penalties
Provider Information Total nursing staff turnover 40.8 Total nursing staff turnover
Provider Information Total nursing staff turnover footnote Total nursing staff turnover footnote
Provider Information Total Weighted Health Survey Score 315.000 Total Weighted Health Survey Score
Provider Information Urban Y Urban
Provider Information With a Resident and Family Council Both With a Resident and Family Council
Provider Information ZIP Code 94947 ZIP Code