Northbrook Healthcare Center
64 Northbrook Way · Willits, CA · 95490 · 7074595592
70 certified beds For profit - Limited Liability company Chain: The Ensign Group
Why this verdict
- Inspection results are getting worse cycle over cycle, not better.
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Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 5 of 5 Inspections: 4 of 5 Staffing: 3 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 4.06 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.48 | 0.55–0.75 |
| Weekend hours / resident-day | 3.48 | ≈ weekday level |
| Nursing turnover / year | 30% | median 45% |
| Fines (3-yr window) | 1 · $9,295 |
Inspection citations (25 in the current record)
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Potential for harm · D January 30, 2026
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected February 26, 2026 · Resident Assessment and Care Planning
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Potential for harm · D January 30, 2026
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected February 26, 2026 · Quality of Life and Care
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Potential for harm · F January 30, 2026
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected February 26, 2026 · Nutrition and Dietary
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Potential for harm · E January 30, 2026
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected February 26, 2026 · Nutrition and Dietary
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Potential for harm · F January 30, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected February 26, 2026 · Nutrition and Dietary
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Potential for harm · D January 30, 2026
Provide and implement an infection prevention and control program.
Corrected February 26, 2026 · Infection Control
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Potential for harm · F January 30, 2026
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected February 26, 2026 · Environmental
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Potential for harm · E December 29, 2025 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected January 16, 2026 · Pharmacy Service
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Potential for harm · D April 10, 2025
Ensure medication error rates are not 5 percent or greater.
Corrected May 2, 2025 · Pharmacy Service
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Potential for harm · D April 10, 2025
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected May 2, 2025 · Resident Assessment and Care Planning
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Actual harm · G March 5, 2025 · found via complaint
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected March 27, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 27, 2023
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected May 1, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 27, 2023
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected May 1, 2023 · Resident Assessment and Care Planning
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Potential for harm · E March 27, 2023
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected May 1, 2023 · Pharmacy Service
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Potential for harm · F March 27, 2023
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.
Corrected May 1, 2023 · Pharmacy Service
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Potential for harm · F March 27, 2023
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Corrected May 1, 2023 · Nutrition and Dietary
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Potential for harm · F March 27, 2023
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Corrected May 1, 2023 · Nutrition and Dietary
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Potential for harm · F March 27, 2023
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected May 1, 2023 · Nutrition and Dietary
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Potential for harm · E March 27, 2023
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected May 1, 2023 · Nutrition and Dietary
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Potential for harm · F March 27, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected May 1, 2023 · Nutrition and Dietary
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Potential for harm · D March 27, 2023
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Corrected May 1, 2023 · Administration
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Potential for harm · E March 27, 2023
Have a plan that describes the process for conducting QAPI and QAA activities.
Corrected May 1, 2023 · Administration
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Potential for harm · E March 27, 2023
Provide and implement an infection prevention and control program.
Corrected May 1, 2023 · Infection Control
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Potential for harm · F March 27, 2023
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Corrected May 1, 2023 · Infection Control
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Potential for harm · F March 27, 2023
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected May 1, 2023 · Environmental
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| March 5, 2025 | Fine | $9,295 |
Better-scoring options nearby
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 056215 · certified since April 1, 1973. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.