Northgate Postacute Care
40 Professional Center Parkway · San Rafael, CA · 94903 · 4154791230
52 certified beds For profit - Limited Liability company Chain: Rmg Capital Partners
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $87,984 in fines in the last 24 months.
- 3 citations involved actual harm to residents.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
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
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
2 abuse-related citations at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
$87,984 in federal fines in the last 24 months
1 fine — CMS fines are reserved for verified, serious non-compliance.
RN staffing in the bottom 10% nationally
0.29 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
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: 2 of 5 Inspections: 2 of 5 Staffing: 3 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 4.13 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.29 | 0.55–0.75 |
| Weekend hours / resident-day | 3.79 | ≈ weekday level |
| Nursing turnover / year | 48% | median 45% |
| Fines (3-yr window) | 9 · $217,085 |
Inspection citations (65 in the current record)
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Actual harm · G January 7, 2026 · found via complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected January 8, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D January 7, 2026 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected January 8, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D August 21, 2025
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected September 16, 2025 · Resident Rights
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Potential for harm · D August 21, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected September 16, 2025 · Resident Assessment and Care Planning
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Potential for harm · D August 21, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected September 16, 2025 · Quality of Life and Care
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Potential for harm · F August 21, 2025
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected September 16, 2025 · Nursing and Physician Services
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Potential for harm · D August 21, 2025
Observe each nurse aide's job performance and give regular training.
Corrected September 16, 2025 · Nursing and Physician Services
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Potential for harm · D August 21, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected September 16, 2025 · Pharmacy Service
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Potential for harm · E August 21, 2025
Ensure medication error rates are not 5 percent or greater.
Corrected September 16, 2025 · Pharmacy Service
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Potential for harm · D August 21, 2025
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 September 16, 2025 · Pharmacy Service
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Potential for harm · E August 21, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected September 16, 2025 · Nutrition and Dietary
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Potential for harm · D August 21, 2025
Dispose of garbage and refuse properly.
Corrected September 16, 2025 · Nutrition and Dietary
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Potential for harm · D August 21, 2025
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Corrected September 16, 2025 · Administration
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Potential for harm · D August 21, 2025
Provide and implement an infection prevention and control program.
Corrected September 16, 2025 · Infection Control
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Potential for harm · D August 21, 2025
Keep all essential equipment working safely.
Corrected September 16, 2025 · Environmental
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Potential for harm · D August 21, 2025
Put firmly secured handrails on each side of hallways.
Corrected September 16, 2025 · Environmental
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Potential for harm · D March 28, 2025 · found via complaint
Give residents a notice of rights, rules, services and charges.
Corrected May 2, 2025 · Resident Rights
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Potential for harm · D March 28, 2025 · found via complaint
Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide.
Corrected May 2, 2025 · Resident Rights
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Potential for harm · D March 6, 2025 · found via complaint
Respond appropriately to all alleged violations.
Corrected March 8, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 3, 2025 · found via complaint
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Corrected March 7, 2025 · Nursing and Physician Services
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Potential for harm · E January 9, 2025 · found via complaint
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected January 15, 2025 · Administration
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Potential for harm · F December 3, 2024 · found via complaint
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected December 18, 2024 · Environmental
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Potential for harm · D June 19, 2024 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected July 5, 2024 · Resident Assessment and Care Planning
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Potential for harm · D June 19, 2024 · found via complaint
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Corrected July 5, 2024 · Nursing and Physician Services
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Potential for harm · D December 14, 2023 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected December 15, 2023 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| January 7, 2026 | Fine | $87,984 |
| September 29, 2023 | Fine | $94,521 |
| September 11, 2023 | Fine | $4,587 |
| September 5, 2023 | Fine | $4,587 |
| August 28, 2023 | Fine | $4,587 |
| August 21, 2023 | Fine | $4,587 |
| August 14, 2023 | Fine | $4,235 |
| July 17, 2023 | Fine | $9,527 |
| June 26, 2023 | Fine | $2,470 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 056430 · certified since March 22, 1974. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.