Medicare flags this nursing home for abuse. Medicare adds this flag when a home was cited for abuse that harmed a resident, or for potential abuse more than once. Ask the home what changed.
Inspection citations
17’20
12’21
2’23
3’24
19’25
5’26
58 shown
| Date | Severity | What inspectors found | Visit |
|---|---|---|---|
| Aug 27, 2026 | D · potential | Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Complaint |
| Jun 18, 2026 | E · potential | 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. | Complaint |
| Jun 11, 2026 | D · potential | Ensure services provided by the nursing facility meet professional standards of quality. | Complaint |
| Jan 7, 2026 | G · harm | Protect each resident from the wrongful use of the resident's belongings or money. | Complaint |
| Jan 7, 2026 | D · potential | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Complaint |
| Aug 21, 2025 | D · potential | 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. | Routine |
| Aug 21, 2025 | D · potential | Ensure services provided by the nursing facility meet professional standards of quality. | Routine |
| Aug 21, 2025 | D · potential | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | Routine |
| Aug 21, 2025 | F · potential | 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. | Routine |
| Aug 21, 2025 | D · potential | Observe each nurse aide's job performance and give regular training. | Routine |
| Aug 21, 2025 | D · potential | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Routine |
| Aug 21, 2025 | E · potential | Ensure medication error rates are not 5 percent or greater. | Routine |
| Aug 21, 2025 | D · potential | 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. | Routine |
| Aug 21, 2025 | E · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
| Aug 21, 2025 | D · potential | Dispose of garbage and refuse properly. | Routine |
| Aug 21, 2025 | D · potential | 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. | Routine |
| Aug 21, 2025 | D · potential | Provide and implement an infection prevention and control program. | Routine |
| Aug 21, 2025 | D · potential | Keep all essential equipment working safely. | Routine |
| Aug 21, 2025 | D · potential | Put firmly secured handrails on each side of hallways. | Routine |
| Mar 28, 2025 | D · potential | Give residents a notice of rights, rules, services and charges. | Complaint |
| Mar 28, 2025 | D · potential | 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. | Complaint |
| Mar 6, 2025 | D · potential | Respond appropriately to all alleged violations. | Complaint |
| Mar 3, 2025 | D · potential | Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Complaint |
| Jan 9, 2025 | E · potential | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Complaint |
| Dec 3, 2024 | F · potential | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Complaint |
| Jun 19, 2024 | D · potential | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Complaint |
| Jun 19, 2024 | D · potential | Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Complaint |
| Dec 14, 2023 | D · potential | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | Complaint |
| Dec 14, 2023 | D · potential | Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Complaint |
| Sep 24, 2021 | D · potential | 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. | Routine |
| Sep 24, 2021 | E · potential | 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. | Routine |
| Sep 24, 2021 | D · potential | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Routine |
| Sep 24, 2021 | D · potential | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Routine |
| Sep 24, 2021 | E · potential | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Routine |
| Sep 24, 2021 | D · potential | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Routine |
| Sep 24, 2021 | D · potential | Ensure medication error rates are not 5 percent or greater. | Routine |
| Sep 24, 2021 | D · potential | Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | Routine |
| Sep 24, 2021 | E · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
| Sep 24, 2021 | F · potential | Provide and implement an infection prevention and control program. | Routine |
| Sep 24, 2021 | E · potential | Perform COVID19 testing on residents and staff. | Routine |
| Sep 24, 2021 | F · potential | Keep all essential equipment working safely. | Routine |
| Feb 3, 2020 | E · potential | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Routine |
| Feb 3, 2020 | G · harm | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Routine |
| Feb 3, 2020 | D · potential | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Routine |
| Feb 3, 2020 | D · potential | 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. | Routine |
| Feb 3, 2020 | E · potential | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Routine |
| Feb 3, 2020 | D · potential | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Routine |
| Feb 3, 2020 | D · potential | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Routine |
| Feb 3, 2020 | D · potential | Ensure services provided by the nursing facility meet professional standards of quality. | Routine |
| Feb 3, 2020 | E · potential | Provide safe, appropriate pain management for a resident who requires such services. | Routine |
| Feb 3, 2020 | D · potential | 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. | Routine |
| Feb 3, 2020 | D · potential | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Routine |
| Feb 3, 2020 | E · potential | 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. | Routine |
| Feb 3, 2020 | E · potential | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Routine |
| Feb 3, 2020 | E · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
| Feb 3, 2020 | D · potential | Dispose of garbage and refuse properly. | Routine |
| Feb 3, 2020 | E · potential | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Routine |
| Feb 3, 2020 | D · potential | Provide and implement an infection prevention and control program. | Routine |
Medicare's severity letters: A–C minimal harm, D–F potential for more than minimal harm, G–L actual harm or immediate danger. Source: CMS health deficiencies file, processed October 1, 2026.
Questions to ask on a visit
Northgate Postacute Care
40 Professional Center Parkway, San Rafael, CA 94903 · (415) 479-1230
Visit date: ____________ Spoke with: ______________________
Record on file
- Certification
- Medicare and Medi-Cal certified skilled nursing facility
- Medicare number (CCN)
- 056430
- Certified beds
- 52
- Part of
- Rmg Capital Partners
Full profile on Medicare's Care Compare. Source: CMS, processed October 1, 2026.
Is this your business, or is something wrong? Request a correction. It's free, and we never charge to be listed.
Other nursing homes in San Rafael
- Marin Post Acute3 of 5 stars overall
- San Rafael Healthcare & Wellness Center, LP2 of 5 stars overall
- Pine Ridge Care Center4 of 5 stars overall
- Professional Post Acute Center3 of 5 stars overall
- Villa Marin4 of 5 stars overall
- Smith Ranch Skilled Nursing & Rehabilitation Cente3 of 5 stars overall