Northgate Postacute Care has received an F grade based on CMS data, with a score of 15/100 — placing it among the lowest-rated nursing facilities in California. Families considering this San Rafael facility should carefully review its inspection history and quality metrics.
Staffing at Northgate Postacute Care is near the national average, with 4.00 total nursing hours per resident per day (national average: 3.8 hours).
Recent inspections identified 67 deficiencies at Northgate Postacute Care. While none were classified as the most serious level, families should review the detailed inspection history below.
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 4.00 | 3.8 | Average |
| Registered Nurses (RN) | 0.23 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 1.14 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 2.63 | 2.4 | Average |
| Weekend Total Nursing | 3.71 | 3.8 | Average |
| Weekend RN Hours | 0.19 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0602 Severity GProtect each resident from the wrongful use of the resident's belongings or money.Jan 6, 2026 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Tag 0607 Severity DDevelop and implement policies and procedures to prevent abuse, neglect, and theft.Jan 6, 2026 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Tag 0727 Severity FHave 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.Aug 20, 2025 · Nursing and Physician Services Deficiencies
- Tag 0759 Severity EEnsure medication error rates are not 5 percent or greater.Aug 20, 2025 · Pharmacy Service Deficiencies
- Tag 0812 Severity EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Aug 20, 2025 · Nutrition and Dietary Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 1.8% | 4.5% | Better |
| Falls with major injury | 1.1% | 3.0% | Better |
| On antipsychotic medication | 35.4% | 14.5% | Worse |
| Urinary tract infections | 1.7% | 2.5% | Better |
| ADL decline (daily activities) | 22.9% | 14.0% | Worse |
| Excessive weight loss | 5.8% | 7.5% | Better |
| New/worsened incontinence | 21.8% | 45.0% | Better |
⚠️ Penalties & Fines
8 penalties recorded by CMS
Total fines: $129,101
How This Grade Was Calculated
This facility's grade of F is based on a score of 15 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 2★ → 16 pts (max 40)
- Health Inspection Rating: 2★ → 10 pts (max 25)
- Staffing Rating: 2★ → 8 pts (max 20)
- Quality Measures Rating: 2★ → 6 pts (max 15)
- Penalty deductions: -15 pts
- Fine deductions: -10 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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