California State Capitol building in Sacramento.
Marin County

Northgate Postacute Care Complaints, Violations and Inspection Records

Data current as of the August 2026 CMS Care Compare release and the CDPH state enforcement dataset of August 27, 2024. State citation records cover July 1, 1997 through June 30, 2024.

What the public record shows

If you are looking into Northgate Postacute Care in San Rafael, whether a loved one lives there now or you are considering it, the public record is worth reading before you decide. It includes 3 citations in the state's two most serious classes, class A and class AA.

CMS overall rating 2 of 5 Health inspections 2 of 5
Nursing hours per resident per day 4.07 Compared with the California average below
California state citations 22 $59,550 in penalties
Federal fines $112,869 5 federal fines
CMS overall rating
CMS overall rating: 2 out of 5 stars.
Nursing hours per resident per day, against the California average
This facility reports 4.07 nursing hours per resident per day, below the California average of 4.52.
California state citations by year
California state citations by year, between 2001 and 2022: 22 citations on record, including 3 class A and 19 class B.

Here is what the record shows for this facility, drawn from CMS Care Compare and the California Department of Public Health:

  • CMS overall rating: 2 of 5 stars. The health inspection rating, the most independent of the three categories, is 2 of 5.
  • California state citations: 22 on record, including 3 class A and 19 class B, with $59,550 in assessed penalties.
  • Staffing: 4.07 nursing hours per resident per day; registered nurse turnover 80%.
  • Most recent standard inspection: 14 deficiencies cited on August 21, 2025. The most recent inspection since then was on June 18, 2026: 1 deficiency cited in the complaint inspection.
  • Federal enforcement: 5 federal fines totaling $112,869 in the reported period.
  • Ownership: Northgate Postacute Care, for-profit, part of Rmg Capital Partners (9 facilities nationally).
Entrance of a California skilled nursing facility on a clear morning. Illustration on the page for Northgate Postacute Care in San Rafael, California.
Illustration. Not a photograph of Northgate Postacute Care.

Northgate Postacute Care ratings and staffing

Northgate Postacute Care is located at 40 Professional Center Parkway in San Rafael, Marin County. It is a for-profit facility operated by Northgate Postacute Care, part of Rmg Capital Partners, with 52 certified beds and an average of 47.8 residents a day. It accepts Medicare and Medicaid.

CMS rates every certified nursing home in three separate categories, and the overall star is a blend of them:

  • Health inspections, based on what state surveyors observe in person during unannounced visits. Weight this one most heavily, because it does not rely on data the facility reports about itself.
  • Staffing, drawn from payroll-based records of how much nursing time each resident actually receives.
  • Quality measures, built largely from data the facility submits. Read a high score here with more caution than the other two.

For Northgate Postacute Care, those scores are: health inspections 2 of 5, staffing 2 of 5, quality measures 4 of 5.

Staffing. Northgate Postacute Care reports 4.07 total nursing hours per resident per day, of which 0.21 are registered nurse hours. Over the reporting year, 45.5% of the nursing staff left. Registered nurses supervise aides, catch medication errors before they reach a resident, and notice when a person's condition is changing. Staffing is the single number that most reliably predicts whether a facility catches a problem early or lets it become a crisis.

Abuse warning. CMS currently flags Northgate Postacute Care with its abuse icon, which marks facilities cited for abuse that led to harm, or for repeat abuse findings, in recent inspection cycles.

How this home compares in the public record

CMS publishes each home's star rating and its payroll-based staffing hours, and it publishes the federal fines it has imposed. The county and California figures beside each number are the averages across those same published records.

CMS overall rating 2 of 5 Marin County average 3.09 of 5 across 11 rated homes. California average 3.16 of 5 across 1,154 rated homes
Nursing hours per resident per day 4.07 Marin County average 4.44. California average 4.52
Federal fines $112,869 Marin County average $43,094 per home. California average $24,666 per home

These figures are taken from public CMS Care Compare records as of August 2026 (the August 2026 release) and public CDPH records as of June 2024 (the state enforcement dataset of August 27, 2024). They are reported as published and are not a recommendation, endorsement or assessment of any facility by this firm. How these figures were assembled.

Homes in Marin County with a higher CMS overall rating

CMS rates each of these homes above Northgate Postacute Care on the overall star rating it publishes. The rating is one measure of a facility's record, and each page below carries that home's own inspection findings, staffing hours and citation history.

These figures are taken from public CMS Care Compare records as of August 2026 (the August 2026 release) and public CDPH records as of June 2024 (the state enforcement dataset of August 27, 2024). They are reported as published and are not a recommendation, endorsement or assessment of any facility by this firm. How these figures were assembled.

Federal inspection findings and penalties

Scope and severity A to C means no actual harm, with potential for minimal harm. Scope and severity D to F means no actual harm, with potential for more than minimal harm. Scope and severity G to I means actual harm that is not immediate jeopardy. Scope and severity J to L means immediate jeopardy to resident health or safety.

June 18, 2026, complaint inspection

1 deficiency cited. Surveyors cited the facility for 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.

  • F0688Provide 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. (scope and severity E)

June 11, 2026, complaint inspection

1 deficiency cited. Surveyors cited the facility for ensure services provided by the nursing facility meet professional standards of quality.

  • F0658Ensure services provided by the nursing facility meet professional standards of quality. (scope and severity D)

January 7, 2026, complaint inspection

2 deficiencies cited. Surveyors cited the facility for protect each resident from the wrongful use of the resident's belongings or money and develop and implement policies and procedures to prevent abuse, neglect, and theft.

  • F0602Protect each resident from the wrongful use of the resident's belongings or money. (scope and severity G)
  • F0607Develop and implement policies and procedures to prevent abuse, neglect, and theft. (scope and severity D)

August 21, 2025, standard inspection

14 deficiencies cited. Surveyors cited the facility for 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, ensure medication error rates are not 5 percent or greater, and procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  • F0727Have 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. (scope and severity F)
  • F0759Ensure medication error rates are not 5 percent or greater. (scope and severity E)
  • F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (scope and severity E)
  • F0584Honor 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. (scope and severity D)
  • F0658Ensure services provided by the nursing facility meet professional standards of quality. (scope and severity D)
  • F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals. (scope and severity D)
  • F0730Observe each nurse aide's job performance and give regular training. (scope and severity D)
  • F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (scope and severity D)
  • F0761Ensure 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. (scope and severity D)
  • F0814Dispose of garbage and refuse properly. (scope and severity D)
  • F0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. (scope and severity D)
  • F0880Provide and implement an infection prevention and control program. (scope and severity D)
  • F0908Keep all essential equipment working safely. (scope and severity D)
  • F0924Put firmly secured handrails on each side of hallways. (scope and severity D)

March 28, 2025, complaint inspection

2 deficiencies cited. Surveyors cited the facility for give residents a notice of rights, rules, services and charges and 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.

  • F0572Give residents a notice of rights, rules, services and charges. (scope and severity D)
  • F0620Not 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. (scope and severity D)

March 6, 2025, complaint inspection

1 deficiency cited. Surveyors cited the facility for respond appropriately to all alleged violations.

  • F0610Respond appropriately to all alleged violations. (scope and severity D)

March 3, 2025, complaint inspection

1 deficiency cited. Surveyors cited the facility for ensure that the resident and his/her doctor meet face-to-face at all required visits.

  • F0712Ensure that the resident and his/her doctor meet face-to-face at all required visits. (scope and severity D)

January 9, 2025, complaint inspection

1 deficiency cited. Surveyors cited the facility for have the quality assessment and assurance group have the required members and meet at least quarterly.

  • F0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterly (scope and severity E)

December 3, 2024, complaint inspection

1 deficiency cited. Surveyors cited the facility for make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

  • F0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. (scope and severity F)

June 19, 2024, complaint inspection

2 deficiencies cited. Surveyors cited the facility for develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals and ensure that the resident and his/her doctor meet face-to-face at all required visits.

  • F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (scope and severity D)
  • F0712Ensure that the resident and his/her doctor meet face-to-face at all required visits. (scope and severity D)

December 14, 2023, complaint inspection

2 deficiencies cited. Surveyors cited the facility for provide appropriate treatment and care according to orders, resident’s preferences and goals and ensure that the resident and his/her doctor meet face-to-face at all required visits.

  • F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals. (scope and severity D)
  • F0712Ensure that the resident and his/her doctor meet face-to-face at all required visits. (scope and severity D)

September 29, 2023, complaint inspection

8 deficiencies cited. Surveyors cited the facility for plan the resident's discharge to meet the resident's goals and needs, provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights, and 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.

  • F0660Plan the resident's discharge to meet the resident's goals and needs. (scope and severity H)
  • F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. (scope and severity E)
  • F0688Provide 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. (scope and severity E)
  • F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. (scope and severity E)
  • F0745Provide medically-related social services to help each resident achieve the highest possible quality of life. (scope and severity E)
  • F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (scope and severity D)
  • F0557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. (scope and severity D)
  • F0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. (scope and severity D)

September 24, 2021, standard inspection

12 deficiencies cited. Surveyors cited the facility for provide and implement an infection prevention and control program, keep all essential equipment working safely, and 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.

  • F0880Provide and implement an infection prevention and control program. (scope and severity F)
  • F0908Keep all essential equipment working safely. (scope and severity F)
  • F0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. (scope and severity E)
  • F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. (scope and severity E)
  • F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (scope and severity E)
  • F0886Perform COVID19 testing on residents and staff. (scope and severity E)
  • F0584Honor 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. (scope and severity D)
  • F0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. (scope and severity D)
  • F0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. (scope and severity D)
  • F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (scope and severity D)
  • F0759Ensure medication error rates are not 5 percent or greater. (scope and severity D)
  • F0807Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. (scope and severity D)

February 3, 2020, standard inspection

17 deficiencies cited. Surveyors cited the facility for protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody, honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights, and provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

  • F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (scope and severity G)
  • F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (scope and severity E)
  • F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. (scope and severity E)
  • F0697Provide safe, appropriate pain management for a resident who requires such services. (scope and severity E)
  • F0803Ensure 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. (scope and severity E)
  • F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. (scope and severity E)
  • F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (scope and severity E)
  • F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (scope and severity E)
  • F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (scope and severity D)
  • F0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. (scope and severity D)
  • F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted (scope and severity D)
  • F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (scope and severity D)
  • F0658Ensure services provided by the nursing facility meet professional standards of quality. (scope and severity D)
  • F0761Ensure 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. (scope and severity D)
  • F0802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. (scope and severity D)
  • F0814Dispose of garbage and refuse properly. (scope and severity D)
  • F0880Provide and implement an infection prevention and control program. (scope and severity D)

Penalties. Over the reported period, Northgate Postacute Care received 5 federal fines totaling $112,869. Fines are imposed when a facility is cited for a serious violation or fails to correct a prior deficiency in time.

California state citations

California inspects and cites nursing homes separately from the federal government. The Department of Public Health issues three classes of citation. A class AA citation is a class A violation that the Department of Public Health determined was a direct proximate cause of a resident's death. A class A citation is a violation the Department determined presented an imminent danger of death or serious harm to residents, or a substantial probability that death or serious physical harm would result. A class B citation is a violation the Department determined had a direct or immediate relationship to residents' health, safety or security, other than a class AA or A violation.

State records show 22 citations against Northgate Postacute Care between February 27, 2001 and March 23, 2022: 3 class A and 19 class B, with $59,550 in assessed penalties.

  • March 23, 2022, class B, Problem Transfer. $2,000 penalty.
  • March 23, 2022, class B, Problem Transfer. $2,000 penalty.
  • August 7, 2019, class B, Patient Care. $2,000 penalty.
  • August 7, 2019, class B, Problem Transfer. $1,000 penalty.
  • August 7, 2019, class B, Problem Transfer. $1,000 penalty.
  • August 7, 2019, class B, Problem Transfer. $1,000 penalty.
  • August 7, 2019, class B, Problem Transfer. $1,000 penalty.
  • August 7, 2019, class B, Problem Transfer. $1,000 penalty.
  • August 7, 2019, class B, Problem Transfer. $1,000 penalty.
  • August 7, 2019, class B, Problem Transfer. $1,000 penalty.
  • August 7, 2019, class B, Problem Transfer. $1,000 penalty.
  • August 7, 2019, class B, Problem Transfer. $1,000 penalty.

and 10 earlier citations, in the CDPH record linked under Sources.

Across Marin County's 11 certified facilities, the average is about 19.5 state citations per facility. Northgate Postacute Care's 22 is close to that average.

A citation records a determination by state surveyors. A citation does not by itself establish that any particular resident was injured or that the facility is liable to anyone.

Other nursing homes in San Rafael

Families comparing options in San Rafael often look at these facilities as well. Each link opens that facility's full public record:

See every facility in the Marin County nursing home directory.

Other nursing homes in Marin County

These are other nursing homes in Marin County, listed by how close each home's ZIP code is to the ZIP code for Northgate Postacute Care. The public record gives a street address but no coordinates, so distance is not measured; homes in the same ZIP code appear first. No rating or inspection figure is used to order this list.

This list is drawn from public CMS Care Compare records as of August 2026 (the August 2026 release) and public CDPH records as of June 2024 (the state enforcement dataset of August 27, 2024). It is ordered by location only and is not a recommendation, endorsement or assessment of any facility by this firm. How these figures were assembled.

Couple reading a nursing home inspection report together at home. Illustration on the page for Northgate Postacute Care in San Rafael, California.
Couple reading a nursing home inspection report together at home

What to do if you are worried about care at this facility

You will usually notice something is wrong before anyone official does, and you do not need proof before you act. If you are concerned about care at Northgate Postacute Care, you can take these steps:

Write down what you see. Note dates, times, and specific concerns, and photograph anything relevant. A clear, contemporaneous record matters if an investigation follows.

File a complaint with the California Department of Public Health. CDPH licenses and inspects skilled nursing facilities and investigates complaints, and a serious complaint can trigger an on-site inspection. You can file online through CDPH's Cal Health Find system, which routes your complaint to the Marin County licensing district office.

Contact the Long-Term Care Ombudsman. The ombudsman is a free advocate who will visit your loved one, look into your concerns, and press the facility on their behalf. Marin County's ombudsman program can be reached at (415) 473-7446. This is often the fastest first step when the issue is care quality rather than an emergency.

For the full walkthrough, see How to report nursing home abuse in California.

Injuries that most often signal neglect

The injuries below are the ones most often at issue in California nursing home cases. Any one of them at Northgate Postacute Care is a reason to ask what the facility's own records show:

Nursing home abuse claims in Marin County

If a loved one was harmed at Northgate Postacute Care, these pages explain how Marin County families pursue the most common nursing home claims, each with local facility data and the county long-term care ombudsman:

You can also compare every home in the Marin County nursing home directory.

Are There Lawsuits Against Northgate Postacute Care?

This page reports federal and state inspection, complaint and enforcement records for Northgate Postacute Care. Those records are separate from civil lawsuits: a government citation is not a lawsuit, and a facility can be sued without ever being cited. This site does not track civil court filings. Civil cases against California skilled nursing facilities are usually filed in the Superior Court of the county where the facility is located; records for Marin County are searchable through the Marin County Superior Court's online case records. If your family member was injured at Northgate Postacute Care, the records that matter most are usually the resident's own: nursing notes, care plans, fall-risk assessments, wound records, medication administration records, physician orders and incident reports. Talk to us about what happened.

Frequently asked questions

Is Northgate Postacute Care a good nursing home?
CMS gives Northgate Postacute Care an overall rating of 2 of 5 stars, with a health inspection rating of 2 of 5 based on in-person state surveys. California has issued 22 state citations against the facility, including 3 in the state's two most serious classes, class A and class AA. A rating is a starting point, not a verdict. Read it alongside the inspection dates and what you see for yourself.
What should I do if my loved one was injured at Northgate Postacute Care?
Document the injury with dated photos, request the care plan and treatment records, and report your concern to the California Department of Public Health and the Marin County Long-Term Care Ombudsman. If the injury is serious, such as a bedsore, a fall, or an untreated infection, you can also speak with a nursing home attorney about whether you have a claim.
Has Northgate Postacute Care been fined or cited for serious violations?
Public records show 5 federal fines totaling $112,869 and 22 California state citations with $59,550 in state penalties, including 3 class A citations.
How many state citations does Northgate Postacute Care have?
The California Department of Public Health has issued 22 citations against Northgate Postacute Care in San Rafael between February 27, 2001 and March 23, 2022: 3 class A and 19 class B, with $59,550 in assessed penalties.
How do I report a problem at Northgate Postacute Care?
File a complaint with CDPH through its Cal Health Find system, or contact the Marin County Long-Term Care Ombudsman at (415) 473-7446. In an emergency, call Adult Protective Services or 911.

If your loved one was harmed

We came to this work from the other side. We spent years defending nursing homes, which means we know how a facility builds a file to protect itself and where the gaps in that file tend to be. Under California's Elder Abuse Act (Welfare and Institutions Code sections 15600 to 15675), a family that proves, by clear and convincing evidence, that neglect was committed with recklessness, oppression, fraud or malice can recover remedies beyond an ordinary injury claim, including attorney's fees (section 15657).

If your loved one was harmed at Northgate Postacute Care, talk to our Marin County nursing home abuse lawyers. We handle cases in San Rafael and across California. The consultation is free and confidential, we are available around the clock, and you owe nothing unless we recover for you.

Call (888) 999-0169. Available 24/7. Free consultation. No fee unless we win.

Free Case Evaluation

Confidential. No obligation. Available 24/7.

Sources

  • Centers for Medicare & Medicaid Services, Care Compare: Northgate Postacute Care provider record, CCN 056430. Ratings, staffing, and federal deficiency data processed August 1, 2026.
  • CMS Provider Data Catalog: Provider Information, Penalties, and Health Deficiencies datasets.
  • California Department of Public Health, Cal Health Find: Northgate Postacute Care state license record, FACID 010000980, license 10000374.
  • California Department of Public Health, Health Facilities State Enforcement Actions dataset (CHHS Open Data), citations July 1, 1997 through June 30, 2024.

Disclaimer

The inspection data, ratings, citations, staffing figures, and ownership information on this page come from public sources, including the Centers for Medicare & Medicaid Services (medicare.gov) and the California Department of Public Health. This information is reported as published by those sources and may not reflect the most current findings or conditions at the facility. Deficiencies and citations listed may have been corrected or appealed since the date shown. Inclusion of Northgate Postacute Care in this directory is not a statement, allegation, or suggestion that the facility has committed abuse, neglect, or any wrongdoing. This page is attorney advertising and an information resource. It is not legal advice, and using this site does not create an attorney-client relationship. Young & Wallin is not affiliated with Northgate Postacute Care, and neither the facility nor any government agency endorses this page.

Don't Wait: Evidence Disappears Every Day

The longer a case waits, the harder records are to get and the more memories fade. Call for a free, confidential case evaluation. If we take your case, you pay nothing unless we win.

Call Now: (888) 999-0169