The home failed to ensure residents were free from physical restraints unless they were needed for medical treatment. Cited March 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 604 — 42 CFR §483.12 — S/S: G
Nursing home report
NORTHBROOK HEALTHCARE CENTER
WILLITS, CA · Medicare-certified · 70 beds
Needs attention
For-profitChain member
5 of 5 overall
NORTHBROOK HEALTHCARE CENTER (WILLITS, CA) has an overall 5-star rating, with strong quality measures and a 4-star health inspection rating, but a 3-star staffing rating, reported nurse staffing slightly below the federal benchmark (4.06 vs. 4.1 hours per resident per day), and a recent federal penalty with $9,295 in fines over the last 24 months.
Facility ratings
Health inspections
Staffing
4.0578 hrs/resident/day
Quality measures
Last inspection: January 30, 2026Penalties, last 24 months: $9,295recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.0578.
Staffing detail
- Registered nurses
- 0.48
- Licensed practical nurses
- 0.99
- Nurse aides
- 2.59
- Weekend nursing
- 3.48
Hours per resident per day.
Total staff turnover: 30%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
22.1%Improving
Residents with a fall causing major injury
2.9%Worsening
Residents with pressure ulcers (bedsores)
1%Steady
Residents with a urinary tract infection
0%Steady
Residents who lost too much weight
4%Steady
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
9%Improving
Residents whose ability to walk got worse
14.6%Worsening
Show all measures
Long-stay residents on antianxiety or sleep medication
14.9%Steady
Short-stay residents newly given an antipsychotic
0.6%Improving
Residents with a long-term catheter
0.9%Worsening
Residents with new or worsening incontinence
23%Worsening
Residents with depressive symptoms
14.9%Worsening
Long-stay residents given the seasonal flu vaccine
96.3%Steady
Long-stay residents given the pneumonia vaccine
100%Steady
Short-stay residents given the seasonal flu vaccine
69.2%Steady
Short-stay residents given the pneumonia vaccine
100%Steady
What the inspectors found
The home failed to make food and drinks appealing and served them at a safe, appetizing temperature. Cited January 2026 — widespread issue, potential for harm.
View the original federal record
F-Tag 804 — 42 CFR §483.60 — S/S: F
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited January 2026 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The nursing home failed to make sure it had a pest control program to prevent or deal with mice, insects, and other pests. Cited January 2026 — widespread issue, potential for harm.
View the original federal record
F-Tag 925 — 42 CFR §483.90 — S/S: F
The home failed to properly label and securely store medications and biologicals. Cited March 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 761 — 42 CFR §483.45(g) — S/S: F
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 7 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $9,295 was recorded.
Penalties & enforcement
On record with Medicare: 1 fine · $9,295 in total fines.
- $9,295
Federal fine
Mar 5, 2025
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of THE ENSIGN GROUP · 338 homes · 3.2 stars avg
- Occupancy
- 37.3 residents on an average day (53% of 70 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 53 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.