The home failed to plan the resident’s discharge to meet the resident’s goals and needs. Cited September 2023 — limited pattern, actual harm.
View the original federal record
F-Tag 660 — 42 CFR §483.21 — S/S: H
Nursing home report
NORTHGATE POSTACUTE CARE
SAN RAFAEL, CA · Medicare-certified · 52 beds
Needs attention
Abuse citationFor-profitChain member
Data as of July 1, 2026
2 of 5 overall
NORTHGATE POSTACUTE CARE (San Rafael, CA) has an overall rating of 2 out of 5 stars, with 2-star health inspection and staffing ratings, and 4-star quality measures. Reported nurse staffing is 4.07 hours per resident per day, just below the federal benchmark of 4.1; there were no fines in the last 24 months, but the facility has a recent abuse citation.
Facility ratings
Health inspections
Staffing
4.0734 hrs/resident/day
Quality measures
Last inspection: January 7, 2026Penalties, last 24 months: $0recent abuse citation
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.0734.
Staffing detail
- Registered nurses
- 0.21
- Licensed practical nurses
- 1.17
- Nurse aides
- 2.70
- Weekend nursing
- 3.82
Hours per resident per day.
Total staff turnover: 46%
Registered nurse turnover: 80%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
31.8%22.2%Improving
Residents with a fall causing major injury
2.2%2.2%No change
Residents with pressure ulcers (bedsores)
1.8%2%No change
Residents with a urinary tract infection
4.8%0%Improving
Residents who lost too much weight
10.8%11.9%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
10.3%6.8%Improving
Residents whose ability to walk got worse
—8.3%—
Long-stay residents on antianxiety or sleep medication
7.3%11.4%Worsening
Short-stay residents newly given an antipsychotic
—0%—
Residents with a long-term catheter
2.1%0%Improving
Residents with new or worsening incontinence
35.3%6.7%Improving
Residents with depressive symptoms
0%0%No change
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—97.9%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—100%—
Short-stay residents given the pneumonia vaccine
100%100%No change
What the inspectors found
The home failed to protect residents from the wrongful use of their belongings or money. Cited January 2026 — isolated incident, actual harm.
View the original federal record
F-Tag 602 — 42 CFR §483.12 — S/S: G
The nursing home failed to protect residents from abuse and neglect by others. Cited February 2020 — isolated incident, actual harm.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: G
The home failed to have a registered nurse on duty enough hours each day and to keep a registered nurse as the full-time director of nursing. Cited August 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 727 — 42 CFR §483.35 — 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 December 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 925 — 42 CFR §483.90 — S/S: F
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- PENALTY
A federal fine of $87,984 was recorded.
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 14 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 7 fines · $126,631 in total fines.
- $94,521
Federal fine
Sep 29, 2023
- $4,587
Federal fine
Sep 11, 2023
- $4,587
Federal fine
Sep 5, 2023
- $4,587
Federal fine
Aug 28, 2023
- $4,587
Federal fine
Aug 21, 2023
- $4,235
Federal fine
Aug 14, 2023
- $9,527
Federal fine
Jul 17, 2023
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of RMG CAPITAL PARTNERS · 9 homes · 2.6 stars avg
- Occupancy
- 47.8 residents on an average day (92% of 52 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 52 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.