Northgate Postacute Care is one of eight available facilities located in San Rafael, California. We gave this nursing home a C overall, which isn't a bad score. This is comparable with the city grade in San Rafael, which is a B-. As far as we can see, this nursing home ought to be a good fit for quite a few people. You also may want to review this facility's category grades below. Long-term care grades are discussed in the next section.

Additional Details:

Accepts Medicare 1 : TrueA checkmark indicating true.

Accepts Medicaid 1 : 52 Beds TrueA checkmark indicating true.

CCRC : FalseUsed to indicate false.

For profit - Corporation

Resident Council: TrueA checkmark indicating true.

Family Council: FalseUsed to indicate false.

Medical Staff Hours Per Patient (2019)

Less:
More:
October
October 1, 2019October 2, 2019October 3, 2019October 4, 2019October 5, 2019October 6, 2019October 7, 2019October 8, 2019October 9, 2019October 10, 2019October 11, 2019October 12, 2019October 13, 2019October 14, 2019October 15, 2019October 16, 2019October 17, 2019October 18, 2019October 19, 2019October 20, 2019October 21, 2019October 22, 2019October 23, 2019October 24, 2019October 25, 2019October 26, 2019October 27, 2019October 28, 2019October 29, 2019October 30, 2019October 31, 2019
November
November 1, 2019November 2, 2019November 3, 2019November 4, 2019November 5, 2019November 6, 2019November 7, 2019November 8, 2019November 9, 2019November 10, 2019November 11, 2019November 12, 2019November 13, 2019November 14, 2019November 15, 2019November 16, 2019November 17, 2019November 18, 2019November 19, 2019November 20, 2019November 21, 2019November 22, 2019November 23, 2019November 24, 2019November 25, 2019November 26, 2019November 27, 2019November 28, 2019November 29, 2019November 30, 2019
December
December 1, 2019December 2, 2019December 3, 2019December 4, 2019December 5, 2019December 6, 2019December 7, 2019December 8, 2019December 9, 2019December 10, 2019December 11, 2019December 12, 2019December 13, 2019December 14, 2019December 15, 2019December 16, 2019December 17, 2019December 18, 2019December 19, 2019December 20, 2019December 21, 2019December 22, 2019December 23, 2019December 24, 2019December 25, 2019December 26, 2019December 27, 2019December 28, 2019December 29, 2019December 30, 2019December 31, 2019

Long-term Care Quality

A-
Oct 18: A+Nov 18: A+Dec 18: A+Jan 19: A+Feb 19: A+Mar 19: A+Apr 19: A+May 19: A+Jun 19: A+Jul 19: A+Aug 19: A+Sep 19: A+Jan 20: A-Mar 20: A-Apr 20: A-May 20: A-Jun 20: A-Jul 20: A-Aug 20: A-
Historical

We awarded this nursing home an A- for our long-term care score. This score is more impressive than its overall score. Long-term care scores of this caliber generally require both around the clock care from nurses and aids, as well as quality routine medical care. In addition to assessing the quantity of care provided by nurses aids and other staff, we looked at the percentage of residents vaccinated against pneumonia. This facility vaccinated 100 percent of its residents, which is more than the vast majority of nursing homes. This facility was also able to keep its patients out of the hospital. In fact, it had only 1.27 hospitalizations per 1,000 long-term resident days, which is a significantly lower hospitalization rate than the average nursing home.

Nurse Quality

B-
Oct 18: ANov 18: ADec 18: AJan 19: A-Feb 19: A-Mar 19: A-Apr 19: A-May 19: A-Jun 19: A-Jul 19: AAug 19: ASep 19: AJan 20: A-Mar 20: A-Apr 20: B-May 20: B-Jun 20: B-Jul 20: B-Aug 20: B-
Historical

One of the other reasons we graded this nursing home so highly is that it received a very impressive nursing rating. In that category, we awarded this nursing home an B-. We analyzed the qualifications of nurses working for the nursing home, as well as the number of hours those nurses spent with residents, in determining our grade in this category. Based on the CMS data, this nursing home offers 3.5 hours of nursing care per resident per day. Lastly, we also factored in some quality-based assessments. This place fared well in some of the quality-based metrics we assessed. For example, in terms of the percentage of its patients suffering from pressure ulcers, this place performed better than the national average. This is often a good indicator that a facility has sufficient quality controls in place. Pressure ulcers can generally be avoided with better nursing care.

Facility Inspections

C
Oct 18: A-Nov 18: A-Dec 18: A-Jan 19: A-Feb 19: A-Mar 19: A-Apr 19: CMay 19: CJun 19: CJul 19: CAug 19: CSep 19: CJan 20: CMar 20: CApr 20: CMay 20: CJun 20: CJul 20: CAug 20: C
Historical

This facility received somewhat favorable health inspections in recent years. We awarded them a decent score in that area, with a grade of C. We weigh several aspects of a nursing home's inspection report in computing these inspection grades. One critical factor is deficiencies. It should be noted that the severity of these deficiencies is usually more meaningful than the quantity of deficiencies, as some end up being quite minor. This nursing home was assessed 4 deficiencies on its inspection report, but fortunately none were in any of the categories labeled G through L. This means it avoided the more ominous categories of deficiencies. Finally, this facility had no substantiated complaints this year from residents, which is an excellent sign.

Short-term Care Quality

C
Oct 18: BNov 18: BDec 18: BJan 19: B-Feb 19: B-Mar 19: BApr 19: CMay 19: CJun 19: CJul 19: BAug 19: BSep 19: BJan 20: B+Mar 20: B+Apr 20: CMay 20: CJun 20: CJul 20: CAug 20: C
Historical

The next category we graded was short-term care. For this category, we gave this facility a C. In determining our short-term care grades, we look at the facility's levels of highly skilled nursing, which includes registered nurses, physical therapists speech therapists and other types of therapists. This score is considered to be a meaningful assessment of the nursing home's rehabilitation services. In this nursing home's case, we were surprised to learn that it actually provides less physical therapist and registered nurse hours per patient than a typical facility. The final metric we looked at in this category is the number of residents who were able to leave the nursing home and return to the community. This place was respectable in this metric with 46.2 percent of its residents returning home.

Overall Rating Over Time

Compared to national and state averages across all facilities.

Aug 20
Provider:
C
State:
B
National:
B
FDCB-BB+A-AA+Oct 18Nov 18Dec 18Jan 19Feb 19Mar 19Apr 19May 19Jun 19Jul 19Aug 19Sep 19Oct 19Dec 19Jan 20Mar 20Apr 20May 20Jun 20Jul 20Aug 20
Overall Rating
Nurse Rating
Long-Term Rating
Short-Term Rating
Inspection Rating

Northgate Postacute Care Quality Metrics

Minimizes Pressure Ulcers

This is the percentage of residents who sustained a pressure ulcer. Pressure ulcers, which are also called bed sores, are routinely caused by patients not being moved frequently enough. Better nursing protocols minimizes the percentage of residents in a nursing home who sustain pressure ulcers.

Provider
B
7.29%
State
B+
6.95%
National
B
7.33%

Percent of Patients with Pressure Ulcers
Lower is Better

Minimizes Serious Falls

This is the percentage of residents who sustained a major fall. Falls leading to major injury are often the result of lower levels of patient supervision. More supervision can limit the percentage of residents in a nursing home who sustain major falls.

Provider
A+
0%
State
A-
1.78%
National
B
3.36%

Percent of Patients with Serious Falls
Lower is Better

Minimizes Urinary Tract Infections

This is the percentage of residents who sustained a urinary tract infection. These infections are sometimes associated with insufficient hygiene.

Provider
A
0.63%
State
A-
1.69%
National
B
2.65%

Percent of Patients with UTIs
Lower is Better

Appropriately Uses Anti-Psychotic Medication

This statistic measures the percentage of long-term care patients receiving antipsychotic medications. While antipsychotic drugs serve an important medical purpose, it is important to make sure these drugs are being used appropriately. In limited cases, high levels of antipsychotic drug use may mean a nursing home is using these medications to control patient behavior.

Provider
B-
16.67%
State
A-
10.4%
National
B
14.17%

Percent of Patients
Lower is Better

Appropriately Uses Anti-Anxiety Medication

This tells you the percent of patients who were given antianxiety drugs. These drugs are commonly prescribed to residents suffering from anxiety or depression.

Provider
A
10.53%
State
A-
14.21%
National
B
19.68%

Percent of Patients
Lower is Better

Managing Depression Among Residents

This indicates the percentage of residents demonstrating depressive symptoms. High levels of depression could be an indicator worse patient care.

Provider
A+
0%
State
A
0.97%
National
B+
5.09%

Percent of Patients
Lower is Better

Appropriate Vaccine Usage

This tells you the percentage of patients who were given the pneumonia and flu vaccines. High vaccination rates should be the norm at this point.

Provider
A
100%
State
B+
94.67%
National
B
92.04%

Percent of Patients
Higher is Better

Residents Maintain Autonomy

This metric is a measure of the percentage of long-term care residents who needed more assistance with activities of daily living over time. ADL's include activities such as dressing and taking a bath.

Provider
A+
6.94%
State
A-
9.21%
National
B
14.47%

Percentage of Patients
Lower is Better

Ability to Keep Residents Mobile

This datapoint measures the percent of long-term stay patients who retained mobility levels.

Provider
B-
14.72%
State
C
12.94%
National
B
17.10%

Percentage of Residents
Higher is Better

Hospitalizations

Measures the number of hospitalizations per 1,000 days of patient care.

Provider
A-
1.23
State
B-
1.88
National
B
1.70

Hospitalizations per 1,000 resident days
Lower is Better

Short-term Care: Rehospitalizations

This indicates the number of times residents are rehospitalized per 1,000 days of short-term care. There is typically a correlation between reduced hospitalizations and a nursing home's quality of short-term rehabilitation.

Provider
B+
14.72
State
A-
12.94
National
B
17.10

Percentage of Residents Rehospitalized
Lower is Better

Short-term Care: ER Visits

This metric is a measure of the number of emergency room visits per thousand days of short-term patient care. Avoiding medical emergencies is one way to assess patient care during rehabilitation.

Provider
C
13.26
State
B
9.82
National
B
10.27

Percentage of Patients
Lower is Better

Short-term Care: Facilitates Functional Improvement

This indicates the percent of short-term residents who saw functional improvements, such as enhanced ability to perform activities of daily living. High levels of performance with ADL's often correlates with successful rehabilitation services.

Provider
A-
76.88%
State
B+
71.87%
National
B
68.03%

Percentage of Resident
Higher is Better

Nearby Hospitals

Kaiser Foundation Hospital 0.93 mi
99 Montecillo Rd San Rafael California 94903
(415) 444-2000
Acute Care Hospitals
Voluntary non-profit - Private
Marinhealth Medical Center 4.24 mi
250 Bon Air Road, PO Box 8010 Greenbrae California 94904
(415) 925-7900
Acute Care Hospitals
Government - Local
Novato Community Hospital 6.27 mi
180 Rowland Way Novato California 94945
(415) 209-1300
Acute Care Hospitals
Voluntary non-profit - Other
Chinese Hospital 16.58 mi
845 Jackson St San Francisco California 94133
(415) 982-2400
Acute Care Hospitals
Voluntary non-profit - Private
Kaiser Foundation Hospital - San Francisco 16.71 mi
2425 Geary Blvd San Francisco California 94115
(415) 833-2646
Acute Care Hospitals
Voluntary non-profit - Private
Saint Francis Memorial Hospital 16.79 mi
900 Hyde St San Francisco California 94109
(415) 353-6000
Acute Care Hospitals
Voluntary non-profit - Private
California Pacific Medical Center- Van Ness Campus 16.91 mi
1101 Van Ness Avenue San Francisco California 94109
(415) 600-6000
Acute Care Hospitals
Voluntary non-profit - Private
St Mary's Medical Center 17.12 mi
450 Stanyan St San Francisco California 94117
(415) 668-1000
Acute Care Hospitals
Voluntary non-profit - Private

Nearby Dialysis

Northgate Dialysis Center 0.36 mi
CMS Rating: 3 stars
Dialysis Stations: 12
650 Las Gallinas Road San Rafael California 94903
(415) 444-0376
San Rafael Dialysis 2.62 mi
Dialysis Stations: 24
1415 3rd Street San Rafael California 94901
(415) 453-4437
Satellite Dialysis Greenbrae 4.88 mi
CMS Rating: 5 stars
Dialysis Stations: 23
565 Sir Francis Drake Blvd. Greenbrae California 94904
(415) 924-8622
San Pablo Dialysis Center 11.3 mi
CMS Rating: 4 stars
Dialysis Stations: 22
14020 San Pablo Avenue San Pablo California 94806
(510) 234-0835
Davita Richmond Dialysis 11.79 mi
CMS Rating: 4 stars
Dialysis Stations: 24
4200 Macdonald Ave., Ste A Richmond California 94805
(510) 236-8861
El Cerrito Dialysis Center 13.85 mi
CMS Rating: 4 stars
Dialysis Stations: 20
10690 San Pablo Avenue El Cerrito California 94530
(510) 528-9590
Davita El Sobrante 14.66 mi
CMS Rating: 4 stars
Dialysis Stations: 20
3380 San Pablo Dam Rd Ste. C-D El Sobrante California 94803
(510) 262-9230
Pacific Dialysis 16.39 mi
CMS Rating: 4 stars
Dialysis Stations: 30
2351 Clay Street 4th Floor San Francisco California 94115
(415) 440-2852