Medical and dental care
Cited in 7 reports, with 7 deficiencies in total.
Jul 23, 2026Dec 11, 2025Jul 16, 2024Apr 5, 2024Jan 11, 2024Oct 17, 2023Sep 7, 2023
BLUFFS AT HAMILTON HILL, THE
1 HAMILTON HILL DRIVE, Novato CA 94949
95 bedsLatest official report Jul 23, 2026Licensed
Additional info
- Telephone
- (628) 259-6874
- Licensee
- HAMILTON HILL I, LLC; SUNRISE SR LIVING MGMT INC
- Administrator
- RIVERA, MELON
- Contact
- RIVERA, MELON
- License first date
- Sep 15, 2022
- License effective date
- Sep 15, 2022
- District office
- SANTA ROSA RO · (707) 588-5026
- Regional office
- 21
- Clients served
- 983 - RCFE / DEMENTIA
Summary
The available records show 14 Type A and 15 Type B deficiencies for this facility.
- Most recent inspection
- Jul 7, 2026
- Most recent deficiency
- Jul 23, 2026
No later report is available, so the records do not show what happened afterward.
What Type A and Type B mean
- Type A
- Violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
- Type B
- Violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care.
Both classifications are published by California CDSS and are shown as published. SeniorLivingFacts does not rename them or add a severity level of its own.
At a glance
Counts cover the five-year public record. Typical figures are the median for the 12 Marin County facilities licensed for 50 or more beds, except where too few exist to state one — those come from facilities with 7 or more beds.
In the available public five-year record, CCLD published 49 reports for this facility: 22 inspections, 24 complaint investigations, and 3 licensing or administrative records.
Those records contain 14 Type A and 15 Type B deficiencies.
5 deficiencies have explicit official correction or clearance evidence in the loaded records.
- Official inspections
- 22
- Recorded deficiencies
- 29
- Type A deficiencies
- 14
- Type B deficiencies
- 15
- Substantiated complaints
- 12
- Repeated topics
- 5
More than the typical 12
7 in the last 12 months
Well above the typical 10
12 in the last 12 months
Well above the typical 6
4 in the last 12 months
Well above the typical 7
8 in the last 12 months
Well above the typical 1
7 in the last 12 months
Last 36 months
Repeated topics
Topics cited in more than one report during the last 36 months. A repeat may show a pattern worth asking about. Each date opens its report below.
Resident rights
Cited in 5 reports, with 5 deficiencies in total.
Staffing, personnel, and training
Cited in 5 reports, with 5 deficiencies in total.
Dec 11, 2025Nov 18, 2025Apr 10, 2025Mar 13, 2025Jul 16, 2024
Incident reporting
Cited in 4 reports, with 4 deficiencies in total.
Dementia care
Cited in 3 reports, with 3 deficiencies in total.
Official report history
All preserved reports from the most recent to the oldest, sortable by report type.
Complaint
Allegations2 substantiated · 2 unsubstantiated · 0 unfounded · 2 cited · investigated over 2 visits
No deficiencies recorded in this reportComplaint
Part of the complaint whose outcome is recorded on Jul 23, 2026 · Control 21-AS-20260423140001
Resident rightsType B
- Official classification
- Type B
- Official code
- 1569.269(a)(6)
- Regulation authority
- HSC
What the official deficiency says
§1569.269 Enumerated rights... (a)Residents...shall have all of the following rights:(6) To care, supervision, and services that meet their individual needs...delivered by staff that are sufficient in numbers, qualifications, and competency to meet their needs. This requirement was not met by...... ....licensee as evidenced by: Based on LPA record review of facility's pendant call button system log, R1, R2, and R3s response time for assistance was between 2 - 4.5 hours, which poses a potentional risk to the health and safety of residents in care. *civil penalty in the amount of $250 is being assessed for repeat violation*
Official plan of correction
Licensee shall conduct training for all care staff on how residents pendant calls will be responded to in a timely manner and shall submit proof of completed training for all staff to Community Care Licensing (CCL) by 08/07/2026.
Deadline recorded: Aug 7, 2026. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Aug 7, 2026
Correction not verified in available records
Medical and dental careType B
- Official classification
- Type B
- Official code
- 87465(a)(4)
- Regulation authority
- HSC
What the official deficiency says
87465 Incidental Medical and Dental Care (a) A plan for incidental medical and dental care shall be developed by each facility. The plan shall encourage routine medical and dental care and provide for assistance in obtaining such care, by compliance with the following: (4) The licensee shall assist residents with self-administered medications as needed. This requirement was not met as evidence by: Based on record review, R4 and R5 did not receive their mediciation, which poses a potentional risk to the health and safety of residents in care.
Official plan of correction
Licensee shall conduct training on medication management for all medication technicians. Proof of completed training shall be submitted to Community Care Licensing (CCL) by 08/24/2026.
Deadline recorded: Aug 24, 2026. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Aug 24, 2026
Correction not verified in available records
Complaint
Allegations0 substantiated · 2 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 3 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations1 substantiated · 0 unsubstantiated · 0 unfounded · 1 cited
Resident rightsType B
- Official classification
- Type B
- Official code
- 1569.269(a)(6)
- Regulation authority
- HSC
What the official deficiency says
§1569.269 Enumerated rights... (a)Residents...shall have all of the following rights:(6) To care, supervision, and services that meet their individual needs...delivered by staff that are sufficient in numbers, qualifications, and competency to meet their needs........ ....This requirement was not met by licensee as evidenced by: Based on LPA record review of facility's pendant call button system log, R1s bell response time was 2 hours and 50 minutes and R2s bell response time was one hour, which poses a potentional risk to the health and safety of residents in care.
Official plan of correction
Licensee shall conduct training for all care staff on how residents pendant calls will be responded to in a timely manner and shall submit proof of completed training for all staff to Community Care Licensing (CCL) by 01/12/2026.
Deadline recorded: Jan 12, 2026. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jan 12, 2026
Correction not verified in available records
Complaint
Allegations1 substantiated · 0 unsubstantiated · 0 unfounded · 1 cited
Staffing, personnel, and trainingType B
- Official classification
- Type B
- Official code
- 87411(a)
- Regulation authority
- CCR
What the official deficiency says
87411(a) Personnel Requirements – General Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs. This requirement is not met as evidenced by: Based on record review, the facility did not ensure they had a med tech on duty resulting in R1 missing their medication, which poses an potential health and safety risk to residents in care. *civil penalty being assessed in the amount of $250.00* *LIC9099D amended to reflect correct civil penalty amount*
Official plan of correction
Licensee to submit plan of how facility will ensure facility has sufficient amount of staffing for all shifts to CCL by POC due date 12/29/2025.
Deadline recorded: Dec 30, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Dec 30, 2025
Correction not verified in available records
Complaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations2 substantiated · 0 unsubstantiated · 0 unfounded · 2 cited
Medical and dental careType A
- Official classification
- Type A
- Official code
- 87465(a)
- Regulation authority
- CCR
What the official deficiency says
Incidental Medical and Dental Care 87465(a)(4) The licensee shall assist residents with self-administered medications as needed. This requirement not met by licensee as evidenced by: Based on document review of MAR, R1 was not administered their prescription medication on October 16th and November 22nd which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
Licensee to submit plan on how facility will ensure residents receive their prescription mediciation on time to CCL on POC due date 12/12/2025.
Deadline recorded: Dec 12, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Dec 12, 2025
Correction not verified in available records
Incident reportingType B
- Official classification
- Type B
- Official code
- 87211(a)(1)
- Regulation authority
- CCR
What the official deficiency says
87211 Reporting Requirements (a) Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to, the following: (1) A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence..... This requirement not met by licensee as evidenced by: Based on document review, facility did not send an incident report to CCL for missed medication for R1 on October 16th and November 22nd, which poses an potential health and safety risk to residents in care.
Official plan of correction
Facility to conduct training for all staff on reporting requirements and to send proof of completed training to CCL by POC due date 12/29/2025.
Deadline recorded: Dec 29, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Dec 29, 2025
Correction not verified in available records
Complaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations1 substantiated · 0 unsubstantiated · 0 unfounded · 1 cited
Staffing, personnel, and trainingType B
- Official classification
- Type B
- Official code
- 87411(a)
- Regulation authority
- CCR
What the official deficiency says
87411(a) Personnel Requirements – General Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs. This requirement is not met as evidenced by: Based on record review, the facility did not ensure staff on duty had training to dispense medication and/or had a med tech on duty which poses an potential health and safety risk to residents in care.
Official plan of correction
Facility to submit self-certification to CCL stating they understand regulation 87411(a) and submit an updated NOC shift schedule to ensure staff on duty have medication training by POC due date 12/09/2025.
Deadline recorded: Dec 9, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Dec 9, 2025
Correction not verified in available records
Complaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations1 substantiated · 1 unsubstantiated · 0 unfounded · 1 cited · investigated over 2 visits
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 2 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Part of the complaint whose outcome is recorded on Nov 18, 2025 · Control 21-AS-20250909154224
Resident rightsType B
- Official classification
- Type B
- Official code
- 1569.269(a)(6)
- Regulation authority
- HSC
What the official deficiency says
§1569.269 Enumerated rights... (a)Residents...shall have all of the following rights:(6) To care, supervision, and services that meet their individual needs...delivered by staff that are sufficient in numbers, qualifications, and competency to meet their needs. This requirement was not met by licensee as evidenced by: Based on LPA record review of facility's pendant call button system log, R1 bell response time was 19 minutes, 39 minutes, and 53 minutes which poses a potentional risk to the health and safety of residents in care.
Official plan of correction
Licensee shall conduct all staff training on how residents pendant calls will be responded to in a timely manner and shall submit proof of completed training for all staff to Community Care Licensing (CCL) by 11/11/2025.
Deadline recorded: Nov 11, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Nov 11, 2025
Correction not verified in available records
Complaint
Allegations2 substantiated · 1 unsubstantiated · 0 unfounded · 2 cited · investigated over 2 visits
No deficiencies recorded in this reportComplaint
Part of the complaint whose outcome is recorded on Sep 3, 2025 · Control 21-AS-20250707082501
Resident rightsType A
- Official classification
- Type A
- Official code
- 1569.269(a)(6)
- Regulation authority
- HSC
What the official deficiency says
§1569.269 Enumerated rights; severability (a) Residents of residential care facilities for the elderly shall have all of the following rights: (6) To care, supervision, and services that meet their individual needs... This requirement is not met by licensee as evidence by record review and interviews...... conducted, the licensee did not ensure R1 received assistance from staff on duty and/or receive assistance in a timely manner. This poses an immediate Health, Safety or Personal Rights risk to persons in care.
Official plan of correction
Facility shall submit plan to CCL to conduct training for all direct care staff on care and supervision by plan of correction due date 09/05/2025. Facility to submit proof of completed training to CCL by 09/15/25.
Deadline recorded: Sep 5, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Sep 5, 2025
Correction not verified in available records
Health conditions and treatmentsType B
- Official classification
- Type B
- Official code
- 87625(b)(3)
- Regulation authority
- CCR
What the official deficiency says
87625 Managed Incontinence (b) In addition to Section 87611, General Requirements for Allowable Health Conditions, the licensee shall be responsible for the following: (3) Ensuring that incontinent residents are kept clean and dry and that the facility remains free of odors from incontience. This...... requirement is not met by licensee as evidence by record review and interviews conducted, the licensee did not ensure R1 had clean bedding as R1s mattress was saturated in urine. This poses a potential health, safety or personal rights risk to persons in care.
Official plan of correction
Facility provided proof to LPA of new mattress ordered on 07/07/2025. POC cleared at time of visit.
Deadline recorded: Sep 3, 2025. A deadline is not proof that correction was completed.
Official record says corrected or clearedOn or before Sep 3, 2025
Correction deadline recordedDeadline Sep 3, 2025
Complaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations1 substantiated · 2 unsubstantiated · 0 unfounded · 1 cited · investigated over 2 visits
Staffing, personnel, and trainingType B
- Official classification
- Type B
- Official code
- 87411(a)
- Regulation authority
- CCR
What the official deficiency says
87411 Personnel Requirements - General (a) facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs......Based on record review of alarm response system, facility did not ensure that staff responded in a timely manner to..... ......call system to assist resident in care. Residents bell response time was 1 hour and 20 minutes, which poses a potentional risk to the health and safety of residents in care.
Official plan of correction
Licensee shall conduct staff training on how call bells will be responded to and shall send proof of scheduled training to CCL by 04/18/25.
Deadline recorded: Apr 18, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Apr 18, 2025
Correction not verified in available records
Complaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Part of the complaint whose outcome is recorded on Apr 10, 2025 · Control 21-AS-20250402083248
No deficiencies recorded in this reportComplaint
Allegations1 substantiated · 2 unsubstantiated · 0 unfounded · 1 cited
Resident rightsType B
- Official classification
- Type B
- Official code
- 87468.1(a)(9)
- Regulation authority
- HSC
What the official deficiency says
87468.1 Personal Rights of Residents in All Facilities:(a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (9)To have communications to the licensee from their representatives answered promptly and appropriately. This requirment is not met as evidenced by: Based on document review and interviews conducted, facility did not ensure communication with R1’s representative was answered promptly and appropriately as required by regulation. This poses a potential health and saftey risk to residents in care.
Official plan of correction
Administrator agrees to submit a plan to address how staff will ensure timely communication with residents responsible parties to CCL by POC 12/13/24.
Deadline recorded: Dec 13, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Dec 13, 2024
Correction not verified in available records
Complaint
Allegations1 substantiated · 0 unsubstantiated · 0 unfounded · 1 cited
Incident reportingType A
- Official classification
- Type A
- Official code
- 87211(a)
- Regulation authority
- CCR
What the official deficiency says
87211(a) A written report shall be submitted to the Licensing agency and to the person responsible for the resident within 7 days of the occurrence......Based upon documents reviewed, this requirement has not been met as evidenced by: R1 was transported for medical emergency on 4/22/24 and the Responsible Person was not notified by the facility. This posed an immediate risk to the personal rights of R1
Official plan of correction
Administration shall provide refresher training to staff on the requirements of 87211 and will provide proof of training to CCL by POC date in order to clear the deficiency.
Deadline recorded: Sep 12, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Sep 12, 2024
Correction not verified in available records
Complaint
Allegations3 substantiated · 0 unsubstantiated · 0 unfounded · 2 cited
Medical and dental careType A
- Official classification
- Type A
- Official code
- 87465(a)(4)
- Regulation authority
- CCR
What the official deficiency says
87465 Incidental Medical and Dental Care(a) A plan for incidental medical and dental care shall be developed by each facility. The plan shall... provide for assistance in obtaining such care, by compliance with the following:(4) The licensee shall assist residents with self-administered medications as needed. This requirement was not met as evidenced by: Based on document review and interviews conducted, the licensee did not comply with the section cited above by medications being administered not as prescribed.
Official plan of correction
Licensee to submit a self-certification stating they will do the following: conduct a weekly medication room audit which includes service plans. Self certification is due by POC due date of 7/17/2024.
Deadline recorded: Jul 17, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jul 17, 2024
Correction not verified in available records
Staffing, personnel, and trainingType B
- Official classification
- Type B
- Official code
- 87411(a)
- Regulation authority
- CCR
What the official deficiency says
87411 Personnel Requirements - General (a) Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs... This requirement has not been met as evidenced by: Based on interviews conducted, facility has insufficient staffing to provide the services necessary to meet the needs of the residents.
Official plan of correction
Licensee to submit proof of in-service training reviewing incontinence care to meet the needs of residents. Licensee to have meeting with direct care staff to discuss where care staff need additional support. Licensee to provide additional staffing and any additional supports identified during meeting. Licensee to submit to LPA proof of both meetings indicating what topics were covered as well as names, dates, job titles, and signatures. Proof to be submitted for review and approval by POC due date of 07/30/2024.
Deadline recorded: Jul 30, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jul 30, 2024
Correction not verified in available records
Complaint
Allegations1 substantiated · 0 unsubstantiated · 0 unfounded · 1 cited
Staffing, personnel, and trainingType B
- Official classification
- Type B
- Official code
- 87411(a)
- Regulation authority
- CCR
What the official deficiency says
87411(a)Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs. This requirement was not met as evidenced by: Based on LPA observation, faciltiy failed to respond to resident care needs due to 2 caregiving staff found to have not been equipped with call pagers. In addtion, 3 out of 3 pagers were found to be inoperable. This poses as a potential health & safety risk to residents in care.
Official plan of correction
Administrator has contacted Maintenance Services and placed order for new staff pagers, ensuring full operation. Training will be implemented for all staff on resident call light system and Regulation 87411-Personnel Requirements. Staff signatures submitted to CCLD by POC date 4/14/23. Administrator to develop written plan for device operation checks ensuring compliance. Plan by 4/14/2023.
Deadline recorded: Apr 14, 2023. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Apr 14, 2023
Correction not verified in available records
Source and limits
California Department of Social Services, Community Care Licensing Division. Public facility history is described by the source as a five-year window. Older records and previous-licensee history may require a regional-office request. Type 741 RCFE-CCRCs, nursing homes, and other care settings are excluded from this page.
Read the data methodology