The Bluffs at Hamilton Hill sits in a historic building from the 1930s and offers a mix of care options so seniors can find the right fit, whether they want independent living, assisted living, memory care, or skilled nursing. The community has staff on hand at all hours to help and try to make the place warm, friendly, and safe. People with memory loss, like Alzheimer's or other kinds of dementia, can get special attention in areas meant to limit confusion and wandering, and everyone can get help with daily tasks if they need it. The apartments have wood-style floors, big windows for good natural light, roomy kitchens, laundry, and either a patio or balcony, and some assisted living suites blend modern touches with history and a little art deco charm, with balconies too in some places. Folks can use Wi-Fi, and the layout supports handicap accessibility so moving around stays easy.
There's a rooftop spot called The Terrace where residents can sit outside and look around, or head indoors for meals made by chefs, enjoy a cozy dining room with restaurant-style service, or visit the Bistro for coffee or maybe a drink. People can join in all sorts of activities-art, events, outings, physical and mental wellness programs-planned to keep everyone social and involved. Some people just visit for a short time under respite care. Daily life aims to support independence but gives support where needed, with the team offering help that's personal to each resident. Housekeeping, rides, and a concierge are on site, and the place is known for meals that try to be both healthy and tasty. The staff is often described as kind and joyful, and the place has won awards for how it keeps folks active and connected. The Bluffs at Hamilton Hill puts different types of senior living and care, including 55+ communities, assisted living, and senior nursing, all in one location, so people can move between services when their needs change.
People often ask...
The Bluffs at Hamilton Hill offers competitive pricing, with rates starting at a cost of $6,200 per month.
The Bluffs at Hamilton Hill offers assisted living and memory care.
There are 38 photos of The Bluffs at Hamilton Hill on Mirador.
The full address for this community is 1 Hamilton Hill Dr, Novato, CA, 94949.
Yes, The Bluffs at Hamilton Hill offers respite care.
Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.
State of California Inspection Reports
49
Inspections
13
Type A Citations
5
Type B Citations
4
Years of reports
02 Jul 2025
02 Jul 2025
Found no deficiencies and noted proper medication storage, safe food handling, and functioning safety systems. Updated copies of personnel report, designation of responsibility, and liability insurance were requested to be submitted to CCL by 08/02/2025.
§ 9058
08 May 2025
08 May 2025
Investigated an incident alleging a staff member yelled at a resident, snatched their glasses off their face, and threw them after the resident asked for cereal on 05/07/2025. Determined whether an outside one-on-one caregiver was present during the incident; no deficiencies cited.
§ 9058
08 May 2025
08 May 2025
Identified a self-reported incident; no cameras were present and no witnesses observed in the care setting. Internal investigation was ongoing with a staff member suspended; once completed, the findings will be shared with licensing and the police; no deficiencies cited.
§ 9058
06 May 2025
06 May 2025
Found that a resident described on 04/02/2025 an incident where a new male caregiver was abrasive, yanked the resident's arms, placed blankets over their head, slammed the door, and got in their face while saying, "don't speak to me that way."
§ 9058
10 Apr 2025
10 Apr 2025
Identified that the allegation that staff did not adequately address a resident's fall risk could not be proven due to insufficient corroborating evidence, even though hourly checks on the resident and exploration of one-to-one care options were noted.
10 Apr 2025
10 Apr 2025
Found that the allegation that residents wandered away due to lack of supervision had no corroborating evidence, with no missing-person reports and interviews not confirming supervision gaps. Found no evidence that staff followed infection control practices, including no proof of using baby wipes to clean feces; therefore, there was not a preponderance of evidence to prove the allegations.
10 Apr 2025
10 Apr 2025
Identified a delay in responding to a resident alarm that sounded for over an hour, with records showing a 1 hour 20 minute response time. Found the allegation to be valid.
§ 87411(a)
13 Mar 2025
13 Mar 2025
Found that a resident with dementia eloped from the memory care area around 11:00 AM on 02/14/2025. Returned to the community after being located off-site about 0.8 miles away with first responders, and EMTs determined no medical transport was needed.
§ 87411(a)
03 Dec 2024
03 Dec 2024
Found no evidence that staff failed to follow proper infection control protocols. Found the personal rights allegation about timely reporting to the responsible party supported by the record; the staffing concern could not be established that resident care needs were unmet.
§ 87468.1(a)(9)
03 Sept 2024
03 Sept 2024
Found that the allegation that a resident fell several times and was sent to emergency care on 4/22/2024, and that the responsible person was not notified, was supported by records. The reviewed materials included two incident reports and an email chain about the emergency and notification.
04 Sept 2024
04 Sept 2024
Identified an active fire alarm on arrival, but staff followed the emergency disaster plan and later reported it was a false alarm. Found that all on-site staff were background cleared and that paperwork for the new administrator had been submitted, while the annual inspection could not be completed and a continuation visit was planned.
04 Sept 2024
04 Sept 2024
Confirmed that the facility had emergency disaster and infection control plans in place, all staff on-site were background cleared, and a new Administrator paperwork was submitted. No deficiencies were cited during the visit.
03 Sept 2024
03 Sept 2024
Confirmed multiple falls and failure to notify family of emergency care.
§ 87211(a)
16 Jul 2024
16 Jul 2024
Found that medications were administered more frequently than prescribed and residents were left in soiled clothing due to insufficient staffing. An immediate civil penalty was issued.
16 Jul 2024
16 Jul 2024
Substantiated allegations regarding improper medication administration and resident neglect were identified during the inspection.
§ 87465(a)(4)
§ 87411(a)
05 Apr 2024
05 Apr 2024
Identified that a resident drank another resident's liquid medication without a proper order after it was left on a counter and accessible to others; a civil penalty of $250 was issued for a repeat violation.
05 Apr 2024
05 Apr 2024
Identified a medication error where one resident consumed another resident's medication without a prescription.
§ 87465(a)(4)
11 Jan 2024
11 Jan 2024
Identified a pharmacy error where a routine Quetiapine order was entered as PRN and not dispensed since 11/20/2023. Executive Director noted that technicians could not have prevented the error because they cannot alter orders in the EMAR, and an immediate civil penalty was issued for a repeat violation.
11 Jan 2024
11 Jan 2024
Confirmed medication error resulted in a civil penalty being issued.
§ 87465(a)(4)
22 Nov 2023
22 Nov 2023
Identified an elder abuse matter from 10/16/2023 with no witnesses and police documentation not yet received, and amended a 10/17/2023 record due to an incorrect civil penalty form. Requested internal investigation documents and files on the outside caregiver by 12/01/2023; the ED will email materials by the end of the week, and no issues were noted.
17 Oct 2023
17 Oct 2023
Identified that a morning medication dose for a resident was not given because staff were unaware the resident had moved to a new apartment. Investigated that a dementia-diagnosed resident was slapped across the face by an outside caregiver, the caregiver denied contact, police interviewed staff and the resident, the caregiver was suspended, and a civil penalty of $250 was issued for repeat violations.
22 Nov 2023
22 Nov 2023
Reviewed documentation related to an incident involving an outside caregiver on the specified date, confirming lack of witnesses and efforts to obtain further information. Additional documentation requested, with a deadline specified for submission. No deficiencies noted during the visit.
17 Oct 2023
17 Oct 2023
Confirmed incidents involving medication error and suspected abuse were investigated at the facility by licensing analysts.
§ 87211(a)(1)
§ 87465(a)(4)
15 Aug 2023
15 Aug 2023
Identified three staff members lacking fingerprint clearance and association to the site; two others were fingerprinted but not associated. An immediate civil penalty was issued for the three lacking clearance.
15 Aug 2023
15 Aug 2023
Identified deficiencies and issued civil penalties for staff without proper records. Reviewed facility's operations and cleanliness, ensuring compliance with regulations and standards.
§ 87355(e)
07 Apr 2023
07 Apr 2023
Found that staff failed to respond to resident care needs. First-floor call lights went unanswered for about 13 minutes and several staff pagers had been inoperable for weeks.
07 Apr 2023
07 Apr 2023
Confirmed staff failed to respond to resident care needs.
§ 87411(a)
29 Dec 2022
29 Dec 2022
Found cleanliness, good repair, and safe temperatures, with hot water at 115 degrees and foods properly stored. Found PPE in use with staff trained and N95 fit tested, records on site, and no deficiencies found; fire extinguishers last charged in October 2022.
29 Dec 2022
29 Dec 2022
Inspection found no deficiencies and all requirements were met at the facility.
12 Sept 2022
12 Sept 2022
Found fire clearance approved for 95 non-ambulatory and 14 bedridden residents and a hospice waiver, with 42 residents total including 5 on hospice, and planned component III orientation for leadership. Observed a four-story building in good repair with comfortable temperatures, proper hot-water temperature at faucets, secure storage for medications and toxins, infection-control plans and PPE available, a 30-day medication supply, staff wearing masks, and no deficiencies cited.
12 Sept 2022
12 Sept 2022
Identified a suspected abuse against a resident that occurred on September 5, 2022, with bruises photographed and the suspected abuser an agency staff member who is no longer employed. Found that the agency staff member had worked at least twice, including on that date, and was not currently associated with the home; civil penalties totaling $200 were assessed, and deficiencies were noted.
12 Sept 2022
12 Sept 2022
Identified no deficiencies during inspection of the facility including fire safety measures, infection control protocols, and resident care practices.
12 Sept 2022
12 Sept 2022
Identified allegations of abuse and issued civil penalties for staff not associated with the facility.
§ 87355
12 Aug 2022
12 Aug 2022
Confirmed identity verification for the applicant and administrator and understanding of RCFE requirements, including resident populations, admission policies, staffing and training, restrictive health conditions, general provisions, emergency preparedness, complaints and reporting, and pre-licensing readiness.
12 Aug 2022
12 Aug 2022
Confirmed successful completion of Component II requirements during the inspection.
04 Aug 2022
04 Aug 2022
Identified medication administration errors: pregabalin 25 mg given twice daily instead of three times daily (5/27/22–7/16/22) and diltiazem given twice daily instead of once daily (6/1/22–7/6/22) for a resident with dementia who cannot self-administer medications; discrepancy noticed by a family member after reviewing orders dated 5/18/22, with updated orders placed.
04 Aug 2022
04 Aug 2022
Identified errors in medication administration for a resident with dementia, leading to citations and corrective actions required by the facility.
§ 87465(a)(5)
04 May 2022
04 May 2022
Found that documentation requested on 4/19/22 and due 4/27/22 had not all been submitted, with a new executive director two months into the role still updating records. No deficiencies found.
19 Apr 2022
19 Apr 2022
Found clean, well-maintained conditions, with proper hot water temperatures, sufficient food and supplies, and proper infection control measures; no deficiencies were cited.
04 May 2022
04 May 2022
Reviewed documentation and met with the Executive Director to address outstanding requested documentation. No deficiencies were found during the visit.
19 Apr 2022
19 Apr 2022
Conducted unannounced inspection of a facility. Found no deficiencies, all requirements were met.
25 Mar 2022
25 Mar 2022
Identified a new administrator who started around 3/09/2022 and was fingerprint cleared and associated with the site. Requested documentation for the administrator change; no deficiencies were cited.
25 Mar 2022
25 Mar 2022
Found no deficiencies during the unannounced case management visit following a change in administration at the facility.
31 Aug 2021
31 Aug 2021
Found hand sanitizer at the entry, a visitor temperature log, a clean interior with no obstructions, toxins and medications secured, and a 30-day medication supply; no deficiencies cited. Identified changes to street name/site number/name and plan to submit updated LIC forms and liability insurance; ongoing COVID-19 precautions with posted reminders, PPE, staff masking, and vaccination/testing requirements in place.
31 Aug 2021
31 Aug 2021
Conducted an unannounced inspection and found the facility in compliance with regulations, with no deficiencies cited.
14 Jun 2021
14 Jun 2021
Found a four-story building in good repair with a comfortable temperature and hot water at 118.5–120°F in all five resident faucets. Noted a designated residents' phone line, records kept in the office, plans for awake staff, and spaces including kitchen, dining area, activities area, bar and lounge, lobby, beauty salon, bistro, visitation room, memory support and resident bedrooms, laundry, offices, medication room, and terrace, plus outdoor activity space; menus and special-diet information posted, toxins and sharps locked, first aid kits placed, PPE stored, and a Mitigation Program Plan awaiting approval; no deficiencies cited.
14 Jun 2021
14 Jun 2021
Verified no issues in the inspection and approval for fire clearance for residents. All requirements were met during the inspection.
04 Jun 2021
04 Jun 2021
Confirmed that COMP II was completed successfully by telephone, with identity verified and understanding of Title 22 established. Confirmed understanding across areas including operation and services, staff qualifications and responsibilities, applicant/administrator qualifications, program policies (abuse, admission agreement, medication management, incident reporting to CCL, and restricted/prohibited conditions), grievances and community resources, physical environment and food service, and required documents such as criminal record clearance, health screening, fire clearance, First Aid/CPR certification, administrator certificate, financial verification, pre-licensing inspection, compliance history, and control of property.
04 Jun 2021
04 Jun 2021
Confirmed successful completion of COMP II by the applicant/administrator via telephone call with CAB analyst, demonstrating understanding of various regulatory requirements and program operations.
