Nazareth House

    245 Nova Albion Way, San Rafael, CA, 94903
    4.5 · 10 reviews
    • Independent living
    • Assisted living
    • Skilled nursing
    AnonymousLoved one of resident
    5.0

    Caring staff, clean, limited amenities

    I placed my mom here and we're very pleased - the staff are outstanding: long-tenured, caring caregivers and proactive nurses who provide strong, comprehensive care (meds, showers, meals, laundry) and even extra gestures at holidays. The facility is well-run, clean, affordable, with lovely grounds, engaging activities (bocce, tai chi, music) and friendly volunteers; my mom has made wonderful friends and is happy. Downsides: the building is older, rooms can be cramped and she's been moved rooms frequently; bathrooms aren't great for balance, there's no in-room microwave/refrigerator, and meal variety is limited. Also note it has no skilled-nursing license or medical director, so it's not for high-acuity needs. Overall, loving, dignified care and excellent staff - just be aware of the facility/amenity limitations.

    Pricing

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    Amenities

    4.50 · 10 reviews

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      4.3
    • Staff

      4.9
    • Meals

      3.4
    • Amenities

      3.8
    • Value

      4.0

    Pros

    • compassionate, dedicated caregivers
    • proactive and attentive nursing staff
    • strong hands-on medical care (meds and nursing assistance)
    • well-run and organized operations
    • long‑tenured, outstanding staff
    • clean, cheerful, home‑like atmosphere
    • comprehensive basic services (meals, showers, laundry, medication management)
    • three meals provided daily
    • good to delicious food (many residents satisfied)
    • engaging on‑site activities (bocce, tai chi, music, games)
    • supportive, involved family culture and friendships
    • dedicated volunteers and holiday‑level gestures (e.g., Thanksgiving)
    • onsite chapel and spiritual support
    • beautiful, well‑manicured grounds and rose gardens
    • transportation provided to doctor's appointments
    • reasonable/affordable pricing
    • nice rooms reported by some residents
    • residents generally happy and feel dignified care
    • friendly, congenial staff
    • five‑star family ratings from multiple reviewers

    Cons

    • not a licensed skilled nursing facility
    • no medical director noted
    • no volunteer transportation service
    • some residents experience frequent room changes
    • inconsistent room sizes (some rooms cramped)
    • lack of in‑room microwave/refrigerator for some rooms
    • bathrooms may be unsafe/poorly configured for residents with balance issues
    • older facility in need of upgrades
    • limited variety in meal options reported
    • few off‑site activities or limited external outings

    Summary review

    Overall sentiment across the reviews is strongly positive with repeated emphasis on the quality of personal care, the professionalism and compassion of staff, and the warm, home‑like environment. Multiple reviewers call out "amazing caregivers," "proactive nurses," and "outstanding staff," and they describe long‑tenured employees who create a stable, cheerful atmosphere. Residents and families frequently report that loved ones are happy, well cared for, and treated with dignity. The facility is described as well‑run, clean, and organized, with staff handling day‑to‑day needs such as medication management, showers, laundry, and three meals a day. Several reviewers specifically praise extra efforts like a special Thanksgiving gesture, which supports a perception of staff going above and beyond.

    Care quality and staffing emerge as the strongest themes. Reviews consistently note attentive nursing and caregiving, frequent personal attention, and a sense that the staff know residents well. There is a pattern of family involvement and positive relationships among residents—phrases like "family feeling," "wonderful friendships," and "congenial staff" appear often. Volunteers are present and described as dedicated, and the facility provides some transportation (notably to medical appointments), which families appreciate. The presence of an onsite chapel and well‑kept outdoor spaces, including rose gardens, contributes to a pleasant daily environment and supports resident wellbeing.

    Facilities and amenities show mixed feedback. Positive points include attractive grounds, some nice rooms, and a generally pleasant, home‑like interior. However, multiple reviewers raise practical concerns: the building is characterized as older and in need of upgrades; some rooms are described as cramped while others are "nice‑sized," indicating variability in accommodations; bathrooms may not be well configured for residents with balance issues; and many rooms lack microwaves or refrigerators. There are also reports of frequent room changes for some residents, which can be disruptive. These facility issues suggest prospective residents should inspect specific rooms and bathroom configurations and ask about maintenance and upgrade plans.

    Dining and activities receive generally favorable but qualified remarks. Many reviewers describe the food as "delicious," "pretty good," or "fine," and they note that three meals are provided daily at a reasonable price. At the same time, a recurring critique is limited meal variety; some families would like to see a broader menu. On the activities side, the facility offers a range of engaging on‑site programs—bocce, tai chi, music, and games are specifically mentioned—and volunteers help run events. The downside is relatively few off‑site activities and limited external outings, which may matter for residents who want more community engagement beyond the campus.

    Licensing and clinical oversight are notable caveats that come through in the reviews. While hands‑on nursing care and proactive staff are praised, reviewers explicitly note that Nazareth House is not a licensed skilled nursing facility and lacks a medical director. For families whose loved ones may require higher acuity skilled nursing or on‑site medical leadership, this is an important distinction: the day‑to‑day caregiving appears strong, but the facility may not be equipped or licensed to provide certain medical or skilled nursing services.

    In summary, Nazareth House is consistently praised for compassionate, dependable caregiving, a warm and familial culture, and a clean, well‑managed environment with good on‑site activity programming and attractive grounds. Key weaknesses are primarily facility‑related (older building, variable room sizes, bathroom safety, and limited in‑room amenities) and service scope‑related (limited meal variety, few off‑site activities, no skilled nursing license or medical director, and lack of volunteer transportation). Prospective residents and families should weigh the strong personal care and community atmosphere against the facility’s physical limitations and confirm licensing/clinical capabilities and specific room/bathroom features before deciding. If a high priority is licensed skilled nursing or frequent off‑campus engagement, Nazareth House may not meet those needs; if priority is personalized, dignified assisted living care in a close‑knit, affordable community, the reviews indicate Nazareth House performs well.

    Location

    Map showing location of Nazareth House

    About Nazareth House

    Nazareth House is an assisted living community in San Rafael, California, and they've been at their site since 1962, but the facility itself was established in 2010, and they're licensed by the state with the RCFE license number 210102878, so that takes care of all the formal things, and with about 120 residents around at a time, there's always activity and company for those who want it, and they have both private and semi-private rooms, studio apartments, and one-bedroom suites, so you can choose what suits your needs, and every room comes with things like air conditioning, cable TV, and some are even on the ground floor for easier access, plus utilities and cable are included in the monthly rate, which is private pay, so folks know what to expect with the all-inclusive pricing structure. Now, Nazareth House stands out a bit because they've got their own names for care programs and units, and everyone gets a care plan made just for them, which is helpful for those needing residential care, assisted living, skilled nursing, or memory care-so there's a Care Center with maximum care available, and there's specialized staff to help residents, including a 24-hour licensed nurse on site and a nurse on staff part-time, with high staff to resident ratios for better support, and that's important when services range from medication management and health monitoring to diabetic, non-ambulatory, and incontinence care, and they even coordinate with outside care providers as needed.

    Nazareth House also offers respite and hospice care, supports people with mild cognitive impairment, and provides memory care services that are set up for those experiencing cognitive decline, and the safety side is covered by emergency response systems in rooms and common areas, so folks can feel secure throughout the building. Meals are provided with plenty of options-there's low-sodium and no-sugar choices, and even guest meals-so most needs are covered, and dining happens in an on-site dining room or the café or bistro, with meals meant to be both convenient and enjoyable, and a beauty salon on site helps people feel good, while laundry, dry cleaning, housekeeping, and maintenance are all handled for residents too. Regular transportation is free for residents when they need to get to appointments or shopping, and there's parking for those who still drive, plus plenty of gathering spots like the TV lounge, piano or organ for music, a library for quiet reading, meeting rooms, and outdoor patios in the landscaped grounds that help make the place feel like home.

    Social life at Nazareth House brings everyone together through activities like gardening club, tai chi, drumming circles, arts and crafts, and special holiday parties that volunteers help to organize, and spiritual needs are met with daily Catholic mass in their chapel and other religious services, so no one's left out. For recreation and fitness, there's a fitness center, and common areas both inside and out where residents can spend time together or enjoy some quiet. Staff keep track of each resident's general health and help manage any medicines, making sure help is always close by when needed. What makes the place different is that there are unique terms for their care community, care is specialized for each person, and the homelike feel of landscaped grounds gives a bit of comfort that many look for in a senior living setting.

    People often ask...

    State of California Inspection Reports

    4

    Inspections

    1

    Type A Citations

    0

    Type B Citations

    6

    Years of reports

    12 Jan 2021
    Found no residents remaining and all clothing and personal items moved out during the tele-visit on 1/12/2021. Surrendered the original license by mail to finalize closure.
    12 Jan 2021
    Confirmed that the facility was officially closed on 1/12/2021 after all 66 residents had been relocated, with no residents remaining on site at the time of the tele-visit inspection.
    16 Jan 2020
    Confirmed that an individual without criminal record clearance was removed from the facility’s roster after a background check issue, and no deficiencies were cited during the visit.
    10 Nov 2019
    Verified that the facility maintained proper safety and sanitation standards, including functional fire safety systems, appropriate resident documentation, and staff background checks, while noting some temperature regulation issues in resident bathrooms.
    • § 87303(e)(2)

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