Nursing HomeInspections

Professional Post Acute Center

Nursing home in San Rafael, CA

Medicare & Medicaid certified3★ overall (CMS)

Call (415) 479-5161Send a messageMap ↗

Public-record details

Address
81 Professional Center Parkway, San Rafael, CA 94903
Phone
(415) 479-5161
Listed under
For-profit
Medicare CCN
555214
Overall star rating
3 of 5 ★★★☆☆
Health inspection rating
2 of 5
Staffing rating
4 of 5
Quality measures rating
5 of 5
Certified beds
99
Average residents per day
84
Ownership
For-profit, limited Liability company
Legal business name
Cf San Rafael, LLC
Chain
Cambridge Healthcare Services (32 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Dec 12, 1985
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 555214. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Sep 19, 2024. CMS lists 77 health citations for this facility across its last three standard inspection cycles and complaint inspections (May 1, 2019 to May 8, 2026): 33 from complaint inspections, 7 at the “actual harm” level or higher.

InspectionCitationSeverity
May 8, 2026Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
May 4, 2026Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights · complaint inspection		D
Potential for more than minimal harm, isolated
Mar 4, 2026Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning · complaint inspection		D
Potential for more than minimal harm, isolated
Mar 4, 2026Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in…
Pharmacy Service · complaint inspection		D
Potential for more than minimal harm, isolated
Aug 13, 2025Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Resident Rights · complaint inspection		D
Potential for more than minimal harm, isolated
Aug 13, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection		G
Actual harm, isolated
Jul 8, 2025Provide and implement an infection prevention and control program.
Infection Control · complaint inspection		D
Potential for more than minimal harm, isolated
Apr 21, 2025Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning · complaint inspection		D
Potential for more than minimal harm, isolated
Feb 6, 2025Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		D
Potential for more than minimal harm, isolated
Sep 19, 2024Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service		D
Potential for more than minimal harm, isolated
Sep 19, 2024Ensure medication error rates are not 5 percent or greater.
Pharmacy Service		D
Potential for more than minimal harm, isolated
Sep 3, 2024Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 77. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 4 fines totalling $148,455 in the last three years.

Jul 8, 2025Fine: $79,560
Jan 4, 2024Fine: $61,204
Oct 17, 2023Fine: $2,447
Sep 25, 2023Fine: $5,244

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.84 hours
Registered nurse (RN) time per resident per day
0.54 hours
Nurse aide time per resident per day
2.54 hours
Total nurse staffing on weekends
3.59 hours
Nursing staff turnover (yearly)
38%
RN turnover (yearly)
46%
Administrators who left in the past year
0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

Other nursing homes in San Rafael

Pine Ridge Care Center45 Professional Center Pkwy · San Rafael, CA 94903 · (415) 479-3610 · For-profit43 health citations in 3 inspection cycles · last standard inspection Dec 5, 2025 · no CMS fines in 3 yrsMedicare & Medicaid certified5★ overall (CMS)Villa Marin100 Thorndale Drive · San Rafael, CA 94903 · (415) 492-2408 · Nonprofit21 health citations in 3 inspection cycles · last standard inspection Nov 18, 2025 · no CMS fines in 3 yrsMedicare-certified5★ overall (CMS)Smith Ranch Skilled Nursing & Rehabilitation Cente1550 Silveira Parkway · San Rafael, CA 94903 · (415) 499-1000 · For-profit45 health citations in 3 inspection cycles · last standard inspection Feb 12, 2026 · no CMS fines in 3 yrsMedicare & Medicaid certified3★ overall (CMS)Marin Post Acute234 N. San Pedro Rd · San Rafael, CA 94903 · (415) 479-3450 · For-profit46 health citations in 3 inspection cycles · last standard inspection Dec 4, 2025 · $10,890 in CMS fines (3 yrs)Medicare & Medicaid certified2★ overall (CMS)CMS abuse iconNorthgate Postacute Care40 Professional Center Parkway · San Rafael, CA 94903 · (415) 479-1230 · For-profit65 health citations in 3 inspection cycles · last standard inspection Aug 21, 2025 · $112,869 in CMS fines (3 yrs)Medicare & Medicaid certified2★ overall (CMS)CMS abuse iconSan Rafael Healthcare & Wellness Center, LP1601 5th Avenue · San Rafael, CA 94901 · (415) 456-7170 · For-profit55 health citations in 3 inspection cycles · last standard inspection Mar 20, 2025 · $8,278 in CMS fines (3 yrs)Medicare & Medicaid certified2★ overall (CMS)

All 7 in San Rafael →