San Rafael Nursing and Rehabilitation Center

Inspection history (59)

Records from September 2022 to December 2025.

• December 1, 2025 · D

  Citation F0727

  Federal surveyors cited this nursing home on 2025-12-01 under CMS tag F0727 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. The deficiency was recorded as corrected on 2025-12-03. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-12-01.GOV

• December 1, 2025 · D

  Citation F0760

  Federal surveyors cited this nursing home on 2025-12-01 under CMS tag F0760 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure that residents are free from significant medication errors. The deficiency was recorded as corrected on 2025-12-03. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-12-01.GOV

• December 1, 2025 · D

  Citation F0842

  Federal surveyors cited this nursing home on 2025-12-01 under CMS tag F0842 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. The deficiency was recorded as corrected on 2025-12-03. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-12-01.GOV

• December 1, 2025 · D

  Citation F0656

  Federal surveyors cited this nursing home on 2025-12-01 under CMS tag F0656 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. The deficiency was recorded as corrected on 2025-12-03. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-12-01.GOV

• October 27, 2025 · J

  Citation F0805

  Federal surveyors cited this nursing home on 2025-10-27 under CMS tag F0805 (CMS scope/severity J: isolated, immediate jeopardy) for Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. The deficiency was recorded as corrected on 2025-10-17. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-10-27.GOV

• October 27, 2025 · D

  Citation F0842

  Federal surveyors cited this nursing home on 2025-10-27 under CMS tag F0842 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. The deficiency was recorded as corrected on 2025-11-10. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-10-27.GOV

• October 27, 2025 · D

  Citation F0684

  Federal surveyors cited this nursing home on 2025-10-27 under CMS tag F0684 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide appropriate treatment and care according to orders, resident’s preferences and goals. The deficiency was recorded as corrected on 2025-11-10. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-10-27.GOV

• October 27, 2025 · D

  Citation F0761

  Federal surveyors cited this nursing home on 2025-10-27 under CMS tag F0761 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure 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 locked compartments, separately locked, compartments for controlled drugs. The deficiency was recorded as corrected on 2025-11-10. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-10-27.GOV

• August 21, 2025 · D

  Citation F0610

  Federal surveyors cited this nursing home on 2025-08-21 under CMS tag F0610 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Respond appropriately to all alleged violations. The deficiency was recorded as corrected on 2025-08-22. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-08-21.GOV

• August 21, 2025 · D

  Citation F0609

  Federal surveyors cited this nursing home on 2025-08-21 under CMS tag F0609 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. The deficiency was recorded as corrected on 2025-08-22. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-08-21.GOV

• August 21, 2025 · J

  Citation F0689

  Federal surveyors cited this nursing home on 2025-08-21 under CMS tag F0689 (CMS scope/severity J: isolated, immediate jeopardy) for Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. The deficiency was recorded as corrected on 2025-08-22. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-08-21.GOV

• August 21, 2025 · G

  Citation F0684

  Federal surveyors cited this nursing home on 2025-08-21 under CMS tag F0684 (CMS scope/severity G: isolated, actual harm) for Provide appropriate treatment and care according to orders, resident’s preferences and goals. The deficiency was recorded as corrected on 2025-08-22. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-08-21.GOV

• March 6, 2025 · E

  Citation F0880

  Federal surveyors cited this nursing home on 2025-03-06 under CMS tag F0880 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide and implement an infection prevention and control program. The deficiency was recorded as corrected on 2025-03-07. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-03-06.GOV

• March 6, 2025 · F

  Citation F0925

  Federal surveyors cited this nursing home on 2025-03-06 under CMS tag F0925 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. The deficiency was recorded as corrected on 2025-03-25. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-03-06.GOV

• March 6, 2025 · D

  Citation F0656

  Federal surveyors cited this nursing home on 2025-03-06 under CMS tag F0656 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. The deficiency was recorded as corrected on 2025-03-07. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-03-06.GOV

• March 6, 2025 · D

  Citation F0801

  Federal surveyors cited this nursing home on 2025-03-06 under CMS tag F0801 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. The deficiency was recorded as corrected on 2025-03-31. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-03-06.GOV

• March 6, 2025 · D

  Citation F0695

  Federal surveyors cited this nursing home on 2025-03-06 under CMS tag F0695 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide safe and appropriate respiratory care for a resident when needed. The deficiency was recorded as corrected on 2025-03-07. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-03-06.GOV

• March 6, 2025 · D

  Citation F0761

  Federal surveyors cited this nursing home on 2025-03-06 under CMS tag F0761 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure 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 locked compartments, separately locked, compartments for controlled drugs. The deficiency was recorded as corrected on 2025-03-07. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-03-06.GOV

• March 6, 2025 · D

  Citation F0689

  Federal surveyors cited this nursing home on 2025-03-06 under CMS tag F0689 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. The deficiency was recorded as corrected on 2025-03-07. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-03-06.GOV

• March 6, 2025 · E

  Citation F0755

  Federal surveyors cited this nursing home on 2025-03-06 under CMS tag F0755 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. The deficiency was recorded as corrected on 2025-03-07. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-03-06.GOV

Penalties (4)

Total fines on file: $80,132

• October 27, 2025 · Fine

  Citation FINE-135729

  CMS recorded a civil money penalty of $26,685 against this nursing home on 2025-10-27 (Fine ID: 135729). Source: CMS Care Compare Penalties (as of 2026-07-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-10-27.GOV

• August 21, 2025 · Fine

  Citation FINE-134793

  CMS recorded a civil money penalty of $16,149 against this nursing home on 2025-08-21 (Fine ID: 134793). Source: CMS Care Compare Penalties (as of 2026-07-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-08-21.GOV

• December 14, 2023 · Fine

  Citation FINE-112041

  CMS recorded a civil money penalty of $10,036 against this nursing home on 2023-12-14 (Fine ID: 112041). Source: CMS Care Compare Penalties (as of 2026-07-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-12-14.GOV

• July 17, 2023 · Fine

  Citation FINE-111029

  CMS recorded a civil money penalty of $27,262 against this nursing home on 2023-07-17 (Fine ID: 111029). Source: CMS Care Compare Penalties (as of 2026-07-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-07-17.GOV

Staffing

Latest: 3.08 nurse staffing hours per resident per day (2026Q1)

Ownership

Non profit

1. Parent organization: San Rafael Operations INC.

   parent · PAC 7719300425

Recent changes to this listing

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Each line is a difference between two readings of a government file. It says what the source reported, not what the provider did.

1. Sep 1, 2026Ownership changed

   The source now records ownership as "Non profit".

   Reported by CMS nursing homes (ownership)

2. Sep 1, 2026Ownership changed

   The source now records ownership as "For profit - Limited Liability company".

   Reported by CMS nursing homes (provider info)

3. Aug 6, 2026Ownership changed

   The source now records ownership as "Non profit".

   Reported by CMS nursing homes (ownership)

4. Jul 24, 2026Ownership changed

   The source now records ownership as "Government - Hospital district".

   Reported by CMS nursing homes (provider info)

5. Jul 24, 2026Ownership changed

   The source now records ownership as "Non profit".

   Reported by CMS nursing homes (ownership)