San Rafael Nursing and Rehabilitation Center

Inspection history (59)

Records from September 2022 to December 2025.

• March 6, 2025 · D

  Citation F0842

  Federal surveyors cited this nursing home on 2025-03-06 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 2025-03-07. 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 F0623

  Federal surveyors cited this nursing home on 2025-03-06 under CMS tag F0623 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. 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 F0921

  Federal surveyors cited this nursing home on 2025-03-06 under CMS tag F0921 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. The deficiency was recorded as corrected on 2025-03-13. 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 F0812

  Federal surveyors cited this nursing home on 2025-03-06 under CMS tag F0812 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. The deficiency was recorded as corrected on 2025-04-03. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

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

• February 6, 2025 · E

  Citation F0842

  Federal surveyors cited this nursing home on 2025-02-06 under CMS tag F0842 (CMS scope/severity E: pattern, 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 2025-02-07. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-02-06.GOV

• February 6, 2025 · D

  Citation F0600

  Federal surveyors cited this nursing home on 2025-02-06 under CMS tag F0600 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. The deficiency was recorded as corrected on 2025-02-07. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-02-06.GOV

• February 6, 2025 · D

  Citation F0602

  Federal surveyors cited this nursing home on 2025-02-06 under CMS tag F0602 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Protect each resident from the wrongful use of the resident's belongings or money. The deficiency was recorded as corrected on 2025-02-07. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-02-06.GOV

• January 16, 2025 · D

  Citation F0689

  Federal surveyors cited this nursing home on 2025-01-16 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 2025-01-20. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-01-16.GOV

• January 16, 2025 · D

  Citation F0761

  Federal surveyors cited this nursing home on 2025-01-16 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 2025-01-20. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-01-16.GOV

• September 6, 2024 · D

  Citation F0921

  Federal surveyors cited this nursing home on 2024-09-06 under CMS tag F0921 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. The deficiency was recorded as corrected on 2024-09-27. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-09-06.GOV

• September 6, 2024 · D

  Citation F0558

  Federal surveyors cited this nursing home on 2024-09-06 under CMS tag F0558 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Reasonably accommodate the needs and preferences of each resident. The deficiency was recorded as corrected on 2024-09-27. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-09-06.GOV

• June 30, 2024 · D

  Citation F0842

  Federal surveyors cited this nursing home on 2024-06-30 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 2024-07-25. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-06-30.GOV

• June 7, 2024 · E

  Citation F0921

  Federal surveyors cited this nursing home on 2024-06-07 under CMS tag F0921 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. The deficiency was recorded as corrected on 2024-07-22. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-06-07.GOV

• December 23, 2023 · J

  Citation F0689

  Federal surveyors cited this nursing home on 2023-12-23 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 2023-12-23. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-12-23.GOV

• December 23, 2023 · D

  Citation F0609

  Federal surveyors cited this nursing home on 2023-12-23 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 2023-12-24. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-12-23.GOV

• December 14, 2023 · E

  Citation F0584

  Federal surveyors cited this nursing home on 2023-12-14 under CMS tag F0584 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. The deficiency was recorded as corrected on 2024-01-28. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

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

• December 14, 2023 · D

  Citation F0842

  Federal surveyors cited this nursing home on 2023-12-14 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 2023-12-15. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

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

• December 14, 2023 · D

  Citation F0689

  Federal surveyors cited this nursing home on 2023-12-14 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 2023-12-15. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

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

• December 14, 2023 · E

  Citation F0558

  Federal surveyors cited this nursing home on 2023-12-14 under CMS tag F0558 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Reasonably accommodate the needs and preferences of each resident. The deficiency was recorded as corrected on 2023-12-15. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

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

• December 14, 2023 · D

  Citation F0759

  Federal surveyors cited this nursing home on 2023-12-14 under CMS tag F0759 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure medication error rates are not 5 percent or greater. The deficiency was recorded as corrected on 2023-12-15. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

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

Watch this facility: new record changes publish to an RSS feed any feed reader can follow. No signup.

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)