San Rafael Nursing and Rehabilitation Center

Inspection history (59)

Records from September 2022 to December 2025.

• December 14, 2023 · F

  Citation F0908

  Federal surveyors cited this nursing home on 2023-12-14 under CMS tag F0908 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Keep all essential equipment working safely. The deficiency was recorded as corrected on 2024-01-22. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

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

• December 14, 2023 · F

  Citation F0812

  Federal surveyors cited this nursing home on 2023-12-14 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 2024-01-22. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

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

• December 14, 2023 · D

  Citation F0760

  Federal surveyors cited this nursing home on 2023-12-14 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 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

• November 26, 2023 · D

  Citation F0656

  Federal surveyors cited this nursing home on 2023-11-26 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 2023-12-20. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-11-26.GOV

• October 6, 2023 · D

  Citation F0690

  Federal surveyors cited this nursing home on 2023-10-06 under CMS tag F0690 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. The deficiency was recorded as corrected on 2023-10-07. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-10-06.GOV

• September 29, 2023 · D

  Citation F0689

  Federal surveyors cited this nursing home on 2023-09-29 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 2023-09-30. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-09-29.GOV

• September 29, 2023 · D

  Citation F0908

  Federal surveyors cited this nursing home on 2023-09-29 under CMS tag F0908 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Keep all essential equipment working safely. The deficiency was recorded as corrected on 2023-09-30. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-09-29.GOV

• July 17, 2023 · D

  Citation F0926

  Federal surveyors cited this nursing home on 2023-07-17 under CMS tag F0926 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Have policies on smoking. The deficiency was recorded as corrected on 2023-07-18. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

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

• July 17, 2023 · D

  Citation F0656

  Federal surveyors cited this nursing home on 2023-07-17 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 2023-07-18. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

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

• July 17, 2023 · L

  Citation F0584

  Federal surveyors cited this nursing home on 2023-07-17 under CMS tag F0584 (CMS scope/severity L: widespread, immediate jeopardy) 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 2023-07-18. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

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

• July 17, 2023 · J

  Citation F0689

  Federal surveyors cited this nursing home on 2023-07-17 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 2023-07-18. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

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

• September 14, 2022 · E

  Citation F0925

  Federal surveyors cited this nursing home on 2022-09-14 under CMS tag F0925 (CMS scope/severity E: pattern, 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 2022-10-12. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-09-14.GOV

• September 14, 2022 · D

  Citation F0583

  Federal surveyors cited this nursing home on 2022-09-14 under CMS tag F0583 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Keep residents' personal and medical records private and confidential. The deficiency was recorded as corrected on 2022-10-12. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-09-14.GOV

• September 14, 2022 · E

  Citation F0656

  Federal surveyors cited this nursing home on 2022-09-14 under CMS tag F0656 (CMS scope/severity E: pattern, 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 2022-10-12. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-09-14.GOV

• September 14, 2022 · F

  Citation F0812

  Federal surveyors cited this nursing home on 2022-09-14 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 2022-10-12. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-09-14.GOV

• September 14, 2022 · E

  Citation F0690

  Federal surveyors cited this nursing home on 2022-09-14 under CMS tag F0690 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. The deficiency was recorded as corrected on 2022-10-12. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-09-14.GOV

• September 14, 2022 · F

  Citation F0922

  Federal surveyors cited this nursing home on 2022-09-14 under CMS tag F0922 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Have enough backup water supply for essential areas of the nursing home. The deficiency was recorded as corrected on 2022-10-12. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-09-14.GOV

• September 14, 2022 · E

  Citation F0584

  Federal surveyors cited this nursing home on 2022-09-14 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 2022-10-12. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-09-14.GOV

• September 14, 2022 · D

  Citation F0689

  Federal surveyors cited this nursing home on 2022-09-14 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 2022-10-12. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-09-14.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

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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)