San Rafael Health and Rehabilitation
State inspectors recorded 3 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.
CMS currently lists this facility as: SFF Candidate (the Special Focus program tracks facilities with a persistent pattern of serious inspection findings).
CMS has flagged this facility with its abuse icon, which marks facilities cited for abuse in recent inspections.
Serious inspection findings
2024-11-15 — IMMEDIATE JEOPARDY (tag F0600, severity J)
Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
2024-11-15 — ACTUAL HARM (tag F0689, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2024-11-15 — IMMEDIATE JEOPARDY (tag F0610, severity J)
Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data
Respond appropriately to all alleged violations.
2024-11-15 — IMMEDIATE JEOPARDY (tag F0609, severity J)
Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
2021-06-17 — ACTUAL HARM (tag F0697, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide safe, appropriate pain management for a resident who requires such services.
2021-06-17 — ACTUAL HARM (tag F0689, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Staffing, from payroll records
Nursing hours / resident / day
2.84
state median 3.32
Weekend staffing gap
−15%
fewer nursing hours on weekends · state median −7%
RN hours / resident / day
1.26
registered nurses only
Contract (agency) staff
0%
share of all nursing hours
Nursing staff turnover
52%
per year, per CMS
Keep an eye on this facility
Penalties and enforcement
2 enforcement action(s), totaling $29,347 in fines.
| Date | Type | Amount |
|---|---|---|
| 2024-11-15 | Fine | $25,929 |
| 2024-02-06 | Fine | $3,418 |
Ownership
Ownership type: Government - County.
Full citation history
| Survey date | Tag | Category | Severity | Corrected |
|---|---|---|---|---|
| 2024-11-15 | F0565 | Resident Rights Deficiencies | E | not recorded |
| 2024-11-15 | F0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | J | not recorded |
| 2024-11-15 | F0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | J | not recorded |
| 2024-11-15 | F0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | J | not recorded |
| 2024-11-15 | F0656 | Resident Assessment and Care Planning Deficiencies | E | not recorded |
| 2024-11-15 | F0658 | Resident Assessment and Care Planning Deficiencies | E | not recorded |
| 2024-11-15 | F0689 | Quality of Life and Care Deficiencies | G | not recorded |
| 2024-11-15 | F0690 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-11-15 | F0756 | Pharmacy Service Deficiencies | D | not recorded |
| 2024-11-15 | F0758 | Pharmacy Service Deficiencies | D | not recorded |
| 2024-11-15 | F0812 | Nutrition and Dietary Deficiencies | F | not recorded |
| 2024-11-15 | F0842 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-11-15 | F0880 | Infection Control Deficiencies | E | not recorded |
| 2024-11-15 | F0943 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | F | not recorded |
| 2023-03-15 | F0585 | Resident Rights Deficiencies | E | not recorded |
| 2023-03-15 | F0712 | Nursing and Physician Services Deficiencies | E | not recorded |
| 2023-03-15 | F0756 | Pharmacy Service Deficiencies | D | not recorded |
| 2021-06-17 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2021-06-17 | F0689 | Quality of Life and Care Deficiencies | G | not recorded |
| 2021-06-17 | F0690 | Quality of Life and Care Deficiencies | D | not recorded |
| 2021-06-17 | F0697 | Quality of Life and Care Deficiencies | G | not recorded |
| 2021-06-17 | F0712 | Nursing and Physician Services Deficiencies | E | not recorded |
| 2021-06-17 | F0756 | Pharmacy Service Deficiencies | E | not recorded |
| 2021-06-17 | F0758 | Pharmacy Service Deficiencies | E | not recorded |
| 2021-06-17 | F0770 | Administration Deficiencies | D | not recorded |
| 2021-06-17 | F0842 | Resident Assessment and Care Planning Deficiencies | E | not recorded |
| 2021-06-17 | F0868 | Administration Deficiencies | C | not recorded |