San Rafael Nursing and Rehabiliation
State inspectors recorded 2 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.
Serious inspection findings
2025-10-27 — IMMEDIATE JEOPARDY (tag F0805, severity J)
Nutrition and Dietary Deficiencies · correction not recorded in CMS data
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
2025-08-21 — ACTUAL HARM (tag F0684, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
2025-08-21 — IMMEDIATE JEOPARDY (tag F0689, severity J)
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.
2023-12-23 — IMMEDIATE JEOPARDY (tag F0689, severity J)
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.
2023-07-17 — IMMEDIATE JEOPARDY (tag F0689, severity J)
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.
2023-07-17 — IMMEDIATE JEOPARDY (tag F0584, severity L)
Resident Rights Deficiencies · correction not recorded in CMS data
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.
Staffing, from payroll records
Nursing hours / resident / day
2.87
state median 2.67
Weekend staffing gap
−16%
fewer nursing hours on weekends · state median −7%
RN hours / resident / day
0.04
registered nurses only
Contract (agency) staff
0%
share of all nursing hours
Days with zero RN hours reported
48
with residents present
Nursing staff turnover
38%
per year, per CMS
Keep an eye on this facility
Penalties and enforcement
4 enforcement action(s), totaling $80,132 in fines.
| Date | Type | Amount |
|---|---|---|
| 2025-10-27 | Fine | $26,685 |
| 2025-08-21 | Fine | $16,149 |
| 2023-12-14 | Fine | $10,036 |
| 2023-07-17 | Fine | $27,262 |
Ownership
Ownership type: Government - Hospital district.
Full citation history
| Survey date | Tag | Category | Severity | Corrected |
|---|---|---|---|---|
| 2025-12-01 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-12-01 | F0727 | Nursing and Physician Services Deficiencies | D | not recorded |
| 2025-12-01 | F0760 | Pharmacy Service Deficiencies | D | not recorded |
| 2025-12-01 | F0842 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-10-27 | F0684 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-10-27 | F0761 | Pharmacy Service Deficiencies | D | not recorded |
| 2025-10-27 | F0805 | Nutrition and Dietary Deficiencies | J | not recorded |
| 2025-10-27 | F0842 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-08-21 | F0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2025-08-21 | F0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2025-08-21 | F0684 | Quality of Life and Care Deficiencies | G | not recorded |
| 2025-08-21 | F0689 | Quality of Life and Care Deficiencies | J | not recorded |
| 2025-03-06 | F0623 | Resident Rights Deficiencies | D | not recorded |
| 2025-03-06 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-03-06 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-03-06 | F0695 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-03-06 | F0755 | Pharmacy Service Deficiencies | E | not recorded |
| 2025-03-06 | F0761 | Pharmacy Service Deficiencies | D | not recorded |
| 2025-03-06 | F0801 | Nutrition and Dietary Deficiencies | D | not recorded |
| 2025-03-06 | F0812 | Nutrition and Dietary Deficiencies | F | not recorded |
| 2025-03-06 | F0842 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-03-06 | F0880 | Infection Control Deficiencies | E | not recorded |
| 2025-03-06 | F0921 | Environmental Deficiencies | D | not recorded |
| 2025-03-06 | F0925 | Environmental Deficiencies | F | not recorded |
| 2025-02-06 | F0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2025-02-06 | F0602 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2025-02-06 | F0842 | Resident Assessment and Care Planning Deficiencies | E | not recorded |
| 2025-01-16 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-01-16 | F0761 | Pharmacy Service Deficiencies | D | not recorded |
| 2024-09-06 | F0558 | Resident Rights Deficiencies | D | not recorded |
| 2024-09-06 | F0921 | Environmental Deficiencies | D | not recorded |
| 2024-06-30 | F0842 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-06-07 | F0921 | Environmental Deficiencies | E | not recorded |
| 2023-12-23 | F0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2023-12-23 | F0689 | Quality of Life and Care Deficiencies | J | not recorded |
| 2023-12-14 | F0558 | Resident Rights Deficiencies | E | not recorded |
| 2023-12-14 | F0584 | Resident Rights Deficiencies | E | not recorded |
| 2023-12-14 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-12-14 | F0759 | Pharmacy Service Deficiencies | D | not recorded |
| 2023-12-14 | F0760 | Pharmacy Service Deficiencies | D | not recorded |
| 2023-12-14 | F0812 | Nutrition and Dietary Deficiencies | F | not recorded |
| 2023-12-14 | F0842 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2023-12-14 | F0908 | Environmental Deficiencies | F | not recorded |
| 2023-11-26 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2023-10-06 | F0690 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-09-29 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-09-29 | F0908 | Environmental Deficiencies | D | not recorded |
| 2023-07-17 | F0584 | Resident Rights Deficiencies | L | not recorded |
| 2023-07-17 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2023-07-17 | F0689 | Quality of Life and Care Deficiencies | J | not recorded |
| 2023-07-17 | F0926 | Environmental Deficiencies | D | not recorded |
| 2022-09-14 | F0583 | Resident Rights Deficiencies | D | not recorded |
| 2022-09-14 | F0584 | Resident Rights Deficiencies | E | not recorded |
| 2022-09-14 | F0656 | Resident Assessment and Care Planning Deficiencies | E | not recorded |
| 2022-09-14 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2022-09-14 | F0690 | Quality of Life and Care Deficiencies | E | not recorded |
| 2022-09-14 | F0812 | Nutrition and Dietary Deficiencies | F | not recorded |
| 2022-09-14 | F0922 | Environmental Deficiencies | F | not recorded |
| 2022-09-14 | F0925 | Environmental Deficiencies | E | not recorded |