PROFESSIONAL POST ACUTE CENTER
81 PROFESSIONAL CENTER PARKWAY, SAN RAFAEL, CA 94903 · CCN 555214
Ratings
- Overall
- ★★☆☆☆ 2
- Health inspection
- ★☆☆☆☆ 1
- Quality measures
- ★★★★★ 5
- Staffing
- ★★★★☆ 4
Facility
- Ownership type
- For profit - Limited Liability company
- Certified beds
- 99
- Avg residents/day
- 82.8
- Phone
- 4154795161
Inspection history vs California & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | California avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2024-09-19 | 6 | 15.6 | 9.5 | -9.6 better |
| 2 | 2021-05-19 | 28 | 17.4 | 9.8 | +10.6 worse |
| 3 | 2019-05-01 | 53 | 17.1 | 9.3 | +35.9 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 1 |
| Resident assessment and care planning | 1 |
| Resident rights | 1 |
| Pharmacy service | 2 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.84 | 40.0% |
| RN staffing (reported) | 0.54 | 53.3% |
| Total nurse staffing (adjusted) | 4.31 | — |
Fines & penalties
- Total fines
- $283,454
- Number of fines
- 5
- Number of penalties
- 5
- Payment denials
- 0
Chain
- Chain
- CAMBRIDGE HEALTHCARE SERVICES
- Facilities in chain
- 32
- Chain avg overall
- 2.60 / 5
Inspection citations (87)8 actual harm
- DF0557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.2025-08-13 · Health · corrected 2025-09-18
Potential for more than minimal harm
- GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-08-13 · Health · corrected 2025-09-18
Actual harm
- DF0880Provide and implement an infection prevention and control program.2025-07-08 · Health · corrected 2025-08-08
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-04-21 · Health · corrected 2025-05-12
Potential for more than minimal harm
- DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-02-06 · Health · corrected 2025-02-11
Potential for more than minimal harm
- DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2024-09-19 · Health · corrected 2024-10-08
Potential for more than minimal harm
- DF0759Ensure medication error rates are not 5 percent or greater.2024-09-19 · Health · corrected 2024-10-08
Potential for more than minimal harm
- DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-09-03 · Health · corrected 2024-09-20
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-09-03 · Health · corrected 2024-09-20
Potential for more than minimal harm
- DF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2024-09-03 · Health · corrected 2024-09-20
Potential for more than minimal harm
- EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-06-11 · Health · corrected 2024-06-18
Potential for more than minimal harm
- GF0697Provide safe, appropriate pain management for a resident who requires such services.2024-02-28 · Health · corrected 2024-03-28
Actual harm
- EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-02-28 · Health · corrected 2024-03-28
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-02-27 · Health · corrected 2024-03-15
Potential for more than minimal harm
- EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-02-27 · Health · corrected 2024-03-15
Potential for more than minimal harm
- DF0732Post nurse staffing information every day.2024-02-27 · Health · corrected 2024-03-15
Potential for more than minimal harm
- EF0553Allow resident to participate in the development and implementation of his or her person-centered plan of care.2024-02-15 · Health · corrected 2024-03-28
Potential for more than minimal harm
- EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-02-15 · Health · corrected 2024-03-28
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-02-15 · Health · corrected 2024-03-28
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-02-15 · Health · corrected 2024-03-28
Potential for more than minimal harm
- GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-02-15 · Health · corrected 2024-03-28
Actual harm
- GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-02-15 · Health · corrected 2024-03-28
Actual harm
- EF0557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.2024-02-14 · Health · corrected 2024-03-22
Potential for more than minimal harm
- DF0697Provide safe, appropriate pain management for a resident who requires such services.2024-01-04 · Health · corrected 2024-02-27
Potential for more than minimal harm
- DF0776Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.2024-01-04 · Health · corrected 2024-02-27
Potential for more than minimal harm
- EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2023-11-22 · Health · corrected 2023-12-24
Potential for more than minimal harm
- EF0584Honor 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.2023-11-22 · Health · corrected 2023-12-24
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-11-22 · Health · corrected 2023-12-24
Potential for more than minimal harm
- EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-11-22 · Health · corrected 2023-12-24
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2023-11-22 · Health · corrected 2023-12-24
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2023-08-18 · Health · corrected 2023-09-15
Potential for more than minimal harm
- GF0837Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.2023-07-19 · Health · corrected 2023-08-19
Actual harm
- EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-07-12 · Health · corrected 2023-07-17
Potential for more than minimal harm
- EF0940Develop, implement, and/or maintain an effective training program for all new and existing staff members.2023-05-19 · Health · corrected 2023-05-23
Potential for more than minimal harm
- DF0557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.2023-04-20 · Health · corrected 2023-05-24
Potential for more than minimal harm
- EF0562Provide immediate access to any resident.2023-04-20 · Health · corrected 2023-05-24
Potential for more than minimal harm
- DF0576Ensure residents have reasonable access to and privacy in their use of communication methods.2023-04-20 · Health · corrected 2023-05-24
Potential for more than minimal harm
- DF0584Honor 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.2023-04-20 · Health · corrected 2023-05-24
Potential for more than minimal harm
- EF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-04-20 · Health · corrected 2023-05-24
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-04-20 · Health · corrected 2023-05-24
Potential for more than minimal harm
- EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-04-20 · Health · corrected 2023-05-24
Potential for more than minimal harm
- EF0917Make sure each resident has 1) at least one window to the outside in a room; 2) a room at or above ground level; 3) adequate bedding; 4) furniture that meets the resident's needs; or 5) adequate closet space.2023-04-20 · Health · corrected 2023-05-24
Potential for more than minimal harm
- EF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.2023-04-17 · Health · corrected 2023-05-10
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-03-23 · Health · corrected 2023-05-23
Potential for more than minimal harm
- FF0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.2023-03-01 · Health · corrected 2023-05-10
Potential for more than minimal harm
- EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2021-05-19 · Health · corrected 2021-08-17
Potential for more than minimal harm
- EF0572Give residents a notice of rights, rules, services and charges.2021-05-19 · Health · corrected 2021-08-17
Potential for more than minimal harm
- EF0584Honor 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.2021-05-19 · Health · corrected 2021-08-17
Potential for more than minimal harm
- HF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2021-05-19 · Health · corrected 2021-08-23
Actual harm
- GF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2021-05-19 · Health · corrected 2021-08-23
Actual harm
- GF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2021-05-19 · Health · corrected 2021-08-23
Actual harm
- EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2021-05-19 · Health · corrected 2021-08-17
Potential for more than minimal harm
- EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2021-05-19 · Health · corrected 2021-08-17
Potential for more than minimal harm
- EF0658Ensure services provided by the nursing facility meet professional standards of quality.2021-05-19 · Health · corrected 2021-08-17
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2021-05-19 · Health · corrected 2021-08-17
Potential for more than minimal harm
- DF0679Provide activities to meet all resident's needs.2021-05-19 · Health · corrected 2021-08-17
Potential for more than minimal harm
- EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2021-05-19 · Health · corrected 2021-08-17
Potential for more than minimal harm
- DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2021-05-19 · Health · corrected 2021-08-17
Potential for more than minimal harm
- EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2021-05-19 · Health · corrected 2021-08-17
Potential for more than minimal harm
- FF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2021-05-19 · Health · corrected 2021-08-17
Potential for more than minimal harm
- FF0727Have 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.2021-05-19 · Health · corrected 2021-08-17
Potential for more than minimal harm
- EF0732Post nurse staffing information every day.2021-05-19 · Health · corrected 2021-08-17
Potential for more than minimal harm
- DF0761Ensure 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.2021-05-19 · Health · corrected 2021-08-17
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2021-05-19 · Health · corrected 2021-08-17
Potential for more than minimal harm
- EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2021-05-19 · Health · corrected 2021-08-17
Potential for more than minimal harm
- EF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2021-05-19 · Health · corrected 2021-08-17
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2021-05-19 · Health · corrected 2021-08-17
Potential for more than minimal harm
- EF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.2021-05-19 · Health · corrected 2021-08-17
Potential for more than minimal harm
- EF0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.2019-05-01 · Health · corrected 2019-06-21
Potential for more than minimal harm
- DF0584Honor 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.2019-05-01 · Health · corrected 2019-06-21
Potential for more than minimal harm
- DF0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.2019-05-01 · Health · corrected 2019-06-21
Potential for more than minimal harm
- EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2019-05-01 · Health · corrected 2019-06-21
Potential for more than minimal harm
- EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2019-05-01 · Health · corrected 2019-06-21
Potential for more than minimal harm
- EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2019-05-01 · Health · corrected 2019-06-21
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2019-05-01 · Health · corrected 2019-06-21
Potential for more than minimal harm
- EF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2019-05-01 · Health · corrected 2019-06-21
Potential for more than minimal harm
- EF0691Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.2019-05-01 · Health · corrected 2019-06-21
Potential for more than minimal harm
- EF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2019-05-01 · Health · corrected 2019-06-21
Potential for more than minimal harm
- FF0800Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.2019-05-01 · Health · corrected 2019-06-21
Potential for more than minimal harm
- FF0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.2019-05-01 · Health · corrected 2019-06-21
Potential for more than minimal harm
- FF0802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.2019-05-01 · Health · corrected 2019-06-21
Potential for more than minimal harm
- EF0803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.2019-05-01 · Health · corrected 2019-06-21
Potential for more than minimal harm
- EF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.2019-05-01 · Health · corrected 2019-06-21
Potential for more than minimal harm
- EF0808Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.2019-05-01 · Health · corrected 2019-06-21
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2019-05-01 · Health · corrected 2019-06-21
Potential for more than minimal harm
- FF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2019-05-01 · Health · corrected 2019-06-21
Potential for more than minimal harm
- FF0881Implement a program that monitors antibiotic use.2019-05-01 · Health · corrected 2019-06-21
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| CRESCENT FACILITIES OPERATIONS LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2006-12-19 |
| BERING PROPERTIES LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2007-02-01 |
| IRA & RACHEL SMEDRA FAMILY IRREVOCABLE GIFT TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2007-02-01 |
| JENMAX ENTERPRISES LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2007-02-01 |
| JENNIFER NURIT SMEDRA TRUST 1997 TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2007-02-01 |
| THE HYMAN & BETTY INGBER FAMILY TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2013-10-10 |
| THE WINTNER LIVING TRUST DATED 7/08/1992 | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2007-02-01 |
| WHEATEN LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2007-02-01 |
| WIN WIN ENTERPRISES, LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2007-02-01 |
| SMEDRA, IRA | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2007-02-01 |
| SMEDRA, JENNIFER | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2007-02-01 |
| WINTNER, FRANCINE | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2007-02-01 |
| WINTNER, JACOB | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2007-02-01 |
| SMEDRA, IRA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2007-02-01 |
| TULEU, WAGNER | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-06-10 |
| WINTNER, JACOB | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2007-02-01 |
| SMEDRA, IRA | Individual | CORPORATE OFFICER | — | 2007-02-01 |
| WINTNER, JACOB | Individual | CORPORATE OFFICER | — | 2007-02-01 |
| TULEU, WAGNER | Individual | W-2 MANAGING EMPLOYEE | — | 2019-06-10 |
Other facilities in SAN RAFAEL
| Name | Overall | Beds |
|---|---|---|
| Villa Marin | ★★★★★ | 31 |
| PINE RIDGE CARE CENTER | ★★★★☆ | 101 |
| SMITH RANCH SKILLED NURSING & REHABILITATION CENTE | ★★★☆☆ | 80 |
| MARIN POST ACUTE | ★★☆☆☆ | 168 |
| SAN RAFAEL HEALTHCARE & WELLNESS CENTER, LP | ★★☆☆☆ | 54 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.