Starfile / California

SAN RAFAEL HEALTHCARE & WELLNESS CENTER, LP

1601 5TH AVENUE, SAN RAFAEL, CA 94901 · CCN 055331

Inspection history vs California & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$8,278

Number of fines

1

Number of penalties

2

Payment denials

1

Inspection citations (57)1 actual harm

1. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-12-23 · Health · corrected 2026-01-02

   Potential for more than minimal harm

2. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-07-18 · Health · corrected 2025-08-07

   Potential for more than minimal harm

3. DF0557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.2025-06-03 · Health · corrected 2025-07-01

   Potential for more than minimal harm

4. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-06-03 · Health · corrected 2025-07-01

   Potential for more than minimal harm

5. DF0880Provide and implement an infection prevention and control program.2025-06-03 · Health · corrected 2025-07-01

   Potential for more than minimal harm

6. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-05-07 · Health · corrected 2025-05-16

   Potential for more than minimal harm

7. DF0697Provide safe, appropriate pain management for a resident who requires such services.2025-04-23 · Health · corrected 2025-05-13

   Potential for more than minimal harm

8. EF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2025-04-23 · Health · corrected 2025-05-13

   Potential for more than minimal harm

9. EF0552Ensure that residents are fully informed and understand their health status, care and treatments.2025-04-10 · Health · corrected 2025-05-01

   Potential for more than minimal harm

10. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-03-27 · Health · corrected 2025-04-29

    Actual harm

11. DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2025-03-24 · Health · corrected 2025-04-16

    Potential for more than minimal harm

12. DF0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.2025-03-24 · Health · corrected 2025-04-16

    Potential for more than minimal harm

13. DF0558Reasonably accommodate the needs and preferences of each resident.2025-03-20 · Health · corrected 2025-04-17

    Potential for more than minimal harm

14. DF0559Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.2025-03-20 · Health · corrected 2025-04-17

    Potential for more than minimal harm

15. 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.2025-03-20 · Health · corrected 2025-04-17

    Potential for more than minimal harm

16. DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2025-03-20 · Health · corrected 2025-04-17

    Potential for more than minimal harm

17. DF0641Ensure each resident receives an accurate assessment.2025-03-20 · Health · corrected 2025-04-17

    Potential for more than minimal harm

18. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-03-20 · Health · corrected 2025-04-17

    Potential for more than minimal harm

19. EF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-03-20 · Health · corrected 2025-04-17

    Potential for more than minimal harm

20. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-03-20 · Health · corrected 2025-04-17

    Potential for more than minimal harm

21. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-03-20 · Health · corrected 2025-04-17

    Potential for more than minimal harm

22. DF0693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.2025-03-20 · Health · corrected 2025-04-17

    Potential for more than minimal harm

23. DF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2025-03-20 · Health · corrected 2025-04-17

    Potential for more than minimal harm

24. DF0759Ensure medication error rates are not 5 percent or greater.2025-03-20 · Health · corrected 2025-04-17

    Potential for more than minimal harm

25. EF0760Ensure that residents are free from significant medication errors.2025-03-20 · Health · corrected 2025-04-17

    Potential for more than minimal harm

26. EF0761Ensure 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.2025-03-20 · Health · corrected 2025-04-17

    Potential for more than minimal harm

27. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-03-20 · Health · corrected 2025-04-17

    Potential for more than minimal harm

28. DF0825Provide or get specialized rehabilitative services as required for a resident.2025-03-20 · Health · corrected 2025-04-17

    Potential for more than minimal harm

29. DF0880Provide and implement an infection prevention and control program.2025-03-20 · Health · corrected 2025-04-17

    Potential for more than minimal harm

30. DF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2025-03-20 · Health · corrected 2025-04-17

    Potential for more than minimal harm

31. DF0559Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.2025-02-24 · Health · corrected 2025-03-12

    Potential for more than minimal harm

32. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-02-24 · Health · corrected 2025-03-12

    Potential for more than minimal harm

33. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-02-24 · Health · corrected 2025-03-12

    Potential for more than minimal harm

34. DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2024-08-19 · Health · corrected 2024-09-20

    Potential for more than minimal harm

35. DF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2024-05-07 · Health · corrected 2024-07-01

    Potential for more than minimal harm

36. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-11-07 · Health · corrected 2023-11-30

    Potential for more than minimal harm

37. EF0912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.2023-08-02 · Health · corrected 2023-08-02

    Potential for more than minimal harm

38. DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2023-05-25 · Health · corrected 2023-07-14

    Potential for more than minimal harm

39. DF0558Reasonably accommodate the needs and preferences of each resident.2023-05-25 · Health · corrected 2023-07-14

    Potential for more than minimal harm

40. DF0578Honor 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.2023-05-25 · Health · corrected 2023-07-14

    Potential for more than minimal harm

41. EF0641Ensure each resident receives an accurate assessment.2023-05-25 · Health · corrected 2023-07-14

    Potential for more than minimal harm

42. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-05-25 · Health · corrected 2023-07-14

    Potential for more than minimal harm

43. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-05-25 · Health · corrected 2023-07-14

    Potential for more than minimal harm

44. DF0692Provide enough food/fluids to maintain a resident's health.2023-05-25 · Health · corrected 2023-07-14

    Potential for more than minimal harm

45. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-05-25 · Health · corrected 2023-07-14

    Potential for more than minimal harm

46. DF0813Have a policy regarding use and storage of foods brought to residents by family and other visitors.2023-05-25 · Health · corrected 2023-07-14

    Potential for more than minimal harm

47. DF0814Dispose of garbage and refuse properly.2023-05-25 · Health · corrected 2023-07-14

    Potential for more than minimal harm

48. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-05-25 · Health · corrected 2023-07-14

    Potential for more than minimal harm

49. FF0880Provide and implement an infection prevention and control program.2023-05-25 · Health · corrected 2023-07-14

    Potential for more than minimal harm

50. DF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2023-05-25 · Health · corrected 2023-07-14

    Potential for more than minimal harm

51. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2023-04-14 · Health · corrected 2023-05-02

    Potential for more than minimal harm

52. DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2023-04-14 · Health · corrected 2023-05-02

    Potential for more than minimal harm

53. FF0882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.2023-04-14 · Health · corrected 2023-05-02

    Potential for more than minimal harm

54. DF0695Provide safe and appropriate respiratory care for a resident when needed.2020-01-17 · Health · corrected 2020-03-16

    Potential for more than minimal harm

55. EF0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.2020-01-17 · Health · corrected 2020-03-16

    Potential for more than minimal harm

56. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2020-01-17 · Health · corrected 2020-03-16

    Potential for more than minimal harm

57. EF0880Provide and implement an infection prevention and control program.2020-01-17 · Health · corrected 2020-03-16

    Potential for more than minimal harm

Ownership

Other facilities in SAN RAFAEL

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.