30 health deficiencies
Top issue: Quality of Life and Care (7 deficiencies)
5 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
San Rafael, CA
2-star overall rating with 2-star inspections with $8,278 in total fines with 29 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
1601 5th Avenue, San Rafael, CA
(415) 456-7170
Overall
2 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Beds
54
Certified beds
Average residents
52
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1974-03-29
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Staffing
RN hours / resident day
0.53
Registered nurse staffing
LPN hours / resident day
0.93
Licensed practical nurse staffing
Aide hours / resident day
2.60
Nurse aide staffing
Weekend hours
3.66
Weekend nurse staffing
RN turnover
75%
Annual RN turnover
Total nurse turnover
48%
Annual nurse turnover
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.4 |
2.3
0.1 pts worse
|
1.9
0.5 pts worse
|
Long Stay · 20240701-20250630 |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.5 |
1.6
0.1 pts better
|
1.8
0.3 pts better
|
Long Stay · 20240701-20250630 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.4% |
98.5%
0.9 pts better
|
93.4%
6 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 91.8% |
98.2%
6.4 pts worse
|
95.5%
3.7 pts worse
|
Long Stay · 2024Q3-2025Q2 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.9% |
1.6%
1.3 pts worse
|
3.3%
0.4 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who have depressive symptoms | 6.4% |
6.8%
0.4 pts better
|
11.4%
5 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who lose too much weight | 5.2% |
4.1%
1.1 pts worse
|
5.4%
0.2 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 14.0% |
13.7%
0.3 pts worse
|
19.6%
5.6 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who received an antipsychotic medication | 5.0% |
14.2%
9.2 pts better
|
16.7%
11.7 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.4%
0.4 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents whose ability to walk independently worsened | 24.0% |
11.0%
13 pts worse
|
16.3%
7.7 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents whose need for help with daily activities has increased | 22.4% |
10.7%
11.7 pts worse
|
14.9%
7.5 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.8% |
1.0%
0.8 pts worse
|
1.0%
0.8 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with a urinary tract infection | 0.6% |
1.2%
0.6 pts better
|
1.7%
1.1 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 28.4% |
10.9%
17.5 pts worse
|
19.8%
8.6 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with pressure ulcers | 7.5% |
4.7%
2.8 pts worse
|
5.1%
2.4 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
94.0%
6 pts better
|
81.7%
18.3 pts better
|
Short Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents who had an outpatient emergency department visit | 10.8% |
11.2%
0.4 pts better
|
12.0%
1.2 pts better
|
Short Stay · 20240701-20250630 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 3.7% |
1.5%
2.2 pts worse
|
1.6%
2.1 pts worse
|
Short Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 84.5% |
93.2%
8.7 pts worse
|
79.7%
4.8 pts better
|
Short Stay · 2024Q3-2025Q2 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 20.5% |
23.2%
2.7 pts better
|
23.9%
3.4 pts better
|
Short Stay · 20240701-20250630 |
Survey summary
Top issue: Quality of Life and Care (7 deficiencies)
5 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Top issue: Resident Assessment and Care Planning (4 deficiencies)
11 fire-safety deficiencies
Top issue: Smoke (6 deficiencies)
Top issue: Quality of Life and Care (3 deficiencies)
13 fire-safety deficiencies
Top issue: Emergency Preparedness (5 deficiencies)
Fire safety
Fire Safety
Provide emergency officials' contact information.
Corrected 2025-03-25
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-03-27
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2025-03-27
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2025-04-15
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2025-04-15
Fire Safety
Conduct testing and exercise requirements.
Corrected 2023-06-28
Fire Safety
Conduct risk assessment and an All-Hazards approach.
Corrected 2023-06-28
Fire Safety
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Corrected 2023-06-28
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2023-06-28
Fire Safety
Provide properly protected cooking facilities.
Corrected 2023-06-28
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2023-06-28
Fire Safety
Properly provide smoke detection systems in areas open to corridors.
Corrected 2023-06-28
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2023-06-28
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-06-28
Fire Safety
Meet requirements for the use of electrical equipment.
Corrected 2023-06-28
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2023-06-28
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2020-03-25
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2020-03-25
Fire Safety
Establish policies and procedures for medical documentation.
Corrected 2020-03-25
Fire Safety
Establish roles under a Waiver declared by secretary.
Corrected 2020-03-25
Fire Safety
Implement emergency and standby power systems.
Corrected 2020-03-25
Fire Safety
Conduct risk assessment and an All-Hazards approach.
Corrected 2020-03-25
Fire Safety
Use approved construction type or materials.
Corrected 2020-03-25
Fire Safety
Provide properly protected cooking facilities.
Corrected 2020-03-25
Fire Safety
Properly provide smoke detection systems in areas open to corridors.
Corrected 2020-03-25
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2020-03-25
Fire Safety
Have elevators that firefighters can control in the event of a fire.
Corrected 2020-03-25
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2020-03-25
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2020-03-25
Inspection history
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2026-01-02
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-08-07
Health
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected 2025-07-01
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-07-01
Health
Provide and implement an infection prevention and control program.
Corrected 2025-07-01
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-05-16
Health
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2025-05-13
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2025-05-13
Health
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2025-05-01
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-04-29
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2025-04-16
Health
Implement 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.
Corrected 2025-04-16
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-04-17
Health
Ensure that residents are free from significant medication errors.
Corrected 2025-04-17
Health
Ensure 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.
Corrected 2025-04-17
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-04-17
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2025-04-17
Health
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
Corrected 2025-04-17
Health
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.
Corrected 2025-04-17
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2025-04-17
Health
Ensure each resident receives an accurate assessment.
Corrected 2025-04-17
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-04-17
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-04-17
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-04-17
Health
Ensure 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.
Corrected 2025-04-17
Health
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected 2025-04-17
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2025-04-17
Health
Provide or get specialized rehabilitative services as required for a resident.
Corrected 2025-04-17
Health
Provide and implement an infection prevention and control program.
Corrected 2025-04-17
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2025-04-17
Health
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
Corrected 2025-03-12
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-03-12
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-03-12
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2024-09-20
Health
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected 2024-07-01
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2023-11-30
Health
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Corrected 2023-08-02
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-07-14
Health
Provide and implement an infection prevention and control program.
Corrected 2023-07-14
Health
Ensure each resident receives an accurate assessment.
Corrected 2023-07-14
Health
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2023-07-14
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2023-07-14
Health
Honor 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.
Corrected 2023-07-14
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-07-14
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-07-14
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2023-07-14
Health
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Corrected 2023-07-14
Health
Dispose of garbage and refuse properly.
Corrected 2023-07-14
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2023-07-14
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2023-07-14
Health
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Corrected 2023-05-02
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2023-05-02
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2023-05-02
Health
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Corrected 2020-03-16
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2020-03-16
Health
Provide and implement an infection prevention and control program.
Corrected 2020-03-16
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2020-03-16
Penalties and ownership
Fine · fine $8,278
Fine
Payment Denial · denial start 2025-05-13 · 6 days
6 day denial
Operational/Managerial Control · Organization
Limited Partnership Interest · Individual
Limited Partnership Interest · Individual
General Partnership Interest · Organization
W-2 Managing Employee · Individual
Nearby options
San Rafael, CA
5-star overall rating with 4-star inspections with $7,443 in total fines with 5 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
Greenbrae, CA
3-star overall rating with 4-star inspections with 8 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
Greenbrae, CA
4-star overall rating with 3-star inspections with 13 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
Jump out