The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited January 2026 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
SAN RAFAEL, CA · Medicare-certified · 168 beds
MARIN POST ACUTE has an overall rating of 2 out of 5 stars, with 2-star health inspection and staffing ratings and a 4-star quality measures rating. It has reported nurse staffing below the federal benchmark (3.68 vs 4.1 hours per resident per day), $19,168 in fines in the last 24 months, and a recent abuse citation.
Health inspections
Staffing
3.6821 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.6821.
Hours per resident per day.
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
Residents with a fall causing major injury
Residents with pressure ulcers (bedsores)
Residents with a urinary tract infection
Residents who lost too much weight
Residents who were physically restrained
Residents needing more help with daily activities
Residents whose ability to walk got worse
Long-stay residents on antianxiety or sleep medication
Short-stay residents newly given an antipsychotic
Residents with a long-term catheter
Residents with new or worsening incontinence
Residents with depressive symptoms
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
Long-stay residents given the pneumonia vaccine
Short-stay residents given the seasonal flu vaccine
Short-stay residents given the pneumonia vaccine
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited January 2026 — isolated incident, actual harm.
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited May 2021 — isolated incident, actual harm.
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
The home failed to provide safe, appropriate pain management for a resident who needed it. Cited May 2021 — isolated incident, actual harm.
F-Tag 697 — 42 CFR §483.25(k) — S/S: G
The home failed to hire a qualified full-time social worker in a facility with more than 120 beds. Cited March 2025 — widespread issue, potential for harm.
F-Tag 850 — 42 CFR §483.70 — S/S: F
The home failed to ensure residents had a safe, clean, comfortable, homelike environment and daily care supports were provided safely. Cited July 2026 — limited pattern, potential for harm.
F-Tag 584 — 42 CFR §483.10 — S/S: E
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 1 health deficiency.
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 1 health deficiency.
A federal fine of $10,890 was recorded.
Health inspection found 1 health deficiency.
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 1 health deficiency.
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 1 health deficiency.
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 3 health deficiencies.
Health inspection found 3 health deficiencies.
A federal fine of $8,278 was recorded.
Health inspection found 5 health deficiencies.
On record with Medicare: 2 fines · $19,168 in total fines.
Federal fine
Jun 16, 2026
Federal fine
Dec 4, 2025
Now operated by Marinidence Opco LLC, previously Rafael Convalescent Hospital.
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.