The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited July 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
PINE RIDGE CARE CENTER
SAN RAFAEL, CA · Medicare-certified · 101 beds
In good standing
For-profitChain member
4 of 5 overall
PINE RIDGE CARE CENTER in San Rafael has an overall rating of 4 out of 5 stars, with strong staffing and quality ratings (both 5 stars) and nurse staffing at 4.25 hours per resident per day, slightly above the federal benchmark of 4.1. Its health inspection rating is lower at 2 stars, and there were $0 in fines in the last 24 months.
Facility ratings
Health inspections
Staffing
4.2532 hrs/resident/day
Quality measures
Last inspection: February 12, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.2532.
Staffing detail
- Registered nurses
- 1.04
- Licensed practical nurses
- 0.53
- Nurse aides
- 2.69
- Weekend nursing
- 3.95
Hours per resident per day.
Total staff turnover: 41%
Registered nurse turnover: 41%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
4.3%10.9%Worsening
Residents with a fall causing major injury
0%2.5%Worsening
Residents with pressure ulcers (bedsores)
0%3.6%Worsening
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
1.5%0%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
1.7%4.8%Worsening
Residents whose ability to walk got worse
3.9%7.6%Worsening
Long-stay residents on antianxiety or sleep medication
3%4.5%Worsening
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
4.2%2.3%Improving
Residents with depressive symptoms
0%0%No change
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—100%—
Short-stay residents given the pneumonia vaccine
100%100%No change
What the inspectors found
The home failed to ensure a licensed pharmacist reviewed residents' medications each month and reported any problems as required. Cited December 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 756 — 42 CFR §483.45(c) — S/S: F
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited December 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to ensure residents had reasonable access to and privacy when using communication methods. Cited August 2021 — widespread issue, potential for harm.
View the original federal record
F-Tag 576 — 42 CFR §483.10 — S/S: F
The nursing home failed to protect residents from abuse and neglect by others. Cited February 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: E
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 11 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $7,542 in total fines.
- $7,542
Federal fine
Jul 21, 2023
Operator & ownership
- Ownership
- For profit - Partnership
- Chain
- Part of MARINER HEALTH CARE · 17 homes · 3.2 stars avg
- Occupancy
- 84.8 residents on an average day (84% of 101 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 58 years
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.