The nursing home failed to protect residents from abuse and neglect by others. Cited May 2021 — limited pattern, actual harm.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: H
Nursing home report
PROFESSIONAL POST ACUTE CENTER
SAN RAFAEL, CA · Medicare-certified · 99 beds
Needs attention
For-profitChain member
3 of 5 overall
Professional Post Acute Center in San Rafael has a 3-star overall rating, with stronger staffing and quality measures but a weaker health inspection rating. It has recent federal penalties and fines totaling $79,560, and reported nurse staffing is 3.78 hours per resident per day versus the 4.1-hour federal benchmark.
Facility ratings
Health inspections
Staffing
3.7778 hrs/resident/day
Quality measures
Last inspection: March 4, 2026Penalties, last 24 months: $79,560recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.7778.
Staffing detail
- Registered nurses
- 0.54
- Licensed practical nurses
- 0.74
- Nurse aides
- 2.50
- Weekend nursing
- 3.54
Hours per resident per day.
Total staff turnover: 41%
Registered nurse turnover: 50%
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
15.6%10.3%Improving
Residents with a fall causing major injury
3.7%0%Improving
Residents with pressure ulcers (bedsores)
6.1%3.2%Improving
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
4%1.6%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
18.4%8.3%Improving
Residents whose ability to walk got worse
28.8%17%Improving
Long-stay residents on antianxiety or sleep medication
3.8%1.6%Improving
Short-stay residents newly given an antipsychotic
2.1%1%Improving
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
4.9%8.5%Worsening
Residents with depressive symptoms
1.4%3.5%Worsening
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
—96.6%—
Short-stay residents given the pneumonia vaccine
100%100%No change
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited August 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
The home failed to provide safe, appropriate pain management for a resident who needed it. Cited February 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 697 — 42 CFR §483.25(k) — S/S: G
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited February 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
The home failed to have a responsible governing body to set and carry out policies and properly manage the facility. Cited July 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 837 — 42 CFR §483.70 — S/S: G
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $79,560 was recorded.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Penalties & enforcement
On record with Medicare: 5 fines · $283,454 in total fines.
- $79,560
Federal fine
Jul 8, 2025
- $61,204
Federal fine
Jan 4, 2024
- $2,447
Federal fine
Oct 17, 2023
- $5,244
Federal fine
Sep 25, 2023
- $134,999
Federal fine
Jul 12, 2023
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of CAMBRIDGE HEALTHCARE SERVICES · 32 homes · 2.6 stars avg
- Occupancy
- 88.9 residents on an average day (90% of 99 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 40 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.