The nursing home failed to protect residents from abuse and neglect by others. Cited May 2021 — limited pattern, actual harm.
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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
Data as of July 1, 2026
2 of 5 overall
Professional Post Acute Center in San Rafael has an overall 2-star rating, with a 1-star health inspection rating, recent federal penalty, and $79,560 in fines over the last 24 months. Staffing is 4 stars but reported nurse staffing is 3.84 hours per resident per day, below the federal benchmark of 4.1.
Facility ratings
Health inspections
Staffing
3.8382 hrs/resident/day
Quality measures
Last inspection: May 8, 2026Penalties, last 24 months: $79,560recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.8382.
Staffing detail
- Registered nurses
- 0.54
- Licensed practical nurses
- 0.75
- Nurse aides
- 2.54
- Weekend nursing
- 3.59
Hours per resident per day.
Total staff turnover: 38%
Registered nurse turnover: 46%
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
9.3%6.8%Improving
Residents with a fall causing major injury
3.9%2.9%Improving
Residents with pressure ulcers (bedsores)
3.1%2.9%No change
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
5.6%3.6%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
9%13.6%Worsening
Residents whose ability to walk got worse
17%15.5%Improving
Long-stay residents on antianxiety or sleep medication
4.2%1.6%Improving
Short-stay residents newly given an antipsychotic
0%2%Worsening
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
18.7%9.1%Improving
Residents with depressive symptoms
3.1%5.1%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%99.5%Worsening
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.
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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 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- 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.
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- 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: 4 fines · $148,455 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
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of CAMBRIDGE HEALTHCARE SERVICES · 32 homes · 2.5 stars avg
- Occupancy
- 84 residents on an average day (85% 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.