The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited March 2025 — 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 · 54 beds
SAN RAFAEL HEALTHCARE & WELLNESS CENTER, LP has an overall rating of 1 out of 5 stars, with especially weak staffing at 1 star and health inspection at 2 stars. It also has $8,278 in fines in the last 24 months and a recent federal penalty; recent citations included accident prevention, infection control, and food handling issues.
Health inspections
Staffing
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports not reported.
How often residents experience these outcomes, with the direction over the past year.
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
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 March 2025 — isolated incident, actual harm.
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited May 2023 — widespread issue, potential for harm.
F-Tag 880 — 42 CFR §483.80(a) — S/S: F
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited May 2023 — widespread issue, potential for harm.
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The nursing home failed to ensure a working call system was available in each resident’s bathroom and bathing area. Cited April 2025 — limited pattern, potential for harm.
F-Tag 919 — 42 CFR §483.90 — S/S: E
The home failed to make sure residents fully understood their health status, care, and treatments. Cited April 2025 — limited pattern, potential for harm.
F-Tag 552 — 42 CFR §483.10 — S/S: E
Health inspection found 1 health deficiency.
Health inspection found 1 health deficiency.
Health inspection found 3 health deficiencies.
A federal payment denial was recorded.
A federal fine of $8,278 was recorded.
On record with Medicare: 1 fine · $8,278 in total fines · 1 payment denial.
Medicare/Medicaid payment denial
Mar 20, 2025
Federal fine
Mar 20, 2025
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.