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 2-star rating, with a 2-star health inspection rating, 4-star staffing and quality ratings, and reported nurse staffing slightly below the federal benchmark (3.91 vs 4.1 hours/resident/day). It also has $8,278 in fines in the last 24 months and a recent federal penalty, with recent inspection citations involving accident hazards/supervision, food safety, and infection control.
Health inspections
Staffing
3.9127 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.9127.
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 March 2025 — isolated incident, actual harm.
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
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 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 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
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
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.