★★★★★Overall Medicare rating
★★★★★Health inspections
★★★★★Staffing
★★★★★Quality measures
Medicare rates every nursing home from 1 to 5 stars. 5 is much above average, 1 is much below.
Findings, latest cycle14
Findings with harm or immediate jeopardy, 3 cycles0
Fines, 3 years$0
Beds101
Medicare has flagged this home for abuse: an inspection found that a resident was harmed by abuse, or there were repeated findings of possible abuse.
Inspection findings
Inspectors recorded 42 findings in the last three inspection cycles.
Each entry below is a requirement that inspectors found the home did not meet on that date, in the regulator's own English wording.
| Inspection date | Area | Requirement the home did not meet (official wording, in English) | Severity | Corrected |
|---|---|---|---|---|
| Feb 12, 2026 | Resident assessment and care planning | Ensure each resident receives an accurate assessment. (F0641) | No harm, but a risk of harm isolated · from a complaint | Corrected: Mar 4, 2026 |
| Feb 12, 2026 | Abuse, neglect and exploitation | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (F0600) | No harm, but a risk of harm pattern · from a complaint | Corrected: Mar 4, 2026 |
| Jan 8, 2026 | Resident rights | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. (F0557) | No harm, but a risk of harm isolated · from a complaint | Corrected: Feb 3, 2026 |
| Dec 5, 2025 | Infection control | Provide and implement an infection prevention and control program. (F0880) | No harm, but a risk of harm isolated | Corrected: Jan 4, 2026 |
| Dec 5, 2025 | Food and nutrition | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (F0812) | No harm, but a risk of harm widespread | Corrected: Jan 4, 2026 |
| Dec 5, 2025 | Food and nutrition | Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. (F0807) | No harm, but a risk of harm pattern | Corrected: Jan 4, 2026 |
| Dec 5, 2025 | Food and nutrition | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. (F0804) | No harm, but a risk of harm pattern | Corrected: Jan 4, 2026 |
| Dec 5, 2025 | Pharmacy and medications | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. (F0756) | No harm, but a risk of harm widespread | Corrected: Jan 4, 2026 |
| Dec 5, 2025 | Quality of life and care | Provide care or services that was trauma informed and/or culturally competent. (F0699) | No harm, but a risk of harm isolated | Corrected: Jan 4, 2026 |
| Dec 5, 2025 | Quality of life and care | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. (F0676) | No harm, but a risk of harm isolated | Corrected: Jan 4, 2026 |
| Dec 5, 2025 | Resident assessment and care planning | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (F0657) | No harm, but a risk of harm pattern | Corrected: Jan 4, 2026 |
| Dec 5, 2025 | Resident assessment and care planning | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (F0656) | No harm, but a risk of harm isolated | Corrected: Jan 4, 2026 |
| Dec 5, 2025 | Resident rights | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. (F0627) | No harm, but a risk of harm isolated · from a complaint | Corrected: Jan 4, 2026 |
| Dec 5, 2025 | Resident rights | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. (F0578) | No harm, but a risk of harm pattern | Corrected: Jan 4, 2026 |
Earlier inspections (28)
| Inspection date | Area | Requirement the home did not meet (official wording, in English) | Severity | Corrected |
|---|---|---|---|---|
| Sep 8, 2025 | Abuse, neglect and exploitation | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (F0600) | No harm, but a risk of harm isolated · from a complaint | Corrected: Sep 25, 2025 |
| Aug 4, 2025 | Quality of life and care | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (F0689) | No harm, but a risk of harm isolated · from a complaint | Corrected: Aug 29, 2025 |
| Aug 4, 2025 | Resident assessment and care planning | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted (F0655) | No harm, but a risk of harm isolated · from a complaint | Corrected: Aug 29, 2025 |
| Aug 4, 2025 | Resident rights | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (F0580) | No harm, but a risk of harm isolated · from a complaint | Corrected: Aug 29, 2025 |
| Jul 16, 2025 | Abuse, neglect and exploitation | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (F0609) | No harm, but a risk of harm isolated · from a complaint | Corrected: Aug 4, 2025 |
| Apr 17, 2025 | Quality of life and care | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. (F0678) | No harm, but a risk of harm pattern · from a complaint | Corrected: May 22, 2025 |
| Apr 17, 2025 | Resident assessment and care planning | Ensure services provided by the nursing facility meet professional standards of quality. (F0658) | No harm, but a risk of harm isolated · from a complaint | Corrected: May 22, 2025 |
| Dec 12, 2024 | Building and environment | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. (F0912) | No harm, but a risk of harm isolated | Corrected: Jan 2, 2025 |
| Dec 12, 2024 | Quality of life and care | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (F0689) | No harm, but a risk of harm isolated | Corrected: Jan 2, 2025 |
| Dec 12, 2024 | Quality of life and care | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. (F0676) | No harm, but a risk of harm isolated | Corrected: Jan 2, 2025 |
| Dec 12, 2024 | Resident assessment and care planning | Assure that each resident’s assessment is updated at least once every 3 months. (F0638) | No harm, but a risk of harm isolated | Corrected: Jan 2, 2025 |
| May 28, 2024 | Quality of life and care | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (F0689) | No harm, but a risk of harm isolated · from a complaint | Corrected: Jul 29, 2024 |
| Mar 19, 2024 | Abuse, neglect and exploitation | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (F0609) | No harm, but a risk of harm isolated · from a complaint | Corrected: May 3, 2024 |
| Aug 12, 2021 | Building and environment | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. (F0921) | No harm, but a risk of harm pattern | Corrected: Oct 13, 2021 |
| Aug 12, 2021 | Administration | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. (F0867) | No harm, but a risk of harm pattern | Corrected: Oct 13, 2021 |
| Aug 12, 2021 | Administration | Have a plan that describes the process for conducting QAPI and QAA activities. (F0865) | No harm, but a risk of harm pattern | Corrected: Oct 13, 2021 |
| Aug 12, 2021 | Nursing and physician services | Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility. (F0841) | No harm, but a risk of harm pattern | Corrected: Oct 13, 2021 |
| Aug 12, 2021 | Food and nutrition | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (F0812) | No harm, but a risk of harm pattern | Corrected: Oct 13, 2021 |
| Aug 12, 2021 | Food and nutrition | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. (F0803) | No harm, but a risk of harm pattern | Corrected: Oct 13, 2021 |
| Aug 12, 2021 | Food and nutrition | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. (F0802) | No harm, but a risk of harm pattern | Corrected: Oct 13, 2021 |
| Aug 12, 2021 | Pharmacy and medications | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. (F0758) | No harm, but a risk of harm pattern | Corrected: Oct 13, 2021 |
| Aug 12, 2021 | Pharmacy and medications | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. (F0756) | No harm, but a risk of harm pattern | Corrected: Oct 13, 2021 |
| Aug 12, 2021 | Quality of life and care | Provide enough food/fluids to maintain a resident's health. (F0692) | No harm, but a risk of harm pattern | Corrected: Oct 13, 2021 |
| Aug 12, 2021 | Quality of life and care | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (F0689) | No harm, but a risk of harm pattern | Corrected: Oct 13, 2021 |
| Aug 12, 2021 | Resident assessment and care planning | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (F0656) | No harm, but a risk of harm pattern | Corrected: Oct 13, 2021 |
| Aug 12, 2021 | Resident rights | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. (F0585) | No harm, but a risk of harm pattern | Corrected: Oct 13, 2021 |
| Aug 12, 2021 | Resident rights | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. (F0577) | No harm, but a risk of harm pattern | Corrected: Oct 13, 2021 |
| Aug 12, 2021 | Resident rights | Ensure residents have reasonable access to and privacy in their use of communication methods. (F0576) | No harm, but a risk of harm widespread | Corrected: Oct 13, 2021 |
Fines and payment denials
No federal fines or payment denials in the last three years.
Staffing
| Nurse staff hours per resident per day | 4.49 | California median: 4.27 |
| Registered nurse hours per resident per day | 1.09 | California median: 0.52 |
| Nurse staff hours on weekends | 4.10 | California median: 3.85 |
| Nursing staff who left within a year | 39.6% | California median: 36.0% |
About this home
| Beds | 101 |
| Residents per day, average | 82.0 |
| Ownership | For-profit, partnership |
| Legal business name | San Rafael Operating Company LP |
| Chain | Mariner Health Care (17 homes) |
| In Medicare/Medicaid since | Nov 1, 1967 |
Questions to ask when you call
- What was corrected after the last inspection?
- How many staff work at night and on weekends?
- Does anyone on staff speak my relative's language?
- May I visit at any time, without an appointment?
Source. Medicare Care Compare (CMS Provider Data), data dated Oct 1, 2026. Open this home on Medicare.gov
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