★★★★★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 cycle9
Findings with harm or immediate jeopardy, 3 cycles8
Fines, 3 years$143,211
Beds99
Inspection findings
Inspectors recorded 62 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 |
|---|---|---|---|---|
| Jul 17, 2026 | Infection control | Provide and implement an infection prevention and control program. (F0880) | No harm, but a risk of harm isolated | Corrected: Aug 10, 2026 |
| Jul 17, 2026 | 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: Aug 10, 2026 |
| Jul 17, 2026 | Quality of life and care | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (F0689) | Actual harm to a resident isolated · from a complaint | Corrected: Aug 10, 2026 |
| Jul 17, 2026 | Quality of life and care | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. (F0688) | No harm, but a risk of harm pattern | Corrected: Aug 10, 2026 |
| Jul 17, 2026 | 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: Aug 10, 2026 |
| May 8, 2026 | Quality of life and care | Provide enough food/fluids to maintain a resident's health. (F0692) | No harm, but a risk of harm isolated · from a complaint | Corrected: Jun 4, 2026 |
| May 4, 2026 | 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: May 29, 2026 |
Earlier inspections (55)
| Inspection date | Area | Requirement the home did not meet (official wording, in English) | Severity | Corrected |
|---|---|---|---|---|
| Mar 4, 2026 | Pharmacy and medications | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. (F0761) | No harm, but a risk of harm isolated · from a complaint | Corrected: Mar 5, 2026 |
| Mar 4, 2026 | 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: Mar 5, 2026 |
| Aug 13, 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) | Actual harm to a resident isolated · from a complaint | Corrected: Sep 18, 2025 |
| Aug 13, 2025 | 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: Sep 18, 2025 |
| Jul 8, 2025 | Infection control | Provide and implement an infection prevention and control program. (F0880) | No harm, but a risk of harm isolated · from a complaint | Corrected: Aug 8, 2025 |
| Apr 21, 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 12, 2025 |
| Feb 6, 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: Feb 11, 2025 |
| Sep 19, 2024 | Pharmacy and medications | Ensure medication error rates are not 5 percent or greater. (F0759) | No harm, but a risk of harm isolated | Corrected: Oct 8, 2024 |
| Sep 19, 2024 | 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 isolated | Corrected: Oct 8, 2024 |
| Sep 3, 2024 | 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 isolated · from a complaint | Corrected: Sep 20, 2024 |
| Sep 3, 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: Sep 20, 2024 |
| Sep 3, 2024 | 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 20, 2024 |
| Jun 11, 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 pattern · from a complaint | Corrected: Jun 18, 2024 |
| Feb 28, 2024 | Pharmacy and medications | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (F0755) | No harm, but a risk of harm pattern · from a complaint | Corrected: Mar 28, 2024 |
| Feb 28, 2024 | Quality of life and care | Provide safe, appropriate pain management for a resident who requires such services. (F0697) | Actual harm to a resident isolated · from a complaint | Corrected: Mar 28, 2024 |
| Feb 27, 2024 | Nursing and physician services | Post nurse staffing information every day. (F0732) | No harm, but a risk of harm isolated · from a complaint | Corrected: Mar 15, 2024 |
| Feb 27, 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 pattern · from a complaint | Corrected: Mar 15, 2024 |
| Feb 27, 2024 | 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: Mar 15, 2024 |
| Feb 15, 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) | Actual harm to a resident isolated · from a complaint | Corrected: Mar 28, 2024 |
| Feb 15, 2024 | Quality of life and care | Provide appropriate pressure ulcer care and prevent new ulcers from developing. (F0686) | Actual harm to a resident isolated · from a complaint | Corrected: Mar 28, 2024 |
| Feb 15, 2024 | Quality of life and care | Provide appropriate treatment and care according to orders, resident’s preferences and goals. (F0684) | No harm, but a risk of harm isolated · from a complaint | Corrected: Mar 28, 2024 |
| Feb 15, 2024 | 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: Mar 28, 2024 |
| Feb 15, 2024 | 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 · from a complaint | Corrected: Mar 28, 2024 |
| Feb 15, 2024 | Resident rights | Allow resident to participate in the development and implementation of his or her person-centered plan of care. (F0553) | No harm, but a risk of harm pattern · from a complaint | Corrected: Mar 28, 2024 |
| Feb 14, 2024 | 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 pattern · from a complaint | Corrected: Mar 22, 2024 |
| Jan 4, 2024 | Administration | Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. (F0776) | No harm, but a risk of harm isolated · from a complaint | Corrected: Feb 27, 2024 |
| Jan 4, 2024 | Quality of life and care | Provide safe, appropriate pain management for a resident who requires such services. (F0697) | No harm, but a risk of harm isolated · from a complaint | Corrected: Feb 27, 2024 |
| Nov 22, 2023 | Infection control | Provide and implement an infection prevention and control program. (F0880) | No harm, but a risk of harm pattern · from a complaint | Corrected: Dec 24, 2023 |
| Nov 22, 2023 | Pharmacy and medications | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (F0755) | No harm, but a risk of harm pattern · from a complaint | Corrected: Dec 24, 2023 |
| Nov 22, 2023 | 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: Dec 24, 2023 |
| Nov 22, 2023 | Resident rights | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. (F0584) | No harm, but a risk of harm pattern · from a complaint | Corrected: Dec 24, 2023 |
| Nov 22, 2023 | Resident rights | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (F0550) | No harm, but a risk of harm pattern · from a complaint | Corrected: Dec 24, 2023 |
| May 19, 2021 | Building and environment | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. (F0925) | No harm, but a risk of harm pattern | Corrected: Aug 17, 2021 |
| May 19, 2021 | Infection control | Provide and implement an infection prevention and control program. (F0880) | No harm, but a risk of harm pattern | Corrected: Aug 17, 2021 |
| May 19, 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: Aug 17, 2021 |
| May 19, 2021 | Resident assessment and care planning | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (F0842) | No harm, but a risk of harm pattern | Corrected: Aug 17, 2021 |
| May 19, 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: Aug 17, 2021 |
| May 19, 2021 | Pharmacy and medications | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. (F0761) | No harm, but a risk of harm isolated | Corrected: Aug 17, 2021 |
| May 19, 2021 | Nursing and physician services | Post nurse staffing information every day. (F0732) | No harm, but a risk of harm pattern | Corrected: Aug 17, 2021 |
| May 19, 2021 | Nursing and physician services | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. (F0727) | No harm, but a risk of harm widespread | Corrected: Aug 17, 2021 |
| May 19, 2021 | Nursing and physician services | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. (F0726) | No harm, but a risk of harm widespread | Corrected: Aug 17, 2021 |
| May 19, 2021 | Nursing and physician services | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. (F0725) | No harm, but a risk of harm pattern | Corrected: Aug 17, 2021 |
| May 19, 2021 | Quality of life and care | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. (F0690) | No harm, but a risk of harm isolated | Corrected: Aug 17, 2021 |
| May 19, 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: Aug 17, 2021 |
| May 19, 2021 | Quality of life and care | Provide activities to meet all resident's needs. (F0679) | No harm, but a risk of harm isolated | Corrected: Aug 17, 2021 |
| May 19, 2021 | Quality of life and care | Provide care and assistance to perform activities of daily living for any resident who is unable. (F0677) | No harm, but a risk of harm isolated | Corrected: Aug 17, 2021 |
| May 19, 2021 | 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 pattern | Corrected: Aug 17, 2021 |
| May 19, 2021 | 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: Aug 17, 2021 |
| May 19, 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: Aug 17, 2021 |
| May 19, 2021 | Abuse, neglect and exploitation | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (F0609) | Actual harm to a resident isolated | Corrected: Aug 23, 2021 |
| May 19, 2021 | Abuse, neglect and exploitation | Develop and implement policies and procedures to prevent abuse, neglect, and theft. (F0607) | Actual harm to a resident isolated | Corrected: Aug 23, 2021 |
| May 19, 2021 | 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) | Actual harm to a resident pattern | Corrected: Aug 23, 2021 |
| May 19, 2021 | Resident rights | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. (F0584) | No harm, but a risk of harm pattern | Corrected: Aug 17, 2021 |
| May 19, 2021 | Resident rights | Give residents a notice of rights, rules, services and charges. (F0572) | No harm, but a risk of harm pattern | Corrected: Aug 17, 2021 |
| May 19, 2021 | Resident rights | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (F0550) | No harm, but a risk of harm pattern | Corrected: Aug 17, 2021 |
Fines and payment denials
Federal fines in the last three years: $143,211 (3). Payment denials: 0.
| Date | Type | Amount |
|---|---|---|
| Jul 8, 2025 | Fine | $79,560 |
| Jan 4, 2024 | Fine | $61,204 |
| Oct 17, 2023 | Fine | $2,447 |
Staffing
| Nurse staff hours per resident per day | 3.89 | California median: 4.27 |
| Registered nurse hours per resident per day | 0.44 | California median: 0.52 |
| Nurse staff hours on weekends | 3.57 | California median: 3.85 |
| Nursing staff who left within a year | 37.6% | California median: 36.0% |
About this home
| Beds | 99 |
| Residents per day, average | 85.3 |
| Ownership | For-profit, limited liability company |
| Legal business name | Cf San Rafael, LLC |
| Chain | Cambridge Healthcare Services (32 homes) |
| In Medicare/Medicaid since | Dec 12, 1985 |
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
More in San Rafael
Marin Post AcuteSan Rafael Healthcare & Wellness Center, LPPine Ridge Care CenterNorthgate Postacute CareVilla MarinSmith Ranch Skilled Nursing & Rehabilitation CenteSan Rafael →More in ZIP 94903