California › Marin County › San Rafael
Professional Post Acute Center
81 Professional Center Parkway, San Rafael, CA 94903
Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Professional Post Acute Center, in San Rafael, California, is certified for 99 beds under for-profit, limited liability company ownership and belongs to the Cambridge Healthcare Services chain.
CMS gives it 3 of 5 stars overall, equal to the California median; the health inspection rating is 2, staffing 4 and quality measures 5.
Inspectors recorded 77 health deficiencies across the three most recent survey cycles (8, 29, 40 by cycle, most recent first), 7 of them at the actual-harm or immediate-jeopardy level. That is 77.8 per 100 beds, more than the state median of 51.1.
CMS lists 4 penalties in the period covered: fines totalling $148K.
Reported nurse staffing is 3.8 hours per resident per day (0.5 RN), close to the California median of 4.2; nursing staff turnover is 38.1%.
77health deficiencies, 3 survey cycles7 at actual harm or worse
$148Kfines listed by CMS4 penalties in period
3.8nurse hours per resident per daystate median 4.2
85%occupancy (residents ÷ beds)84 residents a day
Compared with county, state and nation
| Measure | This facility | Marin Co. median | California median | US average |
|---|---|---|---|---|
| Overall star rating | 3 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 77 | 45 | 44 | 28.7 |
| Citations per 100 beds | 77.8 | 56.3 | 51.1 | 26.8 |
| Total nurse hours per resident day | 3.8 | 4.2 | 4.2 | 3.9 |
| RN hours per resident day | 0.5 | 0.5 | 0.5 | 0.7 |
| Nursing staff turnover | 38.1% | 40.0% | 36.4% | 45.8% |
| Fines listed | $148,455 | $8,278 | $0 | — |
County and state figures are medians across facilities (11 in the county, 1165 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: California average per facility for the same cycle, as published by CMS. Standard health survey dates: 19 Sep 2024, 19 May 2021.
Severity mix: G ×6 H ×1 D ×28 E ×34 F ×8
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 8 May 2026 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Complaint investigation | 4 Jun 2026 |
| 4 May 2026 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 29 May 2026 |
| 4 Mar 2026 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 5 Mar 2026 |
| 4 Mar 2026 | F0761 | 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. | D | Complaint investigation | 5 Mar 2026 |
| 13 Aug 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 18 Sep 2025 |
| 13 Aug 2025 | F0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | Complaint investigation | 18 Sep 2025 |
| 8 Jul 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 8 Aug 2025 |
| 21 Apr 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 12 May 2025 |
| 6 Feb 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 11 Feb 2025 |
| 19 Sep 2024 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard survey | 8 Oct 2024 |
| 19 Sep 2024 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 8 Oct 2024 |
| 3 Sep 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 20 Sep 2024 |
| 3 Sep 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 20 Sep 2024 |
| 3 Sep 2024 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | Complaint investigation | 20 Sep 2024 |
| 11 Jun 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Complaint investigation | 18 Jun 2024 |
| 28 Feb 2024 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | G | Complaint investigation | 28 Mar 2024 |
| 28 Feb 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Complaint investigation | 28 Mar 2024 |
| 27 Feb 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Complaint investigation | 15 Mar 2024 |
| 27 Feb 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 15 Mar 2024 |
| 27 Feb 2024 | F0732 | Post nurse staffing information every day. | D | Complaint investigation | 15 Mar 2024 |
| 15 Feb 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Complaint investigation | 28 Mar 2024 |
| 15 Feb 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 28 Mar 2024 |
| 15 Feb 2024 | F0553 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | E | Complaint investigation | 28 Mar 2024 |
| 15 Feb 2024 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Complaint investigation | 28 Mar 2024 |
| 15 Feb 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 28 Mar 2024 |
| 15 Feb 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 28 Mar 2024 |
| 14 Feb 2024 | F0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | E | Complaint investigation | 22 Mar 2024 |
| 4 Jan 2024 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Complaint investigation | 27 Feb 2024 |
| 4 Jan 2024 | F0776 | Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. | D | Complaint investigation | 27 Feb 2024 |
| 22 Nov 2023 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Complaint investigation | 24 Dec 2023 |
| 22 Nov 2023 | F0584 | 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. | E | Complaint investigation | 24 Dec 2023 |
| 22 Nov 2023 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Complaint investigation | 24 Dec 2023 |
| 22 Nov 2023 | F0880 | Provide and implement an infection prevention and control program. | E | Complaint investigation | 24 Dec 2023 |
| 22 Nov 2023 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 24 Dec 2023 |
| 18 Aug 2023 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 15 Sep 2023 |
| 19 May 2021 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | H | Standard survey | 23 Aug 2021 |
| 19 May 2021 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | G | Standard survey | 23 Aug 2021 |
| 19 May 2021 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | G | Standard survey | 23 Aug 2021 |
| 19 May 2021 | F0726 | 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. | F | Standard survey | 17 Aug 2021 |
| 19 May 2021 | F0727 | 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. | F | Standard survey | 17 Aug 2021 |
| 19 May 2021 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Standard survey | 17 Aug 2021 |
| 19 May 2021 | F0572 | Give residents a notice of rights, rules, services and charges. | E | Standard survey | 17 Aug 2021 |
| 19 May 2021 | F0584 | 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. | E | Standard survey | 17 Aug 2021 |
| 19 May 2021 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 17 Aug 2021 |
| 19 May 2021 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Standard survey | 17 Aug 2021 |
| 19 May 2021 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Standard survey | 17 Aug 2021 |
| 19 May 2021 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard survey | 17 Aug 2021 |
| 19 May 2021 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Standard survey | 17 Aug 2021 |
| 19 May 2021 | F0732 | Post nurse staffing information every day. | E | Standard survey | 17 Aug 2021 |
| 19 May 2021 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 17 Aug 2021 |
| 19 May 2021 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Standard survey | 17 Aug 2021 |
| 19 May 2021 | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | E | Standard survey | 17 Aug 2021 |
| 19 May 2021 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 17 Aug 2021 |
| 19 May 2021 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | Standard survey | 17 Aug 2021 |
| 19 May 2021 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 17 Aug 2021 |
| 19 May 2021 | F0679 | Provide activities to meet all resident's needs. | D | Standard survey | 17 Aug 2021 |
| 19 May 2021 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 17 Aug 2021 |
| 19 May 2021 | F0761 | 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. | D | Standard survey | 17 Aug 2021 |
| 1 May 2019 | F0800 | Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | F | Standard survey | 21 Jun 2019 |
| 1 May 2019 | F0801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | F | Standard survey | 21 Jun 2019 |
| 1 May 2019 | F0802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | F | Standard survey | 21 Jun 2019 |
| 1 May 2019 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 21 Jun 2019 |
| 1 May 2019 | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | Standard survey | 21 Jun 2019 |
| 1 May 2019 | F0881 | Implement a program that monitors antibiotic use. | F | Standard survey | 21 Jun 2019 |
| 1 May 2019 | F0578 | 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. | E | Standard survey | 21 Jun 2019 |
| 1 May 2019 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 21 Jun 2019 |
| 1 May 2019 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Standard survey | 21 Jun 2019 |
| 1 May 2019 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard survey | 21 Jun 2019 |
| 1 May 2019 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | E | Standard survey | 21 Jun 2019 |
| 1 May 2019 | F0691 | Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | E | Standard survey | 21 Jun 2019 |
| 1 May 2019 | F0726 | 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. | E | Standard survey | 21 Jun 2019 |
| 1 May 2019 | F0803 | 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. | E | Standard survey | 21 Jun 2019 |
| 1 May 2019 | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | E | Standard survey | 21 Jun 2019 |
| 1 May 2019 | F0808 | Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | E | Standard survey | 21 Jun 2019 |
| 1 May 2019 | F0584 | 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. | D | Standard survey | 21 Jun 2019 |
| 1 May 2019 | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | Standard survey | 21 Jun 2019 |
| 1 May 2019 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 21 Jun 2019 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 8 Jul 2025 | Fine | $79,560 | |
| 4 Jan 2024 | Fine | $61,204 | |
| 17 Oct 2023 | Fine | $2,447 | |
| 25 Sep 2023 | Fine | $5,244 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the California average. Turnover: nursing staff 38.1%, RNs 46.2%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | California median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 8.9% | 8.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.3% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.0% | 0.7% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.1% | 1.3% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.1% | 0.8% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 11.1% | 8.6% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 2.9% | 3.6% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 9.0% | 9.1% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. Legal business name: Cf San Rafael, Llc. Chain: Cambridge Healthcare Services (32 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Crescent Facilities Operations LLC | 5% or greater direct ownership interest | 100% | 12/19/2006 |
| Bering Properties LLC | 5% or greater indirect ownership interest | 6% | 02/01/2007 |
| Jenmax Enterprises LLC | 5% or greater indirect ownership interest | 23% | 02/01/2007 |
| Jk-Csh Jv LLC | 5% or greater indirect ownership interest | 12% | 11/01/2006 |
| Manhattan Five Partners LLC | 5% or greater indirect ownership interest | 7% | 11/01/2006 |
| Win Win Enterprises, LLC | 5% or greater indirect ownership interest | 35% | 02/01/2007 |
| Bh Alliance | Indirect ownership interest | NOT APPLICABLE | 11/01/2006 |
| Cambridge Healthcare Services LLC | Operational/managerial control | NOT APPLICABLE | 04/01/2014 |
| 81 Professional Center LLC | Adp of the snf | NOT APPLICABLE | 12/15/2006 |
| Cambridge Healthcare Services LLC | Adp of the snf | NOT APPLICABLE | 11/05/2025 |
| Jenmax Enterprises LLC | Adp of the snf | NOT APPLICABLE | 12/15/2006 |
| Jk-Csh Jv LLC | Adp of the snf | NOT APPLICABLE | 12/15/2006 |
| Win Win Enterprises, LLC | Adp of the snf | NOT APPLICABLE | 12/15/2006 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Marin County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Pine Ridge Care Center | San Rafael | 101 | 5 | 3 | 5 | 43 | 42.6 | — | 12 Feb 2026 |
| The Tamalpais | Greenbrae | 52 | 5 | 4 | 5 | 14 | 26.9 | — | 11 Sep 2025 |
| Villa Marin | San Rafael | 31 | 5 | 4 | 4 | 21 | 67.7 | — | 18 Nov 2025 |
| South Marin Health & Wellness Center | Greenbrae | 72 | 4 | 3 | 4 | 37 | 51.4 | — | 23 Jan 2026 |
| Smith Ranch Skilled Nursing & Rehabilitation Cente | San Rafael | 80 | 3 | 2 | 3 | 45 | 56.3 | — | 9 Jun 2026 |
| Marin Post Acuteabuse icon | San Rafael | 168 | 2 | 2 | 2 | 46 | 27.4 | $11K | 25 Jun 2026 |
| Northgate Postacute Careabuse icon | San Rafael | 52 | 2 | 2 | 2 | 65 | 125.0 | $113K | 18 Jun 2026 |
| San Rafael Healthcare & Wellness Center, LP | San Rafael | 54 | 2 | 2 | 4 | 55 | 101.9 | $8K | 1 Jul 2026 |
All 11 facilities in Marin County
Questions and answers
How many deficiencies has Professional Post Acute Center been cited for?
77 health deficiencies across the three most recent survey cycles, 7 at the actual-harm or immediate-jeopardy level. The California median is 44 per facility.
Has Professional Post Acute Center been fined?
Yes. CMS lists fines totalling $148K in the period covered.
How does staffing at Professional Post Acute Center compare?
Reported total nurse staffing is 3.8 hours per resident per day against a California median of 4.2 and a national average of 3.9.
Who operates Professional Post Acute Center?
It is part of the Cambridge Healthcare Services chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Crescent Facilities Operations LLC, Bering Properties LLC and Jenmax Enterprises LLC. Individual owners and managers are not listed on this site.
When was Professional Post Acute Center last inspected?
The most recent survey or investigation in the CMS record is dated 8 May 2026; the most recent standard health survey was 19 Sep 2024.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.