| San Rafael Healthcare & Wellness Center, LP | |
| 1601 5th Avenue, San Rafael, California 94901 | |
| (415) 456-7170 | |
| Name | San Rafael Healthcare & Wellness Center, LP |
|---|---|
| Location | 1601 5th Avenue, San Rafael, California |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 54 |
| Occupancy Rate | 97.22% |
| Medicare ID (CCN) | 055331 |
| Legal Business Name | San Rafael Healthcare & Wellness Centre LP |
| Ownership Type | For Profit - Limited Liability Company |
| Chain | Corporate Interface Services (40 nursing homes) |
| Chain Average Overall Rating | 2.5 out of 5 |
| NPI Number | 1417208109 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | San Rafael Healthcare & Wellness Centre, LP |
| Address | 1601 5th Ave, San Rafael, CA 94901 |
| Phone Number | 415-456-7170 |
| Ratings from Surveys (Inspections): | |
| Ratings from Quality Measures: | |
| Ratings from Staffing Data: | |
| Overall Rating: |
|---|
| Staffing Measure | Provider | National Avg. |
|---|---|---|
| Total nurse staff hours per resident per day | 3.91 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.51 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.92 | 0.86 |
| Nurse aide hours per resident per day | 2.48 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 3.55 | 3.42 |
| RN hours per resident per day on the weekend | 0.27 | 0.48 |
| Physical therapist hours per resident per day | 0.07 | 0.07 |
| Total nursing staff turnover | Not available: the staffing data did not meet CMS's criteria for this measure | 45.8% |
| Registered nurse turnover | Not available: the staffing data did not meet CMS's criteria for this measure | 42.9% |
| Number of administrators who have left the nursing home | Not available: the staffing data did not meet CMS's criteria for this measure | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | No |
| Number of Fines | 1 |
| Total Amount of Fines in Dollars | $8,278 |
| Number of Payment Denials | 1 |
| Total Number of Penalties | 2 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Jul 1, 2026 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550, Resident Rights, Complaint inspection | Potential for harm, pattern | Corrected by Jul 21, 2026 |
| Jun 9, 2026 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Corrected by Jun 29, 2026 |
| Dec 23, 2025 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Corrected by Jan 2, 2026 |
| Jul 18, 2025 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Potential for harm, isolated | Corrected by Aug 7, 2025 |
| Jun 3, 2025 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. F0557, Resident Rights, Complaint inspection | Potential for harm, isolated | Corrected by Jul 1, 2025 |
| Jun 3, 2025 | Ensure services provided by the nursing facility meet professional standards of quality. F0658, Resident Assessment and Care Planning, Complaint inspection | Potential for harm, isolated | Corrected by Jul 1, 2025 |
| Jun 3, 2025 | Provide and implement an infection prevention and control program. F0880, Infection Control, Complaint inspection | Potential for harm, isolated | Corrected by Jul 1, 2025 |
| May 7, 2025 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Potential for harm, isolated | Corrected by May 16, 2025 |
| Apr 23, 2025 | Make sure that a working call system is available in each resident's bathroom and bathing area. F0919, Environmental, Complaint inspection | Potential for harm, pattern | Corrected by May 13, 2025 |
| Apr 23, 2025 | Provide safe, appropriate pain management for a resident who requires such services. F0697, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Corrected by May 13, 2025 |
| Apr 10, 2025 | Ensure that residents are fully informed and understand their health status, care and treatments. F0552, Resident Rights, Complaint inspection | Potential for harm, pattern | Corrected by May 1, 2025 |
| Mar 27, 2025 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Complaint inspection | Actual harm, isolated | Corrected by Apr 29, 2025 |
| Mar 24, 2025 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. F0623, Resident Rights, Complaint inspection | Potential for harm, isolated | Corrected by Apr 16, 2025 |
| Mar 24, 2025 | 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, Pharmacy Service, Complaint inspection | Potential for harm, isolated | Corrected by Apr 16, 2025 |
| Mar 20, 2025 | Ensure services provided by the nursing facility meet professional standards of quality. F0658, Resident Assessment and Care Planning, Standard inspection | Potential for harm, pattern | Corrected by Apr 17, 2025 |
| Mar 20, 2025 | Ensure that residents are free from significant medication errors. F0760, Pharmacy Service, Standard inspection | Potential for harm, pattern | Corrected by Apr 17, 2025 |
| Mar 20, 2025 | 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, Pharmacy Service, Standard inspection | Potential for harm, pattern | Corrected by Apr 17, 2025 |
| Mar 20, 2025 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, pattern | Corrected by Apr 17, 2025 |
| Mar 20, 2025 | Reasonably accommodate the needs and preferences of each resident. F0558, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Apr 17, 2025 |
| Mar 20, 2025 | Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. F0559, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Apr 17, 2025 |
| Mar 20, 2025 | 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, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Apr 17, 2025 |
| Mar 20, 2025 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. F0623, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Apr 17, 2025 |
| Mar 20, 2025 | Ensure each resident receives an accurate assessment. F0641, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Apr 17, 2025 |
| Mar 20, 2025 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Apr 17, 2025 |
| Mar 20, 2025 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Apr 17, 2025 |
| Mar 20, 2025 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Apr 17, 2025 |
| Mar 20, 2025 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. F0693, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Apr 17, 2025 |
| Mar 20, 2025 | 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, Nursing and Physician Services, Standard inspection | Potential for harm, isolated | Corrected by Apr 17, 2025 |
| Mar 20, 2025 | Ensure medication error rates are not 5 percent or greater. F0759, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Apr 17, 2025 |
| Mar 20, 2025 | Provide or get specialized rehabilitative services as required for a resident. F0825, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Apr 17, 2025 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 19.86 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 5.3 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.21 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 0.59 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 7.36 | 12.8 |
| Percentage of long-stay residents who were physically restrained | 0 | 0.13 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.41 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.43 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 99.48 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.04 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 15.93 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 16.56 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 91.84 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 84.48 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 8.09 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 27.78 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 4.03 | 15.38 |
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