D

SAN RAFAEL HEALTHCARE & WELLNESS CENTER, LP

1601 5TH AVENUE, SAN RAFAEL, CA 94901
Score: 42 / 100

San Rafael Healthcare & Wellness Center, Lp faces challenges in its CMS ratings, earning a D grade with a score of 42/100. The facility ranks in the 29th percentile among California nursing homes, suggesting significant room for improvement.

Staffing at San Rafael Healthcare & Wellness Center, Lp is near the national average, with 4.06 total nursing hours per resident per day (national average: 3.8 hours).

Recent inspections identified 57 deficiencies at San Rafael Healthcare & Wellness Center, Lp. While none were classified as the most serious level, families should review the detailed inspection history below.

Score Breakdown

Overall CMS Rating 16 / 40 pts
2 ★ CMS rating
Health Inspections 10 / 25 pts
2 ★ inspection rating
Staffing 12 / 20 pts
3 ★ staffing rating
Quality Measures 9 / 15 pts
3 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 4.06 3.8 Average
Registered Nurses (RN) 0.53 0.7 Below Average
Licensed Practical Nurses (LPN) 0.93 0.7 Above Average
Certified Nursing Assistants (CNA) 2.60 2.4 Average
Weekend Total Nursing 3.66 3.8 Average
Weekend RN Hours 0.27 0.7 Below Average

🔍 Inspection & Deficiency History

57
Total Deficiencies
Dec 22, 2025
Most Recent Inspection
🟠 57 Moderate
View recent deficiencies (5 shown)
  • Tag 0689 Severity D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    Dec 22, 2025 · Quality of Life and Care Deficiencies
  • Tag 0600 Severity D
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    Jul 17, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
  • Tag 0557 Severity D
    Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
    Jun 2, 2025 · Resident Rights Deficiencies
  • Tag 0658 Severity D
    Ensure services provided by the nursing facility meet professional standards of quality.
    Jun 2, 2025 · Resident Assessment and Care Planning Deficiencies
  • Tag 0880 Severity D
    Provide and implement an infection prevention and control program.
    Jun 2, 2025 · Infection Control Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 7.5% 4.5% Worse
Falls with major injury 2.9% 3.0% Average
On antipsychotic medication 5.0% 14.5% Better
Urinary tract infections 0.6% 2.5% Better
ADL decline (daily activities) 22.4% 14.0% Worse
Excessive weight loss 5.2% 7.5% Better
New/worsened incontinence 28.4% 45.0% Better

⚠️ Penalties & Fines

1 penalty recorded by CMS

Total fines: $8,278

How This Grade Was Calculated

This facility's grade of D is based on a score of 42 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 2★ → 16 pts (max 40)
  • Health Inspection Rating: 2★ → 10 pts (max 25)
  • Staffing Rating: 3★ → 12 pts (max 20)
  • Quality Measures Rating: 3★ → 9 pts (max 15)
  • Penalty deductions: -5 pts
  • Fine deductions: -0 pts

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
For profit - Limited Liability company
Certified Beds
54
Provider Type
Medicare and Medicaid
Resident Council
No
Family Council
No
Sprinkler System
Yes
Last Inspection
Mar 19, 2025
Deficiencies (Cycle 1)
29