All citations for San Rafael Healthcare & Wellness Center, LP

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to San Rafael Healthcare & Wellness Center, LP

Last standard health inspection on record

March 20, 2025

Showing 1 to 20 of 20 citations

  1. No harm, with potential for more than minimal harm

    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.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0801, Nutrition and Dietary Deficiencies. Inspection of January 17, 2020. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 16, 2020).

  2. No harm, with potential for more than minimal harm

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of January 17, 2020. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 16, 2020).

  3. No harm, with potential for more than minimal harm

    Provide and implement an infection prevention and control program.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0880, Infection Control Deficiencies. Inspection of January 17, 2020. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 16, 2020).

  4. No harm, with potential for more than minimal harm

    Address subsistence needs for staff and patients.

    Pattern (more than a few residents). CMS level E.

    Emergency preparedness citation E-0015, Emergency Preparedness Deficiencies. Inspection of January 17, 2020. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 25, 2020).

  5. No harm, with potential for more than minimal harm

    Have approved installation, maintenance and testing program for fire alarm systems.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0345, Smoke Deficiencies. Inspection of January 17, 2020. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 25, 2020).

  6. No harm, with potential for more than minimal harm

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0698, Quality of Life and Care Deficiencies. Inspection of August 19, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (September 20, 2024).

  7. No harm, with potential for more than minimal harm

    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.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0726, Nursing and Physician Services Deficiencies. Inspection of May 7, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 1, 2024).

  8. No harm, with potential for more than minimal harm

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0600, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of November 7, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (November 30, 2023).

  9. No harm, with potential for more than minimal harm

    Provide safe and appropriate respiratory care for a resident when needed.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0695, Quality of Life and Care Deficiencies. Inspection of January 17, 2020. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 16, 2020).

  10. No harm, with potential for more than minimal harm

    Conduct risk assessment and an All-Hazards approach.

    Isolated (one or a few residents). CMS level D.

    Emergency preparedness citation E-0006, Emergency Preparedness Deficiencies. Inspection of January 17, 2020. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 25, 2020).

  11. No harm, with potential for more than minimal harm

    Establish policies and procedures for medical documentation.

    Isolated (one or a few residents). CMS level D.

    Emergency preparedness citation E-0023, Emergency Preparedness Deficiencies. Inspection of January 17, 2020. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 25, 2020).

  12. No harm, with potential for more than minimal harm

    Establish roles under a Waiver declared by secretary.

    Isolated (one or a few residents). CMS level D.

    Emergency preparedness citation E-0026, Emergency Preparedness Deficiencies. Inspection of January 17, 2020. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 25, 2020).

  13. No harm, with potential for more than minimal harm

    Implement emergency and standby power systems.

    Isolated (one or a few residents). CMS level D.

    Emergency preparedness citation E-0041, Emergency Preparedness Deficiencies. Inspection of January 17, 2020. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 25, 2020).

  14. No harm, with potential for more than minimal harm

    Use approved construction type or materials.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0161, Construction Deficiencies. Inspection of January 17, 2020. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 25, 2020).

  15. No harm, with potential for more than minimal harm

    Provide properly protected cooking facilities.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0324, Smoke Deficiencies. Inspection of January 17, 2020. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 25, 2020).

  16. No harm, with potential for more than minimal harm

    Properly provide smoke detection systems in areas open to corridors.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0347, Smoke Deficiencies. Inspection of January 17, 2020. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 25, 2020).

  17. No harm, with potential for more than minimal harm

    Install corridor and hallway doors that block smoke.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0363, Smoke Deficiencies. Inspection of January 17, 2020. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 25, 2020).

  18. No harm, with potential for more than minimal harm

    Have elevators that firefighters can control in the event of a fire.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0531, Services Deficiencies. Inspection of January 17, 2020. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 25, 2020).

  19. No harm, with potential for more than minimal harm

    Have simulated fire drills held at unexpected times.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of January 17, 2020. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 25, 2020).

  20. No harm, with potential for more than minimal harm

    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0741, Miscellaneous Deficiencies. Inspection of January 17, 2020. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 25, 2020).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of October 1, 2026. Inspection results describe the home at the time of each inspection.