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 13 of 13 citations

  1. 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).

  2. 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).

  3. 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).

  4. 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).

  5. 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).

  6. 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).

  7. 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).

  8. 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).

  9. 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).

  10. 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).

  11. 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).

  12. 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).

  13. 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.