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.
Last standard health inspection on record
March 20, 2025
Showing 26 to 50 of 84 citations
No harm, with potential for more than minimal harm
Ensure services provided by the nursing facility meet professional standards of quality.
The home gave a date the problem would be corrected (July 1, 2025).
No harm, with potential for more than minimal harm
Provide and implement an infection prevention and control program.
The home gave a date the problem would be corrected (July 1, 2025).
No harm, with potential for more than minimal harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
The home gave a date the problem would be corrected (May 16, 2025).
No harm, with potential for more than minimal harm
Provide safe, appropriate pain management for a resident who requires such services.
The home gave a date the problem would be corrected (May 13, 2025).
No harm, with potential for more than minimal harm
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
The home gave a date the problem would be corrected (April 16, 2025).
No harm, with potential for more than minimal harm
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.
The home gave a date the problem would be corrected (April 16, 2025).
No harm, with potential for more than minimal harm
Reasonably accommodate the needs and preferences of each resident.
The home gave a date the problem would be corrected (April 17, 2025).
No harm, with potential for more than minimal harm
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
The home gave a date the problem would be corrected (April 17, 2025).
No harm, with potential for more than minimal harm
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.
The home gave a date the problem would be corrected (April 17, 2025).
No harm, with potential for more than minimal harm
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
The home gave a date the problem would be corrected (April 17, 2025).
No harm, with potential for more than minimal harm
Ensure each resident receives an accurate assessment.
The home gave a date the problem would be corrected (April 17, 2025).
No harm, with potential for more than minimal harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
The home gave a date the problem would be corrected (April 17, 2025).
No harm, with potential for more than minimal harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
The home gave a date the problem would be corrected (April 17, 2025).
No harm, with potential for more than minimal harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
The home gave a date the problem would be corrected (April 17, 2025).
No harm, with potential for more than minimal harm
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.
The home gave a date the problem would be corrected (April 17, 2025).
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.
The home gave a date the problem would be corrected (April 17, 2025).
No harm, with potential for more than minimal harm
Ensure medication error rates are not 5 percent or greater.
The home gave a date the problem would be corrected (April 17, 2025).
No harm, with potential for more than minimal harm
Provide or get specialized rehabilitative services as required for a resident.
The home gave a date the problem would be corrected (April 17, 2025).
No harm, with potential for more than minimal harm
Provide and implement an infection prevention and control program.
The home gave a date the problem would be corrected (April 17, 2025).
No harm, with potential for more than minimal harm
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
The home gave a date the problem would be corrected (April 17, 2025).
No harm, with potential for more than minimal harm
Inspect, test, and maintain automatic sprinkler systems.
The home gave a date the problem would be corrected (March 27, 2025).
No harm, with potential for more than minimal harm
Properly select, install, inspect, or maintain portable fire extinguishes.
The home gave a date the problem would be corrected (March 27, 2025).
No harm, with potential for more than minimal harm
Install corridor and hallway doors that block smoke.
The home gave a date the problem would be corrected (April 15, 2025).
No harm, with potential for more than minimal harm
Ensure proper usage of power strips and extension cords.
The home gave a date the problem would be corrected (April 15, 2025).
No harm, with potential for more than minimal harm
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
The home gave a date the problem would be corrected (March 12, 2025).
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.