All citations for San Rafael Nursing and Rehabilitation Center

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 Nursing and Rehabilitation Center

Last standard health inspection on record

May 28, 2026

Showing 1 to 21 of 21 citations

  1. Immediate jeopardy to resident health or safety

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

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

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of December 23, 2023. Found during a complaint inspection.

    Past non-compliance: already corrected by the time of the inspection (December 23, 2023).

  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.

    Widespread (many residents). CMS level F.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of December 14, 2023. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (January 22, 2024).

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

    Keep all essential equipment working safely.

    Widespread (many residents). CMS level F.

    Health citation F-0908, Environmental Deficiencies. Inspection of December 14, 2023. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (January 22, 2024).

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

    Have generator or other power source capable of supplying service within 10 seconds.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of December 14, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 20, 2023).

  5. 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.

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

    Health citation F-0921, Environmental Deficiencies. Inspection of June 7, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 22, 2024).

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

    Reasonably accommodate the needs and preferences of each resident.

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

    Health citation F-0558, Resident Rights Deficiencies. Inspection of December 14, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 15, 2023).

  7. 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.

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

    Health citation F-0584, Resident Rights Deficiencies. Inspection of December 14, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 28, 2024).

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

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

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

    Fire safety citation K-0372, Smoke Deficiencies. Inspection of December 14, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 20, 2023).

  9. 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.

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

    Fire safety citation K-0741, Miscellaneous Deficiencies. Inspection of December 14, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 20, 2023).

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

    Reasonably accommodate the needs and preferences of each resident.

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

    Health citation F-0558, Resident Rights Deficiencies. Inspection of September 6, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (September 27, 2024).

  11. 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.

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

    Health citation F-0921, Environmental Deficiencies. Inspection of September 6, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (September 27, 2024).

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

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

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

    Health citation F-0842, Resident Assessment and Care Planning Deficiencies. Inspection of June 30, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 25, 2024).

  13. 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.

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

    Health citation F-0609, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of December 23, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (December 24, 2023).

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

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

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

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of December 14, 2023. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (December 15, 2023).

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

    Ensure medication error rates are not 5 percent or greater.

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

    Health citation F-0759, Pharmacy Service Deficiencies. Inspection of December 14, 2023. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (December 15, 2023).

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

    Ensure that residents are free from significant medication errors.

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

    Health citation F-0760, Pharmacy Service Deficiencies. Inspection of December 14, 2023. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (December 15, 2023).

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

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

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

    Health citation F-0842, Resident Assessment and Care Planning Deficiencies. Inspection of December 14, 2023. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (December 15, 2023).

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

    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

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

    Fire safety citation K-0222, Egress Deficiencies. Inspection of December 14, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 20, 2023).

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

    Properly select, install, inspect, or maintain portable fire extinguishes.

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

    Fire safety citation K-0355, Smoke Deficiencies. Inspection of December 14, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 20, 2023).

  20. 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.

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

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of November 26, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (December 20, 2023).

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

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

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

    Health citation F-0690, Quality of Life and Care Deficiencies. Inspection of October 6, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (October 7, 2023).

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.