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 25 of 54 citations

  1. Immediate jeopardy to resident health or safety

    Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

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

    Health citation F-0805, Nutrition and Dietary Deficiencies. Inspection of October 27, 2025. Found during a complaint inspection.

    Past non-compliance: already corrected by the time of the inspection (October 17, 2025).

  2. 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 August 21, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 22, 2025).

  3. 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).

  4. Harm to a resident

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

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

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of August 21, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 22, 2025).

  5. 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 March 6, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 3, 2025).

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

    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

    Widespread (many residents). CMS level F.

    Health citation F-0925, Environmental Deficiencies. Inspection of March 6, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 25, 2025).

  7. 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).

  8. 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).

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

    Ensure that residents are free from significant medication errors.

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

    Health citation F-0760, Pharmacy Service Deficiencies. Inspection of May 28, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 9, 2026).

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

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

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

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of May 28, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 9, 2026).

  11. 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 May 28, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 9, 2026).

  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.

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

    Health citation F-0842, Resident Assessment and Care Planning Deficiencies. Inspection of May 28, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 9, 2026).

  13. 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 May 28, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 9, 2026).

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

    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

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

    Health citation F-0925, Environmental Deficiencies. Inspection of May 28, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 9, 2026).

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

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

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

    Health citation F-0755, Pharmacy Service Deficiencies. Inspection of March 6, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 7, 2025).

  16. 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 March 6, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 7, 2025).

  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.

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

    Health citation F-0842, Resident Assessment and Care Planning Deficiencies. Inspection of February 6, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (February 7, 2025).

  18. 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).

  19. 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).

  20. 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).

  21. 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 May 28, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 9, 2026).

  22. 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 December 1, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (December 3, 2025).

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

    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

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

    Health citation F-0727, Nursing and Physician Services Deficiencies. Inspection of December 1, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (December 3, 2025).

  24. 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 1, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (December 3, 2025).

  25. 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 1, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (December 3, 2025).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.