nursing home in San Rafael, CA
Professional Post Acute Center
81 Professional Center Parkway, San Rafael, CA 94903 · (415) 479-5161
★★★★★3
Average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★2
- Staffing★★★★★4
- Quality measures★★★★★5
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Professional Post Acute Center at a glance
Professional Post Acute Center is a 99-bed for-profit nursing home in San Rafael, California (Marin County).
CMS gives it 3 out of 5 stars on its overall star rating, close to the California average of 3.2.
Residents receive about 3.8 hours of nursing care per day (0.5 of them from registered nurses), worse than the state average of 4.5 hours.
Its most recent standard health inspection (July 17, 2026) found 9 health citations. The California average is 15.5.
Federal regulators fined it 4 times in the past three years, totaling $148,455.
Nursing staff turnover is 38.1% per year (state average 36.7%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 99
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Cambridge Healthcare Services
- Medicare-certified since
- December 12, 1985
- Resident/family council
- Resident
- County
- Marin County
- CMS Certification Number
- 555214
Ratings
| Measure | This facility | California avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 3 / 5 | 3.2 / 5 | 3 / 5 | Average |
| Health inspection rating ⓘ (higher is better) | 2 / 5 | 2.8 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 4 / 5 | 3.3 / 5 | 2.9 / 5 | Better |
| Quality measures rating ⓘ (higher is better) | 5 / 5 | 4.1 / 5 | 3.6 / 5 | Better |
| Long-stay quality rating (higher is better) | 5 / 5 | 4.4 / 5 | 3.8 / 5 | Better |
Staffing
| Measure | This facility | California avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.84 hrs | 4.52 hrs | 3.86 hrs | Average |
| Registered nurse hours per resident per day (higher is better) | 0.54 hrs | 0.67 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 2.54 hrs | 2.65 hrs | 2.32 hrs | Better |
| Weekend nurse staff hours per resident per day (higher is better) | 3.59 hrs | 4.09 hrs | 3.42 hrs | Average |
| Nursing staff turnover (yearly) (lower is better) | 38.1% | 36.7% | 45.8% | Better |
| Registered nurse turnover (yearly) (lower is better) | 46.2% | 38.1% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 0 | 0 | 1 | Better |
Inspections
| Measure | This facility | California avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 9 | 16 | 9 | Average |
| Citations from complaint investigations (latest cycle) (lower is better) | 6 | 4 | 3 | Worse |
| Weighted health inspection score ⓘ (lower is better) | 101 | 105.8 | 80.6 | Worse |
Penalties
| Measure | This facility | California avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 4 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $148,455 | $23,986 | $30,972 | Worse |
| All federal penalties in the past 3 years (lower is better) | 4 | 1 | 1 | Worse |
Size
| Measure | This facility | California avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 99 | 99 | 107 | |
| Average residents per day | 84 | 88 | 86 | |
| Occupancy | 84.8% | 88.4% | 80.9% |
Long-stay residents
| Measure | This facility | California avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 2.1% | 1.6% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 2.9% | 4.3% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 9% | 12% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 0% | 1.2% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0% | 0.8% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 8.9% | 10.2% | 13.9% | Better |
| Long-stay residents whose walking worsened (lower is better) | 11.1% | 9.8% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 5.2% | 4% | 5.2% | Average |
| Long-stay residents with depressive symptoms (lower is better) | 3.4% | 7.3% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.4% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 1.9% | 13.7% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 12% | 10.2% | 19% | Better |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 98.2% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 100% | 98.6% | 93.6% | Better |
Short-stay residents
| Measure | This facility | California avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 1.1% | 1.5% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 96.6% | 93.2% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 99.8% | 94.4% | 82% | Better |
Inspection citations
State inspectors cited this home for 62 health deficiencies and 30 fire safety deficiencies in the inspection records CMS currently publishes. 8 citations involved actual harm.
| Date | Citation | Severity | Status |
|---|---|---|---|
| July 17, 2026 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | F Potential harm, widespread | Corrected July 23, 2026 |
| July 17, 2026 Fire safety | Install a fire alarm system that can be heard throughout the facility. Smoke Deficiencies · Tag K0341 | F Potential harm, widespread | Corrected July 30, 2026 |
| July 17, 2026 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected August 10, 2026 |
| July 17, 2026 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | F Potential harm, widespread | Corrected August 3, 2026 |
| July 17, 2026 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected August 3, 2026 |
| July 17, 2026 Fire safety | Meet requirements for the use of electrical equipment. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0919 | D Potential harm, isolated | Corrected August 3, 2026 |
| July 17, 2026 Fire safety | Provide a written emergency evacuation plan. Miscellaneous Deficiencies · Tag K0711 | D Potential harm, isolated | Corrected August 3, 2026 |
| July 17, 2026 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | D Potential harm, isolated | Corrected August 3, 2026 |
| July 17, 2026 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | G Actual harm, isolated | Corrected August 10, 2026 |
| July 17, 2026 Standard | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. Quality of Life and Care Deficiencies · Tag F0688 | E Potential harm, pattern | Corrected August 10, 2026 |
| July 17, 2026 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected August 10, 2026 |
| July 17, 2026 Complaint | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected August 10, 2026 |
| July 17, 2026 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected August 10, 2026 |
| May 8, 2026 Complaint | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Tag F0692 | D Potential harm, isolated | Corrected June 4, 2026 |
| May 4, 2026 Complaint | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Tag F0580 | D Potential harm, isolated | Corrected May 29, 2026 |
| March 4, 2026 Complaint | 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. Pharmacy Service Deficiencies · Tag F0761 | D Potential harm, isolated | Corrected March 5, 2026 |
| March 4, 2026 Complaint | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected March 5, 2026 |
| August 13, 2025 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | G Actual harm, isolated | Corrected September 18, 2025 |
| August 13, 2025 Complaint | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. Resident Rights Deficiencies · Tag F0557 | D Potential harm, isolated | Corrected September 18, 2025 |
| July 8, 2025 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected August 8, 2025 |
| April 21, 2025 Complaint | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected May 12, 2025 |
| February 6, 2025 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | D Potential harm, isolated | Corrected February 11, 2025 |
| September 19, 2024 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected November 7, 2024 |
| September 19, 2024 Fire safety | Properly provide smoke detection systems in areas open to corridors. Smoke Deficiencies · Tag K0347 | F Potential harm, widespread | Corrected November 7, 2024 |
| September 19, 2024 Fire safety | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Tag K0291 | F Potential harm, widespread | Corrected November 7, 2024 |
| September 19, 2024 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected November 7, 2024 |
| September 19, 2024 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | F Potential harm, widespread | Corrected November 7, 2024 |
| September 19, 2024 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | E Potential harm, pattern | Corrected November 7, 2024 |
| September 19, 2024 Fire safety | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Tag K0355 | D Potential harm, isolated | Corrected November 7, 2024 |
| September 19, 2024 Fire safety | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0923 | D Potential harm, isolated | Corrected November 7, 2024 |
| September 19, 2024 Fire safety | Have properly located and lighted "Exit" signs. Egress Deficiencies · Tag K0293 | D Potential harm, isolated | Corrected November 7, 2024 |
| September 19, 2024 Standard | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Tag F0759 | D Potential harm, isolated | Corrected October 8, 2024 |
| September 19, 2024 Standard | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Tag F0756 | D Potential harm, isolated | Corrected October 8, 2024 |
| September 3, 2024 Complaint | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Tag F0921 | D Potential harm, isolated | Corrected September 20, 2024 |
| September 3, 2024 Complaint | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected September 20, 2024 |
| September 3, 2024 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | D Potential harm, isolated | Corrected September 20, 2024 |
| June 11, 2024 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | E Potential harm, pattern | Corrected June 18, 2024 |
| February 28, 2024 Complaint | Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Tag F0697 | G Actual harm, isolated | Corrected March 28, 2024 |
| February 28, 2024 Complaint | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | E Potential harm, pattern | Corrected March 28, 2024 |
| February 27, 2024 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | E Potential harm, pattern | Corrected March 15, 2024 |
| February 27, 2024 Complaint | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Tag F0732 | D Potential harm, isolated | Corrected March 15, 2024 |
| February 27, 2024 Complaint | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected March 15, 2024 |
| February 15, 2024 Complaint | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | G Actual harm, isolated | Corrected March 28, 2024 |
| February 15, 2024 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | G Actual harm, isolated | Corrected March 28, 2024 |
| February 15, 2024 Complaint | Allow resident to participate in the development and implementation of his or her person-centered plan of care. Resident Rights Deficiencies · Tag F0553 | E Potential harm, pattern | Corrected March 28, 2024 |
| February 15, 2024 Complaint | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | E Potential harm, pattern | Corrected March 28, 2024 |
| February 15, 2024 Complaint | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected March 28, 2024 |
| February 15, 2024 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected March 28, 2024 |
| February 14, 2024 Complaint | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. Resident Rights Deficiencies · Tag F0557 | E Potential harm, pattern | Corrected March 22, 2024 |
| January 4, 2024 Complaint | Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Tag F0697 | D Potential harm, isolated | Corrected February 27, 2024 |
| January 4, 2024 Complaint | Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. Administration Deficiencies · Tag F0776 | D Potential harm, isolated | Corrected February 27, 2024 |
| November 22, 2023 Complaint | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | E Potential harm, pattern | Corrected December 24, 2023 |
| November 22, 2023 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected December 24, 2023 |
| November 22, 2023 Complaint | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | E Potential harm, pattern | Corrected December 24, 2023 |
| November 22, 2023 Complaint | 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. Resident Rights Deficiencies · Tag F0584 | E Potential harm, pattern | Corrected December 24, 2023 |
| November 22, 2023 Complaint | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected December 24, 2023 |
| May 19, 2021 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | E Potential harm, pattern | Corrected June 8, 2021 |
| May 19, 2021 Fire safety | Have properly located and lighted "Exit" signs. Egress Deficiencies · Tag K0293 | E Potential harm, pattern | Corrected June 8, 2021 |
| May 19, 2021 Fire safety | Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0914 | E Potential harm, pattern | Corrected June 8, 2021 |
| May 19, 2021 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | D Potential harm, isolated | Corrected June 8, 2021 |
| May 19, 2021 Fire safety | Establish policies and procedures for volunteers. Emergency Preparedness Deficiencies · Tag E0024 | D Potential harm, isolated | Corrected June 8, 2021 |
| May 19, 2021 Fire safety | Establish roles under a Waiver declared by secretary. Emergency Preparedness Deficiencies · Tag E0026 | D Potential harm, isolated | Corrected June 8, 2021 |
| May 19, 2021 Fire safety | List the names and contact information of those in the facility. Emergency Preparedness Deficiencies · Tag E0030 | D Potential harm, isolated | Corrected June 8, 2021 |
| May 19, 2021 Fire safety | Provide family notifications of emergency plan. Emergency Preparedness Deficiencies · Tag E0035 | D Potential harm, isolated | Corrected June 8, 2021 |
| May 19, 2021 Fire safety | Use approved construction type or materials. Construction Deficiencies · Tag K0161 | D Potential harm, isolated | Corrected June 8, 2021 |
| May 19, 2021 Fire safety | 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. Egress Deficiencies · Tag K0222 | D Potential harm, isolated | Corrected June 8, 2021 |
| May 19, 2021 Fire safety | Install a fire alarm system that can be heard throughout the facility. Smoke Deficiencies · Tag K0341 | D Potential harm, isolated | Corrected June 8, 2021 |
| May 19, 2021 Fire safety | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Tag K0355 | D Potential harm, isolated | Corrected June 8, 2021 |
| May 19, 2021 Fire safety | Conduct risk assessment and an All-Hazards approach. Emergency Preparedness Deficiencies · Tag E0006 | D Potential harm, isolated | Corrected June 8, 2021 |
| May 19, 2021 Standard | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | H Actual harm, pattern | Corrected August 23, 2021 |
| May 19, 2021 Standard | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0607 | G Actual harm, isolated | Corrected August 23, 2021 |
| May 19, 2021 Standard | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | G Actual harm, isolated | Corrected August 23, 2021 |
| May 19, 2021 Standard | 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. Nursing and Physician Services Deficiencies · Tag F0726 | F Potential harm, widespread | Corrected August 17, 2021 |
| May 19, 2021 Standard | 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. Nursing and Physician Services Deficiencies · Tag F0727 | F Potential harm, widespread | Corrected August 17, 2021 |
| May 19, 2021 Standard | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Tag F0732 | E Potential harm, pattern | Corrected August 17, 2021 |
| May 19, 2021 Standard | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Tag F0725 | E Potential harm, pattern | Corrected August 17, 2021 |
| May 19, 2021 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | E Potential harm, pattern | Corrected August 17, 2021 |
| May 19, 2021 Standard | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | E Potential harm, pattern | Corrected August 17, 2021 |
| May 19, 2021 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected August 17, 2021 |
| May 19, 2021 Standard | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Administration Deficiencies · Tag F0867 | E Potential harm, pattern | Corrected August 17, 2021 |
| May 19, 2021 Standard | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | E Potential harm, pattern | Corrected August 17, 2021 |
| May 19, 2021 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected August 17, 2021 |
| May 19, 2021 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | E Potential harm, pattern | Corrected August 17, 2021 |
| May 19, 2021 Standard | 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. Resident Rights Deficiencies · Tag F0584 | E Potential harm, pattern | Corrected August 17, 2021 |
| May 19, 2021 Standard | Give residents a notice of rights, rules, services and charges. Resident Rights Deficiencies · Tag F0572 | E Potential harm, pattern | Corrected August 17, 2021 |
| May 19, 2021 Standard | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental Deficiencies · Tag F0925 | E Potential harm, pattern | Corrected August 17, 2021 |
| May 19, 2021 Standard | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | E Potential harm, pattern | Corrected August 17, 2021 |
| May 19, 2021 Standard | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | E Potential harm, pattern | Corrected August 17, 2021 |
| May 19, 2021 Standard | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | D Potential harm, isolated | Corrected August 17, 2021 |
| May 19, 2021 Standard | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Tag F0679 | D Potential harm, isolated | Corrected August 17, 2021 |
| May 19, 2021 Standard | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Tag F0690 | D Potential harm, isolated | Corrected August 17, 2021 |
| May 19, 2021 Standard | 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. Pharmacy Service Deficiencies · Tag F0761 | D Potential harm, isolated | Corrected August 17, 2021 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 4 federal penalties in the past three years, including $148,455 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| July 8, 2025 | Fine | $79,560 |
| January 4, 2024 | Fine | $61,204 |
| October 17, 2023 | Fine | $2,447 |
| September 25, 2023 | Fine | $5,244 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| CRESCENT FACILITIES OPERATIONS LLC Organization | 5% or greater direct ownership interest | 100% | 12/19/2006 |
| BERING PROPERTIES LLC Organization | 5% or greater indirect ownership interest | 6% | 02/01/2007 |
| JENMAX ENTERPRISES LLC Organization | 5% or greater indirect ownership interest | 23% | 02/01/2007 |
| JK-CSH JV LLC Organization | 5% or greater indirect ownership interest | 12% | 11/01/2006 |
| MANHATTAN FIVE PARTNERS LLC Organization | 5% or greater indirect ownership interest | 7% | 11/01/2006 |
| WIN WIN ENTERPRISES, LLC Organization | 5% or greater indirect ownership interest | 35% | 02/01/2007 |
| 81 PROFESSIONAL CENTER LLC Organization | adp of the snf | NOT APPLICABLE | 12/15/2006 |
| BRETSCH, GREGORY Individual | adp of the snf | NOT APPLICABLE | 02/25/2019 |
| BUTENKO, JULIE Individual | adp of the snf | NOT APPLICABLE | 07/24/2023 |
| CAMBRIDGE HEALTHCARE SERVICES LLC Organization | adp of the snf | NOT APPLICABLE | 11/05/2025 |
| CAPELA, HEIDI Individual | adp of the snf | NOT APPLICABLE | 04/03/2023 |
| FOREMAN, NICOLE Individual | adp of the snf | NOT APPLICABLE | 11/05/2025 |
| HASSELL, LANCE Individual | adp of the snf | NOT APPLICABLE | 04/25/2022 |
| JENMAX ENTERPRISES LLC Organization | adp of the snf | NOT APPLICABLE | 12/15/2006 |
| JK-CSH JV LLC Organization | adp of the snf | NOT APPLICABLE | 12/15/2006 |
| LUTZ, LINDA Individual | adp of the snf | NOT APPLICABLE | 02/01/2012 |
| SALAZAR, PAULINA Individual | adp of the snf | NOT APPLICABLE | 12/14/2020 |
| SMEDRA, IRA Individual | adp of the snf | NOT APPLICABLE | 02/01/2007 |
| WINTNER, JACOB Individual | adp of the snf | NOT APPLICABLE | 02/01/2007 |
| WIN WIN ENTERPRISES, LLC Organization | adp of the snf | NOT APPLICABLE | 12/15/2006 |
| BH ALLIANCE Organization | indirect ownership interest | NOT APPLICABLE | 11/01/2006 |
| THE JACOB WINTNER TRUST Organization | indirect ownership interest | NOT APPLICABLE | 11/01/2006 |
| THE WINTNER LIVING TRUST DATED 7/08/1992 Organization | indirect ownership interest | NOT APPLICABLE | 02/01/2007 |
| WINTNER, JACOB Individual | indirect ownership interest | NOT APPLICABLE | 02/01/2007 |
| BRETSCH, GREGORY Individual | managing control - governing body | NOT APPLICABLE | 02/25/2019 |
| FOREMAN, NICOLE Individual | managing control - governing body | NOT APPLICABLE | 01/08/2024 |
| BRETSCH, GREGORY Individual | operational/managerial control | NOT APPLICABLE | 02/25/2019 |
| BUTENKO, JULIE Individual | operational/managerial control | NOT APPLICABLE | 07/24/2023 |
| CAMBRIDGE HEALTHCARE SERVICES LLC Organization | operational/managerial control | NOT APPLICABLE | 04/01/2014 |
| CAPELA, HEIDI Individual | operational/managerial control | NOT APPLICABLE | 04/03/2023 |
| COPP, NOREEN Individual | operational/managerial control | NOT APPLICABLE | 07/14/2025 |
| FOREMAN, NICOLE Individual | operational/managerial control | NOT APPLICABLE | 01/08/2024 |
| HASSELL, LANCE Individual | operational/managerial control | NOT APPLICABLE | 04/25/2022 |
| LUTZ, LINDA Individual | operational/managerial control | NOT APPLICABLE | 02/01/2012 |
| SALAZAR, PAULINA Individual | operational/managerial control | NOT APPLICABLE | 12/14/2020 |
| SMEDRA, IRA Individual | operational/managerial control | NOT APPLICABLE | 02/01/2007 |
| WINTNER, JACOB Individual | operational/managerial control | NOT APPLICABLE | 02/01/2007 |
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Frequently asked questions
What is Professional Post Acute Center's rating?
Professional Post Acute Center has 3 out of 5 stars on the CMS overall star rating. The average for California nursing homes is 3.2 stars.
How many inspection citations did Professional Post Acute Center receive?
Its most recent standard health inspection found 9 citations, compared with a California average of 15.5. Every citation is listed on this page with its severity.
Does Professional Post Acute Center accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Professional Post Acute Center?
It is for profit - limited liability company and part of Cambridge Healthcare Services. The ownership section on this page lists the owners and managers reported to CMS.
Where is Professional Post Acute Center and how do I contact it?
Professional Post Acute Center is at 81 Professional Center Parkway, San Rafael, CA 94903. Phone: (415) 479-5161.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.