Facility profile · CCN 465085
San Rafael Health And Rehabilitation
27 federal citations on record , including 3 at the Immediate Jeopardy level, and 2 federal enforcement actions totaling $29,347.
Record summary
Federal record · Q1 202627
Total citations
14
Last 3 years
6
Actual harm+
2
Federal penalties
$29,347
Total fines
1
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
27 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Nov 15, 2024 | F943 | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | F | Complaint |
| Nov 15, 2024 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint |
| Nov 15, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint |
| Nov 15, 2024 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Complaint |
| Nov 15, 2024 | F610 | Respond appropriately to all alleged violations. | J | Complaint |
| Nov 15, 2024 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | J | Complaint |
| Nov 15, 2024 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | Complaint |
| Nov 15, 2024 | F565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | Complaint |
| Nov 15, 2024 | F880 | Provide and implement an infection prevention and control program. | E | Standard |
| Nov 15, 2024 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard |
| Nov 15, 2024 | F758 | 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. | D | Standard |
| Nov 15, 2024 | F756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard |
| Nov 15, 2024 | F690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard |
| Nov 15, 2024 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard |
| Mar 15, 2023 | F756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Complaint |
| Mar 15, 2023 | F712 | Ensure that the resident and his/her doctor meet face-to-face at all required visits. | E | Complaint |
| Mar 15, 2023 | F585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | E | Complaint |
| Jun 17, 2021 | F868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | C | Standard |
| Jun 17, 2021 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Standard |
| Jun 17, 2021 | F770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | Standard |
| Jun 17, 2021 | F758 | 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. | E | Standard |
| Jun 17, 2021 | F756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | Standard |
| Jun 17, 2021 | F712 | Ensure that the resident and his/her doctor meet face-to-face at all required visits. | E | Standard |
| Jun 17, 2021 | F697 | Provide safe, appropriate pain management for a resident who requires such services. | G | Standard |
| Jun 17, 2021 | F690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard |
| Jun 17, 2021 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Standard |
| Jun 17, 2021 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard |
Federal enforcement history
Federal regulators have imposed 2 enforcement actions against this facility, including 2 civil money penalties totaling $29,347 .
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Nov 15, 2024 | Fine | $25,929 | — |
| Feb 6, 2024 | Fine | $3,418 | — |
About this record
A citation is a finding by a state survey team working under federal contract. It is not a court
judgment. The description above is drawn verbatim from federal public datasets. Facilities have
the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.
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