Independent · Federal inspection records, searchable
Not a law firm · Not a government agency
Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 055331

San Rafael Healthcare & Wellness Center, Lp

57 federal citations on record , and 2 federal enforcement actions totaling $8,278.

Record summary

Federal record · Q1 2026
57
Total citations
50
Last 3 years
1
Actual harm+
2
Federal penalties
$8,278
Total fines
2
Overall ★ rating

Most common violation categories here

Quality of Care13 Resident Rights12 Care Planning8 Nutrition & Dietary6 Infection Control5

Most common F-tags at this facility

F8804 F6893 F6563 F8123 F6002

Citation history

57 on record
SurveyF-TagViolationSeveritySource
Dec 23, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Jul 18, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Jun 3, 2025F880Provide and implement an infection prevention and control program.DComplaint
Jun 3, 2025F658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint
Jun 3, 2025F557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.DComplaint
May 7, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Apr 23, 2025F919Make sure that a working call system is available in each resident's bathroom and bathing area.EComplaint
Apr 23, 2025F697Provide safe, appropriate pain management for a resident who requires such services.DComplaint
Apr 10, 2025F552Ensure that residents are fully informed and understand their health status, care and treatments.EComplaint
Mar 27, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint
Mar 24, 2025F758Implement 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.DComplaint
Mar 24, 2025F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DComplaint
Mar 20, 2025F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.DStandard
Mar 20, 2025F880Provide and implement an infection prevention and control program.DStandard
Mar 20, 2025F825Provide or get specialized rehabilitative services as required for a resident.DStandard
Mar 20, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Mar 20, 2025F761Ensure 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.EStandard
Mar 20, 2025F760Ensure that residents are free from significant medication errors.EStandard
Mar 20, 2025F759Ensure medication error rates are not 5 percent or greater.DStandard
Mar 20, 2025F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.DStandard
Mar 20, 2025F693Ensure 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.DStandard
Mar 20, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
Mar 20, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard
Mar 20, 2025F658Ensure services provided by the nursing facility meet professional standards of quality.EStandard
Mar 20, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Mar 20, 2025F641Ensure each resident receives an accurate assessment.DStandard
Mar 20, 2025F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DStandard
Mar 20, 2025F584Honor 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.DStandard
Mar 20, 2025F559Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.DStandard
Mar 20, 2025F558Reasonably accommodate the needs and preferences of each resident.DStandard
Feb 24, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Feb 24, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Feb 24, 2025F559Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.DComplaint
Aug 19, 2024F698Provide safe, appropriate dialysis care/services for a resident who requires such services.DComplaint
May 7, 2024F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.DComplaint
Nov 7, 2023F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Aug 2, 2023F912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.EComplaint
May 25, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
May 25, 2023F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.DStandard
May 25, 2023F880Provide and implement an infection prevention and control program.FStandard
May 25, 2023F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard
May 25, 2023F814Dispose of garbage and refuse properly.DStandard
May 25, 2023F813Have a policy regarding use and storage of foods brought to residents by family and other visitors.DStandard
May 25, 2023F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
May 25, 2023F692Provide enough food/fluids to maintain a resident's health.DStandard
May 25, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
May 25, 2023F641Ensure each resident receives an accurate assessment.EStandard
May 25, 2023F578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.DStandard
May 25, 2023F558Reasonably accommodate the needs and preferences of each resident.DStandard
May 25, 2023F552Ensure that residents are fully informed and understand their health status, care and treatments.DStandard
Apr 14, 2023F882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.FComplaint
Apr 14, 2023F698Provide safe, appropriate dialysis care/services for a resident who requires such services.DComplaint
Apr 14, 2023F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Jan 17, 2020F880Provide and implement an infection prevention and control program.EStandard
Jan 17, 2020F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Jan 17, 2020F801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.EStandard
Jan 17, 2020F695Provide safe and appropriate respiratory care for a resident when needed.DStandard

Federal enforcement history

Federal regulators have imposed 2 enforcement actions against this facility, including 1 civil money penalties totaling $8,278 and 1 payment-denial actions spanning 6 days.

DateTypeFinePayment denial
Mar 20, 2025Fine$8,278—
Mar 20, 2025Payment Denial—May 13, 2025 · 6 days
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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