Assisted Living
Saint Michael's Extended Care
416 4th Street, San Rafael, CA 94901 · Map
Licensed for 44 residents · SAINT MICHAEL'S EXTENDED CARE, LLC
Saint Michael's Extended Care is a state-licensed assisted living community in San Rafael, California. It is licensed for 44 residents. Lilisity publishes no score or ranking for this community; the details below come from the state licensing record.
Prices
This community does not publish its prices.
Area costs
Lilisity’s independent report
What the public record shows
Gathered by Lilisity from state and federal sources. Communities can’t edit this part of the page.
License
Active, 44 residents
RESIDENTIAL CARE ELDERLY 216801999, licensed since May 16, 2007. Licensee SAINT MICHAEL'S EXTENDED CARE, LLC.
Nearest emergency room
2.0 miles
Marinhealth Medical Center, rated 5 of 5 stars by CMS.
Side by side with nearby communities
The 4 nearest communities that offer assisted living, by straight-line distance. Prices are starting prices each community publishes; we never show estimates.
| Community | Distance | Licensed capacity | Published starting price | License | Inspection citations |
|---|---|---|---|---|---|
| Saint Michael's Extended Care this community | 44 | Not published | Active | 2 Type A, 2 Type B | |
| Aldersly | 0.1 mi | 172 | $9,589/mo | Active | 8 Type A, 7 Type B |
| Aegis Living San Rafael | 0.4 mi | 98 | $6,997/mo | Active | 2 Type A, 4 Type B |
| Villa Gardens | 0.9 mi | 12 | Not published | Active | 1 Type A, 4 Type B |
| Greenwood Assisted Living | 1.4 mi | 47 | Not published | Active | 7 Type A, 5 Type B |
State inspection record2 Type A, 2 Type B
- Last state visit
- August 21, 2026
- State visits since March 10, 2022
- 12 (including 5 inspections, 5 complaints investigated)
- Type A citations
- 2 immediate risk
- Type B citations
- 2 potential risk if not corrected
- Complaint allegations investigated
- 9: 2 substantiated, 7 not substantiated
- License active since 2007
Citations (4), newest first
- 87458(c)(1)(A) (plan of correction due April 28, 2026): Medical Assessment. The medical assessment must include a physical exam with a test for tuberculosis and other diseases, medical history, and a list of current medications.
- 1569.695(a)(2) (plan of correction due April 28, 2026): Emergency and Disaster Plans. The community must have an emergency and disaster plan, train staff on it, hold drills and keep key resident information ready.
- 87465(a)(4) (plan of correction due May 15, 2025): Incidental Medical and Dental Care Services. The community must have a plan for residents' medical and dental care and help residents arrange and get to that care.
- 87648.2(a)(4) (plan of correction due May 15, 2025): Plain meaning not available; see the state’s report.
Plain meanings are our short reading of the rule cited, from the state’s regulation text. The state’s report says what happened.
Complaints with substantiated allegations (date the finding was approved)
- May 16, 2025: 2 substantiated, 2 Type A citations
Complaints with no substantiated allegation (4)
- August 28, 2026: 1 unsubstantiated
- September 16, 2024: 1 unsubstantiated
- April 24, 2024: 4 unsubstantiated
- April 5, 2022: 1 unsubstantiated
Every state visit (14)
- August 21, 2026: Complaint visit
- April 17, 2026: Inspection
- May 14, 2025: Inspection
- May 14, 2025: Complaint visit
- September 11, 2024: Complaint visit
Show all 14
- April 17, 2024: Other visit
- April 17, 2024: Complaint visit
- April 3, 2024: Inspection
- June 14, 2023: Other visit
- May 16, 2023: Inspection
- October 17, 2022: Other visit
- April 5, 2022: Other visit
- March 16, 2022: Complaint visit
- March 10, 2022: Inspection
Read every report on the state’s site →
What these terms mean
Type A citations are for “the most serious type of violations in which there is an immediate risk to the health, safety or personal rights of those in care,” and are issued “even if the violation is corrected on the spot.”
Type B citations are for “a violation that, if not corrected, may [pose] an immediate risk to the health, safety or personal rights of clients,” such as faulty medical record keeping or staff training.
CCLD: “There is no difference between an inconclusive and an unsubstantiated complaint allegation. Both terms mean that there was no preponderance of evidence to prove that an alleged violation occurred.” Allegations CCLD finds unfounded are also not substantiated.
This community is licensed for 44 residents; larger communities are visited and complained about more often, so read counts with size in mind. Source: California Department of Social Services, Community Care Licensing, data as of September 28, 2026, covering the five years of records the state publishes. The state’s advice: “Never rely on this information alone to make a decision about a facility. Always visit facilities in person.”
License and ownershipActive license, licensee SAINT MICHAEL'S EXTENDED CARE, LLC
- License type
- RESIDENTIAL CARE ELDERLY
- License number
- 216801999
- License status
- Active
- Licensed since
- 2007-05-16
- Licensed capacity
- 44
- Licensee
- SAINT MICHAEL'S EXTENDED CARE, LLC
- County
- Marin County
- Administrator
- Rufus Zingkhai
Source: California state licensing records (agency listing), retrieved 2026-09-09. Licensing status is a matter of public record; it is not a quality rating.
Administrator name from the California licensing record, as of Sep 9, 2026.
Paying with Medicaid and other programsHow Medicaid pays for care in California, and other programs
How Medicaid pays for care in California
- Assisted Living Waiver (ALW). Medi-Cal can pay for assisted living care services through the Assisted Living Waiver, but only in 15 counties, only for people who need nursing home level care, and there is a waitlist. The resident still pays room and board. (state page)
- Waitlist. The Assisted Living Waiver has a waitlist. DHCS reported 18,365 people on it in December 2025. (source)
Ask the community whether it accepts Medicaid.
Staff pay and workplace safety1 federal wage case with violations found
Federal records about how the employer here treats its staff.
Federal wage and hour cases
The Department of Labor checks that staff are paid minimum wage and overtime as the law requires.
- Findings for Aug 1, 2011 to Jul 31, 2014. Violations found: Overtime. Back wages: $8,305 owed to 12 employees. Employer as DOL recorded it: Saint Michael's Extended Care Home. Case 1736977.
Source: U.S. Department of Labor, Wage and Hour Division enforcement data, loaded Oct 15, 2026. Concluded cases only. The dates are the period in which DOL found violations, not when the case opened or closed. Back wages are what the employer agreed to pay; penalties are what DOL assessed. DOL does not publish a page for each case, so search the dataset by case number.
Location and nearby careNearest hospital 2.0 mi, nursing home 1.2 mi, pharmacy 0.4 mi
- Nearest hospital with an emergency room
- Marinhealth Medical Center, Greenbrae. 2.0 miles away, straight line. CMS overall hospital rating: 5 of 5 stars.
- Nearest Medicare nursing home
- San Rafael Healthcare & Wellness Center, LP, San Rafael. 1.2 miles away, straight line.
- Nearest home health agency office
- By The Bay Health, Larkspur. 1.9 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Walgreens. 0.4 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 94901 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Davita San Rafael Dialysis, San Rafael, 0.8 miles away, straight line (CMS rating 5 of 5 stars)
Shc Larkspur, Greenbrae, 2.5 miles away, straight line (CMS rating 4 of 5 stars)
Davita San Pablo Dialysis, San Pablo, 10.1 miles away, straight line (has a shift starting after 5 pm; CMS rating 3 of 5 stars) - Hospice
- 14 Medicare hospices tell CMS they serve ZIP code 94901.
By The Bay Health, office in Larkspur, 1.9 miles away, straight line (CMS family survey rating 4 of 5 stars)
Madrona Hospice Care Inc, office in San Rafael, 3.8 miles away, straight line
Sutter Care At Home, office in San Francisco, 13.3 miles away, straight line (CMS family survey rating 3 of 5 stars) - Nearest geriatric medicine practice
- Permanente Medical Group Inc, Richmond. 8.8 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard riskFEMA overall risk relatively high; in FEMA's high-risk flood area (Zone AE)
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Zone AE: 1% annual chance flood area (high risk); base flood elevation set. This is inside FEMA's Special Flood Hazard Area, where flood insurance is required for federally backed mortgages. Base flood elevation 10 Feet NAVD88. (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively high. By hazard: inland flooding very high, coastal flooding relatively high, wildfire relatively low, tornado very low, heat wave relatively low, earthquake very high. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
Questions to ask on a tour10 questions picked for this community from its record
Picked for this community from its record. Ask them in person and write down the answers.
- The state recorded a finding in May 2025. What was it, and how was it fixed?
- This address is in FEMA's high-risk flood area. Where do residents go in an evacuation, and how do you move them?
- What does the base rate include, and when did rates last go up?
- How many caregivers are on duty during the day and at night?
- What happens if care needs increase? When would someone need to move?
- What fees are charged at move-in?
- How do you tell families about falls, illness or changes?
- How long have the executive director and the head of care been here?
- Who gives medications, and what training do they have?
- For what reasons can a resident be asked to leave?
What we checked14 public sources we searched, with dates
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| California Department of Social Services, Community Care Licensing inspection records | Sep 28, 2026 | See above |
| California Medicaid provider list | Mar 3, 2026 | Not on the state list we checked. These lists are often incomplete. |
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | See above |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| Marin County Environmental Health Services kitchen inspections | Oct 15, 2026 | No kitchen matched |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here relatively low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | No plain statements of services found |
Common questionsAnswers to 4 questions families ask
What type of care does Saint Michael's Extended Care provide?
Saint Michael's Extended Care is licensed by the state of California for assisted living in San Rafael, California. Its licensed capacity is 44 residents.
Does Lilisity rate Saint Michael's Extended Care?
No. We publish state licensing details for Saint Michael's Extended Care but no score, rating, or ranking. Only communities on the Top Communities list or with a Senior Living Alliance Excellence Award, both based on phone-verified resident and family interviews, are ranked.
How much does Saint Michael's Extended Care cost?
Assisted Living in California typically starts at $3,800 to $6,100 a month. Based on 267 communities that publish prices. These are area figures, not this community's price. Saint Michael's Extended Care does not publish its prices.
How do I contact Saint Michael's Extended Care?
Use Saint Michael's Extended Care's website, saintmichael.com, or visit at 416 4th Street, San Rafael, CA 94901.
How Lilisity works. The only scores or rankings Lilisity publishes are the Top Communities list and the Excellence Awards, both built from phone-verified resident and family interviews. Communities can pay Lilisity a flat monthly fee to manage their own listing: photos, prices, contact details, and receiving the inquiries families choose to send them. The fee is the same no matter how many families contact them or move in. Senior Living Alliance, which runs Lilisity, offers the same listing to its member communities as part of their membership; members pay SLA for its resident and family interview program. No community pays Lilisity per inquiry, per referral or per move-in. Payment never changes a testimonial, a rating, or the order of search results. The "Nearby Senior Living Alliance communities" box shows member communities only. How we verify testimonials · How we are paid