Nursing home
San Rafael Healthcare & Wellness Center
1601 5Th Avenue, San Rafael, CA 94901 · Map
For profit - Limited Liability company · 54 certified beds
San Rafael Healthcare & Wellness Center is a Medicare-certified nursing home in San Rafael, California. CMS rates it 2 out of 5 stars overall (3/5 for staffing, 2/5 for health inspections). Nurse staffing is 4.06 hours per resident per day, below the California average of 4.51. Its most recent inspection on Mar 20, 2025 cited 29 deficiencies.
- 1 fine totaling $8,278In CMS records: 2 total penalties, 1 Medicare payment denial.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How San Rafael Healthcare & Wellness Center compares
This facility vs. the California and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | California avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 4.06 | 4.51 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.53 | 0.65 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.60 | 2.64 | 2.34 | below avg |
| Nursing staff turnover | 48.1% | 38.1% | 46.4% | above avg |
| Deficiencies cited, last inspection | 29.0 | 15.4 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
Penalties in CMS records: 1 fine totaling $8,278, 2 total penalties, 1 Medicare payment denial.
What inspectors found at San Rafael Healthcare & Wellness Center
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Dec 23, 2025 · Full report (PDF) - Potential for harm
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 · Jul 18, 2025 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Jun 3, 2025 · Full report (PDF) - Potential for harm
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Jun 3, 2025 · Full report (PDF) - Potential for harm
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Resident Rights Deficiencies · Jun 3, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · May 7, 2025 · Full report (PDF) - Potential for harm
Make sure that a working call system is available in each resident's bathroom and bathing area.
Environmental Deficiencies · Apr 23, 2025 · Full report (PDF) - Potential for harm
Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care Deficiencies · Apr 23, 2025 · Full report (PDF) - Potential for harm
Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights Deficiencies · Apr 10, 2025 · Full report (PDF) - Actual harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Mar 27, 2025 · Full report (PDF) - Potential for harm
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.
Pharmacy Service Deficiencies · Mar 24, 2025 · Full report (PDF) - Potential for harm
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Rights Deficiencies · Mar 24, 2025 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 1601 5Th Avenue
San Rafael, CA 94901 - CMS certification #
- 055331
- Ownership
- For profit - Limited Liability company
- Certified beds
- 54
- Avg residents/day
- 51.5
- Provider type
- Medicare and Medicaid
- First certified
- 1974-03-29
- Setting
- Urban
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around San Rafael Healthcare & Wellness Center using Google Maps.
Other public records
- Kitchen 2 inspections by Marin County Environmental Health Services since 2024; latest Only Minor Violation(s) Found, grade Green placard (June 2026)
Full public records, with dates and sources
Kitchen inspections
The local health department inspects the kitchen that serves residents. Results are in the agency's own words.
Marin County Environmental Health Services: San Rafael Healthcare & Wellness Center
- Jun 24, 2026 (routine): Only Minor Violation(s) Found, grade Green placard.
1 violation
- CHSC 113947.1
- Feb 1, 2024 (routine): Only Minor Violation(s) Found, grade Green placard.
1 violation
- CHSC 114099.7
Source: the agency's records, inspections since Oct 16, 2023, as of Oct 15, 2026. Green placard: Pass. Yellow placard: Conditional pass; follow-up required. Red placard: Closed.
Location and nearby care
- Nearest hospital with an emergency room
- Marinhealth Medical Center, Greenbrae. 1.9 miles away, straight line. CMS overall hospital rating: 5 of 5 stars.
- Nearest Medicare nursing home
- Villa Marin, San Rafael. 2.0 miles away, straight line.
- Nearest home health agency office
- By The Bay Health, Larkspur. 2.5 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Walgreens. 0.8 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, 0.4 miles away, straight line (CMS rating 5 of 5 stars)
Shc Larkspur, Greenbrae, 2.0 miles away, straight line (CMS rating 4 of 5 stars)
Davita San Pablo Dialysis, San Pablo, 11.3 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, 2.5 miles away, straight line (CMS family survey rating 4 of 5 stars)
Madrona Hospice Care Inc, office in San Rafael, 3.4 miles away, straight line
Sutter Care At Home, office in San Francisco, 14.0 miles away, straight line (CMS family survey rating 3 of 5 stars) - Nearest geriatric medicine practice
- Permanente Medical Group Inc, Richmond. 10.1 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 risk
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
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively moderate. By hazard: inland flooding relatively moderate, wildfire relatively low, tornado very low, heat wave relatively low, earthquake relatively 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.
What we checked
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 |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Only cases that look tied to an earlier operator (not shown) |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| Marin County Environmental Health Services kitchen inspections | Oct 15, 2026 | See above |
| 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 |
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Frequently asked questions
Is San Rafael Healthcare & Wellness Center a good nursing home?
CMS gives San Rafael Healthcare & Wellness Center an overall rating of 2 out of 5 stars, including 3/5 for staffing and 2/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is San Rafael Healthcare & Wellness Center staffed?
San Rafael Healthcare & Wellness Center reports 4.06 total nurse hours per resident per day, compared with the California average of 4.51.
Has San Rafael Healthcare & Wellness Center had inspection problems?
Its most recent CMS inspection cited 29 deficiencies.
How many beds does San Rafael Healthcare & Wellness Center have?
San Rafael Healthcare & Wellness Center is certified for 54 beds.