PINE RIDGE CARE CENTER
Certified for Medicare and Medicaid since 1967-11-01, PINE RIDGE CARE CENTER is a 101-bed nursing home in SAN RAFAEL, California, averaging 86.5 residents a day.
Has PINE RIDGE CARE CENTER been cited for violations?
CMS lists 43 health-inspection deficiencies for PINE RIDGE CARE CENTER since 2021-08-12, 28 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is F; the most recent health inspection was 2026-02-12.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2026-02-12 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | E |
| 2026-02-12 | F0641 | Ensure each resident receives an accurate assessment. | D |
| 2026-01-08 | F0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D |
| 2025-12-05 | F0756, F0812 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F |
| 2025-12-05 | F0578, F0657, F0804, F0807 | Honor 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. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. / Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | E |
| 2025-12-05 | F0627, F0656, F0676, F0699, F0880 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. / Provide care or services that was trauma informed and/or culturally competent. / Provide and implement an infection prevention and control program. | D |
| 2025-09-08 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D |
| 2025-08-04 | F0580, F0655, F0689 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D |
| 2025-07-16 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D |
| 2025-04-17 | F0678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | E |
| 2025-04-17 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D |
| 2024-12-12 | F0638, F0676, F0689, F0912 | Assure that each resident’s assessment is updated at least once every 3 months. / Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | D |
| 2024-05-28 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D |
| 2024-03-19 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D |
| 2023-09-11 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D |
| 2021-08-12 | F0576 | Ensure residents have reasonable access to and privacy in their use of communication methods. | F |
| 2021-08-12 | F0577, F0585, F0656, F0689, F0692, F0756, F0758, F0802, F0803, F0812, F0841, F0865, F0867, F0921 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. / 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. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide enough food/fluids to maintain a resident's health. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / 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. / Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. / Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility. / Have a plan that describes the process for conducting QAPI and QAA activities. / Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. / Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E |
How is PINE RIDGE CARE CENTER staffed relative to the CA average?
| Measure | This facility | CA average |
|---|---|---|
| Total nurse staffing hours per resident per day | 4.47648 | 4.51570 |
| Total nursing staff turnover (%) | 42.9 | 36.7 |
| Average number of residents per day | 86.5 | 87.9 |
Who owns PINE RIDGE CARE CENTER, and what chain is it in?
PINE RIDGE CARE CENTER is registered with CMS as For profit - Partnership, operates under the legal business name SAN RAFAEL OPERATING COMPANY LP and belongs to the MARINER HEALTH CARE chain.
| Role | Owner | Association date |
|---|---|---|
| 5% OR GREATER DIRECT OWNERSHIP INTEREST | GC HOLDING COMPANY 3, LLC | since 08/01/2022 |
| 5% OR GREATER INDIRECT OWNERSHIP INTEREST | GRANCARE LLC, MARINER HEALTH CARE, INC., MHC HOLDING COMPANY, MHC WEST HOLDING COMPANY, NATIONAL SENIOR CARE, INC., GRUNSTEIN, EMILY | since 02/06/2019 |
| 5% OR GREATER SECURITY INTEREST | CAPITAL FUNDING GROUP, LLC | since 11/01/2021 |
| MANAGING CONTROL - GOVERNING BODY | MELIJOY, ADAN, MONROE, MICHAEL, SARCAUGA, DENNIS | since 02/06/2025 |
| OPERATIONAL/MANAGERIAL CONTROL | MELIJOY, ADAN, MONROE, MICHAEL, SARCAUGA, DENNIS, SERRANO, NOEL | since 02/06/2025 |
| GENERAL PARTNERSHIP INTEREST | SAN RAFAEL OPERATING COMPANY GP, LLC | since 12/21/2005 |
| LIMITED PARTNERSHIP INTEREST | GC HOLDING COMPANY 3, LLC | since 08/01/2022 |
| ADP OF THE SNF | MELIJOY, ADAN, MONROE, MICHAEL, SARCAUGA, DENNIS, SERRANO, NOEL | since 02/06/2025 |
Were you or a family member harmed at PINE RIDGE CARE CENTER?