PROFESSIONAL POST ACUTE CENTER
PROFESSIONAL POST ACUTE CENTER is a 99-bed nursing home in SAN RAFAEL, California. CMS has certified it for Medicare and Medicaid since 1985-12-12. It averages 84.0 residents a day.
What harm was found in the violations cited at PROFESSIONAL POST ACUTE CENTER?
CMS lists 77 health-inspection deficiencies for PROFESSIONAL POST ACUTE CENTER since 2019-05-01, 35 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is H; the most recent health inspection was 2026-05-08.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2026-05-08 | F0692 | Provide enough food/fluids to maintain a resident's health. | D |
| 2026-05-04 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D |
| 2026-03-04 | F0658, F0761 | Ensure services provided by the nursing facility meet professional standards of quality. / Ensure 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. | D |
| 2025-08-13 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G |
| 2025-08-13 | F0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D |
| 2025-07-08 | F0880 | Provide and implement an infection prevention and control program. | D |
| 2025-04-21 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D |
| 2025-02-06 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D |
| 2024-09-19 | F0756, F0759 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / Ensure medication error rates are not 5 percent or greater. | D |
| 2024-09-03 | F0600, F0609, F0921 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D |
| 2024-06-11 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E |
| 2024-02-28 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | G |
| 2024-02-28 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E |
| 2024-02-27 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E |
| 2024-02-27 | F0658, F0732 | Ensure services provided by the nursing facility meet professional standards of quality. / Post nurse staffing information every day. | D |
| 2024-02-15 | F0686, F0689 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G |
| 2024-02-15 | F0553, F0657 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E |
| 2024-02-15 | F0658, F0684 | Ensure services provided by the nursing facility meet professional standards of quality. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D |
| 2024-02-14 | F0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | E |
| 2024-01-04 | F0697, F0776 | Provide safe, appropriate pain management for a resident who requires such services. / Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. | D |
| 2023-11-22 | F0550, F0584, F0755, F0880 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Honor 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. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Provide and implement an infection prevention and control program. | E |
| 2023-11-22 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D |
| 2023-08-18 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D |
| 2021-05-19 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | H |
| 2021-05-19 | F0607, F0609 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | G |
| 2021-05-19 | F0726, F0727 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. / Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | F |
| 2021-05-19 | F0550, F0572, F0584, F0656, F0657, F0658, F0689, F0725, F0732, F0812, F0842, F0867, F0880, F0925 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Give residents a notice of rights, rules, services and charges. / Honor 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. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Ensure services provided by the nursing facility meet professional standards of quality. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / Post nurse staffing information every day. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. / Provide and implement an infection prevention and control program. / Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E |
| 2021-05-19 | F0677, F0679, F0690, F0761 | Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide activities to meet all resident's needs. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Ensure 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. | D |
| 2019-05-01 | F0800, F0801, F0802, F0812, F0867, F0881 | Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. / Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. / Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. / Implement a program that monitors antibiotic use. | F |
| 2019-05-01 | F0578, F0656, F0657, F0677, F0690, F0691, F0726, F0803, F0806, F0808 | 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 and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. / Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. / 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. / Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. / Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | E |
| 2019-05-01 | F0584, F0636, F0686 | Honor 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. / Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D |
Why was PROFESSIONAL POST ACUTE CENTER fined 4 times?
| Date | Type | Amount |
|---|---|---|
| 2025-07-08 | Fine | $79,560 |
| 2024-01-04 | Fine | $61,204 |
| 2023-10-17 | Fine | $2,447 |
| 2023-09-25 | Fine | $5,244 |
How is PROFESSIONAL POST ACUTE CENTER staffed relative to the CA average?
| Measure | This facility | CA average |
|---|---|---|
| Total nurse staffing hours per resident per day | 3.83823 | 4.51570 |
| Total nursing staff turnover (%) | 38.1 | 36.7 |
| Average number of residents per day | 84.0 | 87.9 |
Who owns PROFESSIONAL POST ACUTE CENTER, and what chain is it in?
PROFESSIONAL POST ACUTE CENTER is registered with CMS as For profit - Limited Liability company, operates under the legal business name CF SAN RAFAEL, LLC and belongs to the CAMBRIDGE HEALTHCARE SERVICES chain.
| Role | Owner | Association date |
|---|---|---|
| 5% OR GREATER DIRECT OWNERSHIP INTEREST | CRESCENT FACILITIES OPERATIONS LLC | since 12/19/2006 |
| 5% OR GREATER INDIRECT OWNERSHIP INTEREST | BERING PROPERTIES LLC, JENMAX ENTERPRISES LLC, JK-CSH JV LLC, MANHATTAN FIVE PARTNERS LLC, WIN WIN ENTERPRISES, LLC | since 02/01/2007 |
| INDIRECT OWNERSHIP INTEREST | BH ALLIANCE, THE JACOB WINTNER TRUST, THE WINTNER LIVING TRUST DATED 7/08/1992, WINTNER, JACOB | since 02/01/2007 |
| MANAGING CONTROL - GOVERNING BODY | BRETSCH, GREGORY, FOREMAN, NICOLE | since 01/08/2024 |
| OPERATIONAL/MANAGERIAL CONTROL | CAMBRIDGE HEALTHCARE SERVICES LLC, BRETSCH, GREGORY, BUTENKO, JULIE, CAPELA, HEIDI, COPP, NOREEN, FOREMAN, NICOLE, HASSELL, LANCE, LUTZ, LINDA, SALAZAR, PAULINA, SMEDRA, IRA, WINTNER, JACOB | since 01/08/2024 |
| ADP OF THE SNF | 81 PROFESSIONAL CENTER LLC, CAMBRIDGE HEALTHCARE SERVICES LLC, JENMAX ENTERPRISES LLC, JK-CSH JV LLC, WIN WIN ENTERPRISES, LLC, BRETSCH, GREGORY, BUTENKO, JULIE, CAPELA, HEIDI, FOREMAN, NICOLE, HASSELL, LANCE, LUTZ, LINDA, SALAZAR, PAULINA, SMEDRA, IRA, WINTNER, JACOB | since 02/01/2007 |
Were you or a family member harmed at PROFESSIONAL POST ACUTE CENTER?