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Inspection reports on Medicare Care Compare →

Nursing home

Marin Post Acute

San Rafael, California · Marin County

  • 234 N. San Pedro Rd, San Rafael, CA 94903 · Directions
  • (415) 479‑3450
  • Medicare overall rating: 3 of 5 starsMedicare overall rating
  • Ownership: For profit – limited liability company
  • 51 health citations in its last 3 inspection cycles (most serious: level G), $8,278 in fines. See the inspection record

Summary

Marin Post Acute is a Medicare-certified nursing home in San Rafael, California, with 168 certified beds. Medicare overall rating: 3 of 5 stars. Most recent standard health inspection: 2025-12-04, with 20 health deficiencies. Medicare lists 1 fine. Ownership: for profit – limited liability company. Source: Medicare (CMS) Provider Information, data updated 2026-10-01.

What is a nursing home?

A nursing home (skilled nursing facility) gives 24-hour nursing care and help with daily activities. Some people stay for a short time to recover after a hospital stay (rehabilitation); others live there long term. The homes listed here are certified by Medicare and/or Medicaid and inspected by the state.

Official Medicare data

Everything on this page comes from Medicare (CMS) data updated 2026-10-01. It is information, not a recommendation. Call the nursing home and visit before you decide, and talk with your doctor.

In a medical emergency, call 911.

At a glance

Medicare overall rating: 3 of 5 starsMedicare overall rating
168Certified beds
Health inspections: 2 of 5 starsHealth inspections

Quick answers

Where is Marin Post Acute?
234 N. San Pedro Rd, San Rafael, CA 94903, in Marin County, California.
What is the phone number of Marin Post Acute?
(415) 479-3450, as listed by Medicare (CMS).
What is the Medicare star rating of Marin Post Acute?
Medicare overall rating: 3 out of 5 stars (CMS data updated 2026-10-01).
Has Marin Post Acute been fined?
Medicare lists 1 fine totaling $8,278.
What did inspectors find at Marin Post Acute?
In its last three inspection cycles (May 7, 2021 to August 25, 2026), Medicare lists 51 health citations; the most serious was level G. 3 were level G or higher (actual harm or immediate jeopardy). See the list below (CMS data updated 2026-10-01).

Medicare ratings, explained

Star ratings are one piece of information. Visit, ask questions and talk with your doctor about what matters for your care.

Overall rating
Overall rating: 3 of 5 stars
Medicare’s summary of the three ratings below, from 1 star (much below average) to 5 stars (much above average).
Health inspections
Health inspections: 2 of 5 stars
Based on state health inspections and complaint investigations of about the last three years, compared with other nursing homes in the same state.
Staffing
Staffing: 2 of 5 stars
Based on how many hours nurses and aides spend with each resident per day (from payroll records) and how often staff leave.
Quality of resident care
Quality of resident care: 5 of 5 stars
Based on how residents do on measures such as falls with injury, pressure sores, getting better at moving around and going back to the hospital.
Short-stay residents (rehab)
Short-stay residents (rehab): 4 of 5 stars
Quality rating for people who stay a short time, usually to recover after a hospital stay.
Long-stay residents
Long-stay residents: 5 of 5 stars
Quality rating for people who live in the nursing home.

Inspections, fines and staffing

In its last three inspection cycles (May 7, 2021 to August 25, 2026), Marin Post Acute had 51 health citations; the most serious was level G (actual harm to residents). 3 of them were level G or higher (actual harm or immediate jeopardy). It was fined $8,278 in total (1 fine, the latest on December 4, 2025). Nurse staffing is 3.71 hours per resident per day; the California average is 4.54 and the national average is 3.90.

Source: Medicare (CMS) Provider Data Catalog, data updated October 1, 2026, retrieved November 13, 2026.

Inspection history: last three cycles

State inspectors visit about once a year and also investigate complaints. Each citation (deficiency) has a tag number and a letter, A to L. The letter shows how serious the problem was and how many residents it affected.

What the letters A to L mean
Scope and severity letters
SeriousnessIsolated (a few residents)Pattern (some)Widespread (many)
No actual harm, potential for minimal harmABC
No actual harm, potential for more than minimal harmDEF
Actual harm to residentsGHI
Immediate jeopardy to resident health or safetyJKL

Source: the scope and severity grid Medicare (CMS) uses for nursing home citations.

Most recent cycle: December 4, 2025 — 20 health citations

Inspections in this cycle: December 4, 2025 (standard health inspection); December 16, 2025 (complaint investigation); January 8, 2026 (complaint investigation); April 23, 2026 (complaint investigation); May 7, 2026 (complaint investigation); June 16, 2026 (complaint investigation); June 25, 2026 (complaint investigation); July 31, 2026 (complaint investigation); August 25, 2026 (complaint investigation).

  • F0689 Level G January 8, 2026 · from a complaint · corrected February 23, 2026

    “Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”

    actual harm to residents; isolated (a few residents) · Quality of Life and Care Deficiencies

Show 19 less serious citations (levels A to F)
  • F0677 Level E August 25, 2026 · from a complaint · no plan of correction on file

    “Provide care and assistance to perform activities of daily living for any resident who is unable.”

  • F0584 Level E July 31, 2026 · from a complaint · corrected August 18, 2026

    “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.”

  • F0850 Level E June 25, 2026 · from a complaint · corrected July 27, 2026

    “Hire a qualified full-time social worker in a facility with more than 120 beds.”

  • F0658 Level E December 16, 2025 · from a complaint · corrected December 17, 2025

    “Ensure services provided by the nursing facility meet professional standards of quality.”

  • F0880 Level E December 4, 2025 · corrected December 26, 2025

    “Provide and implement an infection prevention and control program.”

  • F0550 Level D August 25, 2026 · from a complaint · no plan of correction on file

    “Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.”

  • F0686 Level D August 25, 2026 · from a complaint · no plan of correction on file

    “Provide appropriate pressure ulcer care and prevent new ulcers from developing.”

  • F0692 Level D August 25, 2026 · from a complaint · no plan of correction on file

    “Provide enough food/fluids to maintain a resident's health.”

  • F0559 Level D June 16, 2026 · from a complaint · corrected July 2, 2026

    “Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.”

  • F0564 Level D May 7, 2026 · from a complaint · corrected May 26, 2026

    “Inform each resident of his or her visitation rights and ensure that all visitors enjoy equal visitation privileges.”

  • F0692 Level D April 23, 2026 · from a complaint · corrected May 18, 2026

    “Provide enough food/fluids to maintain a resident's health.”

  • F0609 Level D January 8, 2026 · from a complaint · corrected February 23, 2026

    “Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.”

  • F0641 Level D January 8, 2026 · from a complaint · corrected February 23, 2026

    “Ensure each resident receives an accurate assessment.”

  • F0600 Level D December 16, 2025 · from a complaint · corrected December 17, 2025

    “Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.”

  • F0609 Level D December 16, 2025 · from a complaint · corrected December 17, 2025

    “Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.”

  • F0584 Level D December 4, 2025 · corrected December 26, 2025

    “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.”

  • F0656 Level D December 4, 2025 · corrected December 26, 2025

    “Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”

  • F0689 Level D December 4, 2025 · corrected December 26, 2025

    “Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”

  • F0761 Level D December 4, 2025 · corrected December 26, 2025

    “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.”

Previous cycle: February 15, 2024 — 13 health citations

Inspections in this cycle: February 15, 2024 (standard health inspection); March 13, 2025 (complaint investigation); May 5, 2025 (complaint investigation); August 12, 2025 (complaint investigation).

Show 13 citations (levels A to F, no actual harm)
  • F0850 Level F March 13, 2025 · from a complaint · corrected March 27, 2025

    “Hire a qualified full-time social worker in a facility with more than 120 beds.”

  • F0825 Level E May 5, 2025 · from a complaint · corrected May 29, 2025

    “Provide or get specialized rehabilitative services as required for a resident.”

  • F0600 Level D August 12, 2025 · from a complaint · corrected August 22, 2025

    “Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.”

  • F0658 Level D May 5, 2025 · from a complaint · corrected May 29, 2025

    “Ensure services provided by the nursing facility meet professional standards of quality.”

  • F0725 Level D May 5, 2025 · from a complaint · corrected May 29, 2025

    “Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.”

  • F0760 Level D May 5, 2025 · from a complaint · corrected May 29, 2025

    “Ensure that residents are free from significant medication errors.”

  • F0554 Level D February 15, 2024 · corrected March 15, 2024

    “Allow residents to self-administer drugs if determined clinically appropriate.”

  • F0585 Level D February 15, 2024 · corrected March 15, 2024

    “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.”

  • F0600 Level D February 15, 2024 · corrected March 15, 2024

    “Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.”

  • F0609 Level D February 15, 2024 · corrected March 15, 2024

    “Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.”

  • F0645 Level D February 15, 2024 · corrected March 15, 2024

    “PASARR screening for Mental disorders or Intellectual Disabilities”

  • F0689 Level D February 15, 2024 · corrected March 15, 2024

    “Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”

  • F0759 Level D February 15, 2024 · corrected March 15, 2024

    “Ensure medication error rates are not 5 percent or greater.”

Earlier cycle: May 7, 2021 — 18 health citations

Inspections in this cycle: May 7, 2021 (standard health inspection); December 20, 2023 (complaint investigation).

  • F0686 Level G May 7, 2021 · corrected July 2, 2021

    “Provide appropriate pressure ulcer care and prevent new ulcers from developing.”

    actual harm to residents; isolated (a few residents) · Quality of Life and Care Deficiencies

  • F0697 Level G May 7, 2021 · corrected July 2, 2021

    “Provide safe, appropriate pain management for a resident who requires such services.”

    actual harm to residents; isolated (a few residents) · Quality of Life and Care Deficiencies

Show 16 less serious citations (levels A to F)
  • F0550 Level E May 7, 2021 · corrected July 2, 2021

    “Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.”

  • F0561 Level E May 7, 2021 · corrected June 30, 2021

    “Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.”

  • F0577 Level E May 7, 2021 · corrected June 30, 2021

    “Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.”

  • F0656 Level E May 7, 2021 · corrected June 30, 2021

    “Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”

  • F0688 Level E May 7, 2021 · corrected June 30, 2021

    “Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.”

  • F0725 Level E May 7, 2021 · corrected June 30, 2021

    “Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.”

  • F0812 Level E May 7, 2021 · corrected June 30, 2021

    “Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”

  • F0814 Level E May 7, 2021 · corrected June 30, 2021

    “Dispose of garbage and refuse properly.”

  • F0880 Level E May 7, 2021 · corrected June 30, 2021

    “Provide and implement an infection prevention and control program.”

  • F0919 Level E May 7, 2021 · corrected June 30, 2021

    “Make sure that a working call system is available in each resident's bathroom and bathing area.”

  • F0921 Level E May 7, 2021 · corrected June 30, 2021

    “Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.”

  • F0725 Level D December 20, 2023 · from a complaint · corrected February 1, 2024

    “Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.”

  • F0582 Level D May 7, 2021 · corrected June 30, 2021

    “Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.”

  • F0655 Level D May 7, 2021 · corrected June 30, 2021

    “Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted”

  • F0657 Level D May 7, 2021 · corrected July 7, 2021

    “Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.”

  • F0806 Level D May 7, 2021 · corrected June 30, 2021

    “Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.”

Citation descriptions are Medicare’s official wording. “From a complaint” means the citation came from a complaint investigation instead of the regular yearly inspection.

Full inspection reports on Medicare Care Compare →

Fire safety citations (45)
  • E0026 Level F December 4, 2025 · corrected December 22, 2025

    “Establish roles under a Waiver declared by secretary.”

  • K0918 Level F December 4, 2025 · plan of correction accepted (December 31, 2026)

    “Have generator or other power source capable of supplying service within 10 seconds.”

  • K0920 Level F July 29, 2026 · corrected August 18, 2026

    “Ensure proper usage of power strips and extension cords.”

  • K0363 Level E December 4, 2025 · corrected December 22, 2025

    “Install corridor and hallway doors that block smoke.”

  • K0920 Level E December 4, 2025 · corrected December 28, 2025

    “Ensure proper usage of power strips and extension cords.”

  • K0211 Level D December 4, 2025 · corrected January 8, 2026

    “Keep aisles, corridors, and exits free of obstruction in case of emergency.”

  • K0223 Level D December 4, 2025 · corrected January 8, 2026

    “Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.”

  • K0324 Level D December 4, 2025 · corrected January 9, 2026

    “Provide properly protected cooking facilities.”

  • K0353 Level D December 4, 2025 · corrected December 22, 2025

    “Inspect, test, and maintain automatic sprinkler systems.”

  • K0355 Level D December 4, 2025 · corrected January 8, 2026

    “Properly select, install, inspect, or maintain portable fire extinguishes.”

  • K0741 Level D December 4, 2025 · corrected December 23, 2025

    “Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.”

  • K0919 Level D December 4, 2025 · corrected January 9, 2026

    “Meet requirements for the use of electrical equipment.”

  • K0712 Level C December 4, 2025 · corrected December 23, 2025

    “Have simulated fire drills held at unexpected times.”

  • E0039 Level F February 15, 2024 · corrected April 30, 2024

    “Conduct testing and exercise requirements.”

  • E0041 Level F February 15, 2024 · corrected April 30, 2024

    “Implement emergency and standby power systems.”

  • K0345 Level F February 15, 2024 · corrected April 30, 2024

    “Have approved installation, maintenance and testing program for fire alarm systems.”

  • K0353 Level F February 15, 2024 · corrected April 30, 2024

    “Inspect, test, and maintain automatic sprinkler systems.”

  • K0712 Level F February 15, 2024 · corrected April 30, 2024

    “Have simulated fire drills held at unexpected times.”

  • K0918 Level F February 15, 2024 · corrected April 30, 2024

    “Have generator or other power source capable of supplying service within 10 seconds.”

  • K0918 Level F November 5, 2024 · corrected December 10, 2024

    “Have generator or other power source capable of supplying service within 10 seconds.”

  • K0355 Level E February 15, 2024 · corrected April 30, 2024

    “Properly select, install, inspect, or maintain portable fire extinguishes.”

  • K0363 Level E February 15, 2024 · corrected April 30, 2024

    “Install corridor and hallway doors that block smoke.”

  • E0015 Level D February 15, 2024 · corrected April 30, 2024

    “Address subsistence needs for staff and patients.”

  • E0023 Level D February 15, 2024 · corrected April 30, 2024

    “Establish policies and procedures for medical documentation.”

  • E0036 Level D February 15, 2024 · corrected April 30, 2024

    “Establish emergency prep training and testing.”

  • K0211 Level D February 15, 2024 · corrected April 30, 2024

    “Keep aisles, corridors, and exits free of obstruction in case of emergency.”

  • K0293 Level D February 15, 2024 · corrected April 30, 2024

    “Have properly located and lighted "Exit" signs.”

  • K0321 Level D February 15, 2024 · corrected April 30, 2024

    “Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.”

  • K0324 Level D February 15, 2024 · corrected April 30, 2024

    “Provide properly protected cooking facilities.”

  • K0374 Level D February 15, 2024 · corrected April 30, 2024

    “Install smoke barrier doors that can resist smoke for at least 20 minutes.”

  • K0781 Level D February 15, 2024 · corrected April 30, 2024

    “Have restrictions on the use of portable space heaters.”

  • K0919 Level D February 15, 2024 · corrected April 30, 2024

    “Meet requirements for the use of electrical equipment.”

  • K0920 Level D February 15, 2024 · corrected April 30, 2024

    “Ensure proper usage of power strips and extension cords.”

  • K0923 Level D February 15, 2024 · corrected April 30, 2024

    “Have proper medical gas storage and administration areas.”

  • E0041 Level E May 7, 2021 · corrected June 29, 2021

    “Implement emergency and standby power systems.”

  • K0161 Level E May 7, 2021 · corrected June 29, 2021

    “Use approved construction type or materials.”

  • K0355 Level E May 7, 2021 · corrected June 29, 2021

    “Properly select, install, inspect, or maintain portable fire extinguishes.”

  • K0363 Level E May 7, 2021 · corrected June 29, 2021

    “Install corridor and hallway doors that block smoke.”

  • K0918 Level E May 7, 2021 · corrected June 29, 2021

    “Have generator or other power source capable of supplying service within 10 seconds.”

  • E0006 Level D May 7, 2021 · corrected June 29, 2021

    “Conduct risk assessment and an All-Hazards approach.”

5 more fire safety citations are not listed here.

Fines and payment denials

Total fines over about the last three years: $8,278 (1 fine). A payment denial means Medicare stopped paying for new admissions for a time.

DatePenaltyAmount or length
December 4, 2025Fine$8,278

Source: Medicare (CMS) Penalties file, data updated October 1, 2026.

Staffing

Hours of nursing care per resident per day, from the payroll records nursing homes send to Medicare, next to the state and national averages.

MeasureThis homeCaliforniaNational
Registered nurse (RN) hours per resident per day0.410.680.69
Licensed practical nurse (LPN) hours per resident per day0.931.200.86
Nurse aide hours per resident per day2.372.662.35
Total nurse staff hours per resident per day3.714.543.90
Total nurse staff hours per resident per day on the weekend3.424.103.43
RN hours per resident per day on the weekend0.330.520.48
Administrators who left in the last year1.00.40.5

Source: Medicare (CMS) Provider Information and State US Averages, data updated October 1, 2026.

Owners and operator

Part of a group of 277 nursing homes: Pacs Group.

Legal business name: Marinidence Opco LLC.

Owners and managers Medicare lists (1)
NameRoleShareSince
Providence Group North LLCDirect owner100%March 1, 2017

Source: Medicare (CMS) Ownership file, data updated October 1, 2026. Only owners with an ownership interest and management companies are shown.

Compare with other nursing homes

Key facts

TypeNursing home
Certified beds168
Average residents per day140.7
Takes part inMedicare and Medicaid
OwnershipFor profit – limited liability company
Group or chain (affiliated entity)Pacs Group
Legal business nameMarinidence Opco LLC
First approved by Medicare/Medicaid1967-01-01
Resident and family councilsResident council
Sprinklers in all required areasYes
Changed ownership in the last 12 monthsNo
Address234 N. San Pedro Rd, San Rafael, CA 94903
CountyMarin County
StateCalifornia
Phone(415) 479‑3450
CMS Certification Number055310
Name in Medicare recordsMARIN POST ACUTE
CorrectionsReport an error or suggest an update →

What to ask when you call or visit

A general checklist for any nursing home, not advice about this one. Medicare also publishes guides on medicare.gov.

  • Is the home certified by Medicare and/or Medicaid, and does it have a bed for the care you need (short-term rehab or long-term care)?
  • Can you see the latest state inspection report? Ask how any problems found were fixed.
  • How many nurses and aides work on each shift, at night and on weekends? Is there a registered nurse on site at all times?
  • Which doctors see residents, and how often? What happens in a medical emergency, and which hospital is used?
  • What therapy (physical, occupational, speech) is offered, and how many days a week?
  • Are residents clean, dressed and taking part in activities? Do staff speak to them kindly and answer call lights quickly?
  • What do the daily rate and extra services cost, and what do Medicare, Medicaid or your insurance pay? Ask for it in writing.
  • Is there a resident council and a family council? How are complaints handled? Ask for the long-term care ombudsman’s contact.
  • Are meals appetizing, and can the home meet special diets, language needs and religious or cultural preferences?
  • Visit more than once, including at a mealtime or in the evening, without an appointment.

Other nursing homes nearby

By straight-line distance (not driving distance).

Nearest hospital emergency rooms

Sources

  1. Provider Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-01, retrieved 2026-11-13
  2. Medicare Care Compare — official Medicare profile of this provider
  3. Health Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
  4. Fire Safety Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
  5. Penalties — CMS, data updated 2026-10-01, retrieved 2026-11-13
  6. Ownership — CMS, data updated 2026-10-01, retrieved 2026-11-13
  7. State US Averages — CMS, data updated 2026-10-01, retrieved 2026-11-13
  8. Survey Summary — CMS, data updated 2026-10-01, retrieved 2026-11-13
  9. Citation Code Look-up — CMS, data updated 2026-10-01, retrieved 2026-11-13
  10. Inspection Dates — CMS, data updated 2026-10-01, retrieved 2026-11-13