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Medicare shows its abuse icon for this nursing home: state inspectors cited it for abuse, neglect or exploitation of residents in recent inspections. Read the inspection reports on Medicare Care Compare before you decide.

Inspection reports on Medicare Care Compare →

Nursing home

Pine Ridge Care Center

San Rafael, California · Marin County

  • 45 Professional Center Pkwy, San Rafael, CA 94903 · Directions
  • (415) 479‑3610
  • Medicare overall rating: 4 of 5 starsMedicare overall rating
  • Ownership: For profit – partnership
  • 42 health citations in its last 3 inspection cycles (most serious: level F). See the inspection record

Summary

Pine Ridge Care Center is a Medicare-certified nursing home in San Rafael, California, with 101 certified beds. Medicare overall rating: 4 of 5 stars. Most recent standard health inspection: 2025-12-05, with 14 health deficiencies. Ownership: for profit – partnership. 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: 4 of 5 starsMedicare overall rating
101Certified beds
Health inspections: 2 of 5 starsHealth inspections

Quick answers

Where is Pine Ridge Care Center?
45 Professional Center Pkwy, San Rafael, CA 94903, in Marin County, California.
What is the phone number of Pine Ridge Care Center?
(415) 479-3610, as listed by Medicare (CMS).
What is the Medicare star rating of Pine Ridge Care Center?
Medicare overall rating: 4 out of 5 stars (CMS data updated 2026-10-01).
Has Pine Ridge Care Center been fined?
Medicare lists no fines for Pine Ridge Care Center.
What did inspectors find at Pine Ridge Care Center?
In its last three inspection cycles (August 12, 2021 to February 12, 2026), Medicare lists 42 health citations; the most serious was level F. 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: 4 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: 5 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): 5 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 (August 12, 2021 to February 12, 2026), Pine Ridge Care Center had 42 health citations; the most serious was level F (no actual harm, potential for more than minimal harm). Medicare lists no fines or payment denials for it in the last three years. Nurse staffing is 4.49 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 5, 2025 — 14 health citations

Inspections in this cycle: December 5, 2025 (complaint investigation); December 5, 2025 (standard health inspection); January 8, 2026 (complaint investigation); February 12, 2026 (complaint investigation).

Show 14 citations (levels A to F, no actual harm)
  • F0756 Level F December 5, 2025 · corrected January 4, 2026

    “Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.”

  • F0812 Level F December 5, 2025 · corrected January 4, 2026

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

  • F0600 Level E February 12, 2026 · from a complaint · corrected March 4, 2026

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

  • F0578 Level E December 5, 2025 · corrected January 4, 2026

    “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.”

  • F0657 Level E December 5, 2025 · corrected January 4, 2026

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

  • F0804 Level E December 5, 2025 · corrected January 4, 2026

    “Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.”

  • F0807 Level E December 5, 2025 · corrected January 4, 2026

    “Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.”

  • F0641 Level D February 12, 2026 · from a complaint · corrected March 4, 2026

    “Ensure each resident receives an accurate assessment.”

  • F0557 Level D January 8, 2026 · from a complaint · corrected February 3, 2026

    “Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.”

  • F0627 Level D December 5, 2025 · from a complaint · corrected January 4, 2026

    “Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.”

  • F0656 Level D December 5, 2025 · corrected January 4, 2026

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

  • F0676 Level D December 5, 2025 · corrected January 4, 2026

    “Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.”

  • F0699 Level D December 5, 2025 · corrected January 4, 2026

    “Provide care or services that was trauma informed and/or culturally competent.”

  • F0880 Level D December 5, 2025 · corrected January 4, 2026

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

Previous cycle: December 12, 2024 — 11 health citations

Inspections in this cycle: December 12, 2024 (standard health inspection); April 17, 2025 (complaint investigation); July 16, 2025 (complaint investigation); August 4, 2025 (complaint investigation); September 8, 2025 (complaint investigation).

Show 11 citations (levels A to F, no actual harm)
  • F0678 Level E April 17, 2025 · from a complaint · corrected May 22, 2025

    “Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.”

  • F0600 Level D September 8, 2025 · from a complaint · corrected September 25, 2025

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

  • F0580 Level D August 4, 2025 · from a complaint · corrected August 29, 2025

    “Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.”

  • F0655 Level D August 4, 2025 · from a complaint · corrected August 29, 2025

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

  • F0689 Level D August 4, 2025 · from a complaint · corrected August 29, 2025

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

  • F0609 Level D July 16, 2025 · from a complaint · corrected August 4, 2025

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

  • F0658 Level D April 17, 2025 · from a complaint · corrected May 22, 2025

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

  • F0638 Level D December 12, 2024 · corrected January 2, 2025

    “Assure that each resident’s assessment is updated at least once every 3 months.”

  • F0676 Level D December 12, 2024 · corrected January 2, 2025

    “Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.”

  • F0689 Level D December 12, 2024 · corrected January 2, 2025

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

  • F0912 Level D December 12, 2024 · waiver granted (January 2, 2025)

    “Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.”

Earlier cycle: August 12, 2021 — 17 health citations

Inspections in this cycle: August 12, 2021 (standard health inspection); March 19, 2024 (complaint investigation); May 28, 2024 (complaint investigation).

Show 17 citations (levels A to F, no actual harm)
  • F0576 Level F August 12, 2021 · corrected October 13, 2021

    “Ensure residents have reasonable access to and privacy in their use of communication methods.”

  • F0577 Level E August 12, 2021 · corrected October 13, 2021

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

  • F0585 Level E August 12, 2021 · corrected October 13, 2021

    “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.”

  • F0656 Level E August 12, 2021 · corrected October 13, 2021

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

  • F0689 Level E August 12, 2021 · corrected October 13, 2021

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

  • F0692 Level E August 12, 2021 · corrected October 13, 2021

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

  • F0756 Level E August 12, 2021 · corrected October 13, 2021

    “Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.”

  • F0758 Level E August 12, 2021 · corrected October 13, 2021

    “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.”

  • F0802 Level E August 12, 2021 · corrected October 13, 2021

    “Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.”

  • F0803 Level E August 12, 2021 · corrected October 13, 2021

    “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.”

  • F0812 Level E August 12, 2021 · corrected October 13, 2021

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

  • F0841 Level E August 12, 2021 · corrected October 13, 2021

    “Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.”

  • F0865 Level E August 12, 2021 · corrected October 13, 2021

    “Have a plan that describes the process for conducting QAPI and QAA activities.”

  • F0867 Level E August 12, 2021 · corrected October 13, 2021

    “Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.”

  • F0921 Level E August 12, 2021 · corrected October 13, 2021

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

  • F0689 Level D May 28, 2024 · from a complaint · corrected July 29, 2024

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

  • F0609 Level D March 19, 2024 · from a complaint · corrected May 3, 2024

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

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 (25)
  • K0293 Level F December 5, 2025 · corrected January 9, 2026

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

  • K0345 Level F December 5, 2025 · corrected January 9, 2026

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

  • K0918 Level F December 5, 2025 · corrected January 9, 2026

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

  • K0363 Level E December 5, 2025 · corrected January 9, 2026

    “Install corridor and hallway doors that block smoke.”

  • K0161 Level D December 5, 2025 · corrected January 9, 2026

    “Use approved construction type or materials.”

  • K0321 Level D December 5, 2025 · corrected January 9, 2026

    “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 December 5, 2025 · corrected January 9, 2026

    “Provide properly protected cooking facilities.”

  • K0353 Level D December 5, 2025 · corrected January 9, 2026

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

  • K0920 Level D December 5, 2025 · corrected January 9, 2026

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

  • K0345 Level F December 12, 2024 · corrected January 9, 2025

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

  • K0918 Level F December 12, 2024 · corrected January 13, 2025

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

  • K0363 Level E December 12, 2024 · corrected January 9, 2025

    “Install corridor and hallway doors that block smoke.”

  • K0293 Level D December 12, 2024 · corrected January 9, 2025

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

  • K0321 Level D December 12, 2024 · corrected January 9, 2025

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

  • K0353 Level D December 12, 2024 · corrected January 9, 2025

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

  • K0355 Level D December 12, 2024 · corrected January 9, 2025

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

  • K0712 Level D December 12, 2024 · corrected January 9, 2025

    “Have simulated fire drills held at unexpected times.”

  • K0919 Level D December 12, 2024 · corrected January 9, 2025

    “Meet requirements for the use of electrical equipment.”

  • K0920 Level D December 12, 2024 · corrected January 9, 2025

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

  • E0006 Level D August 12, 2021 · corrected August 26, 2021

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

  • K0347 Level D August 12, 2021 · corrected August 26, 2021

    “Properly provide smoke detection systems in areas open to corridors.”

  • K0355 Level D August 12, 2021 · corrected August 26, 2021

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

  • K0363 Level D August 12, 2021 · corrected August 26, 2021

    “Install corridor and hallway doors that block smoke.”

  • K0511 Level D August 12, 2021 · corrected August 26, 2021

    “Have properly installed electrical wiring and gas equipment.”

  • K0741 Level D August 12, 2021 · corrected August 26, 2021

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

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 day1.090.680.69
Licensed practical nurse (LPN) hours per resident per day0.431.200.86
Nurse aide hours per resident per day2.982.662.35
Total nurse staff hours per resident per day4.494.543.90
Total nurse staff hours per resident per day on the weekend4.104.103.43
RN hours per resident per day on the weekend0.830.520.48
Nursing staff turnover (per year)39.6%36.6%45.3%
RN turnover (per year)39.3%37.8%42.5%
Administrators who left in the last year0.00.40.5

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

Owners and operator

Part of a group of 17 nursing homes: Mariner Health Care.

Legal business name: San Rafael Operating Company LP.

Owners and managers Medicare lists (9)
NameRoleShareSince
GC Holding Company 3, LLCDirect owner99%August 1, 2022
Grancare LLCIndirect owner—December 21, 2005
Mariner Health Care, Inc.Indirect owner—December 21, 2015
MHC Holding CompanyIndirect owner—December 21, 2005
MHC West Holding CompanyIndirect owner—December 21, 2005
National Senior Care, Inc.Indirect owner—December 21, 2005
Grunstein, EmilyIndirect owner—February 6, 2019
San Rafael Operating Company GP, LLCPartnerNOT APPLICABLEDecember 21, 2005
GC Holding Company 3, LLCPartnerNOT APPLICABLEAugust 1, 2022

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 beds101
Average residents per day82
Takes part inMedicare and Medicaid
OwnershipFor profit – partnership
Group or chain (affiliated entity)Mariner Health Care
Legal business nameSan Rafael Operating Company LP
First approved by Medicare/Medicaid1967-11-01
Resident and family councilsResident council
Sprinklers in all required areasYes
Changed ownership in the last 12 monthsNo
Address45 Professional Center Pkwy, San Rafael, CA 94903
CountyMarin County
StateCalifornia
Phone(415) 479‑3610
CMS Certification Number055850
Name in Medicare recordsPINE RIDGE CARE CENTER
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