Quick answers
- Where is Professional Post Acute Center?
- 81 Professional Center Parkway, San Rafael, CA 94903, in Marin County, California.
- What is the phone number of Professional Post Acute Center?
- (415) 479-5161, as listed by Medicare (CMS).
- What is the Medicare star rating of Professional Post Acute Center?
- Medicare overall rating: 3 out of 5 stars (CMS data updated 2026-10-01).
- Has Professional Post Acute Center been fined?
- Medicare lists 3 fines totaling $143,211.
- What did inspectors find at Professional Post Acute Center?
- In its last three inspection cycles (May 19, 2021 to July 17, 2026), Medicare lists 62 health citations; the most serious was level H. 8 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.
Inspections, fines and staffing
In its last three inspection cycles (May 19, 2021 to July 17, 2026), Professional Post Acute Center had 62 health citations; the most serious was level H (actual harm to residents). 8 of them were level G or higher (actual harm or immediate jeopardy). It was fined $143,211 in total (3 fines, the latest on July 8, 2025). Nurse staffing is 3.89 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
| Seriousness | Isolated (a few residents) | Pattern (some) | Widespread (many) |
|---|---|---|---|
| No actual harm, potential for minimal harm | A | B | C |
| No actual harm, potential for more than minimal harm | D | E | F |
| Actual harm to residents | G | H | I |
| Immediate jeopardy to resident health or safety | J | K | L |
Source: the scope and severity grid Medicare (CMS) uses for nursing home citations.
Most recent cycle: July 17, 2026 — 9 health citations
Inspections in this cycle: March 4, 2026 (complaint investigation); May 4, 2026 (complaint investigation); May 8, 2026 (complaint investigation); July 17, 2026 (complaint investigation); July 17, 2026 (standard health inspection).
F0689 Level G
“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 8 less serious citations (levels A to F)
F0688 Level E
“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.”
F0812 Level E
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0658 Level D
“Ensure services provided by the nursing facility meet professional standards of quality.”
F0880 Level D
“Provide and implement an infection prevention and control program.”
F0692 Level D
“Provide enough food/fluids to maintain a resident's health.”
F0580 Level D
“Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.”
F0658 Level D
“Ensure services provided by the nursing facility meet professional standards of quality.”
F0761 Level D
“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: September 19, 2024 — 7 health citations
Inspections in this cycle: September 19, 2024 (standard health inspection); February 6, 2025 (complaint investigation); April 21, 2025 (complaint investigation); July 8, 2025 (complaint investigation); August 13, 2025 (complaint investigation).
F0689 Level G
“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 6 less serious citations (levels A to F)
F0557 Level D
“Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.”
F0880 Level D
“Provide and implement an infection prevention and control program.”
F0658 Level D
“Ensure services provided by the nursing facility meet professional standards of quality.”
F0600 Level D
“Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.”
F0756 Level D
“Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.”
F0759 Level D
“Ensure medication error rates are not 5 percent or greater.”
Earlier cycle: May 19, 2021 — 46 health citations
Inspections in this cycle: May 19, 2021 (standard health inspection); November 22, 2023 (complaint investigation); January 4, 2024 (complaint investigation); February 14, 2024 (complaint investigation); February 15, 2024 (complaint investigation); February 27, 2024 (complaint investigation); February 28, 2024 (complaint investigation); June 11, 2024 (complaint investigation); September 3, 2024 (complaint investigation).
F0600 Level H
“Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.”
actual harm to residents; pattern (some residents) · Freedom from Abuse, Neglect, and Exploitation Deficiencies
F0697 Level G
“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
F0686 Level G
“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
F0689 Level G
“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
F0607 Level G
“Develop and implement policies and procedures to prevent abuse, neglect, and theft.”
actual harm to residents; isolated (a few residents) · Freedom from Abuse, Neglect, and Exploitation Deficiencies
F0609 Level G
“Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.”
actual harm to residents; isolated (a few residents) · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Show 40 less serious citations (levels A to F)
F0726 Level F
“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.”
F0727 Level F
“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.”
F0689 Level E
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
F0755 Level E
“Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.”
F0689 Level E
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
F0553 Level E
“Allow resident to participate in the development and implementation of his or her person-centered plan of care.”
F0657 Level E
“Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.”
F0557 Level E
“Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.”
F0550 Level E
“Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.”
F0584 Level E
“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.”
F0755 Level E
“Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.”
F0880 Level E
“Provide and implement an infection prevention and control program.”
F0550 Level E
“Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.”
F0572 Level E
“Give residents a notice of rights, rules, services and charges.”
F0584 Level E
“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 E
“Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”
F0657 Level E
“Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.”
F0658 Level E
“Ensure services provided by the nursing facility meet professional standards of quality.”
F0689 Level E
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
F0725 Level E
“Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.”
F0732 Level E
“Post nurse staffing information every day.”
F0812 Level E
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0842 Level E
“Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.”
F0867 Level E
“Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.”
F0880 Level E
“Provide and implement an infection prevention and control program.”
F0925 Level E
“Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.”
F0600 Level D
“Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.”
F0609 Level D
“Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.”
F0921 Level D
“Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.”
F0658 Level D
“Ensure services provided by the nursing facility meet professional standards of quality.”
F0732 Level D
“Post nurse staffing information every day.”
F0658 Level D
“Ensure services provided by the nursing facility meet professional standards of quality.”
F0684 Level D
“Provide appropriate treatment and care according to orders, resident’s preferences and goals.”
F0697 Level D
“Provide safe, appropriate pain management for a resident who requires such services.”
F0776 Level D
“Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.”
F0609 Level D
“Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.”
F0677 Level D
“Provide care and assistance to perform activities of daily living for any resident who is unable.”
F0679 Level D
“Provide activities to meet all resident's needs.”
F0690 Level D
“Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.”
F0761 Level D
“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.”
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 (30)
K0341 Level F
“Install a fire alarm system that can be heard throughout the facility.”
K0345 Level F
“Have approved installation, maintenance and testing program for fire alarm systems.”
K0353 Level F
“Inspect, test, and maintain automatic sprinkler systems.”
K0363 Level F
“Install corridor and hallway doors that block smoke.”
K0918 Level F
“Have generator or other power source capable of supplying service within 10 seconds.”
K0711 Level D
“Provide a written emergency evacuation plan.”
K0919 Level D
“Meet requirements for the use of electrical equipment.”
K0920 Level D
“Ensure proper usage of power strips and extension cords.”
K0291 Level F
“Install emergency lighting that can last at least 1 1/2 hours.”
K0347 Level F
“Properly provide smoke detection systems in areas open to corridors.”
K0353 Level F
“Inspect, test, and maintain automatic sprinkler systems.”
K0363 Level F
“Install corridor and hallway doors that block smoke.”
K0918 Level F
“Have generator or other power source capable of supplying service within 10 seconds.”
K0920 Level E
“Ensure proper usage of power strips and extension cords.”
K0293 Level D
“Have properly located and lighted "Exit" signs.”
K0355 Level D
“Properly select, install, inspect, or maintain portable fire extinguishes.”
K0923 Level D
“Have proper medical gas storage and administration areas.”
K0293 Level E
“Have properly located and lighted "Exit" signs.”
K0363 Level E
“Install corridor and hallway doors that block smoke.”
K0914 Level E
“Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.”
E0006 Level D
“Conduct risk assessment and an All-Hazards approach.”
E0024 Level D
“Establish policies and procedures for volunteers.”
E0026 Level D
“Establish roles under a Waiver declared by secretary.”
E0030 Level D
“List the names and contact information of those in the facility.”
E0035 Level D
“Provide family notifications of emergency plan.”
K0161 Level D
“Use approved construction type or materials.”
K0222 Level D
“Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.”
K0341 Level D
“Install a fire alarm system that can be heard throughout the facility.”
K0355 Level D
“Properly select, install, inspect, or maintain portable fire extinguishes.”
K0511 Level D
“Have properly installed electrical wiring and gas equipment.”
Fines and payment denials
Total fines over about the last three years: $143,211 (3 fines). A payment denial means Medicare stopped paying for new admissions for a time.
| Date | Penalty | Amount or length |
|---|---|---|
| July 8, 2025 | Fine | $79,560 |
| January 4, 2024 | Fine | $61,204 |
| October 17, 2023 | Fine | $2,447 |
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.
| Measure | This home | California | National |
|---|---|---|---|
| Registered nurse (RN) hours per resident per day | 0.44 | 0.68 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.97 | 1.20 | 0.86 |
| Nurse aide hours per resident per day | 2.48 | 2.66 | 2.35 |
| Total nurse staff hours per resident per day | 3.89 | 4.54 | 3.90 |
| Total nurse staff hours per resident per day on the weekend | 3.57 | 4.10 | 3.43 |
| RN hours per resident per day on the weekend | 0.29 | 0.52 | 0.48 |
| Nursing staff turnover (per year) | 37.6% | 36.6% | 45.3% |
| RN turnover (per year) | 54.5% | 37.8% | 42.5% |
| Administrators who left in the last year | 0.0 | 0.4 | 0.5 |
Source: Medicare (CMS) Provider Information and State US Averages, data updated October 1, 2026.
Owners and operator
Part of a group of 32 nursing homes: Cambridge Healthcare Services.
Legal business name: CF San Rafael, LLC.
Owners and managers Medicare lists (11)
| Name | Role | Share | Since |
|---|---|---|---|
| Crescent Facilities Operations LLC | Direct owner | 100% | December 19, 2006 |
| Bering Properties LLC | Indirect owner | 6% | February 1, 2007 |
| Jenmax Enterprises LLC | Indirect owner | 23% | February 1, 2007 |
| JK-CSH JV LLC | Indirect owner | 12% | November 1, 2006 |
| Manhattan Five Partners LLC | Indirect owner | 7% | November 1, 2006 |
| Win Win Enterprises, LLC | Indirect owner | 35% | February 1, 2007 |
| BH Alliance | Indirect owner | NOT APPLICABLE | November 1, 2006 |
| The Jacob Wintner Trust | Indirect owner | NOT APPLICABLE | November 1, 2006 |
| The Wintner Living Trust Dated 7/08/1992 | Indirect owner | NOT APPLICABLE | February 1, 2007 |
| Wintner, Jacob | Indirect owner | NOT APPLICABLE | February 1, 2007 |
| Cambridge Healthcare Services LLC | Management company (operational or managerial control) | NOT APPLICABLE | April 1, 2014 |
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
| Type | Nursing home |
|---|---|
| Certified beds | 99 |
| Average residents per day | 85.3 |
| Takes part in | Medicare and Medicaid |
| Ownership | For profit – limited liability company |
| Group or chain (affiliated entity) | Cambridge Healthcare Services |
| Legal business name | CF San Rafael, LLC |
| First approved by Medicare/Medicaid | 1985-12-12 |
| Resident and family councils | Resident council |
| Sprinklers in all required areas | Yes |
| Changed ownership in the last 12 months | No |
| Address | 81 Professional Center Parkway, San Rafael, CA 94903 |
| County | Marin County |
| State | California |
| Phone | (415) 479‑5161 |
| CMS Certification Number | 555214 |
| Name in Medicare records | PROFESSIONAL POST ACUTE CENTER |
| Corrections | Report 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).
- Northgate Postacute Care0.0 mi · San Rafael, CA · 2 of 5 stars
- Pine Ridge Care Center0.0 mi · San Rafael, CA · 4 of 5 stars
- Smith Ranch Skilled Nursing & Rehabilitation Cente0.8 mi · San Rafael, CA · 3 of 5 stars
- Villa Marin0.8 mi · San Rafael, CA · 4 of 5 stars
- Marin Post Acute1.2 mi · San Rafael, CA · 3 of 5 stars
Nearest hospital emergency rooms
- Kaiser Foundation Hospital0.9 mi · San Rafael, CA · Acute Care Hospital
- Marinhealth Medical Center4.4 mi · Greenbrae, CA · Acute Care Hospital
- Novato Community Hospital6.1 mi · Novato, CA · Acute Care Hospital
Sources
- Provider Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-01, retrieved 2026-11-13
- Medicare Care Compare — official Medicare profile of this provider
- Health Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Fire Safety Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Penalties — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Ownership — CMS, data updated 2026-10-01, retrieved 2026-11-13
- State US Averages — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Survey Summary — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Citation Code Look-up — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Inspection Dates — CMS, data updated 2026-10-01, retrieved 2026-11-13