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C
Below Standard

SAN RAFAEL HEALTHCARE & WELLNESS CENTER, LP

1601 5TH AVENUE · SAN RAFAEL, CA 94901

4154567170 · For profit - Limited Liability company

54 beds51.5 residents108 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
B
Good
Total Staff
C
Below Standard
RN Staff
C
Below Standard
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

SAN RAFAEL HEALTHCARE & WELLNESS CENTER, LP receives an overall staffing grade of C (Below Standard). With 4.0628 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has RN staffing of 0.5337 HPRD, below the recommended 0.75. It is 0.17 HPRD above the national average.

Weekend staffing stays relatively consistent — dropping 13.12% compared to weekdays. The facility has low agency staff usage (4.63% of hours), suggesting a mostly permanent workforce.

Staffing levels have been trending upward over recent quarters.

🔍 Areas of Concern (1)

⚠️RN staffing (0.5337 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (3)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (4.63%) — mostly permanent, familiar staff
Total Nurse HPRD
4.0628hrs/resident/day▲ 0.17
CMS benchmark: 3.48
RN HPRD
0.5337hrs/resident/day▼ 0.15
Recommended: 0.75
Weekend Drop-off
13.12%
4.2192 weekday → 3.6658 weekend
Agency Staff
4.63%
5% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
2.6014hrs/resident/day
Direct care aides
LPN HPRD
0.9277hrs/resident/day
Licensed practical nurses
Consistency
0.326std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Marin County Average-0.51 HPRD
4.57
04.06 HPRD
vs. California State Average-0.46 HPRD
4.52
04.06 HPRD
vs. National Average+0.17 HPRD
3.90
04.06 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
SAN RAFAEL HEALTHCARE & WELLNESS CENTER, LP ★
SAN RAFAEL · This facility
—
C
4.06280.5337★★☆☆☆
SOUTH MARIN HEALTH & WELLNESS CENTER
GREENBRAE
2.1 mi
A
4.35070.7577★★★★☆
MARIN POST ACUTE
SAN RAFAEL
2.2 mi
D
3.70670.3853★★☆☆☆
SHIELDS RICHMOND NURSING CENTER
RICHMOND
10.9 mi
A
4.23821.0573★★★★★
Creekside Healthcare Center
SAN PABLO
10.9 mi
A+
5.18981.5833★★★★★
CENTRAL GARDENS POST ACUTE
SAN FRANCISCO
14.5 mi
B
3.92080.8029★★★★★

Inspection History & Penalties

Health inspection results from state surveys — most recent first

17
Inspections
57
Total Deficiencies
$8,278
Fines Assessed
Dec 23, 2025Health
1 deficiency cited
▼
Jul 18, 2025Health
1 deficiency cited
▼
Jun 3, 2025Health
3 deficiencies cited
▼
May 7, 2025Health
1 deficiency cited
▼
Apr 23, 2025Health
2 deficiencies cited
▼
Apr 10, 2025Health
1 deficiency cited
▼
Mar 27, 2025Health
1 deficiency cited· Includes actual harm
▼
Mar 24, 2025Health
2 deficiencies cited
▼
Mar 20, 2025Health
18 deficiencies cited
▼
Feb 24, 2025Health
3 deficiencies cited
▼
Aug 19, 2024Health
1 deficiency cited
▼
May 7, 2024Health
1 deficiency cited
▼
Nov 7, 2023Health
1 deficiency cited
▼
Aug 2, 2023Health
1 deficiency cited
▼
May 25, 2023Health
13 deficiencies cited
▼
Apr 14, 2023Health
3 deficiencies cited
▼
Jan 17, 2020Health
4 deficiencies cited
▼

Penalty History

Mar 20, 2025Fine
$8,278
Mar 20, 2025Payment Denial
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.