Professional Post Acute Center
81 Professional Center Parkway · San Rafael, CA · 94903 · 4154795161
99 certified beds For profit - Limited Liability company Chain: Cambridge Healthcare Services
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $79,560 in fines in the last 24 months.
- 8 citations involved actual harm to residents.
- Inspection results have improved across recent cycles.
Red flags
3 abuse-related citations at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
$79,560 in federal fines in the last 24 months
1 fine — CMS fines are reserved for verified, serious non-compliance.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 2 of 5 Staffing: 4 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.78 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.54 | 0.55–0.75 |
| Weekend hours / resident-day | 3.54 | ≈ weekday level |
| Nursing turnover / year | 41% | median 45% |
| Fines (3-yr window) | 5 · $283,454 |
Inspection citations (77 in the current record)
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Potential for harm · D March 4, 2026 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected March 5, 2026 · Resident Assessment and Care Planning
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Potential for harm · D March 4, 2026 · found via complaint
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.
Corrected March 5, 2026 · Pharmacy Service
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Actual harm · G August 13, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected September 18, 2025 · Quality of Life and Care
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Potential for harm · D August 13, 2025 · found via complaint
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected September 18, 2025 · Resident Rights
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Potential for harm · D July 8, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected August 8, 2025 · Infection Control
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Potential for harm · D April 21, 2025 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected May 12, 2025 · Resident Assessment and Care Planning
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Potential for harm · D February 6, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected February 11, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D September 19, 2024
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected October 8, 2024 · Pharmacy Service
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Potential for harm · D September 19, 2024
Ensure medication error rates are not 5 percent or greater.
Corrected October 8, 2024 · Pharmacy Service
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Potential for harm · D September 3, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected September 20, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D September 3, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected September 20, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D September 3, 2024 · found via complaint
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected September 20, 2024 · Environmental
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Potential for harm · E June 11, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected June 18, 2024 · Quality of Life and Care
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Actual harm · G February 28, 2024 · found via complaint
Provide safe, appropriate pain management for a resident who requires such services.
Corrected March 28, 2024 · Quality of Life and Care
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Potential for harm · E February 28, 2024 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected March 28, 2024 · Pharmacy Service
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Potential for harm · D February 27, 2024 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected March 15, 2024 · Resident Assessment and Care Planning
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Potential for harm · E February 27, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 15, 2024 · Quality of Life and Care
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Potential for harm · D February 27, 2024 · found via complaint
Post nurse staffing information every day.
Corrected March 15, 2024 · Nursing and Physician Services
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Actual harm · G February 15, 2024 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected March 28, 2024 · Quality of Life and Care
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Actual harm · G February 15, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 28, 2024 · Quality of Life and Care
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Potential for harm · E February 15, 2024 · found via complaint
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Corrected March 28, 2024 · Resident Rights
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Potential for harm · E February 15, 2024 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected March 28, 2024 · Resident Assessment and Care Planning
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Potential for harm · D February 15, 2024 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected March 28, 2024 · Resident Assessment and Care Planning
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Potential for harm · D February 15, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected March 28, 2024 · Quality of Life and Care
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Potential for harm · E February 14, 2024 · found via complaint
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected March 22, 2024 · Resident Rights
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| July 8, 2025 | Fine | $79,560 |
| January 4, 2024 | Fine | $61,204 |
| October 17, 2023 | Fine | $2,447 |
| September 25, 2023 | Fine | $5,244 |
| July 12, 2023 | Fine | $134,999 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 555214 · certified since December 12, 1985. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.