Professional Post Acute Center
Nursing Home · San Rafael, CA
CMS certification number555214
Contact & location
81 Professional Center ParkwaySan Rafael, CA 94903
Marin County
- Phone
- (415) 479-5161
- ZIP code
- 94903 – all care providers
Facility details
- Certified beds
- 99
- Residents per day
- 84.0 (85% occupied)
- Ownership
- For profit - Limited Liability company
- Legal name
- CF San Rafael, LLC
- Chain
- Cambridge Healthcare Services (32 facilities, avg 2.5★)
- Medicare certified since
- December 12, 1985
- Participates in
- Medicare and Medicaid
- Council
- Resident council
CMS star ratings
Staffing
Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.
- Total nurse staffing
- 3.84 (state 4.52 · U.S. 3.86)
- Registered nurses (RN)
- 0.54 (state 0.67 · U.S. 0.69)
- Licensed practical nurses
- 0.75 (state 1.20 · U.S. 0.86)
- Nurse aides
- 2.54 (state 2.65 · U.S. 2.32)
- Weekend total
- 3.59 (state 4.09 · U.S. 3.42)
- Nursing staff turnover
- 38.1 (state 36.7 · U.S. 45.8)%
- RN turnover
- 46.2 (state 38.1 · U.S. 42.9)%
- Administrators who left
- 0 in the last year
Inspections
- Last standard inspection
- September 19, 2024
- Health deficiencies (last cycle)
- 8.0 (state 15.7 · U.S. 9.3)
- From complaints
- 6
- Citations on record (3 years)
- 58 health · 22 fire safety · includes actual harm
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2026-05-08 | Provide enough food/fluids to maintain a resident's health. F0692 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-06-04 |
| 2026-05-04 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-05-29 |
| 2026-03-04 | Ensure services provided by the nursing facility meet professional standards of quality. F0658 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-03-05 |
| 2026-03-04 | 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. F0761 · Pharmacy Service Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-03-05 |
| 2025-08-13 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
G Actual harm |
Corrected 2025-09-18 |
| 2025-08-13 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. F0557 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-09-18 |
| 2025-07-08 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-08-08 |
| 2025-04-21 | Ensure services provided by the nursing facility meet professional standards of quality. F0658 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-05-12 |
| 2025-02-06 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-02-11 |
| 2024-09-19 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. F0756 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-10-08 |
| 2024-09-19 | Ensure medication error rates are not 5 percent or greater. F0759 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-10-08 |
| 2024-09-03 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-09-20 |
| 2024-09-03 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-09-20 |
| 2024-09-03 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. F0921 · Environmental Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-09-20 |
| 2024-06-11 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-06-18 |
| 2024-02-28 | Provide safe, appropriate pain management for a resident who requires such services. F0697 · Quality of Life and Care Deficiencies · complaint inspection |
G Actual harm |
Corrected 2024-03-28 |
| 2024-02-28 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755 · Pharmacy Service Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-03-28 |
| 2024-02-27 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-03-15 |
| 2024-02-27 | Ensure services provided by the nursing facility meet professional standards of quality. F0658 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-03-15 |
| 2024-02-27 | Post nurse staffing information every day. F0732 · Nursing and Physician Services Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-03-15 |
| 2024-02-15 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686 · Quality of Life and Care Deficiencies · complaint inspection |
G Actual harm |
Corrected 2024-03-28 |
| 2024-02-15 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
G Actual harm |
Corrected 2024-03-28 |
| 2024-02-15 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. F0553 · Resident Rights Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-03-28 |
| 2024-02-15 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-03-28 |
| 2024-02-15 | Ensure services provided by the nursing facility meet professional standards of quality. F0658 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-03-28 |
| 2024-02-15 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-03-28 |
| 2024-02-14 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. F0557 · Resident Rights Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-03-22 |
| 2024-01-04 | Provide safe, appropriate pain management for a resident who requires such services. F0697 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-02-27 |
| 2024-01-04 | Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. F0776 · Administration Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-02-27 |
| 2023-11-22 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550 · Resident Rights Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2023-12-24 |
| 2023-11-22 | 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. F0584 · Resident Rights Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2023-12-24 |
| 2023-11-22 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755 · Pharmacy Service Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2023-12-24 |
| 2023-11-22 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2023-12-24 |
| 2023-11-22 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2023-12-24 |
| 2023-08-18 | Ensure services provided by the nursing facility meet professional standards of quality. F0658 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2023-09-15 |
| 2021-05-19 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies |
H Actual harm |
Corrected 2021-08-23 |
| 2021-05-19 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. F0607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies |
G Actual harm |
Corrected 2021-08-23 |
| 2021-05-19 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies |
G Actual harm |
Corrected 2021-08-23 |
| 2021-05-19 | 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. F0726 · Nursing and Physician Services Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2021-08-17 |
| 2021-05-19 | 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. F0727 · Nursing and Physician Services Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2021-08-17 |
| 2021-05-19 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550 · Resident Rights Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2021-08-17 |
| 2021-05-19 | Give residents a notice of rights, rules, services and charges. F0572 · Resident Rights Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2021-08-17 |
| 2021-05-19 | 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. F0584 · Resident Rights Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2021-08-17 |
| 2021-05-19 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2021-08-17 |
| 2021-05-19 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657 · Resident Assessment and Care Planning Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2021-08-17 |
| 2021-05-19 | Ensure services provided by the nursing facility meet professional standards of quality. F0658 · Resident Assessment and Care Planning Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2021-08-17 |
| 2021-05-19 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2021-08-17 |
| 2021-05-19 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. F0725 · Nursing and Physician Services Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2021-08-17 |
| 2021-05-19 | Post nurse staffing information every day. F0732 · Nursing and Physician Services Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2021-08-17 |
| 2021-05-19 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2021-08-17 |
Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results
Fines & penalties
4 penalties in the last three years, including $148,455 in fines.
| Date | Type | Amount |
|---|---|---|
| 2025-07-08 | Fine | $79,560 |
| 2024-01-04 | Fine | $61,204 |
| 2023-10-17 | Fine | $2,447 |
| 2023-09-25 | Fine | $5,244 |
Ownership & management
| Name | Role | Since |
|---|---|---|
| Crescent Facilities Operations LLC (organization) | 5%+ Direct Ownership Interest · 100% | |
| Bering Properties LLC (organization) | 5%+ Indirect Ownership Interest · 6% | |
| Jenmax Enterprises LLC (organization) | 5%+ Indirect Ownership Interest · 23% | |
| Jk-Csh JV LLC (organization) | 5%+ Indirect Ownership Interest · 12% | |
| Manhattan Five Partners LLC (organization) | 5%+ Indirect Ownership Interest · 7% | |
| Win Win Enterprises, LLC (organization) | 5%+ Indirect Ownership Interest · 35% | |
| 81 Professional Center LLC (organization) | Administrator · NOT APPLICABLE | |
| Bretsch, Gregory (individual) | Administrator · NOT APPLICABLE | |
| Butenko, Julie (individual) | Administrator · NOT APPLICABLE | |
| Cambridge Healthcare Services LLC (organization) | Administrator · NOT APPLICABLE | |
| Capela, Heidi (individual) | Administrator · NOT APPLICABLE | |
| Foreman, Nicole (individual) | Administrator · NOT APPLICABLE | |
| Hassell, Lance (individual) | Administrator · NOT APPLICABLE | |
| Jenmax Enterprises LLC (organization) | Administrator · NOT APPLICABLE | |
| Jk-Csh JV LLC (organization) | Administrator · NOT APPLICABLE | |
| Lutz, Linda (individual) | Administrator · NOT APPLICABLE | |
| Salazar, Paulina (individual) | Administrator · NOT APPLICABLE | |
| Smedra, Ira (individual) | Administrator · NOT APPLICABLE | |
| Win Win Enterprises, LLC (organization) | Administrator · NOT APPLICABLE | |
| Wintner, Jacob (individual) | Administrator · NOT APPLICABLE | |
| BH Alliance (organization) | Indirect Ownership Interest · NOT APPLICABLE | |
| The Jacob Wintner Trust (organization) | Indirect Ownership Interest · NOT APPLICABLE | |
| The Wintner Living Trust Dated 7/08/1992 (organization) | Indirect Ownership Interest · NOT APPLICABLE | |
| Wintner, Jacob (individual) | Indirect Ownership Interest · NOT APPLICABLE | |
| Bretsch, Gregory (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Foreman, Nicole (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Bretsch, Gregory (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Butenko, Julie (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Cambridge Healthcare Services LLC (organization) | Operational/managerial Control · NOT APPLICABLE | |
| Capela, Heidi (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Copp, Noreen (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Foreman, Nicole (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Hassell, Lance (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Lutz, Linda (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Salazar, Paulina (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Smedra, Ira (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Wintner, Jacob (individual) | Operational/managerial Control · NOT APPLICABLE |
Frequently asked questions
What is the rating of Professional Post Acute Center?
Professional Post Acute Center has a 3-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.2-star average in California.
How many beds does Professional Post Acute Center have?
It has 99 certified beds and cares for about 84 residents per day.
Has Professional Post Acute Center been fined?
Yes. CMS lists 4 penalties totaling $148,455 in the last three years.
Who owns Professional Post Acute Center?
It is part of Cambridge Healthcare Services and is classified as for profit - limited liability company. See the ownership table above for all owners and managers reported to CMS.
What is the phone number of Professional Post Acute Center?
(415) 479-5161. The facility is located at 81 Professional Center Parkway, San Rafael, CA 94903.
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Marin Post Acute
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Northgate Postacute Care
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San Rafael Healthcare & Wellness Center, LP
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Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.