01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2024-09-19 | 8 | 2024-09-19 | 9 |
| Cycle 2 | 2021-05-19 | 29 | 2021-05-19 | 13 |
| Cycle 3 | 2019-05-01 | 40 | 2019-05-01 | 3 |
CMS CCN 5552142026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Professional Post Acute Center
81 Professional Center Parkway · San Rafael, CA 94903 · Marin County
Certified beds99CMS provider file
Recent citation rows102current CMS citation release
Penalty rows4current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
102 rows in the current release
7 rows carry G–L scope/severity codes; 0 carry J–L. 24 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-05-08 · HEALTHF0692Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Correction field: Deficient, Provider has date of correction · 2026-06-04 · complaint2026-05-04 · HEALTHF0580Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Correction field: Deficient, Provider has date of correction · 2026-05-29 · complaint2026-03-04 · HEALTHF0658Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Correction field: Deficient, Provider has date of correction · 2026-03-05 · complaint2026-03-04 · HEALTHF0761Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2026-03-05 · complaint2025-08-13 · HEALTHF0557Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Correction field: Deficient, Provider has date of correction · 2025-09-18 · complaint2025-08-13 · HEALTHF0689Severity G · isolated actual harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2025-09-18 · complaint2025-07-08 · HEALTHF0880Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2025-08-08 · complaint2025-04-21 · HEALTHF0658Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Correction field: Deficient, Provider has date of correction · 2025-05-12 · complaint2025-02-06 · HEALTHF0600Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Correction field: Deficient, Provider has date of correction · 2025-02-11 · complaint2024-09-19 · HEALTHF0756Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Correction field: Deficient, Provider has date of correction · 2024-10-082024-09-19 · HEALTHF0759Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Correction field: Deficient, Provider has date of correction · 2024-10-082024-09-19 · FIREK0291Severity F · widespread; potential for more than minimal harm
Egress Deficiencies
Install emergency lighting that can last at least 1 1/2 hours.
Correction field: Deficient, Provider has date of correction · 2024-11-072024-09-19 · FIREK0293Severity D · isolated; potential for more than minimal harm
Egress Deficiencies
Have properly located and lighted "Exit" signs.
Correction field: Deficient, Provider has date of correction · 2024-11-072024-09-19 · FIREK0347Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Properly provide smoke detection systems in areas open to corridors.
Correction field: Deficient, Provider has date of correction · 2024-11-072024-09-19 · FIREK0353Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2024-11-072024-09-19 · FIREK0355Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Correction field: Deficient, Provider has date of correction · 2024-11-072024-09-19 · FIREK0363Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Correction field: Deficient, Provider has date of correction · 2024-11-072024-09-19 · FIREK0918Severity F · widespread; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Correction field: Deficient, Provider has date of correction · 2024-11-072024-09-19 · FIREK0920Severity E · pattern; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Correction field: Deficient, Provider has date of correction · 2024-11-072024-09-19 · FIREK0923Severity D · isolated; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Correction field: Deficient, Provider has date of correction · 2024-11-072024-09-03 · HEALTHF0600Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Correction field: Deficient, Provider has date of correction · 2024-09-20 · complaint2024-09-03 · HEALTHF0609Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Correction field: Deficient, Provider has date of correction · 2024-09-20 · complaint2024-09-03 · HEALTHF0921Severity D · isolated; potential for more than minimal harm
Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Correction field: Deficient, Provider has date of correction · 2024-09-20 · complaint2024-06-11 · HEALTHF0689Severity E · pattern; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2024-06-18 · complaint03 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| 2025-07-08 | Fine | $79,560 | 0 |
| 2024-01-04 | Fine | $61,204 | 0 |
| 2023-10-17 | Fine | $2,447 | 0 |
| 2023-09-25 | Fine | $5,244 | 0 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- CRESCENT FACILITIES OPERATIONS LLCOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST100% · since 12/19/2006
- BERING PROPERTIES LLCOrganization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST6% · since 02/01/2007
- JENMAX ENTERPRISES LLCOrganization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST23% · since 02/01/2007
- JK-CSH JV LLCOrganization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST12% · since 11/01/2006
- MANHATTAN FIVE PARTNERS LLCOrganization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST7% · since 11/01/2006
- WIN WIN ENTERPRISES, LLCOrganization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST35% · since 02/01/2007
- BH ALLIANCEOrganization · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 11/01/2006
- THE JACOB WINTNER TRUSTOrganization · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 11/01/2006
- THE WINTNER LIVING TRUST DATED 7/08/1992Organization · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 02/01/2007
- WINTNER, JACOBIndividual · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 02/01/2007
- BRETSCH, GREGORYIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 02/25/2019
- FOREMAN, NICOLEIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 01/08/2024
- CAMBRIDGE HEALTHCARE SERVICES LLCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 04/01/2014
- BRETSCH, GREGORYIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 02/25/2019
- BUTENKO, JULIEIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 07/24/2023
- CAPELA, HEIDIIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 04/03/2023
- COPP, NOREENIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 07/14/2025
- FOREMAN, NICOLEIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 01/08/2024
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours3.84per resident day
RN hours0.54per resident day
Weekend nurse hours3.59per resident day
Staff turnover38.1%CMS reported field
06 / LOCAL RECORDS
Open the San Rafael ledger →Other published facilities nearby
Marin Post Acute168 beds · CMS overall 2/590 citation rowsNorthgate Postacute Care52 beds · CMS overall 2/591 citation rowsPine Ridge Care Center101 beds · CMS overall 5/568 citation rowsSan Rafael Healthcare & Wellness Center, Lp54 beds · CMS overall 2/584 citation rowsSmith Ranch Skilled Nursing & Rehabilitation Cente80 beds · CMS overall 3/565 citation rowsVilla Marin31 beds · CMS overall 5/541 citation rows