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Data from CMS, Census Bureau & CareScout. Not affiliated with the U.S. government.

© 2026 NursingHomes.us. All data from CMS.gov.
HomeCaliforniaProfessional Post Acute Center

Professional Post Acute Center

81 Professional Center Parkway, San Rafael, CA 949034154795161
2/5Below Average
Accepts Medicare Accepts Medicaid Sprinkler System
Health
1/5
Staffing
4/5
Quality
5/5
Beds
99
certified
This facility has been flagged for abuse.
5 fine(s) totaling $283,454

Key Findings

• CMS rates this facility 2/5 stars (below average)

• Has 99 certified beds with an average of 82.8 residents per day (84% occupancy)

• Last health inspection found 7 deficiencies (inspected Sep 19, 2024)

• Has been fined a total of $283,454 across 5 fine(s)

• Total nursing staff: 3.84 hours per resident per day

• Staff turnover rate: 40.0%

• Part of the Cambridge Healthcare Services chain (32 facilities)

Professional Post Acute Center is a 2-star Medicare and Medicaid certified nursing home in San Rafael, California with 99 certified beds. It has been operating since 1985. The facility scored below average compared to California facilities.

Beds
99
Avg Residents/Day
82.8
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Dec 12, 1985
Sprinklers
Yes
Council
Resident
County
Marin
Last Inspection
Sep 19, 2024
Deficiencies (Cycle 1)
7
Weighted Score
168.0
Infection Citations
0

Deficiency Citations (87)

F0557Potential for Harm

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

Survey: Aug 13, 2025Corrected: NoCycle: 1
F0689Actual Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Aug 13, 2025Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Jul 8, 2025Corrected: NoCycle: 1
F0658Potential for Harm

Ensure services provided by the nursing facility meet professional standards of quality.

Survey: Apr 21, 2025Corrected: NoCycle: 1
F0600Potential for Harm

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Survey: Feb 6, 2025Corrected: NoCycle: 1
F0756Potential for Harm

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Survey: Sep 19, 2024Corrected: NoCycle: 1
F0759Potential for Harm

Ensure medication error rates are not 5 percent or greater.

Survey: Sep 19, 2024Corrected: NoCycle: 1
F0600Potential for Harm

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Survey: Sep 3, 2024Corrected: NoCycle: 2
F0609Potential for Harm

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Survey: Sep 3, 2024Corrected: NoCycle: 2
F0921Potential for Harm

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Survey: Sep 3, 2024Corrected: NoCycle: 2
F0689Potential for Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Jun 11, 2024Corrected: NoCycle: 2
F0697Actual Harm

Provide safe, appropriate pain management for a resident who requires such services.

Survey: Feb 28, 2024Corrected: NoCycle: 2
F0755Potential for Harm

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Survey: Feb 28, 2024Corrected: NoCycle: 2
F0658Potential for Harm

Ensure services provided by the nursing facility meet professional standards of quality.

Survey: Feb 27, 2024Corrected: NoCycle: 2
F0689Potential for Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Feb 27, 2024Corrected: NoCycle: 2
F0732Potential for Harm

Post nurse staffing information every day.

Survey: Feb 27, 2024Corrected: NoCycle: 2
F0553Potential for Harm

Allow resident to participate in the development and implementation of his or her person-centered plan of care.

Survey: Feb 15, 2024Corrected: NoCycle: 2
F0657Potential for Harm

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Survey: Feb 15, 2024Corrected: NoCycle: 2
F0658Potential for Harm

Ensure services provided by the nursing facility meet professional standards of quality.

Survey: Feb 15, 2024Corrected: NoCycle: 2
F0684Potential for Harm

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Survey: Feb 15, 2024Corrected: NoCycle: 2
F0686Actual Harm

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Survey: Feb 15, 2024Corrected: NoCycle: 2
F0689Actual Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Feb 15, 2024Corrected: NoCycle: 2
F0557Potential for Harm

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

Survey: Feb 14, 2024Corrected: NoCycle: 2
F0550Potential for Harm

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Survey: May 19, 2021Corrected: NoCycle: 2
F0572Potential for Harm

Give residents a notice of rights, rules, services and charges.

Survey: May 19, 2021Corrected: NoCycle: 2
F0584Potential for Harm

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.

Survey: May 19, 2021Corrected: NoCycle: 2
F0600Actual Harm

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Survey: May 19, 2021Corrected: NoCycle: 2
F0607Actual Harm

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Survey: May 19, 2021Corrected: NoCycle: 2
F0609Actual Harm

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Survey: May 19, 2021Corrected: NoCycle: 2
F0656Potential for Harm

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey: May 19, 2021Corrected: NoCycle: 2

+ 57 more deficiencies

Total Fines
$283,454
Number of Fines
5
Payment Denials
0
Total Penalties
5

Penalty History

FineOct 17, 2023
$2,447
FineSep 25, 2023
$5,244
FineJan 4, 2024
$61,204
FineJul 8, 2025
$79,560
FineJul 12, 2023
$134,999

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide2.53 hrs
National avg: 2.35 hrs
LPN0.77 hrs
National avg: 0.86 hrs
RN0.54 hrs
National avg: 0.68 hrs
Total Nursing3.84 hrs
National avg: 3.89 hrs
Weekend Total3.59 hrs
National avg: 0.00 hrs
Physical Therapist0.09 hrs
National avg: 0.07 hrs
Total Turnover
40.0%
RN Turnover
53.3%
Administrators Left
0

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
For profit - Limited Liability company
Recent Change
No

Owners & Managers (19)

NameRoleTypeOwnership %Since
CRESCENT FACILITIES OPERATIONS LLC5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%Dec 19, 2006
BERING PROPERTIES LLC5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganizationN/AFeb 1, 2007
IRA & RACHEL SMEDRA FAMILY IRREVOCABLE GIFT TRUST5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganizationN/AFeb 1, 2007
JENMAX ENTERPRISES LLC5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganizationN/AFeb 1, 2007
JENNIFER NURIT SMEDRA TRUST 1997 TRUST5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganizationN/AFeb 1, 2007
THE HYMAN & BETTY INGBER FAMILY TRUST5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganizationN/AOct 10, 2013
THE WINTNER LIVING TRUST DATED 7/08/19925% OR GREATER INDIRECT OWNERSHIP INTERESTOrganizationN/AFeb 1, 2007
WHEATEN LLC5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganizationN/AFeb 1, 2007
WIN WIN ENTERPRISES, LLC5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganizationN/AFeb 1, 2007
SMEDRA, IRA5% OR GREATER INDIRECT OWNERSHIP INTERESTIndividualN/AFeb 1, 2007
SMEDRA, JENNIFER5% OR GREATER INDIRECT OWNERSHIP INTERESTIndividualN/AFeb 1, 2007
WINTNER, FRANCINE5% OR GREATER INDIRECT OWNERSHIP INTERESTIndividualN/AFeb 1, 2007
WINTNER, JACOB5% OR GREATER INDIRECT OWNERSHIP INTERESTIndividualN/AFeb 1, 2007
SMEDRA, IRAOPERATIONAL/MANAGERIAL CONTROLIndividualN/AFeb 1, 2007
TULEU, WAGNEROPERATIONAL/MANAGERIAL CONTROLIndividualN/AJun 10, 2019
WINTNER, JACOBOPERATIONAL/MANAGERIAL CONTROLIndividualN/AFeb 1, 2007
SMEDRA, IRACORPORATE OFFICERIndividualN/AFeb 1, 2007
WINTNER, JACOBCORPORATE OFFICERIndividualN/AFeb 1, 2007
TULEU, WAGNERW-2 MANAGING EMPLOYEEIndividualN/AJun 10, 2019

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Villa Marin

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Marin Post Acute

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San Rafael Healthcare & Wellness Center, LP

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For profit$8,278 in fines
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Frequently Asked Questions

What is the CMS rating for Professional Post Acute Center?▾
Professional Post Acute Center has an overall CMS rating of 2 out of 5 stars, with a health inspection rating of 1/5, staffing rating of 4/5, and quality measures rating of 5/5. This facility is rated below average.
Has Professional Post Acute Center had any health inspection violations?▾
Professional Post Acute Center had 7 deficiency citations in its most recent health inspection (Sep 19, 2024). The facility has been fined a total of $283,454 across 5 fine(s).
What are the staffing levels at Professional Post Acute Center?▾
Professional Post Acute Center provides 3.84 total nursing staff hours per resident per day, including 0.54 RN hours, 0.77 LPN hours, and 2.53 nurse aide hours. The total staff turnover rate is 40.0%.
How many beds does Professional Post Acute Center have?▾
Professional Post Acute Center has 99 certified beds with an average of 82.8 residents per day, resulting in approximately 84% occupancy. The facility is For profit - Limited Liability company owned and is part of the Cambridge Healthcare Services chain.
Are there other nursing homes near Professional Post Acute Center?▾
Yes, there are 6 other nursing homes in San Rafael, California with an average rating of 3/5. You can compare all facilities on the San Rafael nursing homes page.

Part of Cambridge Healthcare Services

This chain operates 32 facilities. View all →