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PINE RIDGE CARE CENTER

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PINE RIDGE CARE CENTER is a for profit - partnership facility in SAN RAFAEL, CA with 101 certified beds and a 4-star overall CMS rating. The facility has 42 deficiency records on file. Total penalties: $8K.

45 PROFESSIONAL CENTER PKWY, SAN RAFAEL, CA 94903

Phone: 4154793610

Overall Rating

4/5

Health Inspection

2/5

Staffing

5/5

Quality Measures

5/5

Long-Stay Quality

5/5

Facility Information

Provider Number
055850
Ownership
For profit - Partnership
Provider Type
Medicare and Medicaid
Beds
101
Residents
88
In Hospital
No
County
Marin
Last Inspection
Dec 5, 2025

Staffing Data

RN Hours
1.02 (nat'l avg: 0.68)
LPN Hours
0.46
CNA Hours
2.67
Total Nursing Hours
4.15 (nat'l avg: 3.89)
PT Hours
0.11
Nursing Turnover
42.3%
RN Turnover
33.3%

What the CMS Record Reveals About PINE RIDGE CARE CENTER

PINE RIDGE CARE CENTER operates 101 certified beds in SAN RAFAEL, CA with approximately 88 residents currently in care, and carries a CMS overall rating of 4 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (2★), staffing levels (5★), and quality measures (5★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone — a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

The inspection file contains 42 deficiency records from recent surveys, of which 1 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 1 penalty totaling $8K against this provider, a tangible indicator that regulators moved beyond citation into financial consequence. Staffing is reported at 4.15 total nursing hours per resident day (national average 3.89), with RN coverage at 1.02 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "For profit - Partnership" ownership and operating as a "Medicare and Medicaid" provider, PINE RIDGE CARE CENTER falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes — ratings and fines are lagging indicators of those upstream choices. Reported nursing turnover at this facility is 42.3%, within a range generally associated with stable care teams. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report — the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (42 most recent)

D — Isolated - Minimal harm Dec 5, 2025 Tag: 0627

Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

Category: Resident Rights Deficiencies

Corrected: Jan 4, 2026

D — Isolated - Minimal harm Dec 5, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Jan 4, 2026

F — Widespread - Minimal harm Dec 5, 2025 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Jan 4, 2026

E — Pattern - Minimal harm Dec 5, 2025 Tag: 0807

Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.

Category: Nutrition and Dietary Deficiencies

Corrected: Jan 4, 2026

E — Pattern - Minimal harm Dec 5, 2025 Tag: 0804

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Category: Nutrition and Dietary Deficiencies

Corrected: Jan 4, 2026

F — Widespread - Minimal harm Dec 5, 2025 Tag: 0756

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

Category: Pharmacy Service Deficiencies

Corrected: Jan 4, 2026

D — Isolated - Minimal harm Dec 5, 2025 Tag: 0699

Provide care or services that was trauma informed and/or culturally competent.

Category: Quality of Life and Care Deficiencies

Corrected: Jan 4, 2026

D — Isolated - Minimal harm Dec 5, 2025 Tag: 0676

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Category: Quality of Life and Care Deficiencies

Corrected: Jan 4, 2026

E — Pattern - Minimal harm Dec 5, 2025 Tag: 0657

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jan 4, 2026

D — Isolated - Minimal harm Dec 5, 2025 Tag: 0656

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jan 4, 2026

E — Pattern - Minimal harm Dec 5, 2025 Tag: 0578

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Category: Resident Rights Deficiencies

Corrected: Jan 4, 2026

D — Isolated - Minimal harm Sep 8, 2025 Tag: 0600

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

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Sep 25, 2025

D — Isolated - Minimal harm Aug 4, 2025 Tag: 0689

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

Category: Quality of Life and Care Deficiencies

Corrected: Aug 29, 2025

D — Isolated - Minimal harm Aug 4, 2025 Tag: 0655

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Aug 29, 2025

D — Isolated - Minimal harm Aug 4, 2025 Tag: 0580

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Category: Resident Rights Deficiencies

Corrected: Aug 29, 2025

D — Isolated - Minimal harm Jul 16, 2025 Tag: 0609

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

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Aug 4, 2025

E — Pattern - Minimal harm Apr 17, 2025 Tag: 0678

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

Category: Quality of Life and Care Deficiencies

Corrected: May 22, 2025

D — Isolated - Minimal harm Apr 17, 2025 Tag: 0658

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: May 22, 2025

D — Isolated - Minimal harm Dec 12, 2024 Tag: 0912

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

Category: Environmental Deficiencies

Corrected: Jan 2, 2025

D — Isolated - Minimal harm Dec 12, 2024 Tag: 0689

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

Category: Quality of Life and Care Deficiencies

Corrected: Jan 2, 2025

D — Isolated - Minimal harm Dec 12, 2024 Tag: 0676

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Category: Quality of Life and Care Deficiencies

Corrected: Jan 2, 2025

D — Isolated - Minimal harm Dec 12, 2024 Tag: 0638

Assure that each resident’s assessment is updated at least once every 3 months.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jan 2, 2025

D — Isolated - Minimal harm May 28, 2024 Tag: 0689

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

Category: Quality of Life and Care Deficiencies

Corrected: Jul 29, 2024

D — Isolated - Minimal harm Mar 19, 2024 Tag: 0609

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

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: May 3, 2024

D — Isolated - Minimal harm Sep 11, 2023 Tag: 0684

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

Category: Quality of Life and Care Deficiencies

Corrected: Oct 27, 2023

G — Isolated - Actual harm Jul 21, 2023 Tag: 0689

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

Category: Quality of Life and Care Deficiencies

Corrected: Aug 15, 2023

E — Pattern - Minimal harm Mar 29, 2023 Tag: 0745

Provide medically-related social services to help each resident achieve the highest possible quality of life.

Category: Quality of Life and Care Deficiencies

Corrected: Apr 14, 2023

E — Pattern - Minimal harm Aug 12, 2021 Tag: 0921

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

Category: Environmental Deficiencies

Corrected: Oct 13, 2021

E — Pattern - Minimal harm Aug 12, 2021 Tag: 0867

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Category: Administration Deficiencies

Corrected: Oct 13, 2021

E — Pattern - Minimal harm Aug 12, 2021 Tag: 0865

Have a plan that describes the process for conducting QAPI and QAA activities.

Category: Administration Deficiencies

Corrected: Oct 13, 2021

E — Pattern - Minimal harm Aug 12, 2021 Tag: 0841

Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.

Category: Nursing and Physician Services Deficiencies

Corrected: Oct 13, 2021

E — Pattern - Minimal harm Aug 12, 2021 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Oct 13, 2021

E — Pattern - Minimal harm Aug 12, 2021 Tag: 0803

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Category: Nutrition and Dietary Deficiencies

Corrected: Oct 13, 2021

E — Pattern - Minimal harm Aug 12, 2021 Tag: 0802

Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

Category: Nutrition and Dietary Deficiencies

Corrected: Oct 13, 2021

E — Pattern - Minimal harm Aug 12, 2021 Tag: 0758

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Category: Pharmacy Service Deficiencies

Corrected: Oct 13, 2021

E — Pattern - Minimal harm Aug 12, 2021 Tag: 0756

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

Category: Pharmacy Service Deficiencies

Corrected: Oct 13, 2021

E — Pattern - Minimal harm Aug 12, 2021 Tag: 0692

Provide enough food/fluids to maintain a resident's health.

Category: Quality of Life and Care Deficiencies

Corrected: Oct 13, 2021

E — Pattern - Minimal harm Aug 12, 2021 Tag: 0689

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

Category: Quality of Life and Care Deficiencies

Corrected: Oct 13, 2021

E — Pattern - Minimal harm Aug 12, 2021 Tag: 0656

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Oct 13, 2021

E — Pattern - Minimal harm Aug 12, 2021 Tag: 0585

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Category: Resident Rights Deficiencies

Corrected: Oct 13, 2021

E — Pattern - Minimal harm Aug 12, 2021 Tag: 0577

Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

Category: Resident Rights Deficiencies

Corrected: Oct 13, 2021

F — Widespread - Minimal harm Aug 12, 2021 Tag: 0576

Ensure residents have reasonable access to and privacy in their use of communication methods.

Category: Resident Rights Deficiencies

Corrected: Oct 13, 2021

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 3.2% Yes
Percentage of long-stay residents who lose too much weight Long Stay 1.9% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.0% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 0.0% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 0.0% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 1.3% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 100.0% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 100.0% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 0.0% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 2.7% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 2.6% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 100.0% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 100.0% No
Percentage of long-stay residents with pressure ulcers Long Stay 2.1% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 5.1% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 6.6% Yes

Penalty History 1 penalties totaling $8K

Date Type Amount
Jul 21, 2023 Fine $8K

Frequently Asked Questions

What is the overall CMS rating for PINE RIDGE CARE CENTER?
PINE RIDGE CARE CENTER has an overall CMS rating of 4 out of 5 stars. This rating combines health inspection results (2★), staffing levels (5★), and quality measures (5★).
What are the staffing levels at PINE RIDGE CARE CENTER?
PINE RIDGE CARE CENTER reports 4.15 total nursing hours per resident day (national average: 3.89). RN hours are 1.02 per resident day (national average: 0.68). Nursing staff turnover is 42.3%.
How many beds does PINE RIDGE CARE CENTER have?
PINE RIDGE CARE CENTER has 101 certified beds with approximately 88 residents. The facility is located at 45 PROFESSIONAL CENTER PKWY, SAN RAFAEL, CA 94903.
Does PINE RIDGE CARE CENTER have any deficiencies on record?
Yes, PINE RIDGE CARE CENTER has 42 deficiencies on record from recent inspections. Of these, 1 are classified as causing actual harm or jeopardy.
Has PINE RIDGE CARE CENTER received any fines or penalties?
Yes, PINE RIDGE CARE CENTER has received 1 penalties totaling $8K.
Who owns PINE RIDGE CARE CENTER?
PINE RIDGE CARE CENTER is classified as "For profit - Partnership" ownership. The facility type is "Medicare and Medicaid".
When was PINE RIDGE CARE CENTER last inspected?
The most recent health inspection for PINE RIDGE CARE CENTER was on Dec 5, 2025. The facility received a health inspection rating of 2 out of 5 stars.
What quality measures are tracked for PINE RIDGE CARE CENTER?
PINE RIDGE CARE CENTER is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.

Related

Data sourced from official U.S. government datasets. See our methodology for details. Retrieved and formatted by PlainNursing Editorial