ElderGrade
C

64/100

Average

Marin Post Acute

234 N. San Pedro Rd, San Rafael, CA 94903

CMS 2/5 stars #7 of 11 in Marin County (415) 479-3450
Certified beds
168
Occupancy
87%
Ownership
For-profit
Accepts
Medicare + Medicaid

What to ask about before you visit

These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.

  • Abuse icon on record

    CMS flags this facility for citations of abuse that caused harm, or potential for harm, to residents.

  • 3 citation(s) involving actual harm or immediate jeopardy

    Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection safety

22.5/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

  • -4 for 1 actual-harm citation(s) in the last 3 years
  • -3.5 for 27 total citations against a national median of 17

Staffing

18/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 3.79 total nurse hours per resident per day (national median 3.77)
  • 0.37 RN hours per resident per day
  • Weekend staffing drops 8% against weekdays

Staff stability

7.5/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • No turnover figure reported — scored neutral

Resident outcomes

12/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 4 of 5 stars on the CMS quality-measure rating

Enforcement history

10/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • No federal fines on record

Grade ceiling applied

  • Capped at 64 (grade C) — CMS abuse icon on record

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 3.68 hrs
National average 3.86 hrs Below average
Registered nurse (RN) hours 0.37 hrs
National average 0.69 hrs Below average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 3.40 hrs
National average 3.42 hrs Below average

The shift most families visit, and the one thinned first.

Nursing staff turnover Not reported

The share of nursing staff who left over the last year.

Recent inspection findings

All 44 citations

Last standard health inspection: December 4, 2025 (8 months ago).

D May 7, 2026 F0564 From a complaint

Resident Rights Deficiencies

Inform each resident of his or her visitation rights and ensure that all visitors enjoy equal visitation privileges.

No actual harm, potential for more than minimal harm

D Apr 23, 2026 F0692 From a complaint

Quality of Life and Care Deficiencies

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

No actual harm, potential for more than minimal harm

G Jan 8, 2026 F0689 From a complaint

Quality of Life and Care Deficiencies

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

Actual harm to a resident

D Jan 8, 2026 F0609 From a complaint

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

No actual harm, potential for more than minimal harm

D Jan 8, 2026 F0641 From a complaint

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

No actual harm, potential for more than minimal harm

E Dec 16, 2025 F0658 From a complaint

Resident Assessment and Care Planning Deficiencies

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

No actual harm, potential for more than minimal harm

D Dec 16, 2025 F0600 From a complaint

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.

No actual harm, potential for more than minimal harm

D Dec 16, 2025 F0609 From a complaint

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

No actual harm, potential for more than minimal harm

Who owns this home

Full record

Part of PACS GROUP, which operates 281 homes. Staffing budgets are usually set at chain level, not in the building.

Owner Type Role Since
PICETTI, DOMINIC Individual CONTRACTED MANAGING EMPLOYEE
FLAKE, ETHAN Individual W-2 MANAGING EMPLOYEE
APT, FREDERICK Individual CORPORATE OFFICER
HANCOCK, MARK Individual CORPORATE OFFICER
JERGENSEN, JOSHUA Individual CORPORATE OFFICER
MITCHELL, JOHN Individual CORPORATE OFFICER
PROVIDENCE GROUP NORTH LLC Organization 5% OR GREATER DIRECT OWNERSHIP INTEREST

What families say

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Common questions about Marin Post Acute

What is the ElderGrade for Marin Post Acute? +

Marin Post Acute holds an ElderGrade of C (64 out of 100), which we describe as "average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Marin Post Acute? +

Residents receive an average of 3.68 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Marin Post Acute been cited for harming residents? +

Yes. 3 of the 44 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.

Does Marin Post Acute accept Medicaid? +

Yes, Marin Post Acute is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.