ElderGrade
C

59/100

Average

Professional Post Acute Center

81 Professional Center Parkway, San Rafael, CA 94903

CMS 2/5 stars #10 of 11 in Marin County (415) 479-5161
Certified beds
99
Occupancy
85%
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.

  • 8 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.

  • $148,455 in federal fines

    CMS has fined this facility across 4 penalty action(s).

How this grade was calculated

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

Inspection 12/30 Staffing 18/30 Stability 12/15 Outcomes 15/15 Enforcement 2/10

A full pentagon is full marks. The shape shows what kind of good or bad a home is — two homes can share a score and look nothing alike.

Inspection safety

12/30

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

  • -12 for 4 actual-harm citation(s) in the last 3 years
  • -6 for 34 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.

  • 4.15 total nurse hours per resident per day (national median 3.77)
  • 0.54 RN hours per resident per day
  • Weekend staffing drops 6% against weekdays

Staff stability

12/15

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

  • 38% of nursing staff left in the last year

Resident outcomes

15/15

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

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

Enforcement history

2/10

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

  • $148,455 in federal fines across 4 action(s)

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 3.84 hrs
National average 3.86 hrs Below average
Registered nurse (RN) hours 0.54 hrs
National average 0.69 hrs Below average

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

Weekend nurse hours 3.59 hrs
National average 3.42 hrs Better than average

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

Nursing staff turnover 38.10%
National average 45.80% Better than average

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

Recent inspection findings

All 79 citations

Last standard health inspection: September 19, 2024 (1 year ago).

D May 8, 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

D May 4, 2026 F0580 From a complaint

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.

No actual harm, potential for more than minimal harm

D Mar 4, 2026 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 Mar 4, 2026 F0761 From a complaint

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...

No actual harm, potential for more than minimal harm

G Aug 13, 2025 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 Aug 13, 2025 F0557 From a complaint

Resident Rights Deficiencies

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

No actual harm, potential for more than minimal harm

D Jul 8, 2025 F0880 From a complaint

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

No actual harm, potential for more than minimal harm

D Apr 21, 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

Who owns this home

Full record

Part of CAMBRIDGE HEALTHCARE SERVICES, which operates 32 homes. Staffing budgets are usually set at chain level, not in the building.

Owner Type Role Since
BH ALLIANCE Organization INDIRECT OWNERSHIP INTEREST
THE JACOB WINTNER TRUST Organization INDIRECT OWNERSHIP INTEREST
THE WINTNER LIVING TRUST DATED 7/08/1992 Organization INDIRECT OWNERSHIP INTEREST
WINTNER, JACOB Individual INDIRECT OWNERSHIP INTEREST
BRETSCH, GREGORY Individual MANAGING CONTROL - GOVERNING BODY
FOREMAN, NICOLE Individual MANAGING CONTROL - GOVERNING BODY
CAMBRIDGE HEALTHCARE SERVICES LLC Organization OPERATIONAL/MANAGERIAL CONTROL
BRETSCH, GREGORY Individual OPERATIONAL/MANAGERIAL CONTROL
BUTENKO, JULIE Individual OPERATIONAL/MANAGERIAL CONTROL
CAPELA, HEIDI Individual OPERATIONAL/MANAGERIAL CONTROL
COPP, NOREEN Individual OPERATIONAL/MANAGERIAL CONTROL
FOREMAN, NICOLE Individual OPERATIONAL/MANAGERIAL CONTROL

What families say

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Common questions about Professional Post Acute Center

What is the ElderGrade for Professional Post Acute Center? +

Professional Post Acute Center holds an ElderGrade of C (59 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 Professional Post Acute Center? +

Residents receive an average of 3.84 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Professional Post Acute Center been cited for harming residents? +

Yes. 8 of the 79 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 Professional Post Acute Center accept Medicaid? +

Yes, Professional Post Acute Center 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.