All 7 Medicare-certified nursing homes in San Rafael,
side by side on the things that separate them: how many nursing hours each resident gets, how much of the
staff leaves each year, and what inspectors found on their last visit.
Pine Ridge Care Center runs 101 certified beds in San Rafael, and the staffing numbers are the first thing worth knowing: 4.48 nurse hours per resident day, about 16% above the national average, with weekend coverage dipping roughly 9% below its own weekday level. Turnover sits at 42.9%, slightly better than the national 45.8%. What complicates the picture is the inspection record, 44 deficiencies, one at harm or jeopardy level, four tied to abuse, and a 2/5 health inspection rating, despite 5/5 marks on staffing and quality measures. A single fine of $7,542 is on file, and the most recent inspection was December 5, 2025. For-profit partnership ownership.
Villa Marin sits in San Rafael with just 31 certified beds and nonprofit ownership, and the staffing number is the first thing that stands out: 7.15 nurse hours per resident day, roughly 85% above the national average. That's an unusual amount of hands-on care, though weekend coverage drops about 21% below its own weekday level, so the daily experience may depend on when you visit. The record isn't spotless, 21 deficiencies, including one at the harm level and one tied to abuse, plus a single $7,443 fine. The last inspection was November 2025, so the picture is current. Strong quality measures and recent oversight offset a fair amount of that history.
Staffing here runs about 4.19 nurse hours per resident day, roughly 9% above the national average, and turnover sits at 32.5%, well below the 45.8% national figure. That continuity matters, though weekend coverage drops about 11% from weekday levels, so ask how that gap gets filled. The concern is inspections: 49 deficiencies on record, two at harm or jeopardy level and two abuse-related, with a 2/5 inspection rating that contrasts sharply against a 5/5 quality measure score. For-profit LLC ownership. Quality metrics can look strong while the inspection record tells a harder story, request the last inspection report and ask directly how those abuse-related findings were resolved.
Professional Post Acute Center sits in San Rafael, licensed for 99 beds and run by a for-profit limited liability company. Nurse staffing comes in at 3.84 hours per resident day, just under the national average, and weekends drop about 6% below its own weekday levels, so the floor gets thinnest exactly when families tend to visit. Turnover at 38.1% is better than the national 45.8%, and the staffing star reflects that relative stability. The problem is the inspection record: 79 deficiencies, including 8 at harm or jeopardy level and 7 tied to abuse, with $148,455 in fines and a September 2024 inspection.
San Rafael Healthcare & Wellness Center runs 54 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.91 hours per resident day, just barely above the national average of 3.86, roughly a 1% edge. That thin margin matters because weekend staffing drops about 9% below its own weekday level, so the coverage families see on a Tuesday isn't what they get on a Saturday. The bigger concern is the inspection record: 53 deficiencies, including one at the harm or jeopardy level and three tied to abuse, with a single fine of $8,278. The last inspection was March 20, 2025. Quality and staffing both rate 4 out of 5, but the health inspection side tells a different story.
Marin Post Acute runs 168 beds in San Rafael under for-profit limited liability ownership, and its nurse staffing sits at 3.68 hours per resident day, roughly 5% under the national average of 3.86, with weekend coverage dropping about 8% below its own weekday levels. The inspection record is the heavier concern: 44 deficiencies, including 3 at the harm or jeopardy level and 6 abuse-related, against a 2/5 health inspection rating and a 2/5 staffing rating from CMS. Quality measures score 4/5, and the last inspection was December 4, 2025, so the record is recent. The staffing gap and the count of serious deficiencies are what pull the overall picture down despite the strong quality measure score.
Northgate Postacute Care runs 52 certified beds in San Rafael under for-profit LLC ownership. Its total nurse staffing of 4.07 hours per resident day sits about 5% above the national average, though weekends dip roughly 6% below its own weekday level, and turnover at 45.5% is essentially the national rate. The concerning part is the inspection record: 63 deficiencies, including 3 at harm or jeopardy level and 5 tied to abuse, plus seven fines totaling $126,631. The most recent inspection was August 2025, so the record is current, not stale. Quality measures score well, but staffing and health inspection ratings both sit at 2 out of 5, worth asking about directly before you decide.