Nursing HomeMedicaid

Professional Post Acute Center

Meets baseline Medicare standards with room for improvement. A tour and talking to current residents' families is the best next step.

81 Professional Center Parkway, San Rafael, CA 94903|99 beds|Licensed & Active

3/5

Medicare

Inspection

Quality

Staffing

Google rating

3.3/5

based on 18 Google reviews

(415) 479-5161 Directions Website

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What this means for your family

While recent reviews suggest that new management is actively renovating the building and improving service, the facility has a documented history of severe neglect and understaffing. If you choose this facility, you must visit frequently to personally verify that hygiene, wound care, and basic needs are being met.

Google Reviews

18 reviews on Google

“Families should approach this facility with significant caution due to serious allegations of neglect, including the development of pressure ulcers and poor hygiene. While recent reviews from 2024 suggest a positive transformation under new management and recent renovations, a history of severe understaffing and lack of accountability remains a critical concern.”

Quality Themes

Tap a score for details

Strengths

Recent facility renovations and upgrades
Friendly and sweet rehabilitation staff
Engaging activity programs like bingo
Improved management and leadership focus

Concerns

Severe neglect and development of pressure ulcers (mentioned by 2 reviewers)
Chronic understaffing and high staff turnover (mentioned by 2 reviewers)
Poor facility cleanliness and hygiene issues (mentioned by 2 reviewers)
Unresponsive management or leadership (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

Distribution · 19 analyzed

How They Respond to Reviews

0%response rate

Questions for Your Tour

1I noticed some recent renovations and upgrades to the facility; could you show me some of the newly improved areas?
2With the focus on improving management and leadership, what specific steps are being taken to ensure better communication with families?
3How does the nursing team monitor skin integrity and prevent issues like pressure ulcers for residents?
4What are some of the favorite activities, like bingo or other social programs, that keep the residents engaged during the week?
5Could you tell me more about the dining experience and how the facility is working to improve the quality and variety of the meals?
6In the event of a medical emergency during the night, what is the protocol for notifying the family and providing immediate care?

Personalized based on this facility's data

Key Review Excerpts

“My dad was placed here in November 2024, and he passed mid January 2025. When he was checked in here, he was in good health minus his Parkinson's. Within a month, he developed fast growing pressure ulcers all over his legs and butt that were a result of him not being proper changed and treated enough.”

Long-term resident's family · 2025★☆☆☆☆

“Professional Post Acute has experienced a remarkable transformation under new management. Having been at this facility for several years, I can confidently say the changes implemented by the new administrator have elevated it to a truly exceptional skilled nursing facility.”

Long-term resident's family · 2024★★★★★

“This has been a great place for my short term rehab! Staff has been so nice and sweet to me. Residents are all good people and easy to make friends with. I enjoyed the activity program and playing bingo.”

Rehab patient · 2024★★★★★

Source: 18 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026

RN Hours

0.54hrs

72%

Registered nurses for medical care

Total Nursing

3.78hrs

92%

All nurses + aides combined

Staff Turnover

41%

Lower is better (< 30% = good)

RN Turnover

50%

Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating

5/ 5

Better Than Avg

measures

Worse Than Avg

measures

Mixed Results

measures

Long-Stay Residents

💊

Residents on anti-anxiety or sleep medication

↓ Lower is better

This Facility2.5%

Better than Avg

Here

2.5%

19.5%

13.7%

Marin

11.3%

😔

Residents with depression symptoms

↓ Lower is better

This Facility2.4%

Better than Avg

Here

2.4%

12.1%

7.0%

Marin

6.1%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🚿

Residents whose bladder or bowel control got worse

↓ Lower is better

This Facility10.7%

Better than Avg

Here

10.7%

19.4%

10.7%

Marin

17.1%

💉

Residents vaccinated for pneumonia

↑ Higher is better

This Facility100.0%

Better than Avg

Here

100.0%

93.4%

98.6%

Marin

98.9%

🚶

Residents whose walking got worse

↓ Lower is better

This Facility15.9%

Worse than Avg

Here

15.9%

15.3%

10.5%

Marin

12.7%

🛏️

Residents needing more daily help over time

↓ Lower is better

This Facility10.6%

Mixed vs Avgs

Here

10.6%

14.4%

10.4%

Marin

16.0%

Short-Stay Residents (Rehab / Post-Acute)

💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better

This Facility100.0%

Better than Avg

Here

100.0%

81.8%

94.2%

Marin

95.5%

💉

Short-stay residents vaccinated for the flu

↑ Higher is better

This Facility96.6%

Better than Avg

Here

96.6%

79.8%

93.2%

Marin

92.1%

💊

Short-stay residents newly given antipsychotics

↓ Lower is better

This Facility1.0%

Mixed vs Avgs

Here

1.0%

1.6%

1.5%

Marin

0.8%

Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

7deficiencies

5penalties

Well below state avg (15.4)

33 complaint-triggered

$283,454 in fines

This facility shows concerning patterns with frequent complaints from families, resulting in 43 complaint-triggered deficiencies out of 112 total violations. The most recurring issues involve accident prevention and safety hazards, resident abuse and neglect protections, and medication management problems. While the facility corrects violations when cited, the persistent complaints about safety hazards (appearing in multiple recent surveys through 2025) and repeated abuse protection failures suggest ongoing care quality concerns that families should carefully evaluate during visits.

Mar 4, 2026Complaint2 findings

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0761Potential for harm · IsolatedCorrected

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 drugs.

Aug 13, 2025Complaint2 findings

0689Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0557Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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

Jul 8, 2025Complaint1 finding

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Apr 21, 2025Complaint1 finding

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

Feb 6, 2025Complaint1 finding

0600Potential for harm · IsolatedCorrected

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.

Sep 19, 2024Routine11 findings

0291Potential for harm · WidespreadCorrected

Egress Deficiencies

Install emergency lighting that can last at least 1 1/2 hours.

0347Potential for harm · WidespreadCorrected

Smoke Deficiencies

Properly provide smoke detection systems in areas open to corridors.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0363Potential for harm · WidespreadCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0920Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0756Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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

0759Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

0293Potential for harm · IsolatedCorrected

Egress Deficiencies

Have properly located and lighted "Exit" signs.

0355Potential for harm · IsolatedCorrected

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

0923Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

Federal Penalties

Fine

Jul 8, 2025

$79,560

Fine

Jan 4, 2024

$61,204

Fine

Oct 17, 2023

$2,447

Fine

Sep 25, 2023

$5,244

Fine

Jul 12, 2023

$134,999

Ownership & Operations

Who Operates This Facility

Owner / Operator

Professional Post Acute Center

Organization Type

for profit

Chain Affiliation

Chain Name

Cambridge Healthcare Services

Chain Size

32 facilities nationwide

Chain avg rating: 2.6/5 · Rank 19 of 31

Ownership & Management

Owners

Crescent Facilities Operations LLC

Owner · Organization

100%

Bering Properties LLC