Public CMS facts for research. This is not a referral, a workplace ranking, or a clinical recommendation.
Copies this facility’s public address.
Facility type
Nursing homes / skilled nursing facilities
CMS certification number (CCN)
055331
CMS file presence
In the latest successful CMS snapshot
Last verified
2026-09-29
Telephone
4154567170
Street address
1601 5th Avenue
City, state, ZIP
San Rafael, CA, 94901
County or parish
Marin
Ownership, as reported by CMS
For profit - Limited Liability company
First approved for Medicare and Medicaid services, as reported by CMS
1974-03-29
CMS dataset
Provider Information
What to verify directly
CareRecon does not establish the items below. Confirm them with the facility or another responsible source.
Real-time bed or admission availability
Payer or network acceptance
Whether the facility is currently accepting referrals
Clinical suitability for a person
The area served by a home health or hospice provider
Operating status beyond the CMS snapshot on this page
Owner names, ownership percentages, private-equity or REIT status, and court records are not in this record. CMS star ratings, case-mix staffing, adjusted staffing, and Provider Information penalty totals are not shown. That is a limit of this view, not a finding about this facility.
Workforce and risk
CMS-reported staffing and regulatory records for this nursing home. CareRecon shows the evidence. It does not score the workplace or the care, and it does not decide whether you should work here or receive care here.
Provider Information processing date: 2026-08-01.
Staffing
Certified beds
54
Number of certified beds on the CMS Provider Information file. This is not available beds and not a daily census.
If you work here. Bed count reported for this nursing home on the CMS snapshot.
If you receive care here. Certified bed count reported for this nursing home on the CMS snapshot. It does not say whether a bed is open.
Measurement period:
Reported on this CMS Provider Information snapshot. Not a separate staffing interval.
Source:
CMS Provider Information (4pq5-n9py)
Last update:
2026-09-29; CMS processing date 2026-08-01
Average number of residents per day
52.5
CMS census for the staffing measurement period. This is not current occupancy and not available beds.
If you work here. Resident census CMS used with the staffing hours for this period.
If you receive care here. Average daily resident count CMS reported for the staffing period. It is not how many residents are there today.
Measurement period:
2026-01-01 through 2026-03-31
Source:
CMS Provider Information (4pq5-n9py)
Last update:
2026-09-29; CMS processing date 2026-08-01
Reported RN hours per resident per day
0.51080
CMS reported registered-nurse staffing hours per resident per day. This is not a nurse-to-patient ratio.
If you work here. Workload context for registered-nurse staffing during this period.
If you receive care here. Staffing context for resident care during this period.
Measurement period:
2026-01-01 through 2026-03-31
Source:
CMS Provider Information (4pq5-n9py)
Last update:
2026-09-29; CMS processing date 2026-08-01
Reported LPN hours per resident per day
0.91879
CMS reported LPN staffing hours per resident per day. This is not a nurse-to-patient ratio.
If you work here. Workload context for LPN staffing during this period.
If you receive care here. Staffing context for resident care during this period.
Measurement period:
2026-01-01 through 2026-03-31
Source:
CMS Provider Information (4pq5-n9py)
Last update:
2026-09-29; CMS processing date 2026-08-01
Reported nurse aide hours per resident per day
2.48312
CMS reported nurse aide staffing hours per resident per day. This is not a nurse-to-patient ratio.
If you work here. Workload context for nurse aide staffing during this period.
If you receive care here. Staffing context for resident care during this period.
Measurement period:
2026-01-01 through 2026-03-31
Source:
CMS Provider Information (4pq5-n9py)
Last update:
2026-09-29; CMS processing date 2026-08-01
Reported total nurse staffing hours per resident per day
3.91272
CMS reported total nurse staffing hours per resident per day. This is not a nurse-to-patient ratio.
If you work here. Workload context for total nurse staffing during this period.
If you receive care here. Staffing context for resident care during this period.
Measurement period:
2026-01-01 through 2026-03-31
Source:
CMS Provider Information (4pq5-n9py)
Last update:
2026-09-29; CMS processing date 2026-08-01
Reported RN hours per resident per day on the weekend
0.26692
CMS reported weekend registered-nurse hours per resident per day. This is not a nurse-to-patient ratio.
If you work here. Weekend workload context for registered-nurse staffing during this period.
If you receive care here. Weekend staffing context for resident care during this period.
Measurement period:
2026-01-01 through 2026-03-31
Source:
CMS Provider Information (4pq5-n9py)
Last update:
2026-09-29; CMS processing date 2026-08-01
Reported total nurse staff hours per resident per day on the weekend
3.54821
CMS description for this column is “Total number of nurse staff hours per resident per day on the weekend.” The API column name is truncated. This is not a nurse-to-patient ratio.
If you work here. Weekend workload context for total nurse staffing during this period.
If you receive care here. Weekend staffing context for resident care during this period.
Measurement period:
2026-01-01 through 2026-03-31
Source:
CMS Provider Information (4pq5-n9py)
Last update:
2026-09-29; CMS processing date 2026-08-01
Regulatory history
Inspections, deficiencies, fire-safety findings, survey-summary counts, and penalties are separate CMS records joined by certification number. A complaint-survey mark means CMS reported that the deficiency came from a complaint survey. Scope and severity is the CMS code.
Inspections
Survey dates and survey types reported by CMS. An inspection date is not a deficiency.
Health Complaint · 2026-07-01
Survey cycle 1
Source: CMS Inspection Dates (svdt-c123). Last update: 2026-09-29; CMS processing date 2026-08-01.
Health Complaint · 2026-06-09
Survey cycle 1
Source: CMS Inspection Dates (svdt-c123). Last update: 2026-09-29; CMS processing date 2026-08-01.
Health Complaint · 2025-12-23
Survey cycle 1
Source: CMS Inspection Dates (svdt-c123). Last update: 2026-09-29; CMS processing date 2026-08-01.
Health Complaint · 2025-07-18
Survey cycle 2
Source: CMS Inspection Dates (svdt-c123). Last update: 2026-09-29; CMS processing date 2026-08-01.
Health Complaint · 2025-06-03
Survey cycle 2
Source: CMS Inspection Dates (svdt-c123). Last update: 2026-09-29; CMS processing date 2026-08-01.
Health Complaint · 2025-05-07
Survey cycle 2
Source: CMS Inspection Dates (svdt-c123). Last update: 2026-09-29; CMS processing date 2026-08-01.
Health Complaint · 2025-04-23
Survey cycle 2
Source: CMS Inspection Dates (svdt-c123). Last update: 2026-09-29; CMS processing date 2026-08-01.
Health Complaint · 2025-04-10
Survey cycle 2
Source: CMS Inspection Dates (svdt-c123). Last update: 2026-09-29; CMS processing date 2026-08-01.
Showing the 8 most recent rows in this snapshot. 21 rows are indexed.
Health deficiencies
Health citations from the CMS health deficiencies file.
Tag 0550 · 2026-07-01
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Survey type: Health
Scope and severity code: E
Complaint survey: Yes
Standard survey: No
Infection-control inspection deficiency: No
Deficiency corrected, as reported by CMS: Deficient, Provider has date of correction
Correction date: 2026-07-21
Source: CMS Health Deficiencies (r5ix-sfxw). Last update: 2026-09-29; CMS processing date 2026-08-01.
Tag 0689 · 2026-06-09
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Survey type: Health
Scope and severity code: D
Complaint survey: Yes
Standard survey: No
Infection-control inspection deficiency: No
Deficiency corrected, as reported by CMS: Deficient, Provider has date of correction
Correction date: 2026-06-29
Source: CMS Health Deficiencies (r5ix-sfxw). Last update: 2026-09-29; CMS processing date 2026-08-01.
Tag 0689 · 2025-12-23
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Survey type: Health
Scope and severity code: D
Complaint survey: Yes
Standard survey: No
Infection-control inspection deficiency: No
Deficiency corrected, as reported by CMS: Deficient, Provider has date of correction
Correction date: 2026-01-02
Source: CMS Health Deficiencies (r5ix-sfxw). Last update: 2026-09-29; CMS processing date 2026-08-01.
Tag 0600 · 2025-07-18
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Survey type: Health
Scope and severity code: D
Complaint survey: Yes
Standard survey: No
Infection-control inspection deficiency: No
Deficiency corrected, as reported by CMS: Deficient, Provider has date of correction
Correction date: 2025-08-07
Source: CMS Health Deficiencies (r5ix-sfxw). Last update: 2026-09-29; CMS processing date 2026-08-01.
Tag 0557 · 2025-06-03
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Survey type: Health
Scope and severity code: D
Complaint survey: Yes
Standard survey: No
Infection-control inspection deficiency: No
Deficiency corrected, as reported by CMS: Deficient, Provider has date of correction
Correction date: 2025-07-01
Source: CMS Health Deficiencies (r5ix-sfxw). Last update: 2026-09-29; CMS processing date 2026-08-01.
Tag 0658 · 2025-06-03
Ensure services provided by the nursing facility meet professional standards of quality.
Survey type: Health
Scope and severity code: D
Complaint survey: Yes
Standard survey: No
Infection-control inspection deficiency: No
Deficiency corrected, as reported by CMS: Deficient, Provider has date of correction
Correction date: 2025-07-01
Source: CMS Health Deficiencies (r5ix-sfxw). Last update: 2026-09-29; CMS processing date 2026-08-01.
Tag 0880 · 2025-06-03
Provide and implement an infection prevention and control program.
Survey type: Health
Scope and severity code: D
Complaint survey: Yes
Standard survey: No
Infection-control inspection deficiency: No
Deficiency corrected, as reported by CMS: Deficient, Provider has date of correction
Correction date: 2025-07-01
Source: CMS Health Deficiencies (r5ix-sfxw). Last update: 2026-09-29; CMS processing date 2026-08-01.
Tag 0609 · 2025-05-07
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Survey type: Health
Scope and severity code: D
Complaint survey: Yes
Standard survey: No
Infection-control inspection deficiency: No
Deficiency corrected, as reported by CMS: Deficient, Provider has date of correction
Correction date: 2025-05-16
Source: CMS Health Deficiencies (r5ix-sfxw). Last update: 2026-09-29; CMS processing date 2026-08-01.
Showing the 8 most recent rows in this snapshot. 55 rows are indexed.
Fire-safety findings
Fire-safety citations. These are not health deficiencies.
Tag 0031 · 2025-03-20
Provide emergency officials' contact information.
Survey type: Fire Safety
Scope and severity code: F
Complaint survey: No
Standard survey: Yes
Infection-control inspection deficiency: No
Deficiency corrected, as reported by CMS: Deficient, Provider has date of correction
Correction date: 2025-03-25
Source: CMS Fire Safety Deficiencies (ifjz-ge4w). Last update: 2026-09-29; CMS processing date 2026-08-01.
Tag 0353 · 2025-03-20
Inspect, test, and maintain automatic sprinkler systems.
Survey type: Fire Safety
Scope and severity code: D
Complaint survey: No
Standard survey: Yes
Infection-control inspection deficiency: No
Deficiency corrected, as reported by CMS: Deficient, Provider has date of correction
Correction date: 2025-03-27
Source: CMS Fire Safety Deficiencies (ifjz-ge4w). Last update: 2026-09-29; CMS processing date 2026-08-01.
Tag 0355 · 2025-03-20
Properly select, install, inspect, or maintain portable fire extinguishes.
Survey type: Fire Safety
Scope and severity code: D
Complaint survey: No
Standard survey: Yes
Infection-control inspection deficiency: No
Deficiency corrected, as reported by CMS: Deficient, Provider has date of correction
Correction date: 2025-03-27
Source: CMS Fire Safety Deficiencies (ifjz-ge4w). Last update: 2026-09-29; CMS processing date 2026-08-01.
Tag 0363 · 2025-03-20
Install corridor and hallway doors that block smoke.
Survey type: Fire Safety
Scope and severity code: D
Complaint survey: No
Standard survey: Yes
Infection-control inspection deficiency: No
Deficiency corrected, as reported by CMS: Deficient, Provider has date of correction
Correction date: 2025-04-15
Source: CMS Fire Safety Deficiencies (ifjz-ge4w). Last update: 2026-09-29; CMS processing date 2026-08-01.
Tag 0920 · 2025-03-20
Ensure proper usage of power strips and extension cords.
Survey type: Fire Safety
Scope and severity code: D
Complaint survey: No
Standard survey: Yes
Infection-control inspection deficiency: No
Deficiency corrected, as reported by CMS: Deficient, Provider has date of correction
Correction date: 2025-04-15
Source: CMS Fire Safety Deficiencies (ifjz-ge4w). Last update: 2026-09-29; CMS processing date 2026-08-01.
Tag 0006 · 2023-05-25
Conduct risk assessment and an All-Hazards approach.
Survey type: Fire Safety
Scope and severity code: E
Complaint survey: No
Standard survey: Yes
Infection-control inspection deficiency: No
Deficiency corrected, as reported by CMS: Deficient, Provider has date of correction
Correction date: 2023-06-28
Source: CMS Fire Safety Deficiencies (ifjz-ge4w). Last update: 2026-09-29; CMS processing date 2026-08-01.
Tag 0039 · 2023-05-25
Conduct testing and exercise requirements.
Survey type: Fire Safety
Scope and severity code: E
Complaint survey: No
Standard survey: Yes
Infection-control inspection deficiency: No
Deficiency corrected, as reported by CMS: Deficient, Provider has date of correction
Correction date: 2023-06-28
Source: CMS Fire Safety Deficiencies (ifjz-ge4w). Last update: 2026-09-29; CMS processing date 2026-08-01.
Tag 0223 · 2023-05-25
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Survey type: Fire Safety
Scope and severity code: E
Complaint survey: No
Standard survey: Yes
Infection-control inspection deficiency: No
Deficiency corrected, as reported by CMS: Deficient, Provider has date of correction
Correction date: 2023-06-28
Source: CMS Fire Safety Deficiencies (ifjz-ge4w). Last update: 2026-09-29; CMS processing date 2026-08-01.
Showing the 8 most recent rows in this snapshot. 29 rows are indexed.
Penalties
Fines and payment denials from the CMS penalties file. A penalty is not a deficiency.
Fine · 2025-03-20
Fine amount in dollars, as reported by CMS: 8278
Source: CMS Penalties (g6vv-u9sr). Last update: 2026-09-29; CMS processing date 2026-08-01.
Payment Denial · 2025-03-20
Payment denial start: 2025-05-13
Payment denial length in days: 6
Source: CMS Penalties (g6vv-u9sr). Last update: 2026-09-29; CMS processing date 2026-08-01.
Survey summary
Category totals from the CMS survey summary. These counts are not the citation list.
Inspection cycle 1
Counts from the CMS survey summary. A count is not a citation narrative.
Health survey date: 2025-03-20
Fire-safety survey date: 2025-03-20
Health deficiencies in this survey summary: 21
Fire-safety deficiencies in this survey summary: 5
Infection-control deficiencies in this survey summary: 1
Source: CMS Survey Summary (tbry-pc2d). Last update: 2026-09-29; CMS processing date 2026-08-01.
Inspection cycle 2
Counts from the CMS survey summary. A count is not a citation narrative.
Health survey date: 2023-05-25
Fire-safety survey date: 2023-05-25
Health deficiencies in this survey summary: 27
Fire-safety deficiencies in this survey summary: 11
Infection-control deficiencies in this survey summary: 2
Source: CMS Survey Summary (tbry-pc2d). Last update: 2026-09-29; CMS processing date 2026-08-01.
Inspection cycle 3
Counts from the CMS survey summary. A count is not a citation narrative.
Health survey date: 2020-01-17
Fire-safety survey date: 2020-01-17
Health deficiencies in this survey summary: 7
Fire-safety deficiencies in this survey summary: 13
Infection-control deficiencies in this survey summary: 1
Source: CMS Survey Summary (tbry-pc2d). Last update: 2026-09-29; CMS processing date 2026-08-01.
Ownership
For profit - Limited Liability company
This is the CMS ownership type already stored for the facility. Owner names, ownership percentages, private equity, and REIT status are not in this record.
What this facility is
Nursing homes / skilled nursing facilities reported in San Rafael, CA, 94901. This is a public CMS record, not a recommendation and not medical advice.
What we know
Street address
1601 5th Avenue
City, state, ZIP
San Rafael, CA, 94901
Telephone
4154567170
Ownership
For profit - Limited Liability company
What is not currently known
This profile shows facts present in the indexed CMS source. Fields that are not listed were not available in that source — not proof that a service, capability, or condition is absent.
Where this data came from
Source
CMS
Dataset
Provider Information
Last verified
2026-09-29
CMS dataset modified
2026-08-01
Last verified is when CareRecon last included this facility in a successful CMS import. It is not a CMS endorsement of CareRecon. Empty sections are omitted. Missing source values are not shown as “no” or “not offered.”
CareRecon publishes public facility information. It does not provide medical advice, diagnoses, or treatment recommendations, and it does not tell you which facility to choose.