About Professional Post Acute Center
Professional Post Acute Center, located in SAN RAFAEL, CA, is a for-profit organization that accepts Medicare and Medicaid.
Why Families Choose Professional Post Acute Center
Key Performance Indicators
- CMS Overall Rating 3 Stars
- Nursing Hours 3.78 hrs
- Safety Record Clean
Chain Affiliations & Network
This facility is part of the CAMBRIDGE HEALTHCARE SERVICES network. This chain operates 32 facilities.
Chain Performance Overview
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Nursing Staff Analysis
Staffing levels are a critical indicator of quality care. We analyze the daily hours of care provided by Registered Nurses (RNs), Licensed Practical Nurses (LPNs), and Certified Nursing Assistants (CNAs).
Below Average Staffing
Professional Post Acute Center provides less care hours than the state average and less than the national average.
Registered Nurses (RN)
Licensed Practical Nurses
Certified Assistants
CMS Quality Ratings
| Category | Rating | Stars |
|---|---|---|
| Overall Rating | 3 |
|
| Health Inspection | 2 |
|
| Quality Measures | 5 |
|
| Staffing | 4 |
|
Health Inspection History
| Inspection Cycle | Score | Date |
|---|---|---|
| Cycle 1 (Most Recent) | 44 | Sep 19, 2024 |
| Weighted Average | 150 | Combined Score |
Detailed Quality Measures
Rates are from CMS quality measures (claims-based and MDS-based) for the reporting period ending May 01, 2026. Some measures may be omitted when CMS does not report a numeric rate for this facility.
Medicare claims-based measures
Typically includes short-stay outcomes, hospitalizations, and ED use from Medicare claims.
| Measure | Rate |
|---|---|
| Percentage of short-stay residents who were rehospitalized after a nursi... (QM521) | N/A |
| Percentage of short-stay residents who had an outpatient emergency depar... (QM522) | N/A |
| Number of hospitalizations per 1000 long-stay resident days (QM551) | 1.7% |
| Number of outpatient emergency department visits per 1000 long-stay resi... (QM552) | 0.6% |
MDS-based measures
Resident assessment data; often used for long-stay care quality.
| Measure | Rate |
|---|---|
| Percentage of long-stay residents whose need for help with daily activit... (QM401) | 10.6% |
| Percentage of long-stay residents who lose too much weight (QM404) | 5.2% |
| Percentage of long-stay residents with a catheter inserted and left in t... (QM406) | 0.0% |
| Percentage of long-stay residents with a urinary tract infection (QM407) | 0.0% |
| Percentage of long-stay residents who have depressive symptoms (QM408) | 2.4% |
| Percentage of long-stay residents who were physically restrained (QM409) | 0.0% |
| Percentage of long-stay residents experiencing one or more falls with ma... (QM410) | 2.4% |
| Percentage of long-stay residents assessed and appropriately given the p... (QM415) | 100.0% |
| Percentage of short-stay residents assessed and appropriately given the... (QM430) | 100.0% |
| Percentage of short-stay residents who newly received an antipsychotic m... (QM434) | 1.0% |
| Percentage of long-stay residents whose ability to walk independently wo... (QM451) | 15.9% |
| Percentage of long-stay residents who received an antianxiety or hypnoti... (QM452) | 2.5% |
| Percentage of long-stay residents assessed and appropriately given the s... (QM454) | 100.0% |
| Percentage of short-stay residents who were assessed and appropriately g... (QM472) | 96.6% |
| Percentage of long-stay residents with pressure ulcers (QM479) | 3.8% |
| Percentage of long-stay residents with new or worsened bowel or bladder... (QM480) | 10.7% |
| Percentage of long-stay residents who received an antipsychotic medicati... (QM481) | 11.4% |
Complaints & Deficiencies
Complaint History by Year
This chart shows the number of complaints filed each year.
Summary:
- 2023: 9 complaints
- 2024: 18 complaints
- 2025: 5 complaints
- 2026: 2 complaints
- Total: 34 complaints on record
Recent Complaints (Since Jan 2023)
| Date | Description |
|---|---|
| Mar 05, 2026 | 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. |
| Mar 05, 2026 | Ensure services provided by the nursing facility meet professional standards of quality. |
| Sep 18, 2025 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| Sep 18, 2025 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. |
| Aug 08, 2025 | Provide and implement an infection prevention and control program. |
| May 12, 2025 | Ensure services provided by the nursing facility meet professional standards of quality. |
| Feb 11, 2025 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. |
| Sep 20, 2024 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. |
| Sep 20, 2024 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. |
| Sep 20, 2024 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. |
| Jun 18, 2024 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| Mar 28, 2024 | Provide safe, appropriate pain management for a resident who requires such services. |
| Mar 28, 2024 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. |
| Mar 28, 2024 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. |
| Mar 28, 2024 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. |
| Mar 28, 2024 | Provide appropriate treatment and care according to orders, resident?s preferences and goals. |
| Mar 28, 2024 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. |
| Mar 28, 2024 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| Mar 28, 2024 | Ensure services provided by the nursing facility meet professional standards of quality. |
| Mar 22, 2024 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. |
| Mar 15, 2024 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| Mar 15, 2024 | Ensure services provided by the nursing facility meet professional standards of quality. |
| Mar 15, 2024 | Post nurse staffing information every day. |
| Feb 27, 2024 | Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. |
| Feb 27, 2024 | Provide safe, appropriate pain management for a resident who requires such services. |
| Dec 24, 2023 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. |
| Dec 24, 2023 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. |
| Dec 24, 2023 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. |
| Dec 24, 2023 | Provide and implement an infection prevention and control program. |
| Dec 24, 2023 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. |
| Sep 15, 2023 | Ensure services provided by the nursing facility meet professional standards of quality. |
| Aug 19, 2023 | Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. |
| Jul 17, 2023 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| May 23, 2023 | Develop, implement, and/or maintain an effective training program for all new and existing staff members. |
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Owner & Operator Information
Business Entity
CF SAN RAFAEL, LLC
Ownership Structure
- BERING PROPERTIES LLC Indirect
- CRESCENT FACILITIES OPERATIONS LLC Direct: 100%
- IRA & RACHEL SMEDRA FAMILY IRREVOCABLE GIFT TRUST Indirect
- JENMAX ENTERPRISES LLC Indirect
- JENNIFER NURIT SMEDRA TRUST 1997 TRUST Indirect
- JENNIFER SMEDRA Indirect
- THE HYMAN & BETTY INGBER FAMILY TRUST Indirect
- WHEATEN LLC Indirect
- WIN WIN ENTERPRISES LLC Indirect
- FRANCINE WINTNER Indirect
Management & Direction
- IRA SMEDRA CORPORATE OFFICER
- IRA SMEDRA OPERATIONAL/MANAGERIAL CONTROL
- WAGNER TULEU W-2 MANAGING EMPLOYEE
- WAGNER TULEU OPERATIONAL/MANAGERIAL CONTROL
- JACOB WINTNER CORPORATE OFFICER
- JACOB WINTNER OPERATIONAL/MANAGERIAL CONTROL
Associated Doctors
Local Comparison
| Facility | Distance | Rating |
|---|---|---|
| Morton Bakar Center | N/A | 5 |
| Hayes Convalescent Hospital | N/A | 5 |
| Zuckerberg San Francisco General Hosp and Trauma Snf | N/A | 5 |
| California Pacific Medical Ctr- Davies Campus Hosp | N/A | 5 |
| Washington Center | N/A | 5 |
| Bellaken Skilled Nursing Center | N/A | 5 |
| Excell Health Care Center | N/A | 5 |
| St Anthony Care Center | N/A | 5 |
| Marina Garden Nursing Center | N/A | 5 |
| St Francis Healthcare Center | N/A | 5 |
Related Analysis
Best Nursing Homes in SAN RAFAEL, CA
Compare Professional Post Acute Center to the top-rated facilities in the area.
Ownership Details
Complete list of registered owners, including direct and indirect ownership.
Noted Deficiencies
Detailed history of deficiencies with descriptions and correction dates.
Nursing Hours Analysis
Detailed breakdown of staffing hours per resident by role.
Frequently Asked Questions
- Skilled Nursing Care: 24/7 medical supervision and complex medical treatments
- Long-term Residential Care: Assistance with daily living activities for extended stays
- Short-term Rehabilitation: Recovery services after hospital stays or surgeries
- Memory Care: Specialized programs for residents with dementia and Alzheimer's disease
- Level of care needed (skilled nursing vs. long-term care)
- Room type (private vs. semi-private)
- Insurance coverage (Medicare, Medicaid, private insurance)
- Length of stay and specific services required
For current rates and to discuss payment options, contact Professional Post Acute Center directly at 4154795161. Their admissions team can help determine coverage and out-of-pocket expenses.
Environment & Cleanliness
- Overall cleanliness and odors
- Resident room conditions
- Common area maintenance
- Safety features and accessibility
Staff & Care Quality
- Staff-to-resident ratios
- How staff interact with residents
- Response time to resident needs
- Staff knowledge and professionalism
Ask to speak with current residents and their families, tour at different times of day, and review the facility's most recent inspection reports.