Pine Ridge Care Center
45 Professional Center Pkwy · San Rafael, CA · 94903 · 4154793610
101 certified beds For profit - Partnership Chain: Mariner Health Care
Why this verdict
- Inspection results are getting worse cycle over cycle, not better.
- Staffing hours comfortably above national benchmarks.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
Cited under the freedom-from-abuse rule
Cited 2 times under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 4 of 5 Inspections: 2 of 5 Staffing: 5 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 4.25 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 1.04 | 0.55–0.75 |
| Weekend hours / resident-day | 3.95 | ≈ weekday level |
| Nursing turnover / year | 41% | median 45% |
| Fines (3-yr window) | 1 · $7,542 |
Inspection citations (44 in the current record)
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Potential for harm · E February 12, 2026 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected March 4, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 12, 2026 · found via complaint
Ensure each resident receives an accurate assessment.
Corrected March 4, 2026 · Resident Assessment and Care Planning
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Potential for harm · D January 8, 2026 · found via complaint
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected February 3, 2026 · Resident Rights
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Potential for harm · E December 5, 2025
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected January 4, 2026 · Resident Rights
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Potential for harm · D December 5, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected January 4, 2026 · Resident Assessment and Care Planning
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Potential for harm · E December 5, 2025
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected January 4, 2026 · Resident Assessment and Care Planning
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Potential for harm · D December 5, 2025
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected January 4, 2026 · Quality of Life and Care
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Potential for harm · D December 5, 2025
Provide care or services that was trauma informed and/or culturally competent.
Corrected January 4, 2026 · Quality of Life and Care
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Potential for harm · F December 5, 2025
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected January 4, 2026 · Pharmacy Service
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Potential for harm · E December 5, 2025
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected January 4, 2026 · Nutrition and Dietary
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Potential for harm · E December 5, 2025
Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.
Corrected January 4, 2026 · Nutrition and Dietary
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Potential for harm · F December 5, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected January 4, 2026 · Nutrition and Dietary
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Potential for harm · D December 5, 2025
Provide and implement an infection prevention and control program.
Corrected January 4, 2026 · Infection Control
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Potential for harm · D December 5, 2025 · found via complaint
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Corrected January 4, 2026 · Resident Rights
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Potential for harm · D September 8, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected September 25, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D August 4, 2025 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected August 29, 2025 · Resident Rights
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Potential for harm · D August 4, 2025 · found via complaint
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected August 29, 2025 · Resident Assessment and Care Planning
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Potential for harm · D August 4, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected August 29, 2025 · Quality of Life and Care
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Potential for harm · D July 16, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected August 4, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D April 17, 2025 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected May 22, 2025 · Resident Assessment and Care Planning
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Potential for harm · E April 17, 2025 · found via complaint
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected May 22, 2025 · Quality of Life and Care
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Potential for harm · D December 12, 2024
Assure that each resident’s assessment is updated at least once every 3 months.
Corrected January 2, 2025 · Resident Assessment and Care Planning
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Potential for harm · D December 12, 2024
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected January 2, 2025 · Quality of Life and Care
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Potential for harm · D December 12, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected January 2, 2025 · Quality of Life and Care
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Potential for harm · D December 12, 2024
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Corrected January 2, 2025 · Environmental
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| July 21, 2023 | Fine | $7,542 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 055850 · certified since November 1, 1967. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.