Nursing homes › California › Professional Post Acute Center
81 Professional Center Parkway, San Rafael, CA 94903 · 4154795161 · 99 certified beds
Per CMS filings, this facility is affiliated with Cambridge Healthcare Services, a group operating 32 facilities in 1 states. Group record: average rating 2.5/5, 1 abuse citation icons, 1 facilities on the Special Focus list, $1,091,988 in federal fines. This facility rates below its group average (2.5/5).
Total nurse staffing: 3.84 (California median: 4.24). RN hours: 0.54. Weekend total: 3.59. Nursing staff turnover: 38%.
All-time on record: 79 deficiency citations. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-05-08 | Provide enough food/fluids to maintain a resident's health. | D | complaint | corrected 2026-06-04 |
| 2026-05-04 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | complaint | corrected 2026-05-29 |
| 2026-03-04 | Ensure services provided by the nursing facility meet professional standards of quality. | D | complaint | corrected 2026-03-05 |
| 2026-03-04 | 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. | D | complaint | corrected 2026-03-05 |
| 2025-08-13 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | complaint | corrected 2025-09-18 |
| 2025-08-13 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | complaint | corrected 2025-09-18 |
| 2025-07-08 | Provide and implement an infection prevention and control program. | D | complaint | corrected 2025-08-08 |
| 2025-04-21 | Ensure services provided by the nursing facility meet professional standards of quality. | D | complaint | corrected 2025-05-12 |
| 2025-02-06 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | complaint | corrected 2025-02-11 |
| 2024-09-19 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Health | corrected 2024-10-08 |
| 2024-09-19 | Ensure medication error rates are not 5 percent or greater. | D | Health | corrected 2024-10-08 |
| 2024-09-03 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | complaint | corrected 2024-09-20 |
| 2024-09-03 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2024-09-20 |
| 2024-09-03 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | complaint | corrected 2024-09-20 |
| 2024-06-11 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | complaint | corrected 2024-06-18 |
| 2024-02-28 | Provide safe, appropriate pain management for a resident who requires such services. | G | complaint | corrected 2024-03-28 |
| 2024-02-28 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | complaint | corrected 2024-03-28 |
| 2024-02-27 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | complaint | corrected 2024-03-15 |
| 2024-02-27 | Ensure services provided by the nursing facility meet professional standards of quality. | D | complaint | corrected 2024-03-15 |
| 2024-02-27 | Post nurse staffing information every day. | D | complaint | corrected 2024-03-15 |
| 2024-02-15 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | complaint | corrected 2024-03-28 |
| 2024-02-15 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | complaint | corrected 2024-03-28 |
| 2024-02-15 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | E | complaint | corrected 2024-03-28 |
| 2024-02-15 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | complaint | corrected 2024-03-28 |
| 2024-02-15 | Ensure services provided by the nursing facility meet professional standards of quality. | D | complaint | corrected 2024-03-28 |
| 2024-02-15 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | complaint | corrected 2024-03-28 |
| 2024-02-14 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | E | complaint | corrected 2024-03-22 |
| 2024-01-04 | Provide safe, appropriate pain management for a resident who requires such services. | D | complaint | corrected 2024-02-27 |
| 2024-01-04 | Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. | D | complaint | corrected 2024-02-27 |
| 2023-11-22 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | complaint | corrected 2023-12-24 |
| 2023-11-22 | 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. | E | complaint | corrected 2023-12-24 |
| 2023-11-22 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | complaint | corrected 2023-12-24 |
| 2023-11-22 | Provide and implement an infection prevention and control program. | E | complaint | corrected 2023-12-24 |
| 2023-11-22 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2023-12-24 |
| 2023-08-18 | Ensure services provided by the nursing facility meet professional standards of quality. | D | complaint | corrected 2023-09-15 |
| 2023-07-19 | 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. | G | complaint | corrected 2023-08-19 |
| 2023-07-12 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | complaint | corrected 2023-07-17 |
| Date | Type | Amount |
|---|---|---|
| 2025-07-08 | Fine | $79,560 |
| 2024-01-04 | Fine | $61,204 |
| 2023-10-17 | Fine | $2,447 |
| 2023-09-25 | Fine | $5,244 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| CRESCENT FACILITIES OPERATIONS LLC | 5% Or Greater Direct Ownership Interest | Organization | 100% | since 12/19/2006 |
| BERING PROPERTIES LLC | 5% Or Greater Indirect Ownership Interest | Organization | 6% | since 02/01/2007 |
| JENMAX ENTERPRISES LLC | 5% Or Greater Indirect Ownership Interest | Organization | 23% | since 02/01/2007 |
| JK-CSH JV LLC | 5% Or Greater Indirect Ownership Interest | Organization | 12% | since 11/01/2006 |
| MANHATTAN FIVE PARTNERS LLC | 5% Or Greater Indirect Ownership Interest | Organization | 7% | since 11/01/2006 |
| WIN WIN ENTERPRISES, LLC | 5% Or Greater Indirect Ownership Interest | Organization | 35% | since 02/01/2007 |
| BH ALLIANCE | Indirect Ownership Interest | Organization | NOT APPLICABLE | since 11/01/2006 |
| THE JACOB WINTNER TRUST | Indirect Ownership Interest | Organization | NOT APPLICABLE | since 11/01/2006 |
| THE WINTNER LIVING TRUST DATED 7/08/1992 | Indirect Ownership Interest | Organization | NOT APPLICABLE | since 02/01/2007 |
| WINTNER, JACOB | Indirect Ownership Interest | Individual | NOT APPLICABLE | since 02/01/2007 |
| BRETSCH, GREGORY | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 02/25/2019 |
| FOREMAN, NICOLE | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 01/08/2024 |
| CAMBRIDGE HEALTHCARE SERVICES LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 04/01/2014 |
| BRETSCH, GREGORY | Operational/Managerial Control | Individual | NOT APPLICABLE | since 02/25/2019 |
| BUTENKO, JULIE | Operational/Managerial Control | Individual | NOT APPLICABLE | since 07/24/2023 |
| CAPELA, HEIDI | Operational/Managerial Control | Individual | NOT APPLICABLE | since 04/03/2023 |
| COPP, NOREEN | Operational/Managerial Control | Individual | NOT APPLICABLE | since 07/14/2025 |
| FOREMAN, NICOLE | Operational/Managerial Control | Individual | NOT APPLICABLE | since 01/08/2024 |
| HASSELL, LANCE | Operational/Managerial Control | Individual | NOT APPLICABLE | since 04/25/2022 |
| LUTZ, LINDA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 02/01/2012 |
| SALAZAR, PAULINA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 12/14/2020 |
| SMEDRA, IRA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 02/01/2007 |
| WINTNER, JACOB | Operational/Managerial Control | Individual | NOT APPLICABLE | since 02/01/2007 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 555214. Corrections: data@carerecords.org.