Pine Ridge Care Center

Name: Pine Ridge Care Center
Address: 45 PROFESSIONAL CENTER PKWY, San Rafael, CA, 94903, US
Telephone: 4154793610

45 Professional Center Pkwy, San Rafael, CA 94903 · Marin County · 101 certified beds · avg 87 residents/day · certified since Nov 1, 1967

Part of chain: MARINER HEALTH CARE (17 facilities, chain avg rating 3.6★)

3/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

5.09

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 5/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (43)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Feb 12, 2026	E · Potential for harm, repeated	The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint
Feb 12, 2026	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · from a complaint
Jan 8, 2026	D · Potential for harm, one-off	The facility did not treat residents with respect and dignity, or did not let them keep and use their own personal belongings. · from a complaint
Dec 5, 2025	F · Potential for harm, facility-wide	The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems.
Dec 5, 2025	F · Potential for harm, facility-wide	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Dec 5, 2025	E · Potential for harm, repeated	The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care.
Dec 5, 2025	E · Potential for harm, repeated	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
Dec 5, 2025	E · Potential for harm, repeated	The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature.
Dec 5, 2025	E · Potential for harm, repeated	The facility did not provide residents with enough to drink, or with drinks matching their needs and preferences, to keep them properly hydrated.
Dec 5, 2025	D · Potential for harm, one-off	The facility did not make sure a transfer or discharge met the resident's needs and preferences, or did not properly prepare the resident to leave safely. · from a complaint
Dec 5, 2025	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Dec 5, 2025	D · Potential for harm, one-off	The facility allowed residents to lose the ability to do daily activities — like bathing, dressing, and eating — when there was no medical reason for the decline. Good care helps residents keep the abilities they have.
Dec 5, 2025	D · Potential for harm, one-off	The facility did not provide care that took into account residents' past trauma or their cultural backgrounds. Care is supposed to be sensitive to what residents have lived through and where they come from.
Dec 5, 2025	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Sep 8, 2025	D · Potential for harm, one-off	The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint
Aug 4, 2025	D · Potential for harm, one-off	The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint
Aug 4, 2025	D · Potential for harm, one-off	The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable. · from a complaint
Aug 4, 2025	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
Jul 16, 2025	D · Potential for harm, one-off	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint
Apr 17, 2025	E · Potential for harm, repeated	The facility did not provide basic life support, such as CPR, before emergency medical help arrived — care that's required when it matches the doctor's orders and the resident's own written wishes. · from a complaint
Apr 17, 2025	D · Potential for harm, one-off	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · from a complaint
Dec 12, 2024	D · Potential for harm, one-off	The facility did not update each resident's care assessment at least once every 3 months. These regular check-ins keep the resident's care plan matched to their current condition.
Dec 12, 2024	D · Potential for harm, one-off	The facility allowed residents to lose the ability to do daily activities — like bathing, dressing, and eating — when there was no medical reason for the decline. Good care helps residents keep the abilities they have.
Dec 12, 2024	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Dec 12, 2024	D · Potential for harm, one-off	The facility had resident rooms smaller than required — at least 80 square feet per person in shared rooms and 100 square feet in single rooms.
May 28, 2024	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
Mar 19, 2024	D · Potential for harm, one-off	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint
Sep 11, 2023	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint
Aug 12, 2021	F · Potential for harm, facility-wide	The facility did not give residents reasonable access to and privacy in using ways to communicate, such as phones, mail, and email. Residents have the right to stay in touch with the outside world privately.
Aug 12, 2021	E · Potential for harm, repeated	The facility did not make its inspection results easy for residents to see, or made it hard for residents to contact advocacy agencies like the ombudsman.
Aug 12, 2021	E · Potential for harm, repeated	The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly.
Aug 12, 2021	E · Potential for harm, repeated	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Aug 12, 2021	E · Potential for harm, repeated	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Aug 12, 2021	E · Potential for harm, repeated	The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.
Aug 12, 2021	E · Potential for harm, repeated	The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems.
Aug 12, 2021	E · Potential for harm, repeated	The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits.
Aug 12, 2021	E · Potential for harm, repeated	The facility did not have enough support staff to safely and effectively run its food and nutrition service.
Aug 12, 2021	E · Potential for harm, repeated	The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician.
Aug 12, 2021	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Aug 12, 2021	E · Potential for harm, repeated	The facility did not designate a physician to serve as medical director — the doctor responsible for overseeing resident care policies and coordinating medical care across the facility.
Aug 12, 2021	E · Potential for harm, repeated	The facility did not have a written plan describing how it runs its quality improvement program — the ongoing process of finding problems in care and fixing them.
Aug 12, 2021	E · Potential for harm, repeated	The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them.
Aug 12, 2021	E · Potential for harm, repeated	The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (4 → 11).

Year	Citations	Worst severity that year
2021	15	F
2023	1	D
2024	6	D
2025	18	F
2026	3	E

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	California avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	5.09	4.31	3.95	top 13% in California; top 12% in the U.S.
Registered Nurse hours	1.31	0.61	0.69	top 5% in California; top 7% in the U.S.
Weekend total nurse staffing	4.63	3.90	3.50	top 11% in California; top 10% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.85	0.51	0.48	top 10% in California; top 10% in the U.S.
Total nursing staff turnover (%)	42.9	36.7	45.8	bottom 30% in California; top 44% in the U.S.
RN turnover (%)	36.0	38.1	42.9	top 48% in California; top 40% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.48, RN 1.15, weekend 4.08. Staffing rating: 5/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 5/5

Who owns this facility

For profit - Partnership

Owner / manager	Type	Role	Stake	Since
GC Holding Company 3, LLC	Organization	5% or Greater Direct Ownership Interest	99%	08/01/2022
Grancare LLC	Organization	5% or Greater Indirect Ownership Interest	—	12/21/2005
Grunstein, Emily	Individual	5% or Greater Indirect Ownership Interest	—	02/06/2019
Mariner Health Care, INC.	Organization	5% or Greater Indirect Ownership Interest	—	12/21/2015
MHC Holding Company	Organization	5% or Greater Indirect Ownership Interest	—	12/21/2005
MHC West Holding Company	Organization	5% or Greater Indirect Ownership Interest	—	12/21/2005
National Senior Care, INC.	Organization	5% or Greater Indirect Ownership Interest	—	12/21/2005
Capital Funding Group, LLC	Organization	5% or Greater Security Interest	NOT APPLICABLE	11/01/2021
GC Holding Company 3, LLC	Organization	Limited Partnership Interest	NOT APPLICABLE	08/01/2022
Melijoy, Adan	Individual	Managing Control - Governing Body	NOT APPLICABLE	08/27/2012
Melijoy, Adan	Individual	Operational/Managerial Control	NOT APPLICABLE	08/27/2012
Melijoy, Adan	Individual	ADP of the SNF	NOT APPLICABLE	08/27/2012
Monroe, Michael	Individual	Managing Control - Governing Body	NOT APPLICABLE	05/24/2022
Monroe, Michael	Individual	Operational/Managerial Control	NOT APPLICABLE	05/24/2022
Monroe, Michael	Individual	ADP of the SNF	NOT APPLICABLE	05/24/2022
San Rafael Operating Company GP, LLC	Organization	General Partnership Interest	NOT APPLICABLE	12/21/2005
Sarcauga, Dennis	Individual	Managing Control - Governing Body	NOT APPLICABLE	02/06/2025
Sarcauga, Dennis	Individual	Operational/Managerial Control	NOT APPLICABLE	02/06/2025
Sarcauga, Dennis	Individual	ADP of the SNF	NOT APPLICABLE	02/06/2025
Serrano, Noel	Individual	Operational/Managerial Control	NOT APPLICABLE	12/01/2021

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
"Who completes resident assessments here, and how do you check them for accuracy?"
"How do you train staff to treat residents with dignity, and how do you protect residents' personal belongings?"
"Does a pharmacist review every resident's medications and chart monthly, and how are their concerns acted on?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
"Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
"Could I join residents for a meal to see the food quality and temperature for myself?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
Northgate Postacute Care	0.0 mi	San Rafael, CA	★★☆☆☆	2/5	abuse
Professional Post Acute Center	0.0 mi	San Rafael, CA	★★★☆☆	2/5
Villa Marin	0.8 mi	San Rafael, CA	★★★★★	4/5
Smith Ranch Skilled Nursing & Rehabilitation Cente	0.8 mi	San Rafael, CA	★★★☆☆	2/5
Marin Post Acute	1.2 mi	San Rafael, CA	★★☆☆☆	2/5	abuse
San Rafael Healthcare & Wellness Center, LP	2.5 mi	San Rafael, CA	★★☆☆☆	2/5
The Tamalpais	4.5 mi	Greenbrae, CA	★★★★★	4/5
South Marin Health & Wellness Center	4.6 mi	Greenbrae, CA	★★★★☆	3/5
Novato Healthcare Center	6.3 mi	Novato, CA	★☆☆☆☆	1/5	abuse
The Redwoods, a Community of Seniors	8.1 mi	Mill Valley, CA	★★☆☆☆	2/5
Richmond Post Acute Care	11.3 mi	Richmond, CA	★★★★☆	4/5
Creekside Healthcare Center	11.5 mi	San Pablo, CA	★★★★★	4/5

Compare this facility with the 3 closest →

All facilities in San Rafael →

Facility data as of CMS processing date 2026-08-01. CCN 055850.

The Care File

Visit checklist — Pine Ridge Care Center

45 Professional Center Pkwy, San Rafael, CA 94903 · 4154793610

Health inspection rating 3/5 · CMS overall 5/5· Fines (3y): $0

Questions for the administrator:

☐ "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
☐ "Who completes resident assessments here, and how do you check them for accuracy?"
☐ "How do you train staff to treat residents with dignity, and how do you protect residents' personal belongings?"
☐ "Does a pharmacist review every resident's medications and chart monthly, and how are their concerns acted on?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
☐ "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
☐ "Could I join residents for a meal to see the food quality and temperature for myself?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 055850 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)