Above average — CMS composite of the measures below.
The next survey window likely opens around October 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Villa Marin during CMS and state inspections, most recent first.
Insufficient Dietary Supervision for SNF Residents: Surveyors found that the facility did not ensure sufficient dietary staffing to provide full-time supervision of SNF food and nutrition services. The RD worked only a few hours per week, and the dietary lead split time between assisted living and skilled nursing rather than serving as a designated full-time supervisor for SNF food service operations.
Food items were found stored past their use-by or expiration dates and several opened items were left undated in the kitchen and resident snack area. The GKM and CNA confirmed the items should have been discarded, and the facility’s Labeling & Dating policy requires all foods to be labeled, dated, and monitored for use-by dates.
Medication Error Rate Exceeded Allowed Threshold: An LVN committed multiple medication administration errors during observed med passes, resulting in a 22.22% error rate. Errors included giving the wrong BP medication and omitting an ordered aspirin for one resident, administering BP meds despite a low SBP and omitting duloxetine for another resident, and failing to give a B12 tablet by the ordered sublingual route for a third resident.
A housekeeper handled residents' soiled laundry without donning a gown, despite stating the laundry was transported in a clear plastic bag and then placed in the washer. The IP and HSD stated staff should use proper PPE, including a mask, gloves, and a gown, when handling soiled laundry to prevent cross contamination, and the facility policy required soiled laundry to be handled as potentially contaminated using standard precautions.
Late MDS Transmission: The facility failed to transmit completed MDS assessments to CMS within the required timeframe for two residents. One resident with pneumonia had a quarterly MDS completed by the DON but not sent until 29 days later, and another resident with HTN, hypothyroidism, and a need for assistance had a quarterly MDS signed off by the DON and submitted after the 14-day deadline. Staff interviews confirmed the assessments should have been transmitted within 14 days.
The facility failed to report an allegation of abuse to CDPH within the required timeframe, resulting in a delayed investigation. The incident involved a resident with severe cognitive impairment who was reportedly slapped and pushed by an unlicensed staff member. The facility's policy for immediate reporting was not followed.
Insufficient Dietary Supervision for SNF Residents
Penalty
Summary
The facility failed to ensure sufficient staff with the appropriate competencies and skill sets to carry out the functions of the food and nutrition service, including a qualified dietician. Surveyor interviews and record review showed that the Registered Dietician stated she worked at the facility a minimum of eight hours per week, while the dietary lead oversaw tray line, menus, snacks, supplements, and meal preferences for skilled nursing residents and reported to the General Kitchen Manager. The General Kitchen Manager stated he oversaw assisted living and skilled nursing units, and that the dietary lead was responsible for both units and worked full-time with time split between them. He also stated there was no designated full-time staff member for just the skilled nursing unit. The Health Services Administrator confirmed that no dietary staff were designated as full-time for skilled nursing and that the Registered Dietician was only part-time. Review of the dietary lead position description showed responsibility for monitoring regulatory compliance related to dietary needs for SNF residents, and California regulation 72351(b) states that if a dietician is not employed full-time, a full-time dietetic services supervisor shall be employed to be responsible for food service operations.
Food Storage and Labeling Deficiencies
Penalty
Summary
Food was not stored in a safe and sanitary manner in the facility’s kitchen and resident snack area when multiple items were found past their use-by or expiration dates. During observation with the General Kitchen Manager, kitchen refrigerator 5 contained tuna salad, pepper dressing, a bag of turkey, and a bag of ham that were past their use-by dates. Walk-in freezer 2 contained 3 bags of vegetable dumplings and 1 bag of bagels that were past their use-by dates, and walk-in fridge 3 contained a 1 lb container of hummus that was past its use-by date. In the resident snack room, a carton of fat free milk was observed past its expiration date. The GKM and CNA confirmed the dates and stated the items should have been discarded. Opened food items were also found without required labeling. In kitchen refrigerator 5, a container of bushberries was undated, and in walk-in freezer 2, 3 bags of hamburger buns were undated. The GKM stated these items should have had best-by date labels. Review of the facility’s Labeling & Dating policy dated 5/2023 showed that all foods are to be appropriately labeled and dated, and that use-by dates are to be monitored and followed.
Medication Error Rate Exceeded Allowed Threshold
Penalty
Summary
The facility failed to keep the medication error rate below 5 percent. Surveyors observed six medication errors during 27 medication opportunities, resulting in an overall medication error rate of 22.22 percent. The errors were observed for three sampled residents, including Resident 2, Resident 16, and Resident 21. Resident 21 was observed receiving morning medications from LVN 4. During the medication pass, LVN 4 administered Losartan 25 mg instead of the ordered Losartan 50 mg with Hydrochlorothiazide 12.5 mg. LVN 4 also did not administer the ordered Aspirin 81 mg chewable tablet. The record review showed the physician had ordered both medications for the resident, and LVN 4 confirmed the wrong medication was given and that Aspirin was not administered. Resident 16 was observed receiving morning medications from LVN 4 while the resident's systolic blood pressure was 107. The physician's orders directed staff to hold Lisinopril and Norvasc if systolic blood pressure was less than 110, but LVN 4 administered both medications anyway. LVN 4 also did not administer the ordered Duloxetine 60 mg capsule for neuropathic pain during the morning medication pass. Resident 2 was observed receiving Vitamin B 12, which was ordered to dissolve under the tongue for 30 seconds before swallowing, but LVN 4 placed the tablet in a pill cup and the resident swallowed it whole with water instead of following the ordered route.
Failure to Use PPE When Handling Soiled Laundry
Penalty
Summary
The facility failed to ensure housekeeping staff donned PPE when handling 14 out of 15 residents' soiled laundry. During an interview, the Housekeeper stated that residents' soiled laundry was transported in a clear plastic bag to the laundry room and removed from the bag before being placed in the washer, and that she did not don a gown while handling the soiled laundry. The Infection Preventionist stated that housekeeping staff should don proper PPE, including a mask, gloves, and a gown, when handling residents' soiled laundry for infection prevention and control practices. The Housekeeper Director also stated that housekeeping staff should don proper PPE when handling residents' soiled laundry to prevent cross contamination. The facility policy titled, Laundry and Bedding, Soiled, stated that soiled laundry and bedding shall be handled, transported, and processed according to best practices for infection prevention and control, and that all used laundry is handled as potentially contaminated using standard precautions.
Late MDS Transmission
Penalty
Summary
The facility failed to transmit MDS assessments to CMS within 14 days after completion for two sampled residents. For one resident admitted with pneumonia, the quarterly MDS was initiated on 8/6/25 and completed by the DON on 8/24/25, but it was not transmitted to CMS until 9/23/25, which was 29 days after completion. During interview and record review, the DSD confirmed the MDS was not transmitted until 9/23/25 and stated it should have been transmitted within 14 days. For another resident admitted with diagnoses including essential hypertension, hypothyroidism, and a need for assistance, the quarterly MDS was completed on 8/12/25 and section Z0500B was signed off by the DON on 8/20/25. LVN 1 stated the completed MDS had 30 days to be submitted to CMS after DON sign-off. A later review of the final validation report showed the MDS was submitted on 9/19/25 at 7:10 p.m., and the DSD confirmed it should have been submitted within 14 days of the completion date.
Failure to Timely Report Allegation of Abuse
Penalty
Summary
The facility failed to report an allegation of abuse to the California Department of Public Health (CDPH) in accordance with Federal requirements for one of two sampled residents. This failure resulted in a delayed investigation of the alleged abuse by CDPH. The incident involved a resident with severe cognitive impairment, who was reportedly slapped and pushed by an unlicensed staff member. The incident was witnessed by another unlicensed staff member who reported it to a licensed nurse. However, the facility did not report the incident to CDPH within the required timeframe. Interviews with various staff members, including licensed nurses and the Director of Nursing (DON), revealed inconsistencies in understanding and following the facility's policy for reporting abuse. The facility's policy required immediate reporting of abuse allegations, but the incident was not reported to CDPH until the following day. The DON acknowledged that the facility's policy was not followed, and the incident was not reported within the required two-hour timeframe. The facility's policy and procedure for reporting abuse were reviewed and confirmed to require immediate reporting to local, state, and federal agencies.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 708 citations issued within 25 miles in the last 12 months — including the 1 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near San Rafael
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Pine Ridge Care Center | 0.8 mi | ★★★★★ | 27 | 0 |
| Northgate Postacute Care | 0.8 mi | ★★★★★ | 34 | 0 |
| Professional Post Acute Center | 0.8 mi | ★★★★★ | 4 | 0 |
| Smith Ranch Skilled Nursing & Rehabilitation Cente | 1.6 mi | ★★★★★ | 17 | 0 |
| Marin Post Acute | 1.6 mi | ★★★★★ | 25 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Villa Marin.
100% money-back within 48 hours.
Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release June 2026) and official state health department websites.