Inspection citations
9’23
1’24
5’25
10’26
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| Date | Severity | What inspectors found | Visit |
|---|---|---|---|
| Aug 6, 2026 | D · potential | Reasonably accommodate the needs and preferences of each resident. | Routine |
| Aug 6, 2026 | E · potential | 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. | Routine |
| Aug 6, 2026 | D · potential | Ensure each resident receives an accurate assessment. | Routine |
| Aug 6, 2026 | D · potential | Ensure services provided by the nursing facility meet professional standards of quality. | Routine |
| Aug 6, 2026 | E · potential | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Routine |
| Aug 6, 2026 | D · potential | Ensure medication error rates are not 5 percent or greater. | Routine |
| Aug 6, 2026 | D · potential | Ensure that residents are free from significant medication errors. | Routine |
| Aug 6, 2026 | F · potential | 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. | Routine |
| Aug 6, 2026 | F · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
| Aug 6, 2026 | F · potential | Provide and implement an infection prevention and control program. | Routine |
| Nov 18, 2025 | D · potential | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | Routine |
| Nov 18, 2025 | E · potential | Ensure medication error rates are not 5 percent or greater. | Routine |
| Nov 18, 2025 | F · potential | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Routine |
| Nov 18, 2025 | F · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
| Nov 18, 2025 | E · potential | Provide and implement an infection prevention and control program. | Routine |
| Apr 10, 2024 | D · potential | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Complaint |
| Aug 18, 2023 | D · potential | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Routine |
| Aug 18, 2023 | E · potential | Provide activities to meet all resident's needs. | Routine |
| Aug 18, 2023 | G · harm | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Routine |
| Aug 18, 2023 | D · potential | Provide safe and appropriate respiratory care for a resident when needed. | Routine |
| Aug 18, 2023 | E · potential | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Routine |
| Aug 18, 2023 | E · potential | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Routine |
| Aug 18, 2023 | D · potential | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | Routine |
| Aug 18, 2023 | E · potential | Provide and implement an infection prevention and control program. | Routine |
| Aug 18, 2023 | D · potential | Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Routine |
Medicare's severity letters: A–C minimal harm, D–F potential for more than minimal harm, G–L actual harm or immediate danger. Source: CMS health deficiencies file, processed October 1, 2026.
Questions to ask on a visit
Villa Marin
100 Thorndale Drive, San Rafael, CA 94903 · (415) 492-2408
Visit date: ____________ Spoke with: ______________________
Record on file
- Certification
- Medicare and Medi-Cal certified skilled nursing facility
- Medicare number (CCN)
- 555227
- Certified beds
- 31
- Legal owner
- Villa Marin Homeowners Association
Full profile on Medicare's Care Compare. Source: CMS, processed October 1, 2026.
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