Professional Post Acute Center
Professional Post Acute Center
3.3 (18 reviews)
Skilled Nursing Facility • 99 Licensed Beds
81 Professional Center Parkway, San Rafael, CA
CMS Medicare Ratings
Overall
Inspection
Staffing
Quality
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Claimed

Professional Post Acute Center

Skilled Nursing Facility • 99 Licensed Beds
81 Professional Center Parkway,
San Rafael, CA
CMS Medicare Ratings
Overall
Inspection
Staffing
Quality
View details →
About

Professional Post Acute Center – Medicare Certified Since 1985

Professional Post Acute Center is a Medicare and Medicaid certified skilled nursing facility located in San Rafael, California. This facility has been serving the community for 41 years. A Medicare-certified skilled nursing facility provides 24-hour nursing care, rehabilitation services, and assistance with activities of daily living for patients who need skilled nursing or rehabilitation services on a daily basis.

This facility has 99 certified beds with a current occupancy rate of 88% (averaging 87 residents per day), which is high. Skilled nursing facilities provide 24-hour nursing care for patients who need rehabilitation services after a hospital stay or ongoing care for chronic conditions. Services include skilled nursing, physical therapy, occupational therapy, speech therapy, and assistance with daily activities.

Staffing Levels: Based on CMS payroll data, this facility provides approximately 3.83 hours of total nursing care per resident per day (2.53 hours from CNAs, 0.74 hours from LPNs, 0.56 hours from RNs). Physical therapy staffing is 0.08 hours per resident per day.

Medicare Quality Ratings: According to CMS, Professional Post Acute Center has an overall quality rating of 2 out of 5 stars, which is below average compared to other nursing homes nationwide. Individual category ratings are: health inspection: 2 stars, staffing: 4 stars, quality measures: 3 stars.

Medicare Coverage: Medicare covers skilled nursing facility care for up to 100 days following a qualifying hospital stay of at least 3 days. Days 1-20 are fully covered by Medicare, days 21-100 require a daily coinsurance payment. Many residents also use Medicaid, private insurance, or pay privately for long-term stays.

Questions to Ask: When visiting a nursing home, ask about: staff-to-resident ratios and RN coverage around the clock, how they handle medical emergencies, activities and therapy programs, how they communicate with families, their approach to falls prevention, and policies for managing resident complaints.

Visit Medicare Care Compare to view detailed ratings, inspection reports, staffing data, and compare this facility with others in the area.

Quality ratings and facility data are updated periodically by CMS. We recommend verifying current information at Medicare Care Compare.

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Local Comparison Snapshot

How Professional Post Acute Center compares to 11 facilities in San Rafael, CA

Click a measure name to jump to details • Hover over for definitions

Measure
This Facility
Area Avg
Comparison
Overall Rating
Medicare 5-star rating
2
3
Quality Measures
Clinical outcomes & safety
3
3.5
Health Inspections
State survey results
2
2.4
Staffing
Nurse-to-resident ratio
4
3.5
Staffing Hours (per resident/day)
RN Hours
Registered nurses
0.56 hrs
0.73 hrs
LPN/LVN Hours
Licensed practical nurses
0.74 hrs
0.95 hrs
CNA Hours
Certified nursing assistants
2.53 hrs
2.82 hrs
Total Nursing Hours
CNA + LPN + RN combined
3.83 hrs
4.50 hrs
Agency/Contractor Usage
Lower agency use often indicates more stable, consistent care
RN Agency Use
% of RN hours from contractors
0 %
3.0 %
LPN/LVN Agency Use
% of LPN hours from contractors
0 %
5.0 %
CNA Agency Use
% of CNA hours from contractors
0 %
9.2 %
Staff Stability & Occupancy
Staff Turnover
Annual nursing staff turnover
44 %
40 %
Occupancy Rate
Percentage of beds filled
88 %
82 %
Financial Estimate
Based on CMS Cost Report data (for reference only)
Est. Daily Rate
Average cost per day
$373
$502
Estimate Only: This figure is calculated from cost reports and is for informational purposes only. Actual rates vary significantly. See details or contact the facility.
Better than Area
Near Average
Below Area Average

Data from CMS Medicare Compare and Payroll-Based Journal. Area averages based on 11 facilities in San Rafael, CA.
Ratings and staffing data typically reflect the most recent quarterly reporting period available.

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Medicare Star Ratings

Official CMS ratings based on health inspections, staffing, and quality measures

Data as of December 2025

What do Medicare star ratings measure?
Medicare rates nursing homes on a 1-5 star scale based on three key areas: health inspection results, staffing levels, and quality measures like falls and infections.
How often are ratings updated?
CMS updates nursing home ratings monthly. Ratings can change based on new inspection results, staffing data from payroll records, and clinical quality outcomes.
Overall Rating
2/5
Quality Measures
3/5
Health Inspections
2/5
Staffing
4/5

Star Ratings History

Quarterly performance from 2013-2026

View on Medicare.gov
Overall
Health Inspections
Quality
Staffing
Source: Centers for Medicare & Medicaid Services

How Does This Facility Compare?

Compared to 11 other nursing homes in San Rafael, CA

Why compare to local facilities?
Local comparisons account for regional staffing markets and demographics. A facility performing above local averages often indicates strong management and quality care relative to area standards.
Professional Post Acute Center
San Rafael, CA Average

Based on CMS Medicare star ratings. Higher ratings indicate better performance.

Staffing Hours per Resident Day

Professional Post Acute Center
San Rafael, CA Average

Staffing data from CMS Payroll-Based Journal. Higher hours generally indicate more direct care time.

Staff Turnover Rate

Professional Post Acute Center
San Rafael, CA Average

Lower turnover rates generally indicate a more stable workforce and better continuity of care.

Agency/Contract Staff Usage

Professional Post Acute Center
San Rafael, CA Average

Lower agency usage often indicates better staff retention. High agency rates (>30%) may suggest staffing challenges.

Agency Staff Trends

Historical agency/contract staff usage by role

What does agency usage indicate?
Agency/contract staff fill temporary staffing gaps. Lower percentages typically indicate a stable, permanent workforce. Facilities with consistently high agency usage (>30%) may face staff retention challenges, though temporary spikes can occur during seasonal illness or transitions.
CNA
LPN
RN

Data from CMS Payroll-Based Journal (PBJ). Agency % = contractor hours / total hours.

Direct Care Staffing

Average minutes of direct nursing care per resident per day

Data as of December 2025

Understanding staffing levels: Higher staffing is associated with better quality outcomes. Research suggests around 4.1 hours of total nursing care per resident per day as a quality benchmark. Compare this facility's staffing to local averages to assess relative care levels.
152
minutes/day
CNAs
Certified Nursing Assistants
44
minutes/day
LVNs
Licensed Vocational Nurses
34
minutes/day
RNs
Registered Nurses
5
minutes/day
PTs
Physical Therapists

Staffing Trends

Direct care minutes per resident per day

CNAs
LVNs
RNs
PTs
Source: Centers for Medicare & Medicaid Services

Occupancy Rate History

Average daily residents as a percentage of certified beds

Understanding occupancy: Higher occupancy can indicate strong community reputation and demand. Very low occupancy may affect financial stability, while extremely high occupancy could mean limited bed availability.
Professional Post Acute Center
San Rafael, CA Average (81.9%)

Data from CMS Provider Info files. Occupancy = Average Residents per Day / Certified Beds.

Staff Turnover History

Annual percentage of nursing staff who left the facility

Data as of December 2025

Understanding turnover: Lower turnover rates generally indicate a more stable workforce and better continuity of care. High turnover can affect care quality and resident relationships. The national average for nursing homes is around 50-60%.
All Nursing Staff
Registered Nurses (RN)
Area Average

Data from CMS Payroll-Based Journal. Turnover = staff who left during the year / total staff.

Average Daily Rate

Average daily charge for care at this facility

Based on CMS Cost Report data (inpatient revenue ÷ total patient days)

FY 2023 Daily Rate
$373
per resident per day
Compared to 11 facilities in your area
Below local median ($502)
Daily Rate Trend (2018-2023)
Contact Facility for Actual Rates
This figure is an average calculated from cost reports and is for informational purposes only. Actual rates vary significantly based on level of care needed, room type, payer source (Medicare, Medicaid, private pay), and other factors. Please contact the facility directly for current pricing and availability.
How This Is Calculated
This average daily rate is calculated from CMS Cost Reports by dividing total inpatient revenue by total patient days. It represents an average across all payers and care levels. Higher rates may indicate more intensive care, specialized services, or regional cost factors.

Data Source: Financial data from CMS Skilled Nursing Facility Cost Reports. Data typically lags 1-2 years. This information is for educational purposes only and should not be the sole basis for financial or care decisions. CareListings does not guarantee accuracy.

Financial Health

Comprehensive financial indicators from CMS Cost Reports

Data from fiscal year 2023 (most recent available - cost report data lags ~2 years)

For-Profit Facility

Financial Summary

Metric This Facility Local Median Comparison
Operating Margin
Profitability ratio
-10% -1% Below
Net Income
Annual profit or loss
$-1,163,915 $85,294 Below
Staff Cost per Resident
Daily salary expense per resident
$187/day $228/day Lower
Occupancy Rate
Bed utilization percentage
88% 84% Higher
Est. Daily Rate
Average revenue per patient day
$373/day $502/day Lower
Total Beds
Licensed bed capacity
99 72 Larger

Local comparisons based on 11 skilled nursing facilities in the San Rafael, CA metro area

Revenue & Expenses

Net Patient Revenue
After adjustments & allowances
$11,976,251
Operating Expenses
Total operating costs
$13,233,333
Total Salaries
Staff compensation
$5,861,812
Contract Labor
Agency & temp staff
$909,352

Payer Mix

Medicare
5%
Medicaid
88%
Private Pay & Other
7%

Operating Margin Trend (2018-2023)

Understanding Financial Health
Operating Margin: Percentage of revenue remaining after operating costs. Positive = profitable operations.
Staff Investment: Higher spending per resident often correlates with better care quality.
Payer Mix: Shows revenue sources. Higher Medicare % typically means more post-acute/rehab care; higher Medicaid % indicates more long-term care residents.
Nonprofit/Government: May operate with lower margins while still providing quality care due to community mission.

Data Source: All financial data on this page comes from CMS Skilled Nursing Facility Cost Reports submitted by the facility to the Centers for Medicare & Medicaid Services. This information is provided for educational purposes only and should not be the sole basis for any financial or care decisions. Cost report data typically lags 1-2 years. CareListings does not guarantee the accuracy of this data.

Who Stays Here

Breakdown of residents by payment type

Based on fiscal year 2023 cost report data

Total Days
31,302
Medicare
Short-term skilled nursing
5%
Medicaid
Long-term care residents
88%
Private Pay / Other
Self-pay, insurance, VA
7%
Higher Medicare %
Indicates more short-term rehabilitation residents. Medicare typically covers up to 100 days of skilled nursing care after a hospital stay.
Higher Medicaid %
Indicates more long-term care residents. Medicaid covers nursing home care for those who qualify financially.

Average Length of Stay

How long residents typically stay at this facility

Based on fiscal year 2023 cost report data

Overall Average
322.70
days
Medicare Stays
67.95
days
Medicaid Stays
13739.50
days
Total Admissions
98
Total Discharges
97
Medicare (Short-Term)
Medicare covers skilled nursing for rehabilitation after a hospital stay. Typical stays are 20-30 days for recovery from surgery, stroke, or illness.
Medicaid (Long-Term)
Medicaid covers long-term nursing home care for those who qualify. Many residents stay months or years, receiving ongoing daily care and support.

Services

Comprehensive skilled nursing services, rehabilitation programs, and medical care in SAN RAFAEL

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Reviews

3.3 (18 reviews)
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Matthew Philson's profile photo

Professional Post Acute has experienced a remarkable transformation under new management. Having been at this facility for several years, I can confidently say the changes implemented by the new administrator have elevated it to a truly exceptional skilled nursing facility. The building has been freshly painted, and the flooring in common areas and resident rooms has been upgraded to hardwood. The care provided here is now highly focused on customer service, ensuring that residents are both happy and well cared for. The improvements are evident in every aspect of the facility, making it a wonderful place for residents to live and receive care. I truly enjoy working here day in and day out !

Caroline Hunt's profile photo
Caroline Hunt 10 months ago

If I could give this place a negative 1000 stars, I would. Nothing professional about this place. Truly, i've never seen so much neglect in my life and they take no accountability for any of it. My dad was placed here in November 2024, and he passed mid January 2025. When he was checked in here, he was in good health minus his Parkinson's. Within a month, he developed fast growing pressure ulcers all over his legs and butt that were a result of him not being proper changed and treated enough. He then lost a significant amount of weight, and his ability to speak. It got to the point where he got very sick, and we were advised by the nurses on shift to take him to the ER that same day. As we made arrangements to get him to the ER, we were then stopped by the director of nursing, which looking back was them trying to save themselves from probably being reported by the hospital that we would have taken my dad to. We then got an outside opinion from a board certified doctor who confirmed these were stage 3 pressure ulcers, and considered this to be a "never event", which essentially means that they should have never occurred in the first place and were entirely preventable. My point is, this was all due to patient neglect, and it wasn't just my dad we saw levels of neglect happening to unfortunately. I acknowledge this is an incredibly hard line of work to be in, but this should never have gotten as bad as it did if this facility was as upstanding as they claim to be. Especially for a place that "prides itself on its care". Im certain we aren't the first and wont be the last. When my sister and I met with the head administrator, Nicole, to talk about this and about getting some more specific care for my dad, she gaslit us by laughing in our face and asking if we "met with a psychologist" to diagnose my dad's ulcers and not an actual doctor. Implying that the second opinion that we got wasn't credible. It was clearly avoidant of how serious this was for an 86 year old man. In the end, they pushed my dad to move to a sister facility in a very, very sick state because they wanted him off their hands. This new facility that we moved him to is where he ultimately died 1 week later. After everything though, I'm so glad he passed in a cleaner, more professional and caring facility than this hell hole of a place. Anyway, to make a long and sad story short, don't place your people here if you have other options. Especially if you love them. I grew up in Marin and I'm just so shocked and disappointed that a place like this exists. My dad was my first aging parent experience and if we could have done things differently, we would have. That said, i know that not everyone has the means for better care (we didn't) so with that i would say, if you have to place your loved one here, PLEASE advocate for them. Please. In every step of the way. That will make the difference. My final word is that these people don't care about the wellbeing of their vulnerable patients and place more value in operating as a business (speaking directly of the admins, not necessarily all the nurses). Example 1 being the way they reply to all bad yelp reviews doing damage control. Sending anyone going through this situation love and light, and i promise things will eventually get better.

Victoria Rplus's profile photo
Victoria Rplus a year ago

Recently visited the building undergoing renovations and was pleasantly surprised by the evident care from the new management towards residents and employees. Walking through, I noticed a vibrant community vibe with residents actively participating in various activities. Despite initial concerns from previous reviews, speaking with the new leadership on site quickly dispelled any worries. Looking forward to seeing the positive changes ahead!

Charles Buckley's profile photo

This has been a great place for my short term rehab! Staff has been so nice and sweet to me. Residents are all good people and easy to make friends with. I enjoyed the activity program and playing bingo.

Susan Rojas's profile photo
Susan Rojas 3 years ago

A very close friend was sent to PPA following a stroke. While the staff is pleasant and do what they can, they are very understaffed and staff turn over is constant. If you have an issue that needs addressing and you finally manage to find the person who can help you, when you call or ask to see them for follow up they are gone with no replacement for weeks. If your loved one does end up here, you really need to visit frequently to make sure things like teeth brushing and diaper changing are happening. If the facility is closed to visitors you will never be able to speak to them by phone.

View All 18 Google Reviews

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