San Rafael Healthcare & Wellness Center, Lp
Inspection Findings
F-Tag F0689
F 0689 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
Resident 1 around 4:30 p.m. and left him in the Lobby on the sofa, a place Resident 1 likes to sit. A short time later LN1 came to him asking where Resident 1 was. They looked within the facility and outside and could not find him. That's when we called the family and found he was there. CNA 1 stated he did not hear
the wander management monitor alarm. During an interview on 12/30/25 at 10:03 a.m. with Resident 1's RP, RP stated Resident 1 was wearing his wander management monitor when he arrived at her house on 12/10/25. She watched him take it off with scissors in the kitchen the next day. During a review of a facility policy titled, Wandering and Elopement, revision date 1/31/23, the policy stipulated, the facility will identify residents at risk for elopement upon admission. [in order] to enhance the safety of residents of the facility.During a review of a facility policy titled, Out on Pass, revision date 1/11/16, the policy stipulated, resident/responsible person will verbally notify a Licensed Nurse prior to going out on a pass and will sign out and back in on Form A - Resident Out On Pass Log.
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SAN RAFAEL HEALTHCARE & WELLNESS CENTER, LP in SAN RAFAEL, CA inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
Frequently Asked Questions
- What is an F-tag violation?
- F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
- Were these violations corrected?
- Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
- How often do nursing home inspections happen?
- CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
- What should families do about these violations?
- Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in SAN RAFAEL, CA, (5) Report new concerns to state authorities.
- Where can I see the full inspection report?
- Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from SAN RAFAEL HEALTHCARE & WELLNESS CENTER, LP or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.