Located in San Rafael, California, Rafael Convalescent Hospital is one of eight nursing homes in this city. We awarded this nursing home an overall grade of B-. A grade in this range requires some solid marks. This place seems to have some things working in its favor. The best part of this place's report card is is its inspection reports. We discuss inspections in the next paragraph.

Additional Details:

Accepts Medicare 1 : TrueA checkmark indicating true.

Accepts Medicaid 1 : 168 Beds TrueA checkmark indicating true.

CCRC : FalseUsed to indicate false.

For profit - Corporation

Resident Council: TrueA checkmark indicating true.

Family Council: FalseUsed to indicate false.

Medical Staff Hours Per Patient (2019)

Less:
More:
January
January 1, 2019January 2, 2019January 3, 2019January 4, 2019January 5, 2019January 6, 2019January 7, 2019January 8, 2019January 9, 2019January 10, 2019January 11, 2019January 12, 2019January 13, 2019January 14, 2019January 15, 2019January 16, 2019January 17, 2019January 18, 2019January 19, 2019January 20, 2019January 21, 2019January 22, 2019January 23, 2019January 24, 2019January 25, 2019January 26, 2019January 27, 2019January 28, 2019January 29, 2019January 30, 2019January 31, 2019
February
February 1, 2019February 2, 2019February 3, 2019February 4, 2019February 5, 2019February 6, 2019February 7, 2019February 8, 2019February 9, 2019February 10, 2019February 11, 2019February 12, 2019February 13, 2019February 14, 2019February 15, 2019February 16, 2019February 17, 2019February 18, 2019February 19, 2019February 20, 2019February 21, 2019February 22, 2019February 23, 2019February 24, 2019February 25, 2019February 26, 2019February 27, 2019February 28, 2019
March
March 1, 2019March 2, 2019March 3, 2019March 4, 2019March 5, 2019March 6, 2019March 7, 2019March 8, 2019March 9, 2019March 10, 2019March 11, 2019March 12, 2019March 13, 2019March 14, 2019March 15, 2019March 16, 2019March 17, 2019March 18, 2019March 19, 2019March 20, 2019March 21, 2019March 22, 2019March 23, 2019March 24, 2019March 25, 2019March 26, 2019March 27, 2019March 28, 2019March 29, 2019March 30, 2019March 31, 2019
April
April 1, 2019April 2, 2019April 3, 2019April 4, 2019April 5, 2019April 6, 2019April 7, 2019April 8, 2019April 9, 2019April 10, 2019April 11, 2019April 12, 2019April 13, 2019April 14, 2019April 15, 2019April 16, 2019April 17, 2019April 18, 2019April 19, 2019April 20, 2019April 21, 2019April 22, 2019April 23, 2019April 24, 2019April 25, 2019April 26, 2019April 27, 2019April 28, 2019April 29, 2019April 30, 2019
May
May 1, 2019May 2, 2019May 3, 2019May 4, 2019May 5, 2019May 6, 2019May 7, 2019May 8, 2019May 9, 2019May 10, 2019May 11, 2019May 12, 2019May 13, 2019May 14, 2019May 15, 2019May 16, 2019May 17, 2019May 18, 2019May 19, 2019May 20, 2019May 21, 2019May 22, 2019May 23, 2019May 24, 2019May 25, 2019May 26, 2019May 27, 2019May 28, 2019May 29, 2019May 30, 2019May 31, 2019
June
June 1, 2019June 2, 2019June 3, 2019June 4, 2019June 5, 2019June 6, 2019June 7, 2019June 8, 2019June 9, 2019June 10, 2019June 11, 2019June 12, 2019June 13, 2019June 14, 2019June 15, 2019June 16, 2019June 17, 2019June 18, 2019June 19, 2019June 20, 2019June 21, 2019June 22, 2019June 23, 2019June 24, 2019June 25, 2019June 26, 2019June 27, 2019June 28, 2019June 29, 2019June 30, 2019
July
July 1, 2019July 2, 2019July 3, 2019July 4, 2019July 5, 2019July 6, 2019July 7, 2019July 8, 2019July 9, 2019July 10, 2019July 11, 2019July 12, 2019July 13, 2019July 14, 2019July 15, 2019July 16, 2019July 17, 2019July 18, 2019July 19, 2019July 20, 2019July 21, 2019July 22, 2019July 23, 2019July 24, 2019July 25, 2019July 26, 2019July 27, 2019July 28, 2019July 29, 2019July 30, 2019July 31, 2019
August
August 1, 2019August 2, 2019August 3, 2019August 4, 2019August 5, 2019August 6, 2019August 7, 2019August 8, 2019August 9, 2019August 10, 2019August 11, 2019August 12, 2019August 13, 2019August 14, 2019August 15, 2019August 16, 2019August 17, 2019August 18, 2019August 19, 2019August 20, 2019August 21, 2019August 22, 2019August 23, 2019August 24, 2019August 25, 2019August 26, 2019August 27, 2019August 28, 2019August 29, 2019August 30, 2019August 31, 2019
September
September 1, 2019September 2, 2019September 3, 2019September 4, 2019September 5, 2019September 6, 2019September 7, 2019September 8, 2019September 9, 2019September 10, 2019September 11, 2019September 12, 2019September 13, 2019September 14, 2019September 15, 2019September 16, 2019September 17, 2019September 18, 2019September 19, 2019September 20, 2019September 21, 2019September 22, 2019September 23, 2019September 24, 2019September 25, 2019September 26, 2019September 27, 2019September 28, 2019September 29, 2019September 30, 2019
October
October 1, 2019October 2, 2019October 3, 2019October 4, 2019October 5, 2019October 6, 2019October 7, 2019October 8, 2019October 9, 2019October 10, 2019October 11, 2019October 12, 2019October 13, 2019October 14, 2019October 15, 2019October 16, 2019October 17, 2019October 18, 2019October 19, 2019October 20, 2019October 21, 2019October 22, 2019October 23, 2019October 24, 2019October 25, 2019October 26, 2019October 27, 2019October 28, 2019October 29, 2019October 30, 2019October 31, 2019
November
November 1, 2019November 2, 2019November 3, 2019November 4, 2019November 5, 2019November 6, 2019November 7, 2019November 8, 2019November 9, 2019November 10, 2019November 11, 2019November 12, 2019November 13, 2019November 14, 2019November 15, 2019November 16, 2019November 17, 2019November 18, 2019November 19, 2019November 20, 2019November 21, 2019November 22, 2019November 23, 2019November 24, 2019November 25, 2019November 26, 2019November 27, 2019November 28, 2019November 29, 2019November 30, 2019
December
December 1, 2019December 2, 2019December 3, 2019December 4, 2019December 5, 2019December 6, 2019December 7, 2019December 8, 2019December 9, 2019December 10, 2019December 11, 2019December 12, 2019December 13, 2019December 14, 2019December 15, 2019December 16, 2019December 17, 2019December 18, 2019December 19, 2019December 20, 2019December 21, 2019December 22, 2019December 23, 2019December 24, 2019December 25, 2019December 26, 2019December 27, 2019December 28, 2019December 29, 2019December 30, 2019December 31, 2019

Facility Inspections

A-
Oct 18: B+Nov 18: B+Dec 18: B+Jan 19: B+Feb 19: B+Mar 19: B+Apr 19: A-May 19: A-Jun 19: A-Jul 19: A-Aug 19: A-Sep 19: A-Jan 20: A-Mar 20: A-Apr 20: A-May 20: A-Jun 20: A-Jul 20: A-Aug 20: A-
Historical

The primary reason this nursing home received a decent overall score is its impeccable inspections in recent years. We gave it one of our better grades in that category, with an A-. This is a much better grade than the facility's overall score, which was decent but certainly not elite. Inspection scores account for a host of factors included in a facility's inspection reports. One key criteria we rely on is the number and severity of deficiencies. Facilities with higher scores in this category tend to have very few of these severe deficiencies. While this place had a few deficiencies on its government inspection report, none of them were major deficiencies based on CMS' scale. We should point out that deficiency-free inspection reports are rare in the industry.

Nurse Quality

B+
Oct 18: A-Nov 18: A-Dec 18: A-Jan 19: B+Feb 19: B+Mar 19: B+Apr 19: BMay 19: B+Jun 19: B+Jul 19: CAug 19: CSep 19: CJan 20: B+Mar 20: B+Apr 20: B+May 20: B+Jun 20: B+Jul 20: B+Aug 20: B+
Historical

In addition, we awarded this nursing home a grade of B+ in our nursing category. This is one of our better grades. Nursing ratings are primarily based on a facility's nurse staffing. This nursing home averages 3.5 hours of nursing care per resident per day. Finally, our nursing grades also factor in quality-based assessments, such as avoiding major falls. This nursing home performed better than average in this area. This is often a good indicator that a place has reliable quality controls in place. Major falls can often be prevented if more nurses aids and better safety protocols are in place.

Short-term Care Quality

B-
Oct 18: BNov 18: BDec 18: BJan 19: B-Feb 19: B-Mar 19: B-Apr 19: B-May 19: B-Jun 19: B-Jul 19: CAug 19: CSep 19: CJan 20: B-Mar 20: B-Apr 20: B-May 20: B-Jun 20: B-Jul 20: B-Aug 20: B-
Historical

This facilities next most favorable area was short-term care. We gave it a grade of B- in this area. This is basically a slightly below average grade in this area. In our short-term care rating, we strive to forge a fair barometer for rehabilitation services. In this process, we look at a facility's level of skilled nursing services, including both registered nurses and physical therapy, as well as occupational therapy. We were pleased to find that this nursing home employs both registered nurses and physical therapists. The same can't be said for all nursing homes. The last item we assessed in this area is the percentage of patients who were able to leave the facility and return to the community. It was respectable in this area with 48.6 percent of its patients returning home.

Long-term Care Quality

D
Oct 18: BNov 18: B-Dec 18: B-Jan 19: CFeb 19: CMar 19: CApr 19: CMay 19: CJun 19: CJul 19: CAug 19: DSep 19: FJan 20: DMar 20: CApr 20: CMay 20: CJun 20: CJul 20: CAug 20: D
Historical

The next category we looked at is long-term care, was this facility's worst category. We gave this facility a grade of D in that category. This is one of the few weak links of a very solid profile. In a long-term care setting, the facility's primary objective is to maintain residents' quality of life and keep them safe. Once we assessed the volume of care provided by aids and other staff, we turned to the facility's vaccination data. We were pleased to learn that this facility vaccinated 100 percent of its patients for pneumonia. Surprisingly, this facility also fared well at keeping its residents out of the hospital. Indeed, it had just 1.03 hospitalizations per 1,000 long-term resident days. Sadly, some of its other scores in this category were not as favorable as these.

Overall Rating Over Time

Compared to national and state averages across all facilities.

Aug 20
Provider:
B-
State:
B
National:
B
FDCB-BB+A-AA+Oct 18Nov 18Dec 18Jan 19Feb 19Mar 19Apr 19May 19Jun 19Jul 19Aug 19Sep 19Oct 19Dec 19Jan 20Mar 20Apr 20May 20Jun 20Jul 20Aug 20
Overall Rating
Nurse Rating
Long-Term Rating
Short-Term Rating
Inspection Rating

Rafael Convalescent Hospital Quality Metrics

Minimizes Pressure Ulcers

This datapoint gauges the percent of long-term care residents who suffer from pressure ulcers. We find that pressure ulcers are a great indicator of nursing care quality.

Provider
A+
1.86%
State
B+
6.95%
National
B
7.34%

Percent of Patients with Pressure Ulcers
Lower is Better

Minimizes Serious Falls

This indicates the percentage of patients who sustained a major fall. Falls leading to severe injuries are considered to be a measure of the quality of nursing care . Major falls resulting in injury are often the result of poor nursing care.

Provider
B
2.99%
State
A-
1.78%
National
B
3.36%

Percent of Patients with Serious Falls
Lower is Better

Minimizes Urinary Tract Infections

This indicates the percent of residents who have had a urinary tract infection. Urinary tract infections are often linked to poor nursing care. Closer supervision can reduce the number likelihood of residents sustaining infections. Keep in mind that this statistic is sometimes skewed by the fact that facilities have varying reporting standards for UTI's.

Provider
A
0.5%
State
A-
1.69%
National
B
2.66%

Percent of Patients with UTIs
Lower is Better

Appropriately Uses Anti-Psychotic Medication

This tells you the percent of patients given antipsychotic drugs. Antipsychotic medications are given to residents for a variety of conditions, including Alzheimer's or other dementias. Unfortunately, in limited cases, increased usage of these drugs may mean that a facility is using these medications to control patient behavior.

Provider
B
13.1%
State
A-
10.4%
National
B
14.15%

Percent of Patients
Lower is Better

Appropriately Uses Anti-Anxiety Medication

This statistic tells you the percent of long-term patients taking antianxiety drugs.

Provider
A+
5.09%
State
A-
14.21%
National
B
19.69%

Percent of Patients
Lower is Better

Managing Depression Among Residents

This indicates the percent of residents exhibiting symptoms of depression. High levels of depression could be an indicator lower quality care.

Provider
A-
0.53%
State
A
0.97%
National
B+
5.11%

Percent of Patients
Lower is Better

Appropriate Vaccine Usage

This is the percentage of patients who were administered the pneumonia and flu vaccines. High vaccination rates should be the norm at this point.

Provider
A
100%
State
B+
94.67%
National
B
92.01%

Percent of Patients
Higher is Better

Residents Maintain Autonomy

This tells you the percent of residents that needed additional assistance with activities of daily living over time. Higher levels of needing for assistance with ADL's could be a sign of erosion of a patient's health.

Provider
A+
6.74%
State
A-
9.21%
National
B
14.47%

Percentage of Patients
Lower is Better

Ability to Keep Residents Mobile

This indicates the percentage of residents who remained mobile levels over time. Preserving mobility can be a great sign for residents' health.

Provider
D
9.85%
State
C
12.94%
National
B
17.10%

Percentage of Residents
Higher is Better

Hospitalizations

This indicates the number of hospitalizations per thousand days of patient care. There is generally a correlation between avoiding hospitalizations and the quality of nursing home care.

Provider
A
0.93
State
B-
1.88
National
B
1.70

Hospitalizations per 1,000 resident days
Lower is Better

Short-term Care: Rehospitalizations

This metric tracks the number of times residents are rehospitalized per thousand days of short-term patient care. Keeping residents out of the hospital during rehabilitation is key to restoring the physical abilities of patients.

Provider
A
9.85
State
A-
12.94
National
B
17.10

Percentage of Residents Rehospitalized
Lower is Better

Short-term Care: ER Visits

This is the number of emergency room visits per 1,000 days of short-term patient care. There is usually a correlation between fewer emergency room visits and the quality of nursing home care.

Provider
A-
7.2
State
B
9.82
National
B
10.26

Percentage of Patients
Lower is Better

Short-term Care: Facilitates Functional Improvement

This metric measures the percentage of short-term stay patients who saw functional improvements, such as enhanced ability to perform activities of daily living. Some experts argue this is a reasonable measure of a nursing home's rehabilitation performance.

Provider
B+
72.63%
State
B+
71.87%
National
B
68.02%

Percentage of Resident
Higher is Better

Nearby Hospitals

Kaiser Foundation Hospital 1.76 mi
99 Montecillo Rd San Rafael California 94903
(415) 444-2000
Acute Care Hospitals
Voluntary non-profit - Private
Marinhealth Medical Center 3.83 mi
250 Bon Air Road, PO Box 8010 Greenbrae California 94904
(415) 925-7900
Acute Care Hospitals
Government - Local
Novato Community Hospital 6.97 mi
180 Rowland Way Novato California 94945
(415) 209-1300
Acute Care Hospitals
Voluntary non-profit - Other
Chinese Hospital 15.76 mi
845 Jackson St San Francisco California 94133
(415) 982-2400
Acute Care Hospitals
Voluntary non-profit - Private
Kaiser Foundation Hospital - San Francisco 15.98 mi
2425 Geary Blvd San Francisco California 94115
(415) 833-2646
Acute Care Hospitals
Voluntary non-profit - Private
Saint Francis Memorial Hospital 15.99 mi
900 Hyde St San Francisco California 94109
(415) 353-6000
Acute Care Hospitals
Voluntary non-profit - Private
California Pacific Medical Center- Van Ness Campus 16.13 mi
1101 Van Ness Avenue San Francisco California 94109
(415) 600-6000
Acute Care Hospitals
Voluntary non-profit - Private
St Mary's Medical Center 16.42 mi
450 Stanyan St San Francisco California 94117
(415) 668-1000
Acute Care Hospitals
Voluntary non-profit - Private

Nearby Dialysis

Northgate Dialysis Center 1.22 mi
CMS Rating: 3 stars
Dialysis Stations: 12
650 Las Gallinas Road San Rafael California 94903
(415) 444-0376
San Rafael Dialysis 2.2 mi
Dialysis Stations: 24
1415 3rd Street San Rafael California 94901
(415) 453-4437
Satellite Dialysis Greenbrae 4.86 mi
CMS Rating: 5 stars
Dialysis Stations: 23
565 Sir Francis Drake Blvd. Greenbrae California 94904
(415) 924-8622
San Pablo Dialysis Center 10.28 mi
CMS Rating: 4 stars
Dialysis Stations: 22
14020 San Pablo Avenue San Pablo California 94806
(510) 234-0835
Davita Richmond Dialysis 10.75 mi
CMS Rating: 4 stars
Dialysis Stations: 24
4200 Macdonald Ave., Ste A Richmond California 94805
(510) 236-8861
El Cerrito Dialysis Center 12.82 mi
CMS Rating: 4 stars
Dialysis Stations: 20
10690 San Pablo Avenue El Cerrito California 94530
(510) 528-9590
Davita El Sobrante 13.66 mi
CMS Rating: 4 stars
Dialysis Stations: 20
3380 San Pablo Dam Rd Ste. C-D El Sobrante California 94803
(510) 262-9230
Pacific Dialysis 15.62 mi
CMS Rating: 4 stars
Dialysis Stations: 30
2351 Clay Street 4th Floor San Francisco California 94115
(415) 440-2852