Dementia care
Cited in 5 reports, with 5 deficiencies in total.
COGIR OF SAN RAFAEL
111 MERRYDALE ROAD, San Rafael CA 94903
70 bedsLatest official report Jul 27, 2026Licensed
Additional info
- Telephone
- (707) 334-1620
- Licensee
- WELL CA WA TENANT LLC;COGIR MGMT USA INC.
- Administrator
- HUMPHREY,KIMBERLY
- Contact
- HUMPHREY,KIMBERLY
- License first date
- Jan 5, 2022
- License effective date
- Jan 5, 2022
- District office
- SANTA ROSA RO · (707) 588-5026
- Regional office
- 21
- Clients served
- 983 - RCFE / DEMENTIA
Summary
The available records show 16 Type A and 10 Type B deficiencies for this facility.
- Most recent inspection
- Jul 27, 2026
- Most recent deficiency
- Apr 23, 2026
1 later report, on Jul 27, 2026, recorded no deficiencies, though the records do not say whether they were follow-ups.
What Type A and Type B mean
- Type A
- Violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
- Type B
- Violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care.
Both classifications are published by California CDSS and are shown as published. SeniorLivingFacts does not rename them or add a severity level of its own.
At a glance
Counts cover the five-year public record. Typical figures are the median for the 12 Marin County facilities licensed for 50 or more beds, except where too few exist to state one — those come from facilities with 7 or more beds.
In the available public five-year record, CCLD published 43 reports for this facility: 27 inspections, 13 complaint investigations, and 3 licensing or administrative records.
Those records contain 16 Type A and 10 Type B deficiencies.
4 deficiencies have explicit official correction or clearance evidence in the loaded records.
- Official inspections
- 27
- Recorded deficiencies
- 26
- Type A deficiencies
- 16
- Type B deficiencies
- 10
- Substantiated complaints
- 7
- Repeated topics
- 5
More than the typical 12
6 in the last 12 months
Well above the typical 10
7 in the last 12 months
Well above the typical 6
2 in the last 12 months
More than the typical 7
5 in the last 12 months
Well above the typical 1
1 in the last 12 months
Last 36 months
Repeated topics
Topics cited in more than one report during the last 36 months. A repeat may show a pattern worth asking about. Each date opens its report below.
Resident rights
Cited in 3 reports, with 3 deficiencies in total.
Facility condition and maintenance
Cited in 2 reports, with 2 deficiencies in total.
Licensing and administration
Cited in 2 reports, with 2 deficiencies in total.
Medical and dental care
Cited in 2 reports, with 2 deficiencies in total.
Official report history
All preserved reports from the most recent to the oldest, sortable by report type.
Complaint
Allegations1 substantiated · 2 unsubstantiated · 0 unfounded · 1 cited
Resident rightsType B
- Official classification
- Type B
- Official code
- 87468.2(a)(4)
- Regulation authority
- CCR
What the official deficiency says
87468.2 Additional Personal Rights of Residents in Privately Operated Facilities:(a) In addition to...Section 87468.1... residents...shall have...following personal rights: (4) To care, supervision, and services that meet their...needs and are delivered by staff that are sufficient in numbers, qualifications & competency...Requirement was not met as evidenced by: based on record review & interviews, Licensee did not comply with section cited above & did not ensure that R1's pendant call was responded to timely. This poses a potential health/safety risk to residents in care.
Official plan of correction
Licensee to submit self-certification that training will be conducted for all care staff reviewing equipment expectations by POC due date of 12/29/2025. In-service training to include: Trainer, Date of Training, Topic, Job Title, Staff Names and Signatures. In-service training to be submitted to CCL by POC due date of 01/09/2025.
Deadline recorded: Dec 29, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Dec 29, 2025
Correction not verified in available records
Complaint
Allegations3 substantiated · 0 unsubstantiated · 0 unfounded · 3 cited
Resident rightsType A
- Official classification
- Type A
- Official code
- 87468.1(a)(1)
- Regulation authority
- CCR
What the official deficiency says
87468.1 Personal Rights of Residents in All Facilities:(a)Residents in all residential care facilities for the elderly shall have all of the following personal rights: (1)To be accorded dignity in their personal relationships with staff, residents, and other persons. This requirement was not met as evidenced by: based on observations made, Licensee did not comply with the section cited above. Licensee did not ensure R1's personal rights. R1 was shown to be handled roughly by S1 while being provided incontinence care. This is an immediate health and safety risk to residents in care.
Official plan of correction
Licensee to submit self-certification that all care staff will receive training on the personal rights of residents by POC due date of 06/06/2025. Licensee to submit training by POC due date of 06/16/2025. Training to include: Topic, Trainer, Date, Name/Job Role, and Staff Signatures.
Deadline recorded: Jun 6, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jun 6, 2025
Correction not verified in available records
Records and plan of operationType A
- Official classification
- Type A
- Official code
- 87208(a)
- Regulation authority
- CCR
What the official deficiency says
87208 Plan of Operation:(a)The licensee shall have and maintain a current, written definitive plan of operation...The licensee shall operate the facility in accordance with the terms specified... pursuant to Health and Safety Code…This requirement was not met as evidenced by: Based on record review, interviews conducted, and observations made, Licensee did not comply with section cited above. Licensee did not ensure that facility staff followed protocol and ensure that R1 was evaluated timely after hitting their head from a fall. This is an immediate health and safety risk to residents in care.
Official plan of correction
Licensee to submit self-certification that all care staff will receive training on facility fall protocol by POC due date of 06/06/2025. Licensee to submit training by POC due date of 06/16/2025. Training to include: Topic, Trainer, Date, Name/Job Role, and Staff Signatures.
Deadline recorded: Jun 6, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jun 6, 2025
Correction not verified in available records
Not classified in the sourceType A
- Official classification
- Type A
- Official code
- 15630(b)(1)(A)(i)
- Regulation authority
- HSC
What the official deficiency says
Welfare and Institutions Code: 15630(b)(1)(A)(i): " Any mandated reporter who...has knowledge of an incident...shall report...within two working days (A)If the suspected... abuse occurred in a long-term care facility...(i)...report shall be made within two hours of the mandated reporter...obtaining knowledge of...physical abuse. " Requirement not met as evidenced by: based on interviews, record review, and observations, Licensee did not comply with section cited above and did not ensure that R1's suspected abuse was reported timely. This is an immediate health and safety risk to residents in care.
Official plan of correction
Licensee to submit self-certification that all care staff will receive training on Reporting Requirements by POC due date of 06/06/2025. Licensee to submit training by POC due date of 06/16/2025. Training to include: Topic, Trainer, Date, Name/Job Role, and Staff Signatures.
Deadline recorded: Jun 6, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jun 6, 2025
Correction not verified in available records
Complaint
Allegations0 substantiated · 2 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 4 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations1 substantiated · 0 unsubstantiated · 0 unfounded · 1 cited
Facility condition and maintenanceType B
- Official classification
- Type B
- Official code
- 87303(i)(1)(A)
- Regulation authority
- CCR
What the official deficiency says
87303 Maintenance and Operation: (i) Facilities shall have signal systems which shall meet the following criteria:(1) All facilities licensed for 16 or more and...separate floors or buildings shall have a signal system...(A) Operate from each resident's living unit. This requirement was not met as evidenced by: based on interviews and document review, Licensee did not comply with the section cited above and did not ensure that facility's pull cord system was operating as required. This poses a potential health and safety risk to residents in care.
Official plan of correction
Facility to submit the following documents: Lifeline Senior Living Receipt of Repairs and Audit of Resident Pull Cords to be done by Maintenance Director to ensure that they are operable. Documents to be submitted by POC due date of 03/24/2025.
Deadline recorded: Mar 24, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Mar 24, 2025
Correction not verified in available records
Complaint
Allegations0 substantiated · 0 unsubstantiated · 1 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 2 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations2 substantiated · 0 unsubstantiated · 0 unfounded · 2 cited
Licensing and administrationType B
- Official classification
- Type B
- Official code
- 1569.657(a)
- Regulation authority
- HSC
What the official deficiency says
HSC 1569.657(a) For any rate increase due to a change in the level of care of the resident, the licensee shall provide the resident and the resident’s representative...written notice of the rate increase within two business days... This requirement was not met as evidenced by: Based on document review and interviews, Licensee did not comply with the section cited above and did not ensure proper notice was provided within two days to resident and/or their responsible party as required. This poses a potential health and safety risk to residents in care.
Official plan of correction
Licensee to conduct training reviewing the requirements of HSC 1569.657(a) with Managerial Team. Training to include the following: Date of Training, Training Topics, Job Role, Staff Names, and Signatures. Training to be submitted to CCL for review and approval by POC due date of 08/19/2024.
Deadline recorded: Aug 19, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Aug 19, 2024
Correction not verified in available records
Resident rightsType B
- Official classification
- Type B
- Official code
- 87468.1(a)(9)
- Regulation authority
- CCR
What the official deficiency says
87468.1 Personal Rights of Residents in All Facilities:(a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (9)To have communications to the licensee from their representatives answered promptly and appropriately. This requirment is not met as evidenced by: Based on document review and interviews conducted, facility did not ensure communication with R1’s representative was answered promptly and appropriately as required by regulation. This poses a potential health and saftey risk to residents in care.
Official plan of correction
Licensee to submit self-certification stating that they have reviewed the regulation. Certification to be submitted to CCL by POC due date of 08/19/2024.
Deadline recorded: Aug 19, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Aug 19, 2024
Correction not verified in available records
Complaint
Allegations0 substantiated · 1 unsubstantiated · 1 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 0 unsubstantiated · 1 unfounded
No deficiencies recorded in this reportComplaint
Allegations1 substantiated · 3 unsubstantiated · 0 unfounded · 1 cited
Dementia careType A
- Official classification
- Type A
- Official code
- 87705(f)(2)
- Regulation authority
- CCR
What the official deficiency says
87705 Care of Persons with Dementia:(f) The following shall be stored inaccessible to residents with dementia:(2)Over-the-counter medication... alcohol... and toxic substances...This requirement is not met as evidenced by: Based on records reviewed and interviews conducted, Licensee did not comply with the section cited above. An opened alcoholic beverage was observed to be in R1’s room. This poses an immediate health and safety risk to residents in care.
Official plan of correction
Licensee to submit self certification that training on Regulation 87705(f)(2) will be conducted for all staff by POC due date of 07/15/2023. Training to review items that are inaccessible to residents in care. Licensee to conduct Inservice Training and submit a sign in sheet to CCL that includes the following: Date,Training Topic, Name/Job Role, and Signatures by POC due date of 07/25/2023.
Deadline recorded: Jul 15, 2023. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jul 15, 2023
Correction not verified in available records
Complaint
Allegations3 substantiated · 0 unsubstantiated · 0 unfounded · 3 cited
Resident rightsType A
- Official classification
- Type A
- Official code
- 87468(a)
- Regulation authority
- CCR
What the official deficiency says
87468 Personal Rights:(a)Residents in residential care facilities for the elderly shall have personal rights... those listed in Sections 87468.1, Personal Rights of Residents in All Facilities, and 87468.2, Additional Personal Rights of Residents in Privately Operated Facilities... This requirement was not met as evidenced by: Based on interviews conducted and review of documents, the Licensee did not comply with the section cited above, and did not ensure the Personal Rights of R1. This poses an immediate health and safety risk to residents in care.
Official plan of correction
Licensee to submit certification that training on Personal Rights will be conducted for all staff by POC due date of 06/03/2023. Licensee to conduct Personal Rights Training and submit a sign in sheet to CCL that includes the following: Date, Name/Job Role, and Signatures by POC due date of 06/12/2023.
Deadline recorded: Jun 3, 2023. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jun 3, 2023
Correction not verified in available records
Medical and dental careType A
- Official classification
- Type A
- Official code
- 87465(g)
- Regulation authority
- CCR
What the official deficiency says
87465 Incidental Medical and Dental Care:(g) The licensee shall immediately telephone 9-1-1 if an injury or other circumstance has resulted in an imminent threat to a resident’s health including...an apparent life-threatening medical crisis... This requirement was not met as evidenced by: Based on interviews conducted and review of documents, the Licensee did not comply with the section cited above, and did not ensure that 911 was called for R1. This poses an immediate health and safety risk to residents in care.
Official plan of correction
Licensee to submit certification that training on Reporting Requirements will be conducted for all staff by POC due date of 06/03/2023. Licensee to conduct Training for Reporting Requirements and to review who the Administrator is and who the Designated Representative is in the absence of the Administrator. Licensee to submit a sign in sheet to CCL that includes the following: Date, Name/Job Role, and Signatures by POC due date of 06/12/2023.
Deadline recorded: Jun 3, 2023. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jun 3, 2023
Correction not verified in available records
Not classified in the sourceType A
- Official classification
- Type A
- Official code
- 15630(b)(1)(A)(i)
- Regulation authority
- HSC
What the official deficiency says
Welfare and Institutions Code section 15630(b)(1)(A)If the suspected... abuse occurred in a long-term care facility...(i)a telephone report shall be made to the local law enforcement agency immediately...no later than within two hours... This requirement was not met as evidenced by: Based on interviews conducted and review of documents, the Licensee did not comply with the section cited above, and did not report suspected abuse timely. This poses an immediate health and safety risk to residents in care.
Official plan of correction
Licensee to submit certification that training on Reporting Requirements will be conducted for all staff by POC due date of 06/03/2023. Licensee to submit a sign in sheet to CCL that includes the following: Date, Name/Job Role, and Signatures by POC due date of 06/12/2023.
Deadline recorded: Jun 3, 2023. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jun 3, 2023
Correction not verified in available records
Complaint
Allegations1 substantiated · 1 unsubstantiated · 0 unfounded · 1 cited
Incident reportingType B
- Official classification
- Type B
- Official code
- 87211(1)(a)(D)
- Regulation authority
- CCR
What the official deficiency says
87211 Reporting Requirements:(a)Each licensee shall furnish to the licensing agency such reports as the Department may require, including...the following:(1)A written report shall be submitted to the licensing agency...within seven days of the occurrence of...(D) Any incident which threatens the welfare, safety or health of any resident... This requirement was not met as evidenced by: Based on interviews conducted and review of documents, the Licensee did not comply with the section cited above, and did not submit reports to CCL when residents were found stuck in the elevator for an extended period of time. This poses a potential health and safety risk to residents in care.
Official plan of correction
Licensee to provide training to all Staff reviewing the Regulation: 87211 Reporting Requirements and how to properly fill out the LIC 624 form. Inservice Training to include the following information: Date of Training, Training Topics, Job Role, Staff Names and Signatures. Training to be submitted to CCL for review and approval by POC due date of 12/23/2022.
Deadline recorded: Dec 23, 2022. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Dec 23, 2022
Correction not verified in available records
Source and limits
California Department of Social Services, Community Care Licensing Division. Public facility history is described by the source as a five-year window. Older records and previous-licensee history may require a regional-office request. Type 741 RCFE-CCRCs, nursing homes, and other care settings are excluded from this page.
Read the data methodology