Quick answer: A serious bedsore (stage 3 or 4) in a Marin County nursing home can support a claim under California's Elder Abuse Act, because federal rules (42 CFR 483.25) treat advanced pressure ulcers as preventable unless a documented medical condition made them unavoidable. Request the wound care and repositioning records and check the home's CMS inspection rating, then have a lawyer review it for free at (888) 999-0169 or send us a message. Marin County has 11 nursing homes. In the current CMS data, six of them carry federal fines totaling $474,034, five rate one or two stars overall, and three display the CMS abuse icon. In that landscape, a serious bedsore is often the visible result of the staffing and oversight problems behind those numbers.
If your loved one developed a bedsore in a San Rafael, Novato, or Mill Valley nursing home, you may have a claim under California's Elder Abuse Act. Call (888) 999-0169 for a free, confidential consultation. Because we once defended facilities like this one, we know where the answers are, and you pay nothing unless we win.
Nursing home records in Marin County
Marin County has 11 federally certified nursing facilities with 948 licensed beds. Since 1997, state inspectors have issued 215 citations against Marin County facilities, including 2 class AA citations and 53 class A citations. Facilities in the county have been assessed $1,188,857 in state penalties over that period.
A class AA citation is a class A violation that the Department of Public Health determined was a direct proximate cause of a resident's death. A class A citation is a violation the Department determined presented an imminent danger of death or serious harm to residents, or a substantial probability that death or serious physical harm would result.
10 of those enforcement actions were connected to a resident's death.
3 Marin County facilities currently carry the federal abuse warning icon.
The county's facilities average 3.1 of 5 stars on the federal rating system. 5 of 11 facilities hold a 1 or 2 star overall rating.
Marin County facilities have been assessed $474,034 in federal fines.
The most cited nursing homes in Marin County
- Novato Healthcare Center (58 citations)
- Pine Ridge Care Center (49 citations)
- Professional Post Acute Center (32 citations)
See every facility in the county, with its full record, in the nursing home directory.
Citation data covers July 1, 1997 through June 30, 2024. Ratings and fines are current as of the CMS processing date shown above.
What the record shows in Marin County
A bedsore is a repositioning failure, and repositioning fails where staffing is weakest.
By reported nurse staffing, these are the lowest homes in the county in the CMS data. Marin Post Acute in San Rafael reports 3.68 nursing hours per resident per day against a state average of 4.52, with a 2 star overall rating and a 2 star health inspection rating. It carries a 2 star staffing rating, $10,890 in federal fines across 1 federal penalty and the federal abuse warning icon as well. In San Rafael, Professional Post Acute Center reports 3.84 nursing hours per resident per day, where the state average is 4.52, with a 3 star overall rating and a 2 star health inspection rating. Its record also shows a 4 star staffing rating and $148,455 in federal fines across 4 federal penalties. Staffing at San Rafael Healthcare & Wellness Center, LP in San Rafael is 3.91 nursing hours per resident per day against 4.52 statewide, with a 2 star overall rating and a 2 star health inspection rating. It carries a 4 star staffing rating and $8,278 in federal fines across 1 federal penalty as well. Countywide, 5 of 11 homes hold a 1 or 2 star overall rating.
Those staffing and enforcement records are exactly the profile where a pressure ulcer develops.
Before you accept a facility's explanation for a bedsore, check its record in our Marin County nursing home directory. Left untreated, a stage 4 ulcer can reach the bone and become a fatal infection. For the four stages and the California statutes, see our California bedsore page.
How Marin County families can respond
Photograph the wound and date the photos, and request the complete chart in writing, including wound care notes and repositioning logs. Get an independent medical evaluation. File a complaint with the California Department of Public Health through Cal Health Find, or contact the Marin County Long-Term Care Ombudsman at (415) 473-7446, or the state crisis line at (800) 231-4024 after hours. In an emergency, contact Marin County Adult Protective Services or call 911. Our full guide is here: how to report nursing home abuse in California.
Not sure whether what happened crosses the line into neglect? A short, free call can tell you. Call (888) 999-0169.
Why work with us
Michael Young and Thomas Wallin spent years defending nursing homes before switching sides. In the years since, they have recovered millions for California families in elder abuse and neglect cases. We go straight for the repositioning logs and the payroll-based staffing records, because the gap between "turned every two hours" in the chart and the aides actually working that shift is where these cases are won. As Marin County nursing home abuse lawyers, we handle these cases across San Rafael, Novato, and the county and throughout California.
Talk to a Marin County bedsore lawyer today
Wound photos and repositioning logs get harder to obtain every week. Call (888) 999-0169 or send us a message for a free case evaluation. We serve families throughout Marin County and across California, and you pay nothing unless we win.
Sources and authoritative references
- CMS Care Compare, the federal nursing home rating and inspection database: https://www.medicare.gov/care-compare/
- California Department of Public Health, Cal Health Find, to look up a facility or file a complaint: https://calhealthfind.cdph.ca.gov/
- California Elder Abuse and Dependent Adult Civil Protection Act, Welfare and Institutions Code section 15600: https://leginfo.legislature.ca.gov/faces/codes_displaySection.xhtml?lawCode=WIC§ionNum=15600.
- Federal quality-of-care and pressure-ulcer standard, 42 CFR 483.25: https://www.ecfr.gov/current/title-42/part-483/section-483.25
Frequently asked questions
Is a bedsore at a low-rated Marin County nursing home neglect?
Not automatically, but a serious pressure ulcer at a one-star home with a fine and abuse history, and Marin County has several, deserves a hard look. Federal rules treat advanced bedsores as preventable except where a documented medical condition makes them unavoidable.
How do I check a Marin County nursing home's record?
Use our Marin County nursing home directory. It lists each home's staffing against the state average, plus star ratings, citations, and any fines, all from public CMS data.
What should I do first if my parent has a stage 4 bedsore?
Photograph the wound, request the complete chart in writing, and get an independent medical evaluation. Then talk to a lawyer before accepting the facility's explanation, because the version families are given rarely matches the records.
How many nursing homes are in Marin County?
Marin County has 11 federally certified nursing facilities with 948 licensed beds. Every one of them is listed in our Marin County nursing home directory with its ratings, staffing, citations and fines.
Do Marin County nursing homes have citations for bedsores and pressure ulcers?
State inspectors have issued 215 citations against Marin County nursing homes since 1997, across the full range of care failures rather than any single one. We do not publish a citation count by injury type, because the state does not categorize them that way. Check the specific home's own record instead. Every one of them is listed in our Marin County nursing home directory with its ratings, staffing, citations and fines.
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Disclaimer: facility ratings, staffing figures, fines, and the CMS abuse icon above are drawn from public CMS data (medicare.gov) as of the August 2026 processing date and are reported as published. They may not reflect the most current findings, and inclusion of any facility is not an allegation of wrongdoing. Past results do not guarantee a similar outcome in any future case. This page is attorney advertising and not legal advice.