Saint Michael's Extended Care

    416 4th St, San Rafael, CA 94901
    • Assisted Living
    • Memory Care

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    Saint Michael's Extended Care is located at 416 4th St, San Rafael, CA, 94901.

    About Saint Michael's Extended Care

    Saint Michael's Extended Care is a licensed Residential Care Elderly facility with 44 licensed beds, designed for long-term senior care in a non-acute setting, and doesn't generally accept Medicare for its services unless Centers for Medicare & Medicaid Services certify it, but does play an important role in helping seniors and their families feel peace of mind, and it offers a combination of medical and supportive services including assisted living, retirement care, memory care, diabetes care, renal care, non-ambulatory and incontinence help, as well as skilled nursing and rehabilitative care. The bedrooms have modest, well-kept décor and some look out onto a patio garden which residents often enjoy, and these private or semi-private rooms, called suites, sometimes have kitchenettes for more independence, while people can also bring small dogs or cats if they follow pet guidelines, and services are available in both English and Spanish, making things easier for many families. The front's secured with a gated stucco wall and plants, and there's a cozy living room with a fireplace that doubles as an activity spot, while other common areas and dining rooms are nicely furnished so residents can gather or relax, and there are outdoor patios, gardens, and even places like a reading room or wellness space with a jacuzzi and sauna when residents want to spend time outside or just unwind indoors. There's a computer area, planned movie programs, music and art sessions, offsite and on-site Christian devotional activities, social games, group exercise, and social nights, plus transportation to doctor visits, errands, and church, while extra services like a traveling barber, manicures or parlor sessions, and in-house laundry and dry cleaning are available too. Staff give 24/7 personalized care, and can help residents bathe, dress, manage medicine, and handle personal hygiene, and some areas are fitted with wanderguard security to help those with memory care needs or wandering, with structured programs that support those with Alzheimer's or other forms of dementia to stay safe and less confused, and support is always offered with things like meal times and activities since meals are made with good ingredients and special diets like low-fat, low-salt, or even renal and diabetic menus can be arranged. For people who need it, there are services like short-term respite care, hospice care, and accommodations for clinical needs, but insurance may not cover all personal or medical expenses, and families should plan for things like private duty nursing, pet care, cable TV, specialty meals, private phones, and medical supplies if needed. The staff, who are professionally trained and treat residents like family, focus on kindness and compassion, and activities are set up to encourage friendships, faith, fun, and community, with schedules that help everyone feel included and engaged, and some spaces overlook gardens or open into common areas for easy social interaction. The environment at Saint Michael's Extended Care feels home-like, offering chances for privacy, company, and involvement for residents and caregivers, and aims to support a safe, independent lifestyle where each person stays as healthy and fulfilled as possible in a family-style setting.

    People often ask...

    Saint Michael's Extended Care offers assisted living and memory care.

    The full address for this community is 416 4th St, San Rafael, CA 94901.

    No, Saint Michael's Extended Care does not offer respite care. Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.

    Safety & Compliance

    In California, the Department of Social Services' Community Care Licensing Division licenses residential care facilities for the elderly, conducting inspections and investigating complaints.

    License number216801999
    StatusLicensed
    Facility typeResidential Care Elderly
    Capacity44 residents
    LicenseeSAINT MICHAEL'S EXTENDED CARE, LLC
    EffectiveMay 16th, 2007
    View the official license record

    Inspection Reports

    14

    Reports

    3

    Type A Citations

    4

    Type B Citations

    5

    Complaints

    6

    Years

    17 Apr 2026Inspection
    Identified two deficiencies: one resident lacked a documented negative TB test, and there was not an adequate emergency water supply for sheltering in place for 72 hours.
    • Type B87458(c)(1)(A)
    • Type B1569.695(a)(2)
    14 May 2025Complaint
    Identified allegations that staff did not administer Lorazepam as prescribed and that residents' personal rights were not properly protected.
    • Type A87465(a)(4)
    • Type A87468.2(a)(4)
    14 May 2025Inspection
    Observed no deficiencies; safety measures, cleanliness, and recordkeeping appeared in order.
    11 Sept 2024Complaint
    Investigated an allegation that pests were not kept out; interviews and records showed no bed bug activity and pest control visits occurred.
    17 Apr 2024Inspection
    Observed adequate food supply and a current fire/sprinkler inspection, with well-organized resident and staff records. Two staff members lacked health screening forms.
    • Type B87411(f)
    17 Apr 2024Complaint
    Investigated allegations that staff did not address a resident's behavior resulting in an injury, did not seek medical attention promptly, did not treat the resident with dignity, and did not follow the resident's accommodations. Because interview statements were inconsistent and lacked corroboration, it could not determine whether violations occurred.
    03 Apr 2024Inspection
    Observed an unannounced visit; the site was clean with exits unobstructed and emergency lighting in place. Four of five sinks met the 105–120 degree requirement, while one sink had no functioning hot water and temperature could not be tested; fire extinguishers were last inspected on March 7, 2024, and an annual continuation visit will be conducted later.
    • Type B87303(e)(6)
    14 Jun 2023Inspection
    Observed 31 residents on site with 6 staff members. Records and medications were reviewed and found organized and properly stored; no deficiencies were cited.
    16 May 2023Inspection
    Observed clean, well-maintained living areas, adequate staffing on site, and safety measures in place; no deficiencies cited during the visit.
    05 Apr 2022Inspection
    Confirmed amended complaint findings were delivered after a case management review, with no deficiencies observed or cited.
    16 Mar 2022Complaint
    Investigated an allegation of Personal Rights violation; interviews and records showed inconsistencies and no evidence to support the allegation.
    10 Mar 2022Inspection
    Observed clean, well-maintained spaces with proper safety measures; no deficiencies cited.
    24 May 2021Inspection
    Identified bed bugs and poor room maintenance in several bedrooms. A 2020 bed bug complaint was recorded with extermination visits noted, but records were incomplete.
    • Type ACCR87307(d)(2)
    24 Aug 2020Complaint
    Determined that the allegations that injuries were caused by self-injurious behavior or by others burning the person could not be proven or disproven; there is not a preponderance of evidence showing either occurrence.

    Disclaimer

    Mirador Living is not affiliated with the owner or operator(s) of Saint Michael's Extended Care. The information above has not been verified or approved by the owner or operator. For exact information, please contact Saint Michael's Extended Care directly. There is no cost for this service. We are compensated by the community you select.

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