Saint Michael's Extended Care is a residential care home for the elderly (RCFE) in San Rafael, Marin County, California — state license #216801999, licensed for 44 residents, listed as licensed in the CDSS record we retrieved August 2, 2026. It does not appear on the DHCS Assisted Living Waiver participant list checked August 9, 2026 — that list covers the state waiver only, not a home's own payment arrangements. California has 12 dated inspection and complaint documents on file for this home going back to 2022, the most recent dated April 17, 2026 — published below in full, verbatim and unscored.
No photo of this home is on file — we show real, attributed images only, never a stock photo of someone else’s building.
Since 2022, the state has visited this home 13 times and filed 12 documents. The most recent is a facility evaluation report, dated April 17, 2026.
The state's published file for this home includes 4 documents with transcribed findings, dated March 16, 2022 to May 14, 2025. 4 of the 4 carry the state's recorded outcome word: “Substantiated” (1), “Unsubstantiated” (3). 4 include the transcribed allegation the state investigated, word for word.
Summary composed by computer from the 4 documents below — every count derives from them, and the documents themselves are the state's records, verbatim. We never grade, score, or color a record.
What the state’s words mean
Apr 17, 2026Report on file
Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.
May 14, 2025Substantiated
Allegation investigated: Staff is not administering medication per physician's orders Personal Rights
At approximately 9:35AM, Licensing Program Analyst (LPA) Felias arrived unannounced to deliver findings for this complaint investigation regarding the above allegations, and met with Administrator, Rufus Zingkhai. During the investigation, the Department requested and reviewed documents, conducted interviews, and made observations. The following allegations were investigated, ”Staff is not administering medication per physician’s orders” and “personal rights.” Complainant alleged that Facility staff was not giving Resident 1 (R1) their Lorazepam medication correctly and that R1 may be overmedicated as a result. Complainant stated that R1’s Lorazepam was a PRN or “as needed” medication but that the facility was giving it to R1 every day. Continued on LIC9099 Substantiatedthe state’s words, verbatim · CDSS document, May 14, 2025 · control 21-AS-20250320124909
May 14, 2025Report on file
Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.
Sep 11, 2024Unsubstantiated
Allegation investigated: Licensee did not keep the facility free of pests
At approximately 10:00AM, Licensing Program Analyst (LPA) Felias arrived unannounced to deliver findings for this Complaint Investigation regarding the above allegation and met with Staff Member, Sheila Managsala. Administrator, Rufus Zingkhai, was available by telephone. Licensee, Ria Garrison, arrived during visit at approximately 10:45AM. During the course of the investigation, the Department requested and reviewed documents, conducted interviews, and made observations. There is an allegation of “Licensee did not keep the facility free of pests.” Complainant stated that residents were observed to have bed bugs and bed bug bites on them, and that bed bugs were seen crawling from facility furniture on 07/26/2024. Complainant also stated that on 09/04/2024, bed bugs or cockroaches were observed in a resident’s room and under facility furniture.Interviews conducted with involved parties stated that during a visit on 07/30/2024, bed bugs were not seen or observed. Continued on LIC9099C Uthe state’s words, verbatim · CDSS document, Sep 11, 2024 · control 21-AS-20240801154438
Apr 17, 2024Unsubstantiated
Allegation investigated: Staff did not address resident behavior resulting in a resident's injury Staff did not seek medical attention for resident in a timely manner Staff did not accord resident dignity in their relationship with staff or other persons Staff did not follow resident's special accommodations
At approximately 9:20AM, Licensing Program Analyst (LPA) Felias arrived unannounced to deliver findings for a Complaint Investigation regarding the above allegations and met with Staff Member, Sheila Manansala. Administrator, Rufus Zingkhai, arrived during visit at approximately 10:00AM. During the course of the investigation, the Department requested and reviewed documents, conducted interviews, and made observations. The following allegations were investigated, “Staff did not address resident behavior resulting in a resident's injury, Staff did not seek medical attention for resident in a timely manner, Staff did not accord resident dignity in their relationship with staff or other persons, and Staff did not follow resident's special accommodations.” The Department reviewed facility records, facility logs, and conducted interviews with involved parties and facility staff. Continued on LIC9099C Unsubstantiatedthe state’s words, verbatim · CDSS document, Apr 17, 2024 · control 21-AS-20231228160617
Apr 17, 2024Report on file
Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.
Apr 3, 2024Report on file
Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.
Year-by-year trend
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Is Saint Michael's Extended Care licensed?
Yes — Saint Michael's Extended Care is a licensed residential care home for the elderly (RCFE) in San Rafael (Marin County): California license #216801999, shown as licensed in the CDSS state record checked August 2, 2026, licensed for 44 residents. State records list 12 inspection and complaint documents since 2022; the most recent, a facility evaluation report dated April 17, 2026, appears in the inspection record on this page.
Can Saint Michael's Extended Care care for dementia, hospice, bedridden, or non-ambulatory residents?
From the CDSS license record, checked August 2, 2026.
The CDSS license record checked August 2, 2026 lists Saint Michael's Extended Care with clearances for wheelchair / non-ambulatory and hospice care; it does not list dementia / memory care and bedridden. A clearance that is not on file is not a “no” — it may simply be unrecorded, so if your family needs one of these, ask the home directly and confirm its current scope on a tour.
From the California state record. Some approvals are bed- or room-specific — always confirm current scope with the facility.
What the state record says, word for word
Verbatim, from the CDSS license record44 NON-AMBULATORY. APPROVED FOR DELAY EGRESS. HOSPICE WAIVER FOR THREE (3)
How much does Saint Michael's Extended Care cost?
California's public licensing record does not include Saint Michael's Extended Care's monthly price, so we never show or estimate one for a specific home. As county-level context only, assisted living in Marin County typically runs $6,000–$9,000/mo and small board-and-care homes $5,000–$8,000/mo (market research compiled June 2026 — ranges, not quotes; California's 2026 SSI/SSP board-and-care payment standard is $1,626.07/month, of which $1,444.07 is the room-and-board portion paid to the home). Ask the home for its own rate sheet and what the base rate includes — or use the cost section at the top of this page.
Does Saint Michael's Extended Care accept Medi-Cal or the Assisted Living Waiver?
Saint Michael's Extended Care is not in the DHCS Assisted Living Waiver participant record we checked August 9, 2026 — that list covers only the state's ALW program, not a home's own payment policies, so ask the home directly about private Medi-Cal arrangements. The waiver pays for assisted-living care services (not room and board) at participating homes; every DHCS-listed home appears on our statewide Medi-Cal page.
Assisted living on Medi-Cal in California →See the DHCS list →
37 of 44 beds occupied (84%) when the state visited on May 14, 2025. Availability changes constantly — confirm a current opening with the home.
What do state inspections show for Saint Michael's Extended Care?
Verbatim from CDSS complaint-investigation reports — the state's own words, never summarized by us. Record checked August 2, 2026.
The CDSS state record checked August 2, 2026 lists 13 state visits and 12 dated documents since 2022 for Saint Michael's Extended Care; 4 complaint-investigation narratives are transcribed verbatim below. The most recent, dated May 14, 2025, records an allegation the state marked “Substantiated”. Open any entry to read the state's full finding, word for word.
Most licensed homes receive some findings over 36 months; what matters is what was found and whether it was corrected. Counts here are shown compared with homes of similar size, and the state's own words appear in full below.
2025
2024
2022
Transcribed from CDSS complaint-investigation reports · record checked August 2, 2026.
What the state has logged
California has logged 13 state visits for this home as of August 2, 2026. These are the home's own counts, straight from that record — shown beside the statewide median for larger communities (16+ beds), computed across all 1,244 licensed homes of that size, because larger and longer-licensed homes naturally accumulate more visits and reports. They are facts, not a grade — a citation may be minor and since corrected, and an “unsubstantiated” complaint is not a finding of wrongdoing.
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(415) 453-4600Resident reviews, the exact monthly price, and the languages staff speak aren't part of California's public licensing record, so we don't show them here. Ask the home directly — the tour questions above are a good start.
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