Nursing Homes · Medicare certified
Smith Ranch Skilled Nursing & Rehabilitation Cente
1550 Silveira Parkway · San Rafael, CA 94903 · 80 certified beds
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About Smith Ranch Skilled Nursing & Rehabilitation Cente
Smith Ranch Skilled Nursing & Rehabilitation Cente is a nursing home in San Rafael, California. Its capacity is 80 beds, above the Marin County median of 72 for nursing homes. It is run by a for-profit operator and is part of Generations Healthcare. It is Medicare certified. Its public inspection record shows 49 citations, the most recent on April 15, 2026. Enforcement records show no fine or payment denial against it. Nurse staffing averages 4.12 hours per resident per day. It is one of 7 nursing homes listed in San Rafael. Residents and families can raise concerns with the Office of the State Long-Term Care Ombudsman at 1-800-231-4024. Its public records were last updated in October 2026.
Public record
CMS Care Compare, updated October 2026
Certification
Medicare-certified.
Ratings
Overall
3.0Staffing
2.0Quality measures
5.0CMS Care Compare, October 2026.
Inspection history (49)
Records from July 2023 to April 2026.
April 15, 2026
Tag F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected May 7, 2026.
April 15, 2026
Tag F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected May 7, 2026.
April 15, 2026
Tag F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected May 7, 2026.
April 15, 2026
Tag F0658Ensure services provided by the nursing facility meet professional standards of quality.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected May 7, 2026.
April 15, 2026
Tag F0760Ensure that residents are free from significant medication errors.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 7, 2026.
February 12, 2026
Tag F0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected February 24, 2026.
February 12, 2026
Tag F0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 24, 2026.
February 12, 2026
Tag F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected February 24, 2026.
February 12, 2026
Tag F0908Keep all essential equipment working safely.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected February 24, 2026.
February 12, 2026
Tag F0658Ensure services provided by the nursing facility meet professional standards of quality.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected February 24, 2026.
February 12, 2026
Tag F0880Provide and implement an infection prevention and control program.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 24, 2026.
February 12, 2026
Tag F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 24, 2026.
February 12, 2026
Tag F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 24, 2026.
February 12, 2026
Tag F0645PASARR screening for Mental disorders or Intellectual Disabilities.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 24, 2026.
May 16, 2025
Tag F0558Reasonably accommodate the needs and preferences of each resident.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 17, 2025.
May 16, 2025
Tag F0641Ensure each resident receives an accurate assessment.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 17, 2025.
May 16, 2025
Tag F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 17, 2025.
May 16, 2025
Tag F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected June 17, 2025.
May 16, 2025
Tag F0658Ensure services provided by the nursing facility meet professional standards of quality.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected June 17, 2025.
May 16, 2025
Tag F0692Provide enough food/fluids to maintain a resident's health.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 17, 2025.
Penalties
CMS lists no fines or payment denials for this nursing home in the last three years.
Staffing
4.12 nurse hours per resident per day in Q2 2026, down from 4.54 in Q4 2025.
From the payroll records nursing homes file with CMS.
Ownership
For profit
Part of Generations Healthcare, a chain of 27 nursing homes.
Average CMS star ratings across the chain: 4.1 overall, 3.6 for health inspections, 3.9 for staffing, 4.7 for quality measures.
- Parent company: Life Generations Healthcare, LLC
Typical cost
CareScout Cost of Care Survey, 2025
This provider's prices aren't public. Here is what the same care typically costs in California.
Nearby alternatives
Other licensed providers in San Rafael.
Northgate Postacute Care
Pine Ridge Care Center
Deciding between options? Nursing Homes Guide: Skilled Nursing & Long-Term Care
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