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Nursing Homes · Medicare certified

Smith Ranch Skilled Nursing & Rehabilitation Cente

1550 Silveira Parkway · San Rafael, CA 94903 · 80 certified beds

(415) 499-1000

NPI 1023534443 (opens in a new tab)

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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

3.0

Staffing

2.0

Quality measures

5.0

CMS Care Compare, October 2026.

Inspection history (49)

Records from July 2023 to April 2026.

  • April 15, 2026

    Tag F0657

    Develop 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 F0684

    Provide 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 F0842

    Safeguard 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 F0658

    Ensure 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 F0760

    Ensure 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 F0584

    Honor 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 F0761

    Ensure 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 F0812

    Procure 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 F0908

    Keep 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 F0658

    Ensure 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 F0880

    Provide 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 F0684

    Provide 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 F0755

    Provide 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 F0645

    PASARR 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 F0558

    Reasonably 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 F0641

    Ensure 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 F0686

    Provide 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 F0812

    Procure 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 F0658

    Ensure 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 F0692

    Provide 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.

See the source data on data.cms.gov (opens in a new tab)

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.

Nursing Homes

California median$12,167/mo

Nearby alternatives

Other licensed providers in San Rafael.

Deciding between options? Nursing Homes Guide: Skilled Nursing & Long-Term Care

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