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UPDATED JUL 2026

Nursing Homes · Medicare certified

Smith Ranch Skilled Nursing & Rehabilitation Cente

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

4154991000

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Public record

CMS Care Compare · Updated Jul 2026

Certification

  • Medicare-certified (CMS Certification Number on file)

Ratings

Not yet ratedSource: CMS Care Compare · Updated 2025Q4.GOV

Staffing rating

Not published

Quality-measure rating

Not published

Inspections on record

Not published

Cited deficiencies

Not published

3.0(CMS Care Compare)Source: CMS Care Compare · Updated 2026-06-01.GOV

Staffing rating

3.0

Quality-measure rating

5.0

Inspections on record

2

Cited deficiencies

36

Inspection history (49)

  • May 16, 2025 · D

    Citation F0759

    Federal surveyors cited this nursing home on 2025-05-16 under CMS tag F0759 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure medication error rates are not 5 percent or greater. The deficiency was recorded as corrected on 2025-06-17. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-05-16.GOV
  • May 16, 2025 · D

    Citation F0552

    Federal surveyors cited this nursing home on 2025-05-16 under CMS tag F0552 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure that residents are fully informed and understand their health status, care and treatments. The deficiency was recorded as corrected on 2025-06-17. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-05-16.GOV
  • May 16, 2025 · D

    Citation F0693

    Federal surveyors cited this nursing home on 2025-05-16 under CMS tag F0693 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. The deficiency was recorded as corrected on 2025-06-17. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-05-16.GOV
  • May 16, 2025 · F

    Citation F0865

    Federal surveyors cited this nursing home on 2025-05-16 under CMS tag F0865 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Have a plan that describes the process for conducting QAPI and QAA activities. The deficiency was recorded as corrected on 2025-06-17. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-05-16.GOV
  • May 16, 2025 · D

    Citation F0584

    Federal surveyors cited this nursing home on 2025-05-16 under CMS tag F0584 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2025-06-17. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-05-16.GOV
  • May 16, 2025 · F

    Citation F0575

    Federal surveyors cited this nursing home on 2025-05-16 under CMS tag F0575 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency. The deficiency was recorded as corrected on 2025-06-17. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-05-16.GOV
  • May 16, 2025 · D

    Citation F0761

    Federal surveyors cited this nursing home on 2025-05-16 under CMS tag F0761 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2025-06-17. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-05-16.GOV
  • May 16, 2025 · E

    Citation F0688

    Federal surveyors cited this nursing home on 2025-05-16 under CMS tag F0688 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. The deficiency was recorded as corrected on 2025-06-17. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-05-16.GOV
  • April 22, 2025 · D

    Citation F0602

    Federal surveyors cited this nursing home on 2025-04-22 under CMS tag F0602 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Protect each resident from the wrongful use of the resident's belongings or money. The deficiency was recorded as corrected on 2025-05-06. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-04-22.GOV
  • August 22, 2023 · D

    Citation F0760

    Federal surveyors cited this nursing home on 2023-08-22 under CMS tag F0760 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure that residents are free from significant medication errors. The deficiency was recorded as corrected on 2023-09-16. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-08-22.GOV
  • August 22, 2023 · E

    Citation F0880

    Federal surveyors cited this nursing home on 2023-08-22 under CMS tag F0880 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide and implement an infection prevention and control program. The deficiency was recorded as corrected on 2023-09-16. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-08-22.GOV
  • August 22, 2023 · D

    Citation F0676

    Federal surveyors cited this nursing home on 2023-08-22 under CMS tag F0676 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. The deficiency was recorded as corrected on 2023-09-16. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-08-22.GOV
  • August 22, 2023 · E

    Citation F0641

    Federal surveyors cited this nursing home on 2023-08-22 under CMS tag F0641 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Ensure each resident receives an accurate assessment. The deficiency was recorded as corrected on 2023-09-16. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-08-22.GOV
  • August 22, 2023 · D

    Citation F0686

    Federal surveyors cited this nursing home on 2023-08-22 under CMS tag F0686 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide appropriate pressure ulcer care and prevent new ulcers from developing. The deficiency was recorded as corrected on 2023-09-16. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-08-22.GOV
  • August 22, 2023 · E

    Citation F0679

    Federal surveyors cited this nursing home on 2023-08-22 under CMS tag F0679 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide activities to meet all resident's needs. The deficiency was recorded as corrected on 2023-09-16. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-08-22.GOV
  • August 22, 2023 · F

    Citation F0812

    Federal surveyors cited this nursing home on 2023-08-22 under CMS tag F0812 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. The deficiency was recorded as corrected on 2023-09-16. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-08-22.GOV
  • August 22, 2023 · E

    Citation F0677

    Federal surveyors cited this nursing home on 2023-08-22 under CMS tag F0677 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide care and assistance to perform activities of daily living for any resident who is unable. The deficiency was recorded as corrected on 2023-09-16. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-08-22.GOV
  • August 22, 2023 · E

    Citation F0577

    Federal surveyors cited this nursing home on 2023-08-22 under CMS tag F0577 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. The deficiency was recorded as corrected on 2023-09-16. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-08-22.GOV
  • August 22, 2023 · E

    Citation F0759

    Federal surveyors cited this nursing home on 2023-08-22 under CMS tag F0759 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Ensure medication error rates are not 5 percent or greater. The deficiency was recorded as corrected on 2023-09-16. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-08-22.GOV
  • August 22, 2023 · E

    Citation F0656

    Federal surveyors cited this nursing home on 2023-08-22 under CMS tag F0656 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. The deficiency was recorded as corrected on 2023-09-16. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-08-22.GOV

Penalties

Total fines on file: $0

Staffing

Latest: 4.54 nurse staffing hours per resident per day (2026-06-01)

Staffing trend (2 periods)

  1. 2025Q44.54 hrs/resident/day
  2. 2026-06-014.54 hrs/resident/day

Most recent period is about the same as 2025Q4. Figures are CMS-reported nurse staffing hours, not our estimate.

Ownership

For profit - Limited Liability company

CMS Care Compare chain: Generations Healthcare

Chain ID 236 · 27 facilities in chain (CMS)

  • Chain average overall rating: 4.2
  • Chain average health inspection rating: 3.7
  • Chain average staffing rating: 3.8
  • Chain average quality measure rating: 4.6

Chain averages are CMS-published figures for facilities sharing this Chain ID (formerly Affiliated Entity). They are not ElderCareCosts scores.

  1. Parent organization: Life Generations Healthcare, LLC

    chain · PAC 8921918947

Ratings, inspections, and penalties are public records, reproduced in plain English without edits to their substance. View source records · What these measures mean.

Typical cost

Genworth Cost of Care Survey · 2024

This provider doesn't publish a specific price to us. Below is the typical CA range for the care type(s) it offers. Use it as context, not a quote.

Nursing Homes

Median · CA$11,060/mo
See full CA cost breakdownSource: Genworth Cost of Care Survey · Updated 2024

Nursing Homes

Median · CA$12,167/mo
See full CA cost breakdownSource: Genworth CareScout Cost of Care Survey · Updated 2025

Nearby alternatives

Other licensed providers in San Rafael, with their own public records.

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