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.
May 16, 2025
Tag F0759Ensure medication error rates are not 5 percent or greater.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 17, 2025.
May 16, 2025
Tag F0552Ensure that residents are fully informed and understand their health status, care and treatments.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 17, 2025.
May 16, 2025
Tag F0693Ensure 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.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 17, 2025.
May 16, 2025
Tag F0865Have a plan that describes the process for conducting QAPI and QAA activities.
Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected June 17, 2025.
May 16, 2025
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 D: isolated, no actual harm, potential for more than minimal harm. Corrected June 17, 2025.
May 16, 2025
Tag F0575Post 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.
Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected June 17, 2025.
May 16, 2025
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 June 17, 2025.
May 16, 2025
Tag F0688Provide 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.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected June 17, 2025.
April 22, 2025
Tag F0602Protect each resident from the wrongful use of the resident's belongings or money.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 6, 2025.
August 22, 2023
Tag F0760Ensure that residents are free from significant medication errors.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 16, 2023.
August 22, 2023
Tag F0880Provide and implement an infection prevention and control program.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected September 16, 2023.
August 22, 2023
Tag F0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 16, 2023.
August 22, 2023
Tag F0641Ensure each resident receives an accurate assessment.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected September 16, 2023.
August 22, 2023
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 September 16, 2023.
August 22, 2023
Tag F0679Provide activities to meet all resident's needs.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected September 16, 2023.
August 22, 2023
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 September 16, 2023.
August 22, 2023
Tag F0677Provide care and assistance to perform activities of daily living for any resident who is unable.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected September 16, 2023.
August 22, 2023
Tag F0577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected September 16, 2023.
August 22, 2023
Tag F0759Ensure medication error rates are not 5 percent or greater.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected September 16, 2023.
August 22, 2023
Tag F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected September 16, 2023.
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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