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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.

  • May 16, 2025

    Tag F0759

    Ensure 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 F0552

    Ensure 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 F0693

    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.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 17, 2025.

  • May 16, 2025

    Tag F0865

    Have 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 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 D: isolated, no actual harm, potential for more than minimal harm. Corrected June 17, 2025.

  • May 16, 2025

    Tag F0575

    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.

    Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected June 17, 2025.

  • May 16, 2025

    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 June 17, 2025.

  • May 16, 2025

    Tag F0688

    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.

    Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected June 17, 2025.

  • April 22, 2025

    Tag F0602

    Protect 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 F0760

    Ensure 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 F0880

    Provide 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 F0676

    Ensure 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 F0641

    Ensure 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 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 September 16, 2023.

  • August 22, 2023

    Tag F0679

    Provide 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 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 September 16, 2023.

  • August 22, 2023

    Tag F0677

    Provide 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 F0577

    Allow 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 F0759

    Ensure 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 F0656

    Develop 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.

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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