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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.

  • August 22, 2023

    Tag F0658

    Ensure services provided by the nursing facility meet professional standards of quality.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 16, 2023.

  • August 22, 2023

    Tag F0695

    Provide safe and appropriate respiratory care for a resident when needed.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 16, 2023.

  • August 22, 2023

    Tag F0625

    Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

    Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected September 16, 2023.

  • July 5, 2023

    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 August 4, 2023.

  • July 5, 2023

    Tag F0686

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Severity G: isolated, actual harm. Corrected August 4, 2023.

  • July 5, 2023

    Tag F0604

    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected August 4, 2023.

  • July 5, 2023

    Tag F0692

    Provide enough food/fluids to maintain a resident's health.

    Severity G: isolated, actual harm. Corrected August 4, 2023.

  • July 5, 2023

    Tag F0641

    Ensure each resident receives an accurate assessment.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected August 4, 2023.

  • July 5, 2023

    Tag F0755

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected August 4, 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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