For profit - Limited Liability company ·
80 certified beds ·
Medicare and Medicaid
· Part of Generations Healthcare (33 facilities)
3
Overall CMS Rating
★★★☆☆
Smith Ranch Skilled Nursing & Rehabilitation Cente is a Medicare-certified nursing home in San Rafael, California. CMS rates it 3 out of 5 stars overall (3/5 for staffing, 2/5 for health inspections). Nurse staffing is 4.59 hours per resident per day, above the California average of 4.51. Its most recent inspection on May 16, 2025 cited 15 deficiencies.
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CMS Quality Ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars = highest quality.
Overall Rating
★★★☆☆ 3/5
Health Inspections
★★☆☆☆ 2/5
Staffing
★★★☆☆ 3/5
Quality Measures
★★★★★ 5/5
Long-Stay QM
★★★★★ 5/5
Short-Stay QM
★★★★★ 5/5
How Smith Ranch Skilled Nursing & Rehabilitation Cente compares
This facility vs. the California and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
Metric
This facility
California avg
National avg
Total nurse staffing (hrs/resident/day)
4.59
4.51
3.89
above avg
RN staffing (hrs/resident/day)
0.47
0.65
0.68
below avg
Aide staffing (hrs/resident/day)
2.61
2.64
2.34
below avg
Nursing staff turnover
36.0%
38.1%
46.4%
below avg
Deficiencies cited, last inspection
15.0
15.4
9.5
below avg
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
4.59
Total Nurse Hrs/Resident/Day
0.47
RN Hrs/Resident/Day
1.51
LPN Hrs/Resident/Day
2.61
Aide Hrs/Resident/Day
4.07
Weekend Nurse Hrs/Resident/Day
Staff Turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is ~60%.
Total Nursing Staff
36.0%
Registered Nurses
28.6%
Administrator Changes0 in last year
Recent Health Inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
May 16, 2025
Most Recent Inspection Date
15
Total Deficiencies Found
104
Health Inspection Score
0
Number of Fines
What inspectors found at Smith Ranch Skilled Nursing & Rehabilitation Cente
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
Potential for harm
Keep all essential equipment working safely.Environmental Deficiencies · Feb 12, 2026
Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Nutrition and Dietary Deficiencies · Feb 12, 2026
Potential for harm
Ensure services provided by the nursing facility meet professional standards of quality.Resident Assessment and Care Planning Deficiencies · Feb 12, 2026
Potential for harm
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.Resident Rights Deficiencies · Feb 12, 2026
Potential for harm
Provide and implement an infection prevention and control program.Infection Control Deficiencies · Feb 12, 2026
Potential for harm
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.Pharmacy Service Deficiencies · Feb 12, 2026
Potential for harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Pharmacy Service Deficiencies · Feb 12, 2026
Potential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.Quality of Life and Care Deficiencies · Feb 12, 2026
Potential for harm
PASARR screening for Mental disorders or Intellectual DisabilitiesResident Assessment and Care Planning Deficiencies · Feb 12, 2026
Potential for harm
Have a plan that describes the process for conducting QAPI and QAA activities.Administration Deficiencies · May 16, 2025
Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Nutrition and Dietary Deficiencies · May 16, 2025
Potential for harm
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.Resident Rights Deficiencies · May 16, 2025
About This Facility
Address
1550 Silveira Parkway San Rafael, CA 94903
CMS Certification #
555595
Ownership
For profit - Limited Liability company
Certified Beds
80
Avg Residents/Day
68.7
Provider Type
Medicare and Medicaid
First Certified
1994-04-15
Chain
Generations Healthcare (33 facilities)
Setting
Urban
Part of Generations Healthcare
33
Facilities Nationwide
Generations Healthcare operates 33 nursing facilities across the United States.
CMS gives Smith Ranch Skilled Nursing & Rehabilitation Cente an overall rating of 3 out of 5 stars, including 3/5 for staffing and 2/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
Smith Ranch Skilled Nursing & Rehabilitation Cente reports 4.59 total nurse hours per resident per day, compared with the California average of 4.51.
Its most recent CMS inspection cited 15 deficiencies.
Smith Ranch Skilled Nursing & Rehabilitation Cente is certified for 80 beds.
Admissions at Smith Ranch Skilled Nursing & Rehabilitation Cente
For admissions, availability and rehab questions, call (415) 499-1000. If a parent is leaving the hospital, the hospital discharge planner can also check which nursing homes have a bed.
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