Nursing home
Smith Ranch Skilled Nursing & Rehabilitation Center
1550 Silveira Parkway, San Rafael, CA 94903 · Map
For profit - Limited Liability company · Part of Generations Healthcare (33 facilities) · 80 certified beds
Smith Ranch Skilled Nursing & Rehabilitation Center 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.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Smith Ranch Skilled Nursing & Rehabilitation Center 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 | Compared with the state |
|---|---|---|---|---|
| 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.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
What inspectors found at Smith Ranch Skilled Nursing & Rehabilitation Center
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 · Full report (PDF) - 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 · Full report (PDF) - Potential for harm
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Feb 12, 2026 · Full report (PDF) - 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 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Feb 12, 2026 · Full report (PDF)
Show all 12 deficiencies
- 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 · Full report (PDF) - 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 · Full report (PDF) - 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 · Full report (PDF) - Potential for harm
PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning Deficiencies · Feb 12, 2026 · Full report (PDF) - Potential for harm
Have a plan that describes the process for conducting QAPI and QAA activities.
Administration Deficiencies · May 16, 2025 · Full report (PDF) - 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 · Full report (PDF) - 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 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
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
Generations Healthcare operates 33 nursing facilities across the United States. View all Generations Healthcare facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Smith Ranch Skilled Nursing & Rehabilitation Center using Google Maps.
Other public records
- Kitchen 2 inspections by Marin County Environmental Health Services since 2025; latest No Violation(s) Found, grade Green placard (May 2026)
Full public records, with dates and sources
Kitchen inspections
The local health department inspects the kitchen that serves residents. Results are in the agency's own words.
Marin County Environmental Health Services: Smith Ranch Skilled Nursing & Rehabilitation CTR
- May 21, 2026 (routine): No Violation(s) Found, grade Green placard. No violations listed.
- Oct 31, 2025 (routine): Only Minor Violation(s) Found, grade Green placard.
1 violation
- Hot and cold water available
Source: the agency's records, inspections since Oct 16, 2023, as of Oct 15, 2026. Green placard: Pass. Yellow placard: Conditional pass; follow-up required. Red placard: Closed.
Location and nearby care
- Nearest hospital with an emergency room
- Kaiser Foundation Hospital, San Rafael. 1.7 miles away, straight line. CMS overall hospital rating: 4 of 5 stars.
- Nearest Medicare nursing home
- Professional Post Acute Center, San Rafael. 0.8 miles away, straight line.
- Nearest home health agency office
- By The Bay Health, Larkspur. 5.2 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Walgreens. 1.2 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 94903 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Davita San Rafael Dialysis, San Rafael, 3.3 miles away, straight line (CMS rating 5 of 5 stars)
Shc Larkspur, Greenbrae, 5.1 miles away, straight line (CMS rating 4 of 5 stars)
Davita San Pablo Dialysis, San Pablo, 11.6 miles away, straight line (has a shift starting after 5 pm; CMS rating 3 of 5 stars) - Hospice
- 15 Medicare hospices tell CMS they serve ZIP code 94903.
Madrona Hospice Care Inc, office in San Rafael, 0.5 miles away, straight line
By The Bay Health, office in Larkspur, 5.2 miles away, straight line (CMS family survey rating 4 of 5 stars)
Sutter Care At Home, office in San Francisco, 16.7 miles away, straight line (CMS family survey rating 3 of 5 stars) - Nearest geriatric medicine practice
- Permanente Medical Group Inc, Richmond. 10.8 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Zone X: 0.2% annual chance (500-year) flood area (moderate risk). (FEMA flood map)
- Wildfire risk to homes
- In San Rafael, CA, risk to homes is greater than 41% of communities in California and 80% of communities nationwide. USDA rates the whole town or city, not this address. (USDA Forest Service, Wildfire Risk to Communities, April 2026)
- FEMA National Risk Index
- Overall: relatively high. By hazard: inland flooding relatively high, coastal flooding very high, wildfire relatively moderate, tornado very low, heat wave relatively low, earthquake very high. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| Marin County Environmental Health Services kitchen inspections | Oct 15, 2026 | See above |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | See above |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
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Frequently asked questions
Is Smith Ranch Skilled Nursing & Rehabilitation Center a good nursing home?
CMS gives Smith Ranch Skilled Nursing & Rehabilitation Center 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.
How is Smith Ranch Skilled Nursing & Rehabilitation Center staffed?
Smith Ranch Skilled Nursing & Rehabilitation Center reports 4.59 total nurse hours per resident per day, compared with the California average of 4.51.
Has Smith Ranch Skilled Nursing & Rehabilitation Center had inspection problems?
Its most recent CMS inspection cited 15 deficiencies.
How many beds does Smith Ranch Skilled Nursing & Rehabilitation Center have?
Smith Ranch Skilled Nursing & Rehabilitation Center is certified for 80 beds.