California › Marin County › San Rafael
Smith Ranch Skilled Nursing & Rehabilitation Cente
1550 Silveira Parkway, San Rafael, CA 94903
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Smith Ranch Skilled Nursing & Rehabilitation Cente is a For-profit, limited liability company nursing home in San Rafael, California, certified for 80 beds and caring for about 74 residents a day.
CMS gives it 3 of 5 stars overall, equal to the California median; the health inspection rating is 2, staffing 3 and quality measures 5.
Inspectors recorded 45 health deficiencies across the three most recent survey cycles (16, 15, 14 by cycle, most recent first), none at the actual-harm level. That is 56.3 per 100 beds, about the same as the state median of 51.1.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 4.2 hours per resident per day (0.4 RN), close to the California median of 4.2; nursing staff turnover is 32.5%.
Compared with county, state and nation
| Measure | This facility | Marin Co. median | California median | US average |
|---|---|---|---|---|
| Overall star rating | 3 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 45 | 45 | 44 | 28.7 |
| Citations per 100 beds | 56.3 | 56.3 | 51.1 | 26.8 |
| Total nurse hours per resident day | 4.2 | 4.2 | 4.2 | 3.9 |
| RN hours per resident day | 0.4 | 0.5 | 0.5 | 0.7 |
| Nursing staff turnover | 32.5% | 40.0% | 36.4% | 45.8% |
| Fines listed | $0 | $8,278 | $0 | — |
County and state figures are medians across facilities (11 in the county, 1165 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: California average per facility for the same cycle, as published by CMS. Standard health survey dates: 12 Feb 2026, 16 May 2025.
Severity mix: D ×23 E ×18 F ×4
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 9 Jun 2026 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 16 Jun 2026 |
| 9 Jun 2026 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 16 Jun 2026 |
| 15 Apr 2026 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Complaint investigation | 7 May 2026 |
| 15 Apr 2026 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Complaint investigation | 7 May 2026 |
| 15 Apr 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Complaint investigation | 7 May 2026 |
| 15 Apr 2026 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Complaint investigation | 7 May 2026 |
| 15 Apr 2026 | F0760 | Ensure that residents are free from significant medication errors. | D | Complaint investigation | 7 May 2026 |
| 12 Feb 2026 | 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. | E | Standard survey | 24 Feb 2026 |
| 12 Feb 2026 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Standard survey | 24 Feb 2026 |
| 12 Feb 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 24 Feb 2026 |
| 12 Feb 2026 | F0908 | Keep all essential equipment working safely. | E | Standard survey | 24 Feb 2026 |
| 12 Feb 2026 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard survey | 24 Feb 2026 |
| 12 Feb 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 24 Feb 2026 |
| 12 Feb 2026 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 24 Feb 2026 |
| 12 Feb 2026 | 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. | D | Standard survey | 24 Feb 2026 |
| 12 Feb 2026 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 24 Feb 2026 |
| 16 May 2025 | 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. | F | Standard survey | 17 Jun 2025 |
| 16 May 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 17 Jun 2025 |
| 16 May 2025 | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | F | Standard survey | 17 Jun 2025 |
| 16 May 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Standard survey | 17 Jun 2025 |
| 16 May 2025 | 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. | E | Standard survey | 17 Jun 2025 |
| 16 May 2025 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Standard survey | 17 Jun 2025 |
| 16 May 2025 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 17 Jun 2025 |
| 16 May 2025 | 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. | D | Standard survey | 17 Jun 2025 |
| 16 May 2025 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 17 Jun 2025 |
| 16 May 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 17 Jun 2025 |
| 16 May 2025 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 17 Jun 2025 |
| 16 May 2025 | 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. | D | Standard survey | 17 Jun 2025 |
| 16 May 2025 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 17 Jun 2025 |
| 16 May 2025 | 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. | D | Standard survey | 17 Jun 2025 |
| 22 Apr 2025 | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | Complaint investigation | 6 May 2025 |
| 22 Aug 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 16 Sep 2023 |
| 22 Aug 2023 | F0577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | E | Standard survey | 16 Sep 2023 |
| 22 Aug 2023 | 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. | E | Standard survey | 16 Sep 2023 |
| 22 Aug 2023 | F0641 | Ensure each resident receives an accurate assessment. | E | Standard survey | 16 Sep 2023 |
| 22 Aug 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 16 Sep 2023 |
| 22 Aug 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard survey | 16 Sep 2023 |
| 22 Aug 2023 | F0679 | Provide activities to meet all resident's needs. | E | Standard survey | 16 Sep 2023 |
| 22 Aug 2023 | F0759 | Ensure medication error rates are not 5 percent or greater. | E | Standard survey | 16 Sep 2023 |
| 22 Aug 2023 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 16 Sep 2023 |
| 22 Aug 2023 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 16 Sep 2023 |
| 22 Aug 2023 | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Standard survey | 16 Sep 2023 |
| 22 Aug 2023 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint investigation | 16 Sep 2023 |
| 22 Aug 2023 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 16 Sep 2023 |
| 22 Aug 2023 | F0760 | Ensure that residents are free from significant medication errors. | D | Standard survey | 16 Sep 2023 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the California average. Turnover: nursing staff 32.5%, RNs 12.5%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | California median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 3.3% | 8.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.5% | 0.3% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.0% | 0.7% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.0% | 1.3% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.9% | 0.8% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 0.0% | 8.6% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 3.6% | 3.6% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 7.8% | 9.1% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. Legal business name: Ghc Of San Rafael, Llc. Chain: Generations Healthcare (27 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Bmo Bank National Association | 5% or greater security interest | NOT APPLICABLE | 10/06/2021 |
| Bmo Bank National Association | Operational/managerial control | NOT APPLICABLE | 10/06/2021 |
| Life Generations Healthcare, LLC | Operational/managerial control | NOT APPLICABLE | 07/20/2017 |
| Theragen, LLC | Operational/managerial control | NOT APPLICABLE | 07/20/2017 |
| Bmo Bank National Association | Adp of the snf | NOT APPLICABLE | 10/06/2021 |
| Life Generations Healthcare, LLC | Adp of the snf | NOT APPLICABLE | 07/20/2017 |
| San Rafael Re, LLC | Adp of the snf | NOT APPLICABLE | 01/30/2026 |
| Theragen, LLC | Adp of the snf | NOT APPLICABLE | 07/20/2017 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Marin County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Pine Ridge Care Center | San Rafael | 101 | 5 | 3 | 5 | 43 | 42.6 | — | 12 Feb 2026 |
| The Tamalpais | Greenbrae | 52 | 5 | 4 | 5 | 14 | 26.9 | — | 11 Sep 2025 |
| Villa Marin | San Rafael | 31 | 5 | 4 | 4 | 21 | 67.7 | — | 18 Nov 2025 |
| South Marin Health & Wellness Center | Greenbrae | 72 | 4 | 3 | 4 | 37 | 51.4 | — | 23 Jan 2026 |
| Professional Post Acute Center | San Rafael | 99 | 3 | 2 | 4 | 77 | 77.8 | $148K | 8 May 2026 |
| Marin Post Acuteabuse icon | San Rafael | 168 | 2 | 2 | 2 | 46 | 27.4 | $11K | 25 Jun 2026 |
| Northgate Postacute Careabuse icon | San Rafael | 52 | 2 | 2 | 2 | 65 | 125.0 | $113K | 18 Jun 2026 |
| San Rafael Healthcare & Wellness Center, LP | San Rafael | 54 | 2 | 2 | 4 | 55 | 101.9 | $8K | 1 Jul 2026 |
All 11 facilities in Marin County
Questions and answers
How many deficiencies has Smith Ranch Skilled Nursing & Rehabilitation Cente been cited for?
45 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The California median is 44 per facility.
Has Smith Ranch Skilled Nursing & Rehabilitation Cente been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Smith Ranch Skilled Nursing & Rehabilitation Cente compare?
Reported total nurse staffing is 4.2 hours per resident per day against a California median of 4.2 and a national average of 3.9.
Who operates Smith Ranch Skilled Nursing & Rehabilitation Cente?
It is part of the Generations Healthcare chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Bmo Bank National Association, Life Generations Healthcare, LLC and Theragen, LLC. Individual owners and managers are not listed on this site.
When was Smith Ranch Skilled Nursing & Rehabilitation Cente last inspected?
The most recent survey or investigation in the CMS record is dated 9 Jun 2026; the most recent standard health survey was 12 Feb 2026.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.