Smith Ranch Skilled Nursing & Rehabilitation Cente
Nursing home in San Rafael, CA
Medicare & Medicaid certified3★ overall (CMS)
Public-record details
- Address
- 1550 Silveira Parkway, San Rafael, CA 94903
- Phone
- (415) 499-1000
- Listed under
- For-profit, No fines in 3 years
- Medicare CCN
- 555595
- Overall star rating
- 3 of 5 ★★★☆☆
- Health inspection rating
- 2 of 5
- Staffing rating
- 3 of 5
- Quality measures rating
- 5 of 5
- Certified beds
- 80
- Average residents per day
- 74
- Ownership
- For-profit, limited Liability company
- Legal business name
- Ghc of San Rafael, LLC
- Chain
- Generations Healthcare (27 facilities)
- Certified for
- Medicare and Medicaid
- First approved by Medicare/Medicaid
- Apr 15, 1994
- Changed ownership in last 12 months
- No
- Continuing care retirement community
- No
- Located inside a hospital
- No
- Resident or family council
- Resident council
- Sprinklers in all required areas
- Yes
Inspection record
Most recent standard health inspection: Feb 12, 2026. CMS lists 45 health citations for this facility across its last three standard inspection cycles and complaint inspections (Aug 22, 2023 to Jun 9, 2026): 9 from complaint inspections, 0 at the “actual harm” level or higher.
| Inspection | Citation | Severity |
|---|---|---|
| Jun 9, 2026 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D |
| Jun 9, 2026 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D |
| Apr 15, 2026 | Ensure that residents are free from significant medication errors. | D |
| Apr 15, 2026 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E |
| Apr 15, 2026 | Ensure services provided by the nursing facility meet professional standards of quality. | E |
| Apr 15, 2026 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E |
| Apr 15, 2026 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E |
| Feb 12, 2026 | PASARR screening for Mental disorders or Intellectual Disabilities | D |
| Feb 12, 2026 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D |
| Feb 12, 2026 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D |
| Feb 12, 2026 | 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… | D |
| Feb 12, 2026 | Provide and implement an infection prevention and control program. | D |
Fines and payment denials
CMS records no fines or payment denials for this facility in the last three years.
Staffing
- Total nurse staffing per resident per day
- 4.19 hours
- Registered nurse (RN) time per resident per day
- 0.42 hours
- Nurse aide time per resident per day
- 2.49 hours
- Total nurse staffing on weekends
- 3.75 hours
- Nursing staff turnover (yearly)
- 33%
- RN turnover (yearly)
- 13%
- Administrators who left in the past year
- 0
A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.
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