CMS data snapshot: July 2026
Facility results compared with averages for CMS-certified nursing homes in California. Ratings, staffing and turnover measure different parts of care and should be reviewed together.
Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.
A side-by-side view of the two CMS inspection cycles included in the current dataset.
Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.
Cost data: Genworth/CareScout Cost of Care Survey (2024). Demographics: U.S. Census Bureau ACS (2022).
Swipe tabs for staffing, quality and ownership.
Smith Ranch Skilled Nursing & Rehabilitation Cente is a 3-star Medicare and Medicaid certified nursing home in San Rafael, California with 80 certified beds. It has been operating since 1994. Its overall CMS rating is 3 out of 5.
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Ensure services provided by the nursing facility meet professional standards of quality.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
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.
Ensure services provided by the nursing facility meet professional standards of quality.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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.
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.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Have a plan that describes the process for conducting QAPI and QAA activities.
Ensure services provided by the nursing facility meet professional standards of quality.
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.
Ensure that residents are fully informed and understand their health status, care and treatments.
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.
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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.
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.
Protect each resident from the wrongful use of the resident's belongings or money.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
+ 19 more deficiencies
No penalties on record.
Staffing hours per resident per day. The black line shows the national average.
Quality measures as percentages of residents. Lower is better for all measures.
| Name | Role | Type | Ownership % | Since |
|---|---|---|---|---|
| MASTROCOLA, LOIS | INDIRECT OWNERSHIP INTEREST | Individual | N/A | Jul 20, 2017 |
| OLDS, THOMAS | INDIRECT OWNERSHIP INTEREST | Individual | N/A | Jul 20, 2017 |
| SMITH, FRED | INDIRECT OWNERSHIP INTEREST | Individual | N/A | Jul 20, 2017 |
| BMO BANK NATIONAL ASSOCIATION | 5% OR GREATER SECURITY INTEREST | Organization | N/A | Oct 6, 2021 |
| BMO BANK NATIONAL ASSOCIATION | OPERATIONAL/MANAGERIAL CONTROL | Organization | N/A | Oct 6, 2021 |
| LIFE GENERATIONS HEALTHCARE, LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | N/A | Jul 20, 2017 |
| THERAGEN, LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | N/A | Jul 20, 2017 |
| AMILCAR, ALBERTA | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Jul 11, 2023 |
| ARGUEL, ANGELO CLYDE | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Mar 17, 2025 |
| COLEMAN, KELSEY | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | May 13, 2016 |
| DALY, MEGAN | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Jun 30, 2003 |
| DEGUZMAN, DINA | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Jan 21, 2020 |
| GUTIERREZ, JESUS | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Oct 31, 2023 |
| MASTROCOLA, LOIS | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Jul 20, 2017 |
| NAIN, KABIR | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Jan 8, 2024 |
| NIAKI, MICHAEL | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Jul 20, 2017 |
| OLDS, THOMAS | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Jul 20, 2017 |
| BMO BANK NATIONAL ASSOCIATION | ADP OF THE SNF | Organization | N/A | Oct 6, 2021 |
| LIFE GENERATIONS HEALTHCARE, LLC | ADP OF THE SNF | Organization | N/A | Jul 20, 2017 |
| SAN RAFAEL RE, LLC | ADP OF THE SNF | Organization | N/A | Jan 30, 2026 |
| THERAGEN, LLC | ADP OF THE SNF | Organization | N/A | Jul 20, 2017 |
| AMILCAR, ALBERTA | ADP OF THE SNF | Individual | N/A | Jul 11, 2023 |
| ARGUEL, ANGELO CLYDE | ADP OF THE SNF | Individual | N/A | Mar 17, 2025 |
| COLEMAN, KELSEY | ADP OF THE SNF | Individual | N/A | May 13, 2016 |
| DALY, MEGAN | ADP OF THE SNF | Individual | N/A | Jun 30, 2003 |
| DEGUZMAN, DINA | ADP OF THE SNF | Individual | N/A | Jan 21, 2020 |
| GUTIERREZ, JESUS | ADP OF THE SNF | Individual | N/A | Oct 31, 2023 |
| MASTROCOLA, LOIS | ADP OF THE SNF | Individual | N/A | Jul 20, 2017 |
| NAIN, KABIR | ADP OF THE SNF | Individual | N/A | Jan 8, 2024 |
| NIAKI, MICHAEL | ADP OF THE SNF | Individual | N/A | Jul 20, 2017 |
| OLDS, THOMAS | ADP OF THE SNF | Individual | N/A | Jul 20, 2017 |
| SMITH, FRED | ADP OF THE SNF | Individual | N/A | Jul 20, 2017 |
Compare CMS ratings and recorded fines for Smith Ranch Skilled Nursing & Rehabilitation Cente and nearby alternatives.
Distance is approximate. Ratings and enforcement data use the current CMS snapshot; recorded fines are not a complete measure of care quality. How nearby facilities are selected.
This chain operates 27 facilities. View all →