• CMS rates this facility 3/5 stars (average)
• Has 80 certified beds with an average of 68.7 residents per day (86% occupancy)
• Last health inspection found 15 deficiencies (inspected May 16, 2025)
• No fines on record
• Total nursing staff: 4.59 hours per resident per day
• Staff turnover rate: 36.0%
• Part of the Generations Healthcare chain (33 facilities)
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. The facility scored at average compared to California facilities.
Protect each resident from the wrongful use of the resident's belongings or money.
Ensure that residents are fully informed and understand their health status, care and treatments.
Reasonably accommodate the needs and preferences of each resident.
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.
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 each resident receives an accurate assessment.
Ensure services provided by the nursing facility meet professional standards of quality.
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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.
Provide enough food/fluids to maintain a resident's health.
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 medication error rates are not 5 percent or greater.
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.
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.
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
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.
Ensure each resident receives an accurate assessment.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Ensure services provided by the nursing facility meet professional standards of quality.
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Provide care and assistance to perform activities of daily living for any resident who is unable.
Provide activities to meet all resident's needs.
Provide safe and appropriate respiratory care for a resident when needed.
Ensure medication error rates are not 5 percent or greater.
Ensure that residents are free from significant medication errors.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Provide and implement an infection prevention and control program.
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
+ 13 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 |
|---|---|---|---|---|
| LIFE GENERATIONS HEALTHCARE, LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | Jul 20, 2017 |
| MASTROCOLA, LOIS | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | 9% | Jul 20, 2017 |
| OLDS, THOMAS | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | 78% | Jul 20, 2017 |
| SMITH, FRED | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | 13% | Jul 20, 2017 |
| MASTROCOLA, LOIS | CORPORATE OFFICER | Individual | N/A | Jul 20, 2017 |
| OLDS, THOMAS | CORPORATE OFFICER | Individual | N/A | Jul 20, 2017 |
| LOMIBAO, ROMULO | W-2 MANAGING EMPLOYEE | Individual | N/A | Apr 11, 2022 |
| BMO BANK NATIONAL ASSOCIATION | 5% OR GREATER SECURITY INTEREST | Organization | N/A | Oct 6, 2021 |
This chain operates 33 facilities. View all →