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Data from CMS, Census Bureau & CareScout. Not affiliated with the U.S. government.

© 2026 NursingHomes.us. All data from CMS.gov.
HomeCaliforniaSmith Ranch Skilled Nursing & Rehabilitation Cente

Smith Ranch Skilled Nursing & Rehabilitation Cente

1550 Silveira Parkway, San Rafael, CA 949034154991000
3/5Average
Accepts Medicare Accepts Medicaid Sprinkler System
Health
2/5
Staffing
3/5
Quality
5/5
Beds
80
certified

Key Findings

• 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.

Beds
80
Avg Residents/Day
68.7
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Apr 15, 1994
Sprinklers
Yes
Council
None
County
Marin
Last Inspection
May 16, 2025
Deficiencies (Cycle 1)
15
Weighted Score
119.0
Infection Citations
0

Deficiency Citations (43)

F0602Potential for Harm

Protect each resident from the wrongful use of the resident's belongings or money.

Survey: Apr 22, 2025Corrected: NoCycle: 1
F0552Potential for Harm

Ensure that residents are fully informed and understand their health status, care and treatments.

Survey: May 16, 2025Corrected: NoCycle: 1
F0558Potential for Harm

Reasonably accommodate the needs and preferences of each resident.

Survey: May 16, 2025Corrected: NoCycle: 1
F0575Potential 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.

Survey: May 16, 2025Corrected: NoCycle: 1
F0584Potential 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.

Survey: May 16, 2025Corrected: NoCycle: 1
F0641Potential for Harm

Ensure each resident receives an accurate assessment.

Survey: May 16, 2025Corrected: NoCycle: 1
F0658Potential for Harm

Ensure services provided by the nursing facility meet professional standards of quality.

Survey: May 16, 2025Corrected: NoCycle: 1
F0686Potential for Harm

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Survey: May 16, 2025Corrected: NoCycle: 1
F0688Potential for Harm

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.

Survey: May 16, 2025Corrected: NoCycle: 1
F0692Potential for Harm

Provide enough food/fluids to maintain a resident's health.

Survey: May 16, 2025Corrected: NoCycle: 1
F0693Potential for Harm

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.

Survey: May 16, 2025Corrected: NoCycle: 1
F0759Potential for Harm

Ensure medication error rates are not 5 percent or greater.

Survey: May 16, 2025Corrected: NoCycle: 1
F0761Potential 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.

Survey: May 16, 2025Corrected: NoCycle: 1
F0812Potential for Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey: May 16, 2025Corrected: NoCycle: 1
F0865Potential for Harm

Have a plan that describes the process for conducting QAPI and QAA activities.

Survey: May 16, 2025Corrected: NoCycle: 1
F0577Potential for Harm

Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

Survey: Aug 22, 2023Corrected: NoCycle: 2
F0625Potential for Harm

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.

Survey: Aug 22, 2023Corrected: NoCycle: 2
F0641Potential for Harm

Ensure each resident receives an accurate assessment.

Survey: Aug 22, 2023Corrected: NoCycle: 2
F0656Potential for Harm

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey: Aug 22, 2023Corrected: NoCycle: 2
F0658Potential for Harm

Ensure services provided by the nursing facility meet professional standards of quality.

Survey: Aug 22, 2023Corrected: NoCycle: 2
F0676Potential for Harm

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Survey: Aug 22, 2023Corrected: NoCycle: 2
F0677Potential for Harm

Provide care and assistance to perform activities of daily living for any resident who is unable.

Survey: Aug 22, 2023Corrected: NoCycle: 2
F0679Potential for Harm

Provide activities to meet all resident's needs.

Survey: Aug 22, 2023Corrected: NoCycle: 2
F0695Potential for Harm

Provide safe and appropriate respiratory care for a resident when needed.

Survey: Aug 22, 2023Corrected: NoCycle: 2
F0759Potential for Harm

Ensure medication error rates are not 5 percent or greater.

Survey: Aug 22, 2023Corrected: NoCycle: 2
F0760Potential for Harm

Ensure that residents are free from significant medication errors.

Survey: Aug 22, 2023Corrected: NoCycle: 2
F0812Potential for Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey: Aug 22, 2023Corrected: NoCycle: 2
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Aug 22, 2023Corrected: NoCycle: 2
F0686Potential for Harm

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Survey: Aug 22, 2023Corrected: NoCycle: 2
F0604Potential for Harm

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Survey: Jul 5, 2023Corrected: NoCycle: 3

+ 13 more deficiencies

Total Fines
$0
Number of Fines
0
Payment Denials
0
Total Penalties
0

No penalties on record.

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide2.61 hrs
National avg: 2.35 hrs
LPN1.51 hrs
National avg: 0.86 hrs
RN0.47 hrs
National avg: 0.68 hrs
Total Nursing4.59 hrs
National avg: 3.89 hrs
Weekend Total4.07 hrs
National avg: 0.00 hrs
Physical Therapist0.20 hrs
National avg: 0.07 hrs
Total Turnover
36.0%
RN Turnover
28.6%
Administrators Left
0

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
For profit - Limited Liability company
Recent Change
No

Owners & Managers (8)

NameRoleTypeOwnership %Since
LIFE GENERATIONS HEALTHCARE, LLC5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%Jul 20, 2017
MASTROCOLA, LOIS5% OR GREATER INDIRECT OWNERSHIP INTERESTIndividual9%Jul 20, 2017
OLDS, THOMAS5% OR GREATER INDIRECT OWNERSHIP INTERESTIndividual78%Jul 20, 2017
SMITH, FRED5% OR GREATER INDIRECT OWNERSHIP INTERESTIndividual13%Jul 20, 2017
MASTROCOLA, LOISCORPORATE OFFICERIndividualN/AJul 20, 2017
OLDS, THOMASCORPORATE OFFICERIndividualN/AJul 20, 2017
LOMIBAO, ROMULOW-2 MANAGING EMPLOYEEIndividualN/AApr 11, 2022
BMO BANK NATIONAL ASSOCIATION5% OR GREATER SECURITY INTERESTOrganizationN/AOct 6, 2021

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Frequently Asked Questions

What is the CMS rating for Smith Ranch Skilled Nursing & Rehabilitation Cente?▾
Smith Ranch Skilled Nursing & Rehabilitation Cente has an overall CMS rating of 3 out of 5 stars, with a health inspection rating of 2/5, staffing rating of 3/5, and quality measures rating of 5/5. This facility is rated average.
Has Smith Ranch Skilled Nursing & Rehabilitation Cente had any health inspection violations?▾
Smith Ranch Skilled Nursing & Rehabilitation Cente had 15 deficiency citations in its most recent health inspection (May 16, 2025). The facility has no fines on record.
What are the staffing levels at Smith Ranch Skilled Nursing & Rehabilitation Cente?▾
Smith Ranch Skilled Nursing & Rehabilitation Cente provides 4.59 total nursing staff hours per resident per day, including 0.47 RN hours, 1.51 LPN hours, and 2.61 nurse aide hours. The total staff turnover rate is 36.0%.
How many beds does Smith Ranch Skilled Nursing & Rehabilitation Cente have?▾
Smith Ranch Skilled Nursing & Rehabilitation Cente has 80 certified beds with an average of 68.7 residents per day, resulting in approximately 86% occupancy. The facility is For profit - Limited Liability company owned and is part of the Generations Healthcare chain.
Are there other nursing homes near Smith Ranch Skilled Nursing & Rehabilitation Cente?▾
Yes, there are 6 other nursing homes in San Rafael, California with an average rating of 3/5. You can compare all facilities on the San Rafael nursing homes page.

Part of Generations Healthcare

This chain operates 33 facilities. View all →