NursingHomes.us
StatesRankingsCompare
NursingHomes.us

Independent nursing-home comparison using official CMS data. Not affiliated with the U.S. government.

Browse

  • All States
  • Rankings
  • Compare
  • Guides

Data

  • Nursing Home Chains
  • Inspection Codes
  • Data Sources

About

  • About Us
  • Contact
  • Privacy Policy
  • Terms of Use
© 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 949034154991000WebsiteGoogle Maps
3.9on Google(70 reviews)
3/5Average
Accepts Medicare Accepts Medicaid Sprinkler System

CMS data snapshot: July 2026

Health
2/5
Staffing
3/5
Quality
5/5
Beds
80
certified

How Smith Ranch Skilled Nursing & Rehabilitation Cente Compares in California

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.

CMS overall rating
3/5
CA average
3.2/5
Close to state average
Health inspection rating
2/5
CA average
2.8/5
Below state average
Staffing rating
3/5
CA average
3.3/5
Below state average
Nursing hours per resident
4.19 hrs/day
CA average
4.52 hrs/day
Below state average
RN hours per resident
0.42 hrs/day
CA average
0.67 hrs/day
Below state average
Staff turnover
32.5%
CA average
36.7%
Lower than state average

Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.

What the Data Highlights

Its 2/5 health inspection rating is below the California average of 2.8/5.
Reported nursing time is 4.19 hours per resident per day, below the state average of 4.52.
Reported RN time is 0.42 hours per resident per day, below the state average of 0.67.

Health Inspection Trend

A side-by-side view of the two CMS inspection cycles included in the current dataset.

Previous cycle
22
deficiency citations
Inspected May 16, 2025
Most recent cycle
14
deficiency citations
Inspected Feb 12, 2026
The most recent cycle recorded 8 fewer deficiency citations than the previous cycle.

Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.

Cost & Demographics

Semi-Private Room
$11,476/mo
California median
Private Room
$13,870/mo
California median
Marin County 65+
60,391
23.2% of county
County Population
260,485
Marin County

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.

Beds
80
Avg Residents/Day
74.3
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Apr 15, 1994
Sprinklers
Yes
Council
Resident
County
Marin
Last Inspection
Feb 12, 2026
Deficiencies (Cycle 1)
14
Weighted Score
109.0
Infection Citations
0

Deficiency Citations (49)

F0657Potential for Harm

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Survey: Apr 15, 2026Corrected: NoCycle: 1
F0658Potential for Harm

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

Survey: Apr 15, 2026Corrected: NoCycle: 1
F0684Potential for Harm

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Survey: Apr 15, 2026Corrected: NoCycle: 1
F0842Potential for Harm

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Survey: Apr 15, 2026Corrected: NoCycle: 1
F0760Potential for Harm

Ensure that residents are free from significant medication errors.

Survey: Apr 15, 2026Corrected: 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: Feb 12, 2026Corrected: NoCycle: 1
F0658Potential for Harm

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

Survey: Feb 12, 2026Corrected: 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: Feb 12, 2026Corrected: NoCycle: 1
F0908Potential for Harm

Keep all essential equipment working safely.

Survey: Feb 12, 2026Corrected: NoCycle: 1
F0645Potential for Harm

PASARR screening for Mental disorders or Intellectual Disabilities

Survey: Feb 12, 2026Corrected: NoCycle: 1
F0684Potential for Harm

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Survey: Feb 12, 2026Corrected: NoCycle: 1
F0755Potential for Harm

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Survey: Feb 12, 2026Corrected: 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: Feb 12, 2026Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Feb 12, 2026Corrected: 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: 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: May 16, 2025Corrected: NoCycle: 2
F0865Potential for Harm

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

Survey: May 16, 2025Corrected: NoCycle: 2
F0658Potential for Harm

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

Survey: May 16, 2025Corrected: NoCycle: 2
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: 2
F0552Potential for Harm

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

Survey: May 16, 2025Corrected: NoCycle: 2
F0558Potential for Harm

Reasonably accommodate the needs and preferences of each resident.

Survey: May 16, 2025Corrected: NoCycle: 2
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: 2
F0641Potential for Harm

Ensure each resident receives an accurate assessment.

Survey: May 16, 2025Corrected: NoCycle: 2
F0686Potential for Harm

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

Survey: May 16, 2025Corrected: NoCycle: 2
F0692Potential for Harm

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

Survey: May 16, 2025Corrected: NoCycle: 2
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: 2
F0759Potential for Harm

Ensure medication error rates are not 5 percent or greater.

Survey: May 16, 2025Corrected: NoCycle: 2
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: 2
F0602Potential for Harm

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

Survey: Apr 22, 2025Corrected: 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: 3

+ 19 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 Aide2.49 hrs
National avg: 2.32 hrs
LPN1.28 hrs
National avg: 0.86 hrs
RN0.42 hrs
National avg: 0.69 hrs
Total Nursing4.19 hrs
National avg: 3.86 hrs
Weekend Total3.75 hrs
National avg: 0.00 hrs
Physical Therapist0.24 hrs
National avg: 0.07 hrs
Total Turnover
32.5%
RN Turnover
12.5%
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 (32)

NameRoleTypeOwnership %Since
MASTROCOLA, LOISINDIRECT OWNERSHIP INTERESTIndividualN/AJul 20, 2017
OLDS, THOMASINDIRECT OWNERSHIP INTERESTIndividualN/AJul 20, 2017
SMITH, FREDINDIRECT OWNERSHIP INTERESTIndividualN/AJul 20, 2017
BMO BANK NATIONAL ASSOCIATION5% OR GREATER SECURITY INTERESTOrganizationN/AOct 6, 2021
BMO BANK NATIONAL ASSOCIATIONOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AOct 6, 2021
LIFE GENERATIONS HEALTHCARE, LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AJul 20, 2017
THERAGEN, LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AJul 20, 2017
AMILCAR, ALBERTAOPERATIONAL/MANAGERIAL CONTROLIndividualN/AJul 11, 2023
ARGUEL, ANGELO CLYDEOPERATIONAL/MANAGERIAL CONTROLIndividualN/AMar 17, 2025
COLEMAN, KELSEYOPERATIONAL/MANAGERIAL CONTROLIndividualN/AMay 13, 2016
DALY, MEGANOPERATIONAL/MANAGERIAL CONTROLIndividualN/AJun 30, 2003
DEGUZMAN, DINAOPERATIONAL/MANAGERIAL CONTROLIndividualN/AJan 21, 2020
GUTIERREZ, JESUSOPERATIONAL/MANAGERIAL CONTROLIndividualN/AOct 31, 2023
MASTROCOLA, LOISOPERATIONAL/MANAGERIAL CONTROLIndividualN/AJul 20, 2017
NAIN, KABIROPERATIONAL/MANAGERIAL CONTROLIndividualN/AJan 8, 2024
NIAKI, MICHAELOPERATIONAL/MANAGERIAL CONTROLIndividualN/AJul 20, 2017
OLDS, THOMASOPERATIONAL/MANAGERIAL CONTROLIndividualN/AJul 20, 2017
BMO BANK NATIONAL ASSOCIATIONADP OF THE SNFOrganizationN/AOct 6, 2021
LIFE GENERATIONS HEALTHCARE, LLCADP OF THE SNFOrganizationN/AJul 20, 2017
SAN RAFAEL RE, LLCADP OF THE SNFOrganizationN/AJan 30, 2026
THERAGEN, LLCADP OF THE SNFOrganizationN/AJul 20, 2017
AMILCAR, ALBERTAADP OF THE SNFIndividualN/AJul 11, 2023
ARGUEL, ANGELO CLYDEADP OF THE SNFIndividualN/AMar 17, 2025
COLEMAN, KELSEYADP OF THE SNFIndividualN/AMay 13, 2016
DALY, MEGANADP OF THE SNFIndividualN/AJun 30, 2003
DEGUZMAN, DINAADP OF THE SNFIndividualN/AJan 21, 2020
GUTIERREZ, JESUSADP OF THE SNFIndividualN/AOct 31, 2023
MASTROCOLA, LOISADP OF THE SNFIndividualN/AJul 20, 2017
NAIN, KABIRADP OF THE SNFIndividualN/AJan 8, 2024
NIAKI, MICHAELADP OF THE SNFIndividualN/AJul 20, 2017
OLDS, THOMASADP OF THE SNFIndividualN/AJul 20, 2017
SMITH, FREDADP OF THE SNFIndividualN/AJul 20, 2017

Compare Nearby Nursing Homes

Compare CMS ratings and recorded fines for Smith Ranch Skilled Nursing & Rehabilitation Cente and nearby alternatives.

All California facilities
Smith Ranch Skilled Nursing & Rehabilitation Cente
San Rafael, CACurrent facility
CMS
3/5
Health
2/5
Staffing
3/5
Recorded fines: None
Professional Post Acute Center
San Rafael, CA4,224 ft
CMS
2/5
Health
1/5
Staffing
4/5
Recorded fines: $148,455
Pine Ridge Care Center
San Rafael, CA4,224 ft
CMS
4/5
Health
2/5
Staffing
5/5
Recorded fines: $7,542
Northgate Postacute Care
San Rafael, CA4,224 ftAbuse flag
CMS
2/5
Health
2/5
Staffing
2/5
Recorded fines: $126,631
Marin Post Acute
San Rafael, CA1.3 miAbuse flag
CMS
2/5
Health
2/5
Staffing
2/5
Recorded fines: None
Villa Marin
San Rafael, CA1.6 mi
CMS
5/5
Health
4/5
Staffing
4/5
Recorded fines: $7,443
San Rafael Healthcare & Wellness Center, LP
San Rafael, CA3.1 mi
CMS
2/5
Health
2/5
Staffing
4/5
Recorded fines: $8,278
FacilityDistanceCMSHealthStaffingRecorded fines
Smith Ranch Skilled Nursing & Rehabilitation Cente
San Rafael, CA · Current facility
—3/52/53/5None recorded
Professional Post Acute Center
San Rafael, CA
4,224 ft2/51/54/5$148,455
Pine Ridge Care Center
San Rafael, CA
4,224 ft4/52/55/5$7,542
Northgate Postacute Care
San Rafael, CA
4,224 ft2/52/52/5$126,631
Marin Post Acute
San Rafael, CA
1.3 mi2/52/52/5None recorded
Villa Marin
San Rafael, CA
1.6 mi5/54/54/5$7,443
San Rafael Healthcare & Wellness Center, LP
San Rafael, CA
3.1 mi2/52/54/5$8,278

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.

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.
How much does Smith Ranch Skilled Nursing & Rehabilitation Cente cost per month?▾
While individual facility pricing is not publicly available, the median nursing home cost in California is $11,476/month for a semi-private room and $13,870/month for a private room (Genworth/CareScout 2024). Smith Ranch Skilled Nursing & Rehabilitation Cente participates in Medicare and Medicaid, which may cover some or all costs depending on eligibility.
Has Smith Ranch Skilled Nursing & Rehabilitation Cente had any health inspection violations?▾
Smith Ranch Skilled Nursing & Rehabilitation Cente had 14 deficiency citations in its most recent health inspection (Feb 12, 2026). The current CMS dataset records no fines for this facility.
What are the staffing levels at Smith Ranch Skilled Nursing & Rehabilitation Cente?▾
Smith Ranch Skilled Nursing & Rehabilitation Cente provides 4.19 total nursing staff hours per resident per day, including 0.42 RN hours, 1.28 LPN hours, and 2.49 nurse aide hours. The total staff turnover rate is 32.5%.
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 74.3 residents per day, resulting in approximately 93% 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. This page lists 6 nearby nursing homes in California, including 6 in San Rafael. Compare their CMS ratings, staffing, inspections and fines before choosing a facility.
What do patients and families say about Smith Ranch Skilled Nursing & Rehabilitation Cente?▾
On Google Maps, Smith Ranch Skilled Nursing & Rehabilitation Cente has a rating of 3.9 out of 5 based on 70 reviews. This is an independent rating from visitors and families, separate from the official CMS government rating of 3/5.

Part of Generations Healthcare

This chain operates 27 facilities. View all →