SMITH RANCH SKILLED NURSING & REHABILITATION CENTE

1550 SILVEIRA PARKWAY, SAN RAFAEL, CA 94903 · CCN 555595 · 80 certified beds · Data as of 2026-07-01

CMS overall3 of 5CMS inspections2 of 5CMS staffing3 of 5CMS quality5 of 5

Star ratings are issued by CMS (the federal Centers for Medicare & Medicaid Services), not by NursingHomeLens. We report them; we do not rate or rank facilities.

49 citation(s) appear in this facility's record, none at CMS's actual-harm or immediate-jeopardy levels in the last three years.

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Serious inspection findings

2023-07-05 — ACTUAL HARM (tag F0692, severity G)

Quality of Life and Care Deficiencies · correction not recorded in CMS data

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

2023-07-05 — ACTUAL HARM (tag F0686, severity G)

Quality of Life and Care Deficiencies · correction not recorded in CMS data

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

Staffing, from payroll records

Nursing hours / resident / day

3.78

state median 3.94

Weekend staffing gap

−3%

fewer nursing hours on weekends · state median −5%

RN hours / resident / day

0.27

registered nurses only

Contract (agency) staff

share of all nursing hours

Nursing staff turnover

33%

per year, per CMS

Source: CMS Payroll-Based Journal, 2026Q1, 90 reported days — actual payroll data, not the facility's own estimates.

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Penalties and enforcement

CMS records no penalties for this facility.

Ownership

Ownership type: For profit - Limited Liability company. Part of the GENERATIONS HEALTHCARE chain.

Other facilities under the same ownership, with their CMS overall ratings:

Arbor Hills Nursing Center (LA MESA, CA) — CMS overall5 of 5
LAWTON SKILLED NURSING & REHABILITATION CENTER (SAN FRANCISCO, CA) — CMS overall5 of 5
HORIZON HEALTH & SUBACUTE CENTER (FRESNO, CA) — CMS overall2 of 5
KEARNY MESA CONVALESCENT AND NURSING HOME (SAN DIEGO, CA) — CMS overall5 of 5
NEWPORT NURSING AND REHABILITATION CENTER (NEWPORT BEACH, CA) — CMS overall5 of 5
THE BRADLEY GARDENS (SAN JACINTO, CA) — CMS overall3 of 5
PLUM TREE CARE CENTER (SAN JOSE, CA) — CMS overall5 of 5
FRIENDSHIP MANOR NURSING & REHAB CENTER (NATIONAL CITY, CA) — CMS overall5 of 5

Full citation history

By severity: Actual harm: 2 · Potential for more than minimal harm: 47

Survey date	Tag	Category	Severity	Corrected
2026-04-15	F0657	Resident Assessment and Care Planning Deficiencies	E	not recorded
2026-04-15	F0658	Resident Assessment and Care Planning Deficiencies	E	not recorded
2026-04-15	F0684	Quality of Life and Care Deficiencies	E	not recorded
2026-04-15	F0760	Pharmacy Service Deficiencies	D	not recorded
2026-04-15	F0842	Resident Assessment and Care Planning Deficiencies	E	not recorded
2026-02-12	F0584	Resident Rights Deficiencies	E	not recorded
2026-02-12	F0645	Resident Assessment and Care Planning Deficiencies	D	not recorded
2026-02-12	F0658	Resident Assessment and Care Planning Deficiencies	E	not recorded
2026-02-12	F0684	Quality of Life and Care Deficiencies	D	not recorded
2026-02-12	F0755	Pharmacy Service Deficiencies	D	not recorded
2026-02-12	F0761	Pharmacy Service Deficiencies	D	not recorded
2026-02-12	F0812	Nutrition and Dietary Deficiencies	E	not recorded
2026-02-12	F0880	Infection Control Deficiencies	D	not recorded
2026-02-12	F0908	Environmental Deficiencies	E	not recorded
2025-05-16	F0552	Resident Rights Deficiencies	D	not recorded
2025-05-16	F0558	Resident Rights Deficiencies	D	not recorded
2025-05-16	F0575	Resident Rights Deficiencies	F	not recorded
2025-05-16	F0584	Resident Rights Deficiencies	D	not recorded
2025-05-16	F0641	Resident Assessment and Care Planning Deficiencies	D	not recorded
2025-05-16	F0658	Resident Assessment and Care Planning Deficiencies	E	not recorded
2025-05-16	F0686	Quality of Life and Care Deficiencies	D	not recorded
2025-05-16	F0688	Quality of Life and Care Deficiencies	E	not recorded
2025-05-16	F0692	Quality of Life and Care Deficiencies	D	not recorded
2025-05-16	F0693	Quality of Life and Care Deficiencies	D	not recorded
2025-05-16	F0759	Pharmacy Service Deficiencies	D	not recorded
2025-05-16	F0761	Pharmacy Service Deficiencies	D	not recorded
2025-05-16	F0812	Nutrition and Dietary Deficiencies	F	not recorded
2025-05-16	F0865	Administration Deficiencies	F	not recorded
2025-04-22	F0602	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2023-08-22	F0577	Resident Rights Deficiencies	E	not recorded
2023-08-22	F0625	Resident Rights Deficiencies	E	not recorded
2023-08-22	F0641	Resident Assessment and Care Planning Deficiencies	E	not recorded
2023-08-22	F0656	Resident Assessment and Care Planning Deficiencies	E	not recorded
2023-08-22	F0658	Resident Assessment and Care Planning Deficiencies	D	not recorded
2023-08-22	F0676	Quality of Life and Care Deficiencies	D	not recorded
2023-08-22	F0677	Quality of Life and Care Deficiencies	E	not recorded
2023-08-22	F0679	Quality of Life and Care Deficiencies	E	not recorded
2023-08-22	F0686	Quality of Life and Care Deficiencies	D	not recorded
2023-08-22	F0695	Quality of Life and Care Deficiencies	D	not recorded
2023-08-22	F0759	Pharmacy Service Deficiencies	E	not recorded
2023-08-22	F0760	Pharmacy Service Deficiencies	D	not recorded
2023-08-22	F0812	Nutrition and Dietary Deficiencies	F	not recorded
2023-08-22	F0880	Infection Control Deficiencies	E	not recorded
2023-07-05	F0604	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2023-07-05	F0641	Resident Assessment and Care Planning Deficiencies	D	not recorded
2023-07-05	F0686	Quality of Life and Care Deficiencies	G	not recorded
2023-07-05	F0688	Quality of Life and Care Deficiencies	E	not recorded
2023-07-05	F0692	Quality of Life and Care Deficiencies	G	not recorded
2023-07-05	F0755	Pharmacy Service Deficiencies	E	not recorded

Sources: CMS Provider Information, Health Deficiencies, Penalties, and Ownership datasets (data.cms.gov/provider-data), processed 2026-07-01; CMS Payroll-Based Journal daily staffing. Find this facility on Care Compare: search “SMITH RANCH SKILLED NURSING & REHABILITATION CENTE, SAN RAFAEL” at medicare.gov/care-compare.