All states › California › San Rafael › Smith Ranch Skilled Nursing & Rehabilitation Center
1550 Silveira Parkway San Rafael, CA 94903 · Marin County
All 7 nursing homes in San Rafael, CA (6 take Medicaid)
CMS certification number 555595 · See this home on Medicare Care Compare
Is Smith Ranch Skilled Nursing & Rehabilitation Center a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Smith Ranch Skilled Nursing & Rehabilitation Center as of October 2026.
CMS rates it 3 out of 5 stars overall, about the same as the California average of 3.2.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 4.12 hours per resident per day at Smith Ranch Skilled Nursing & Rehabilitation Center, below the California median of 4.27 (US median: 3.72). About 0.34 of those hours are from registered nurses. On weekends it falls to 3.76 hours, 9% below its all-week average. 38.3% of nursing staff left within a year (California median 36%).
About this nursing home
Paying for care at Smith Ranch Skilled Nursing & Rehabilitation Center: Medicare and Medicaid
Smith Ranch Skilled Nursing & Rehabilitation Center is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet California's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on February 12, 2026 and found 9 deficiencies, plus 7 from complaint inspections in the same period. In total, inspectors issued 45 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 45 citations at Smith Ranch Skilled Nursing & Rehabilitation Center across 6 inspection dates, 8 of them from complaint investigations. None were at the actual-harm or immediate-jeopardy levels; 45 were "potential for more than minimal harm" (D–F) and 0 were minimal (A–C). The most common areas cited were quality of life and care (11) and resident assessment and care planning (11). The most serious was cited under the CMS rule to "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" (tag F0575, level F, May 16, 2025). 2 citations were under CMS's abuse, neglect and exploitation rules.
June 9, 2026 · 2 citations · includes complaint inspection
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
April 15, 2026 · 5 citations · includes complaint inspection
EDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
EEnsure services provided by the nursing facility meet professional standards of quality.
EProvide appropriate treatment and care according to orders, resident’s preferences and goals.
ESafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
DEnsure that residents are free from significant medication errors.
February 12, 2026 · 9 citations
EHonor 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.
EEnsure services provided by the nursing facility meet professional standards of quality.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EKeep all essential equipment working safely.
DPASARR screening for Mental disorders or Intellectual Disabilities
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
DEnsure 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.
DProvide and implement an infection prevention and control program.
May 16, 2025 · 14 citations
FPost 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.
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
FHave a plan that describes the process for conducting QAPI and QAA activities.
EEnsure services provided by the nursing facility meet professional standards of quality.
EProvide 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.
DEnsure that residents are fully informed and understand their health status, care and treatments.
DReasonably accommodate the needs and preferences of each resident.
DHonor 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.
DEnsure each resident receives an accurate assessment.
DProvide appropriate pressure ulcer care and prevent new ulcers from developing.
DProvide enough food/fluids to maintain a resident's health.
DEnsure 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.
DEnsure medication error rates are not 5 percent or greater.
DEnsure 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.
April 22, 2025 · 1 citation · includes complaint inspection
DProtect each resident from the wrongful use of the resident's belongings or money.
August 22, 2023 · 14 citations
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EAllow residents to easily view the nursing home's survey results and communicate with advocate agencies.
ENotify 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.
EEnsure each resident receives an accurate assessment.
EDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
EProvide care and assistance to perform activities of daily living for any resident who is unable.
EProvide activities to meet all resident's needs.
EEnsure medication error rates are not 5 percent or greater.
EProvide and implement an infection prevention and control program.
DEnsure services provided by the nursing facility meet professional standards of quality.
DEnsure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
DProvide appropriate pressure ulcer care and prevent new ulcers from developing.
DProvide safe and appropriate respiratory care for a resident when needed.
DEnsure that residents are free from significant medication errors.
Questions to ask on a tour of Smith Ranch Skilled Nursing & Rehabilitation Center
- CMS cited the home under its abuse and neglect rules on June 9, 2026. How are staff trained, and how are concerns reported?
- CMS rates staffing 2 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
CMS reports no fines or payment denials for this home in the last three years.
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 3/5 | 2/5 | 2/5 | 5/5 |
| August 2026 | 3/5 | 2/5 | 3/5 | 5/5 |
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Location
Hospitals near Smith Ranch Skilled Nursing & Rehabilitation Center
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
- 1.7 mi
-
5.0 mi
Marinhealth Medical Center GreenbraeEmergency room ★★★★★ Medicare overall 5 of 5Median ER visit 2h 56m for patients treated and sent home
-
5.7 mi
Novato Community Hospital NovatoEmergency room ★★★★★ Medicare overall 5 of 5Median ER visit 2h 36m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near Smith Ranch Skilled Nursing & Rehabilitation Center › All nursing homes in San Rafael ›
Compare Smith Ranch Skilled Nursing & Rehabilitation Center with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- Villa Marin · San Rafael · 4 stars · 1.6 mi
- South Marin Health & Wellness Center · Greenbrae · 4 stars · 5.2 mi
- The Redwoods, a Community of Seniors · Mill Valley · 4 stars · 8.6 mi
Other Generations Healthcare nursing homes in California
- Lawton Skilled Nursing & Rehabilitation Center · San Francisco · 5 stars
- Plum Tree Care Center · San Jose · 5 stars
- Stanford Court Skilled Nursing & Rehab Center · Santee · 5 stars
- Pleasanton Nursing and Rehabilitation Center · Pleasanton · 5 stars
- Kearny Mesa Convalescent and Nursing Home · San Diego · 5 stars
- Lompoc Skilled Nursing & Rehabilitation Center · Lompoc · 5 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 27 Generations Healthcare nursing homes ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.