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Smith Ranch Skilled Nursing & Rehabilitation Cente

1550 Silveira Parkway, San Rafael, CA 949034154991000Ownership: For profit - Limited Liability companyCertified beds: 80Avg. daily residents: 74Chain: Generations Healthcare (27 facilities)County: Marin

The complete public record on Smith Ranch Skilled Nursing & Rehabilitation Cente, a Medicare & Medicaid–certified nursing home in San Rafael, California, from the CMS Care Compare database (August 2026 release). Every figure below is published by federal regulators; ClearPath adds the state comparisons and the plain-English reading.

CMS Star Ratings

Overall rating
★★★☆☆
CMS’s composite of the three ratings below. California average: 3.2 stars.
Health inspection
★★☆☆☆
Based on the last three years of on-site inspections and complaint investigations — the rating CMS weights most heavily.
Staffing
★★★☆☆
Nurse and aide hours per resident per day, adjusted for how much care residents need, plus staff turnover.
Quality measures
★★★★★
Clinical outcomes CMS tracks, such as falls with injury, pressure ulcers and hospital readmissions.
Smith Ranch Skilled Nursing & Rehabilitation Cente holds a 3-star overall rating, CMS’s middle tier. Its health-inspection rating is lower than its overall rating — the overall score is being lifted by staffing or quality-measure ratings, which draw partly on facility-reported data. None of this tells you whether a bed is open, whether your insurance is in network, or whether the facility will accept a given level of care — confirm those three directly with the facility before you commit.

Staffing

4.19 total nurse staff hours per resident per day
below the state average (4.52)
0.42 RN hours per resident per day
below the state average (0.67)
3.75 weekend nurse staff hours per resident per day
32.5% total nursing staff turnover
below the state average (36.7)
12.5% RN turnover
0 administrators left in the reporting period

Hours are per resident per day, from payroll-based journal data facilities submit to CMS. Turnover is the share of nursing staff who left over the past year.

Inspections & Penalties

February 12, 2026 most recent standard health inspection
16 health deficiencies cited in the most recent inspection cycle
about the state average (15.6)
16 health deficiencies in the two prior cycles combined
$0 in federal fines across 0 penalties (last 3 years)
0 payment denials
CMS withholding Medicare/Medicaid payment for new admissions until problems were fixed

Recent Inspection Citations

45 citations on record across recent inspections. Showing the most recent inspection. Severity uses CMS’s A–L scope-and-severity scale; G and above means residents were actually harmed.

InspectionTagWhat was citedSeverity
June 9, 20260609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. ComplaintD · Potential for more than minimal harm
June 9, 20260656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. ComplaintD · Potential for more than minimal harm
April 15, 20260657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health… ComplaintE · Potential for more than minimal harm
April 15, 20260658Ensure services provided by the nursing facility meet professional standards of quality. ComplaintE · Potential for more than minimal harm
April 15, 20260684Provide appropriate treatment and care according to orders, resident’s preferences and goals. ComplaintE · Potential for more than minimal harm
April 15, 20260842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted… ComplaintE · Potential for more than minimal harm
April 15, 20260760Ensure that residents are free from significant medication errors. ComplaintD · Potential for more than minimal harm
February 12, 20260584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and…E · Potential for more than minimal harm
February 12, 20260658Ensure services provided by the nursing facility meet professional standards of quality.E · Potential for more than minimal harm
February 12, 20260812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with…E · Potential for more than minimal harm

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Source: CMS Care Compare (data.cms.gov), August 2026 monthly release. Figures are as published by CMS and change monthly; ClearPath refreshes automatically. ClearPath Senior Guide is an independent information service, accepts no referral fees or placement incentives from any facility, and does not recommend facilities. Verify current details with the facility.