Nursing home / skilled nursing
Smith Ranch Skilled Nursing & Rehabilitation Cente
Nursing home / skilled nursing in San Rafael, California
Checked October 31, 2026
| Provider details |
|---|
| Address | 1550 SILVEIRA PARKWAY |
| City | San Rafael |
| State | California |
| ZIP code | 94903 |
| County | Marin |
| Phone | 415-499-1000 |
| CMS certification number (CCN) | 555595 |
| Ownership | For profit - Limited Liability company |
| Certified beds | 80 |
| Certification | Medicare and Medicaid |
| First approved for Medicare/Medicaid | April 15, 1994 |
| Located in a hospital | N |
| Continuing care retirement community | N |
| Care types | skilled nursing, rehab services |
| Services offered | skilled nursing care, rehabilitation services |
Smith Ranch Skilled Nursing & Rehabilitation Cente is in 1550 SILVEIRA PARKWAY, San Rafael, CA 94903. Phone: 415-499-1000. Ownership: For profit - Limited Liability company. CMS rates it 3 out of 5 stars overall (health inspection 2, staffing 2, quality measures 5). CMS inspection and staffing detail: total weighted health survey score 98.000; 0 federal fines totaling $0.00; total nursing staff turnover 38.3%.
Quality measures
Source: CMS · CMS processing date: 2026-10-01
| Star ratings and staffing hours |
|---|
| Overall rating | 3 of 5 |
| Health inspection rating | 2 of 5 |
| Staffing rating | 2 of 5 |
| Quality measure rating | 5 of 5 |
| Long-stay quality rating | 5 of 5 |
| Short-stay quality rating | 5 of 5 |
| RN staffing hours per resident per day | 0.34 |
| Total nurse staffing hours per resident per day | 4.12 |
Inspection results
| Source: CMS · processing date 2026-10-01 |
|---|
| Rating Cycle 1 Total Health Score | 96 |
| Total Weighted Health Survey Score | 98.000 |
| Rating Cycle 2/3 Total Health Score | 104 |
| Rating Cycle 1 Health Deficiency Score | 96 |
| Rating Cycle 2/3 Health Deficiency Score | 104 |
| Rating Cycle 1 Standard Survey Health Date | 2026-02-12 |
| Rating Cycle 1 Total Number of Health Deficiencies | 16 |
| Rating Cycle 2/3 Total Number of Health Deficiencies | 15 |
| Rating Cycle 1 Number of Standard Health Deficiencies | 9 |
| Rating Cycle 1 Number of Complaint Health Deficiencies | 7 |
| Rating Cycle 2/3 Number of Complaint Health Deficiencies | 1 |
Staffing
| Source: CMS · processing date 2026-10-01 |
|---|
| Nursing Case-Mix Index | 1.70145 |
| Registered Nurse turnover | 50.0 |
| Nursing Case-Mix Index Ratio | 1.20649 |
| Total nursing staff turnover | 38.3 |
| Reported LPN Staffing Hours per Resident per Day | 1.25179 |
| Reported Licensed Staffing Hours per Resident per Day | 1.59082 |
| Number of administrators who have left the nursing home | 1 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 2.53335 |
| Registered Nurse hours per resident per day on the weekend | 0.18854 |
| Total number of nurse staff hours per resident per day on the weekend | 3.76413 |
Penalties
| Source: CMS · processing date 2026-10-01 |
|---|
| Number of Fines | 0 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 0 |
| Total Amount of Fines in Dollars | 0.00 |
Ownership
| Source: CMS · processing date 2026-10-01 |
|---|
| Chain ID | 236 |
| Chain Name | GENERATIONS HEALTHCARE |
| Legal Business Name | GHC OF SAN RAFAEL, LLC |
| Chain Average QM Rating | 4.7 |
| Chain Average Staffing Rating | 3.9 |
| Number of Facilities in Chain | 27 |
| Chain Average Overall 5-star Rating | 4.1 |
| Chain Average Health Inspection Rating | 3.6 |
| Provider Changed Ownership in Last 12 Months | N |
Occupancy and payer mix
| Source: CMS · processing date 2026-10-01 |
|---|
| Abuse Icon | N |
| High Performing Icon | N |
| With a Resident and Family Council | Resident |
| Average Number of Residents per Day | 73.4 |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Most Recent Health Inspection More Than 2 Years Ago | N |
