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Skilled NursingCMS verified

Smith Ranch Skilled Nursing & Rehabilitation Cente

1550 Silveira Parkway, San Rafael, CA 94903 · Marin County

3.0CMS overall rating(415) 499-1000Visit website ↗
62
Good
Haven Scout Score
Our composite of CMS ratings, staffing, and safety. This community rates good.
Smith Ranch Skilled Nursing & Rehabilitation Cente photo 1Smith Ranch Skilled Nursing & Rehabilitation Cente photo 2Smith Ranch Skilled Nursing & Rehabilitation Cente photo 3Smith Ranch Skilled Nursing & Rehabilitation Cente photo 4Smith Ranch Skilled Nursing & Rehabilitation Cente photo 5Smith Ranch Skilled Nursing & Rehabilitation Cente photo 6Smith Ranch Skilled Nursing & Rehabilitation Cente photo 7Smith Ranch Skilled Nursing & Rehabilitation Cente photo 8

Photos via google places, facility website.

Availability outlookFills quickly

Typically 90% full (72 of 80 beds occupied on an average day).

If this community is on your shortlist, checking current openings sooner rather than later genuinely matters here.

Source: federal census data (average daily residents vs. certified beds, CMS Care Compare). Confirm current openings with an advisor — availability changes weekly.

Our evaluation

An honest, data-grounded look at this community — every claim is drawn from public inspection data.

A solid, federally rated skilled nursing option in San Rafael

Smith Ranch Skilled Nursing & Rehabilitation Cente is a for-profit skilled nursing facility in San Rafael, CA, with 80 certified beds and an average of about 72 residents per day. It operates as part of the Generations Healthcare network.

Medicare rates it 3 out of 5 stars overall — right around the national average. Component ratings: 2/5 on health inspections, 3/5 on staffing, 5/5 on quality measures.

Staff provide about 4.54 total nurse hours per resident each day (0.52 of them from registered nurses), above the national benchmark of roughly 3.9 hours. Annual nursing-staff turnover is about 33.3%, better than the ~52% national average — a sign of staffing stability. On the safety record, CMS notes 14 health deficiencies at its most recent standard survey.

Strengths

  • Above-average nurse staffing (4.54 hrs/resident/day)
  • Low staff turnover (continuity of care)
  • No federal fines on record
  • Full sprinkler system
  • Active resident & family council

Things to ask about

  • Below-average health-inspection rating
  • 14 deficiencies at last survey
Best for: Families weighing a dependable, mid-rated skilled nursing option in San Rafael, especially when location or Medicaid acceptance matters.

At a glance

Certified beds
80
Avg. residents/day
72
Ownership
For profit - Limited Liability company
Part of a chain
Generations Healthcare
Continuing care
No
CMS provider #
555595

Federal quality ratings

From the U.S. Centers for Medicare & Medicaid Services (CMS), on a 1–5 star scale.

Overall rating
Health inspections
Staffing
Quality measures

Pricing & cost

We publish transparent estimates and verify exact pricing on request. No surprises.

Level of careMonthly costSource
Skilled Nursing$11,600–$17,440/mo (median $14,030)Local market estimate

2024–2026 published survey medians, state median adjusted to local San Rafael prices (BEA regional price parities). Request a quote for exact pricing. Range spans semi-private to private rooms. How we estimate costs

Request exact pricing for Smith Ranch Skilled Nursing & Rehabilitation Cente

Staffing & care

More nursing time per resident — and lower turnover — generally means more attentive care.

Total nurse hrs / resident / day
4.54
National avg ≈ 3.9
RN hrs / resident / day
0.52
National avg ≈ 0.75
Nursing staff turnover
33.3%
National avg ≈ 52%

Safety & inspection record

Federal inspectors survey nursing homes roughly once a year. Here's the latest on file.

Health deficiencies (last survey)
14
Federal fines
None on record
Total penalties
0
Last standard survey
2026-02-12
Sprinkler system
Yes
Resident & family council
Resident

What inspectors found

The most recent findings from federal health inspections (49 citations on record — showing the latest 8). Every nursing home is inspected roughly once a year; most receive some citations.

2026-04-15Severity E — potential for harmFrom a complaintResident Assessment and Care Planning Deficiencies

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

2026-04-15Severity E — potential for harmFrom a complaintResident Assessment and Care Planning Deficiencies

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

2026-04-15Severity E — potential for harmFrom a complaintQuality of Life and Care Deficiencies

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

2026-04-15Severity E — potential for harmFrom a complaintResident Assessment and Care Planning Deficiencies

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

2026-04-15Severity D — potential for harmFrom a complaintPharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

2026-02-12Severity E — potential for harmResident Rights Deficiencies

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.

2026-02-12Severity E — potential for harmResident Assessment and Care Planning Deficiencies

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

2026-02-12Severity E — potential for harmNutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Severity uses the CMS scope/severity scale: D–F = potential for harm, G–I = actual harm, J–L = immediate jeopardy. Source: CMS Care Compare health citations; data as of the latest federal release. Discuss any finding directly with the community on a tour.

Services & amenities

  • Full automatic sprinkler system
  • Medicare & Medicaid certified
  • 24-hour licensed nursing
  • On-site rehabilitation therapy
  • Rehabilitation services
  • Memory care
  • Respite / short-term stays
  • Restaurant-style dining
  • Daily activities & events

Location

1550 Silveira Parkway, San Rafael, CA

  • Monday: 8:00 AM – 8:00 PM
  • Tuesday: 8:00 AM – 8:00 PM
  • Wednesday: 8:00 AM – 8:00 PM
  • Thursday: 8:00 AM – 8:00 PM
  • Friday: 8:00 AM – 8:00 PM
  • Saturday: 8:00 AM – 8:00 PM
  • Sunday: 8:00 AM – 8:00 PM

Reviews & reputation

We aggregate ratings across Google, Yelp, and verified families — and link back to every source so you can read more.

Verified family reviews

No verified family reviews yet for Smith Ranch Skilled Nursing & Rehabilitation Cente.

Have a loved one here, or recently toured? Help other families by sharing your experience — we verify every review before it's published.

Talk to an advisor about this community

Common questions about Smith Ranch Skilled Nursing & Rehabilitation Cente

How much does Smith Ranch Skilled Nursing & Rehabilitation Cente cost?

Smith Ranch Skilled Nursing & Rehabilitation Cente does not publish exact rates. Comparable skilled nursing in the San Rafael, CA area typically runs $11,600–$17,440 per month (median $14,030, based on published survey medians adjusted for local prices). A Haven advisor can confirm current pricing for free.

What is Smith Ranch Skilled Nursing & Rehabilitation Cente's Medicare rating?

Medicare (CMS) rates Smith Ranch Skilled Nursing & Rehabilitation Cente 3 out of 5 stars overall, including 2/5 for health inspections, 3/5 for staffing, 5/5 for quality measures. The national average is about 3 stars.

How is the staffing at Smith Ranch Skilled Nursing & Rehabilitation Cente?

Staff provide about 4.54 total nurse hours per resident per day (national benchmark ≈ 3.9), and annual nursing-staff turnover is about 33.3% (national average ≈ 52%). These figures are reported to the federal government and updated regularly.

What did inspectors find at Smith Ranch Skilled Nursing & Rehabilitation Cente?

Smith Ranch Skilled Nursing & Rehabilitation Cente has 49 health citations on its recent federal inspection record (last standard survey: 2026-02-12). The full citation-by-citation detail, with severity levels, is published on this page.

Does Smith Ranch Skilled Nursing & Rehabilitation Cente have availability?

Typically 90% full (72 of 80 beds occupied on an average day). Availability changes weekly — a Haven advisor can confirm current openings at no cost.

What types of care does Smith Ranch Skilled Nursing & Rehabilitation Cente offer?

Smith Ranch Skilled Nursing & Rehabilitation Cente in San Rafael, CA offers skilled nursing and is licensed for 80 beds.

The best time to decide is before a crisis decides for you

Most families start this search after a fall, a hospital stay, or a caregiver reaching a breaking point — and end up choosing from whatever has a bed open that week. Families who plan even a few weeks ahead get to choose on quality, fit, and price instead of availability alone.

  • Move-ins take time: assessments, paperwork, and preparation typically run 2–6 weeks in San Rafael.
  • The best communities fill first: top-rated communities often run a waitlist — touring early holds your place in line.
  • Touring costs nothing and commits you to nothing — but it turns a future emergency into a calm, informed choice.

Your next steps — this week

  1. 1
    Confirm the fit
    Check the inspection record and staffing data on this page against your loved one's needs.
  2. 2
    Get exact pricing & availability
    Request current rates for Smith Ranch Skilled Nursing & Rehabilitation Cente — takes one minute, answered same day.
  3. 3
    Tour 2–3 communities
    Compare this community against two alternatives. Ask about staff turnover, all-in monthly cost, and care-plan changes.
  4. 4
    Hold a spot
    Most communities hold a residence with a small refundable deposit while you decide.
Data sources:CMS verifiedGoogle

Last verified 2026-07-06. We refresh inspection data monthly and reviews continuously.

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