Skilled Nursing

SMITH RANCH SKILLED NURSING & REHABILITATION CENTE

1550 SILVEIRA PARKWAY, SAN RAFAEL, CA 94903

80beds
Skilled Nursingcare types
4/5CMS rating
Updated2026

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Inspection & Compliance

Data from CMS (Centers for Medicare & Medicaid Services), updated weekly. Medicare.gov Care Compare

4.1h

Hrs/resident · weekday

Expected: 3.7h

3.3h

Hrs/resident · weekend

vs 4.1h on weekdays

Lower weekend staffing is common — large gaps may indicate residents receive less attention on weekends.

Not reported

30-day hospital readmission rate

Annual Staff Turnover Rates

High turnover is one of the strongest predictors of care quality. National average CNA turnover is ~75%.

RNs
25%
LPNs
CNAs
33%

Administrator turnover: 0 in the past year

Health Inspection Deficiencies · Last 3 Years

49 standard deficiencies in the last 3 years

View all
0842Severity EApr 15, 2026

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

0760Severity DApr 15, 2026

Ensure that residents are free from significant medication errors.

0684Severity EApr 15, 2026

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

0658Severity EApr 15, 2026

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

0657Severity EApr 15, 2026

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

0908Severity EFeb 12, 2026

Keep all essential equipment working safely.

0880Severity DFeb 12, 2026

Provide and implement an infection prevention and control program.

0812Severity EFeb 12, 2026

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

0761Severity DFeb 12, 2026

Ensure 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.

0755Severity DFeb 12, 2026

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0684Severity DFeb 12, 2026

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

0658Severity EFeb 12, 2026

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

0645Severity DFeb 12, 2026

PASARR screening for Mental disorders or Intellectual Disabilities

0584Severity EFeb 12, 2026

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.

0865Severity FMay 16, 2025

Have a plan that describes the process for conducting QAPI and QAA activities.

0812Severity FMay 16, 2025

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

0761Severity DMay 16, 2025

Ensure 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.

0759Severity DMay 16, 2025

Ensure medication error rates are not 5 percent or greater.

0693Severity DMay 16, 2025

Ensure 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.

0692Severity DMay 16, 2025

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

0688Severity EMay 16, 2025

Provide 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.

0686Severity DMay 16, 2025

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

0658Severity EMay 16, 2025

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

0641Severity DMay 16, 2025

Ensure each resident receives an accurate assessment.

0584Severity DMay 16, 2025

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.

0575Severity FMay 16, 2025

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.

0558Severity DMay 16, 2025

Reasonably accommodate the needs and preferences of each resident.

0552Severity DMay 16, 2025

Ensure that residents are fully informed and understand their health status, care and treatments.

0602Severity DApr 22, 2025

Protect each resident from the wrongful use of the resident's belongings or money.

0880Severity EAug 22, 2023

Provide and implement an infection prevention and control program.

0812Severity FAug 22, 2023

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

0760Severity DAug 22, 2023

Ensure that residents are free from significant medication errors.

0759Severity EAug 22, 2023

Ensure medication error rates are not 5 percent or greater.

0695Severity DAug 22, 2023

Provide safe and appropriate respiratory care for a resident when needed.

0686Severity DAug 22, 2023

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

0679Severity EAug 22, 2023

Provide activities to meet all resident's needs.

0677Severity EAug 22, 2023

Provide care and assistance to perform activities of daily living for any resident who is unable.

0676Severity DAug 22, 2023

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

0658Severity DAug 22, 2023

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

0656Severity EAug 22, 2023

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0641Severity EAug 22, 2023

Ensure each resident receives an accurate assessment.

0625Severity EAug 22, 2023

Notify 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.

0577Severity EAug 22, 2023

Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

0755Severity EJul 5, 2023

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0692Severity GJul 5, 2023

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

0688Severity EJul 5, 2023

Provide 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.

0686Severity GJul 5, 2023

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

0641Severity DJul 5, 2023

Ensure each resident receives an accurate assessment.

0604Severity DJul 5, 2023

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

View full inspection history on Medicare.gov

Civil Monetary Penalties

No civil monetary penalties on record.

Nearby Hospitals

No hospitals found within 10 miles.

Proximity to emergency care is especially important for medically complex residents.

Ownership

GHC OF SAN RAFAEL, LLC· For profit - Limited Liability company

Data updated weekly from CMS. Last sync: Jun 26, 2026. Medicare.gov Care Compare →

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Data sourced from the Centers for Medicare & Medicaid Services and state licensing agencies. ← Back to search

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