Smith Ranch Skilled Nursing & Rehabilitation Cente

Nursing Home · San Rafael, CA

CMS overall rating 3/5 For profit - Limited Liability company

CMS certification number555595

Contact & location

1550 Silveira Parkway
San Rafael, CA 94903
Marin County
Phone
(415) 499-1000
ZIP code
94903 – all care providers

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Facility details

Certified beds
80
Residents per day
74.3 (93% occupied)
Ownership
For profit - Limited Liability company
Legal name
GHC of San Rafael, LLC
Chain
Generations Healthcare (27 facilities, avg 4.1★)
Medicare certified since
April 15, 1994
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 3/5
State avg 3.2
Health inspections★★★★★ 2/5
State avg 2.8
Staffing★★★★★ 3/5
State avg 3.3
Quality measures★★★★★ 5/5
State avg 4.1
Long-stay quality★★★★★ 5/5
Short-stay quality★★★★★ 5/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
4.19 (state 4.52 · U.S. 3.86)
Registered nurses (RN)
0.42 (state 0.67 · U.S. 0.69)
Licensed practical nurses
1.28 (state 1.20 · U.S. 0.86)
Nurse aides
2.49 (state 2.65 · U.S. 2.32)
Weekend total
3.75 (state 4.09 · U.S. 3.42)
Nursing staff turnover
32.5 (state 36.7 · U.S. 45.8)%
RN turnover
12.5 (state 38.1 · U.S. 42.9)%
Administrators who left
0 in the last year

Inspections

Last standard inspection
February 12, 2026
Health deficiencies (last cycle)
16.0 (state 15.7 · U.S. 9.3)
From complaints
7
Citations on record (3 years)
45 health · 20 fire safety
DateCitationSeverityStatus
2026-06-09 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-06-16
2026-06-09 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-06-16
2026-04-15 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
F0657 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-05-07
2026-04-15 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-05-07
2026-04-15 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-05-07
2026-04-15 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F0842 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-05-07
2026-04-15 Ensure that residents are free from significant medication errors.
F0760 · Pharmacy Service Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-05-07
2026-02-12 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.
F0584 · Resident Rights Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-02-24
2026-02-12 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-02-24
2026-02-12 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-02-24
2026-02-12 Keep all essential equipment working safely.
F0908 · Environmental Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-02-24
2026-02-12 PASARR screening for Mental disorders or Intellectual Disabilities
F0645 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-02-24
2026-02-12 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-02-24
2026-02-12 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-02-24
2026-02-12 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.
F0761 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-02-24
2026-02-12 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-02-24
2025-05-16 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.
F0575 · Resident Rights Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2025-06-17
2025-05-16 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2025-06-17
2025-05-16 Have a plan that describes the process for conducting QAPI and QAA activities.
F0865 · Administration Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2025-06-17
2025-05-16 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-06-17
2025-05-16 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.
F0688 · Quality of Life and Care Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-06-17
2025-05-16 Ensure that residents are fully informed and understand their health status, care and treatments.
F0552 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-06-17
2025-05-16 Reasonably accommodate the needs and preferences of each resident.
F0558 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-06-17
2025-05-16 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.
F0584 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-06-17
2025-05-16 Ensure each resident receives an accurate assessment.
F0641 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-06-17
2025-05-16 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-06-17
2025-05-16 Provide enough food/fluids to maintain a resident's health.
F0692 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-06-17
2025-05-16 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.
F0693 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-06-17
2025-05-16 Ensure medication error rates are not 5 percent or greater.
F0759 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-06-17
2025-05-16 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.
F0761 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-06-17
2025-04-22 Protect each resident from the wrongful use of the resident's belongings or money.
F0602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-05-06
2023-08-22 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2023-09-16
2023-08-22 Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
F0577 · Resident Rights Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-09-16
2023-08-22 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.
F0625 · Resident Rights Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-09-16
2023-08-22 Ensure each resident receives an accurate assessment.
F0641 · Resident Assessment and Care Planning Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-09-16
2023-08-22 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-09-16
2023-08-22 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-09-16
2023-08-22 Provide activities to meet all resident's needs.
F0679 · Quality of Life and Care Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-09-16
2023-08-22 Ensure medication error rates are not 5 percent or greater.
F0759 · Pharmacy Service Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-09-16
2023-08-22 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-09-16
2023-08-22 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-09-16
2023-08-22 Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
F0676 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-09-16
2023-08-22 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-09-16
2023-08-22 Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-09-16
2023-08-22 Ensure that residents are free from significant medication errors.
F0760 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-09-16

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

No federal fines or payment denials in the last three years.

Ownership & management

NameRoleSince
Bmo Bank National Association (organization)5%+ Security Interest · NOT APPLICABLE
Amilcar, Alberta (individual)Administrator · NOT APPLICABLE
Arguel, Angelo Clyde (individual)Administrator · NOT APPLICABLE
Bmo Bank National Association (organization)Administrator · NOT APPLICABLE
Coleman, Kelsey (individual)Administrator · NOT APPLICABLE
Daly, Megan (individual)Administrator · NOT APPLICABLE
Deguzman, Dina (individual)Administrator · NOT APPLICABLE
Gutierrez, Jesus (individual)Administrator · NOT APPLICABLE
Life Generations Healthcare, LLC (organization)Administrator · NOT APPLICABLE
Mastrocola, Lois (individual)Administrator · NOT APPLICABLE
Nain, Kabir (individual)Administrator · NOT APPLICABLE
Niaki, Michael (individual)Administrator · NOT APPLICABLE
Olds, Thomas (individual)Administrator · NOT APPLICABLE
San Rafael Re, LLC (organization)Administrator · NOT APPLICABLE
Smith, Fred (individual)Administrator · NOT APPLICABLE
Theragen, LLC (organization)Administrator · NOT APPLICABLE
Mastrocola, Lois (individual)Indirect Ownership Interest · NOT APPLICABLE
Olds, Thomas (individual)Indirect Ownership Interest · NOT APPLICABLE
Smith, Fred (individual)Indirect Ownership Interest · NOT APPLICABLE
Amilcar, Alberta (individual)Operational/managerial Control · NOT APPLICABLE
Arguel, Angelo Clyde (individual)Operational/managerial Control · NOT APPLICABLE
Bmo Bank National Association (organization)Operational/managerial Control · NOT APPLICABLE
Coleman, Kelsey (individual)Operational/managerial Control · NOT APPLICABLE
Daly, Megan (individual)Operational/managerial Control · NOT APPLICABLE
Deguzman, Dina (individual)Operational/managerial Control · NOT APPLICABLE
Gutierrez, Jesus (individual)Operational/managerial Control · NOT APPLICABLE
Life Generations Healthcare, LLC (organization)Operational/managerial Control · NOT APPLICABLE
Mastrocola, Lois (individual)Operational/managerial Control · NOT APPLICABLE
Nain, Kabir (individual)Operational/managerial Control · NOT APPLICABLE
Niaki, Michael (individual)Operational/managerial Control · NOT APPLICABLE
Olds, Thomas (individual)Operational/managerial Control · NOT APPLICABLE
Theragen, LLC (organization)Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of Smith Ranch Skilled Nursing & Rehabilitation Cente?

Smith Ranch Skilled Nursing & Rehabilitation Cente has a 3-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.2-star average in California.

How many beds does Smith Ranch Skilled Nursing & Rehabilitation Cente have?

It has 80 certified beds and cares for about 74 residents per day.

Has Smith Ranch Skilled Nursing & Rehabilitation Cente been fined?

CMS lists no federal fines or payment denials in the last three years.

Who owns Smith Ranch Skilled Nursing & Rehabilitation Cente?

It is part of Generations Healthcare and is classified as for profit - limited liability company. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of Smith Ranch Skilled Nursing & Rehabilitation Cente?

(415) 499-1000. The facility is located at 1550 Silveira Parkway, San Rafael, CA 94903.

Other nursing homes in San Rafael

Compare all nursing homes in San Rafael, CA →

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.