Smith Ranch Skilled Nursing & Rehabilitation Cente
Nursing home in San Rafael, California, CMS certification number 555595
1550 Silveira Parkway, San Rafael, CA 94903 · Marin County
- CMS overall rating
- 3 of 5 stars
- Certified beds
- 80
- Certified for
- Medicare and Medicaid
- Last standard inspection
- February 12, 2026
- Deficiencies at that inspection
- 16
- Fines in 3 years
- No fines
Does Smith Ranch Skilled Nursing & Rehabilitation Cente take Medicare and Medicaid?
Yes to both. Smith Ranch Skilled Nursing & Rehabilitation Cente is certified for Medicare and Medicaid. Medicare can pay for a short skilled stay after a qualifying hospital stay; Medicaid can pay for long-term care once you qualify.
Certification isn't a promise of an open bed. Ask how many Medicaid beds it has free and whether it keeps residents who move from Medicare to Medicaid. Our guide explains what Medicare pays for.
CMS star ratings
CMS rates every certified nursing home from 1 to 5 stars. The overall rating starts from health inspections, then moves up or down for staffing and quality. These come from the CMS Provider Information, October 2026 release.
| Measure | CMS stars |
|---|---|
| Overall | 3 of 5 |
| Health inspections | 2 of 5 |
| Staffing | 2 of 5 |
| Quality of resident care | 5 of 5 |
| Long-stay quality | 5 of 5 |
| Short-stay quality | 5 of 5 |
Nurse staffing hours and turnover
These are the hours Smith Ranch Skilled Nursing & Rehabilitation Cente reported to CMS, split across residents and days. More hours per resident usually means more hands at the bedside.
- Total nurse hours per resident per day
- 4.12
- Registered nurse hours
- 0.34
- Licensed practical nurse hours
- 1.25
- Nurse aide hours
- 2.53
- Weekend total hours
- 3.76
- Nursing staff turnover
- 38.3%
- Registered nurse turnover
- 50%
- Administrators who left
- 1
Health inspections and complaints
Inspectors last made a standard visit on February 12, 2026 and cited 16 deficiencies, plus 7 from complaint visits.
The visit before, on May 16, 2025, found 14.
Read every citation on the CMS Care Compare page.
Fines and payment denials
CMS lists no fines for Smith Ranch Skilled Nursing & Rehabilitation Cente in the past 3 years.
Beds and residents
On an average day 73.4 residents live here, about 92% of its 80 certified beds.
- Certified beds
- 80
- Average residents per day
- 73.4
- Certified since
- April 15, 1994
- Resident or family council
- Resident
Who owns Smith Ranch Skilled Nursing & Rehabilitation Cente
- Legal business name
- GHC of San Rafael, LLC
- Ownership type
- For profit - Limited Liability company
- Chain
- 27 homes nationally under Generations Healthcare, 4.1-star chain average
Other nursing homes near Smith Ranch Skilled Nursing & Rehabilitation Cente
- Professional Post Acute Center81 Professional Center Parkway, San Rafael 94903
- Pine Ridge Care Center45 Professional Center Pkwy, San Rafael 94903
- Northgate Postacute Care40 Professional Center Parkway, San Rafael 94903
- Marin Post Acute234 N. San Pedro Rd, San Rafael 94903
- Villa Marin100 Thorndale Drive, San Rafael 94903
See also all nursing homes in San Rafael.
Who inspects nursing homes in California
California's state survey agency licenses nursing homes and carries out the federal inspections for CMS. A home must keep its state licence and meet the federal rules to take Medicare or Medicaid.
Compare all nursing homes in California, the 7 in San Rafael, or see how assisted living and nursing homes differ.
Is this your facility?
If you run Smith Ranch Skilled Nursing & Rehabilitation Cente, email contact@assistedlivingaccess.com from your work address. We can add your own rates, photos and contact details next to the state record, or take the listing down.
Questions about Smith Ranch Skilled Nursing & Rehabilitation Cente
What is the CMS star rating of Smith Ranch Skilled Nursing & Rehabilitation Cente?
3 out of 5 stars overall.
Does Smith Ranch Skilled Nursing & Rehabilitation Cente accept Medicaid?
Yes, it is Medicaid certified.
What did inspectors find at Smith Ranch Skilled Nursing & Rehabilitation Cente?
16 cited at the last standard visit.
Who owns Smith Ranch Skilled Nursing & Rehabilitation Cente?
GHC of San Rafael, LLC, for profit - limited liability company.
From the federal record: CMS Care Compare and the CMS Provider Information dataset, October 2026 release.