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Data / Nursing homes / California / Smith Ranch Skilled Nursing & Rehabilitation Cente

Smith Ranch Skilled Nursing & Rehabilitation Cente, San Rafael, CA: 3 star rating, no fines

Smith Ranch Skilled Nursing & Rehabilitation Cente in San Rafael, CA is owned by 3 individuals whom CMS lists (names not shown), is rated 3 of 5 stars by Medicare, and had no fines in the three years to October 1, 2026. CMS lists 31 health citations from inspections in that time, the latest survey on June 9, 2026, and none of them found actual harm or immediate jeopardy.

SpecStream is the live web data engine for teams and agents. It reads the CMS nursing home files every month, and this page is that reading, joined on the CMS Certification Number. Ask for the nursing homes you track by state, owner or rating and new inspection citations and fines arrive in your sheet, CRM, Slack or agent as CMS publishes them.

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Address
1550 Silveira Parkway, San Rafael, CA 94903
Overall rating
3 of 5 stars
Health inspection rating
2 of 5
Staffing rating
2 of 5
Quality measure rating
5 of 5
Certified beds
80
Residents per day
73 on average
Ownership type
For profit, limited liability company
Legal business name
GHC of San Rafael, LLC
Chain
Generations Healthcare, 27 facilities
Fines
$0 across 0 fines, three years to October 1, 2026
Payment denials
0
Health citations
31, of which 0 with actual harm or immediate jeopardy
Latest survey
June 9, 2026
CMS Certification Number
555595
On Care Compare
Medicare Care Compare

Recent health citations

Citations from health inspections, newest first.

Survey dateTagWhat CMS citedScope and severityStatusCorrected onSource
June 9, 2026F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 16, 2026data.cms.gov
June 9, 2026F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 16, 2026data.cms.gov
April 15, 2026F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.E: pattern, no actual harm, potential for more than minimal harmCorrectedMay 7, 2026data.cms.gov
April 15, 2026F760Ensure that residents are free from significant medication errors.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 7, 2026data.cms.gov
April 15, 2026F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.E: pattern, no actual harm, potential for more than minimal harmCorrectedMay 7, 2026data.cms.gov
April 15, 2026F658Ensure services provided by the nursing facility meet professional standards of quality.E: pattern, no actual harm, potential for more than minimal harmCorrectedMay 7, 2026data.cms.gov
April 15, 2026F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.E: pattern, no actual harm, potential for more than minimal harmCorrectedMay 7, 2026data.cms.gov
February 12, 2026F908Keep all essential equipment working safely.E: pattern, no actual harm, potential for more than minimal harmCorrectedFebruary 24, 2026data.cms.gov
February 12, 2026F880Provide and implement an infection prevention and control program.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 24, 2026data.cms.gov
February 12, 2026F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E: pattern, no actual harm, potential for more than minimal harmCorrectedFebruary 24, 2026data.cms.gov
February 12, 2026F761Ensure 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 24, 2026data.cms.gov
February 12, 2026F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 24, 2026data.cms.gov
February 12, 2026F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 24, 2026data.cms.gov
February 12, 2026F658Ensure services provided by the nursing facility meet professional standards of quality.E: pattern, no actual harm, potential for more than minimal harmCorrectedFebruary 24, 2026data.cms.gov
February 12, 2026F645PASARR screening for Mental disorders or Intellectual DisabilitiesD: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 24, 2026data.cms.gov
February 12, 2026F584Honor 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedFebruary 24, 2026data.cms.gov
May 16, 2025F865Have a plan that describes the process for conducting QAPI and QAA activities.F: widespread, no actual harm, potential for more than minimal harmCorrectedJune 17, 2025data.cms.gov
May 16, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F: widespread, no actual harm, potential for more than minimal harmCorrectedJune 17, 2025data.cms.gov
May 16, 2025F761Ensure 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 17, 2025data.cms.gov
May 16, 2025F759Ensure medication error rates are not 5 percent or greater.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 17, 2025data.cms.gov
May 16, 2025F693Ensure 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 17, 2025data.cms.gov
May 16, 2025F692Provide enough food/fluids to maintain a resident's health.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 17, 2025data.cms.gov
May 16, 2025F688Provide 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedJune 17, 2025data.cms.gov
May 16, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 17, 2025data.cms.gov
May 16, 2025F658Ensure services provided by the nursing facility meet professional standards of quality.E: pattern, no actual harm, potential for more than minimal harmCorrectedJune 17, 2025data.cms.gov
May 16, 2025F641Ensure each resident receives an accurate assessment.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 17, 2025data.cms.gov
May 16, 2025F584Honor 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 17, 2025data.cms.gov
May 16, 2025F575Post 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.F: widespread, no actual harm, potential for more than minimal harmCorrectedJune 17, 2025data.cms.gov
May 16, 2025F558Reasonably accommodate the needs and preferences of each resident.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 17, 2025data.cms.gov
May 16, 2025F552Ensure that residents are fully informed and understand their health status, care and treatments.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 17, 2025data.cms.gov
April 22, 2025F602Protect each resident from the wrongful use of the resident's belongings or money.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 6, 2025data.cms.gov

Owners and managers

Organizations CMS lists as owners or managers of this facility, as CMS names them. CMS also lists 24 individual or personal trusts (3 owners, 10 managers, 11 other disclosable parties). Their names are not shown on this page.

OrganizationRoleShareSinceSource
Bmo Bank, N.A.Operational or managerial controlNot listedOctober 6, 2021data.cms.gov
Life Generations Healthcare, LLCOperational or managerial controlNot listedJuly 20, 2017data.cms.gov
Theragen, LLCOperational or managerial controlNot listedJuly 20, 2017data.cms.gov
Bmo Bank, N.A.Security interestNot listedOctober 6, 2021data.cms.gov
Bmo Bank, N.A.Additional disclosable partyNot listedOctober 6, 2021data.cms.gov
Life Generations Healthcare, LLCAdditional disclosable partyNot listedJuly 20, 2017data.cms.gov
San Rafael Re, LLCAdditional disclosable partyNot listedJanuary 30, 2026data.cms.gov
Theragen, LLCAdditional disclosable partyNot listedJuly 20, 2017data.cms.gov

Also on SpecStream

Updated November 7, 2026. Read from CMS Provider Data Catalog, nursing homes. Open data from the Centers for Medicare & Medicaid Services (US government work). Fines and citations are as CMS lists them on the date this page was read and can change after an appeal. The CMS files are joined on the CMS Certification Number. CMS gives owners no ID, so an owner page groups facilities by the owner name as CMS spells it. Names of individual owners and managers are not shown. This page uses CMS data and is not endorsed or certified by CMS. Free to reuse with credit to SpecStream under CC BY 4.0. Spot a wrong value? Write to [email protected] with the link to this page.