About Smith Ranch Skilled Nursing and Rehabilitation Cente
Smith Ranch Skilled Nursing And Rehabilitation Cente, located in SAN RAFAEL, CA, is a for-profit organization that accepts Medicare and Medicaid.
Why Families Choose Smith Ranch Skilled Nursing and Rehabilitation Cente
- High Quality Care: With a 4-star CMS rating, this facility demonstrates high standards.
- More Nursing Time: Staff spends 4.54 hours per resident daily (National Avg: 3.87).
Key Performance Indicators
- CMS Overall Rating 4 Stars
- Nursing Hours 4.54 hrs
- Safety Record Clean
Chain Affiliations & Network
This facility is part of the GENERATIONS HEALTHCARE network. This chain operates 27 facilities.
Chain Performance Overview
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Nursing Staff Analysis
Staffing levels are a critical indicator of quality care. We analyze the daily hours of care provided by Registered Nurses (RNs), Licensed Practical Nurses (LPNs), and Certified Nursing Assistants (CNAs).
Above Average Staffing
Smith Ranch Skilled Nursing and Rehabilitation Cente provides more care hours than the state average and more than the national average.
Registered Nurses (RN)
Licensed Practical Nurses
Certified Assistants
CMS Quality Ratings
| Category | Rating | Stars |
|---|---|---|
| Overall Rating | 4 |
|
| Health Inspection | 3 |
|
| Quality Measures | 5 |
|
| Staffing | 3 |
|
Health Inspection History
| Inspection Cycle | Score | Date |
|---|---|---|
| Cycle 1 (Most Recent) | 52 | Feb 12, 2026 |
| Weighted Average | 82 | Combined Score |
Detailed Quality Measures
Rates are from CMS quality measures (claims-based and MDS-based) for the reporting period ending May 01, 2026. Some measures may be omitted when CMS does not report a numeric rate for this facility.
Medicare claims-based measures
Typically includes short-stay outcomes, hospitalizations, and ED use from Medicare claims.
| Measure | Rate |
|---|---|
| Percentage of short-stay residents who were rehospitalized after a nursi... (QM521) | 22.8% |
| Percentage of short-stay residents who had an outpatient emergency depar... (QM522) | 10.8% |
| Number of hospitalizations per 1000 long-stay resident days (QM551) | 3.6% |
| Number of outpatient emergency department visits per 1000 long-stay resi... (QM552) | 2.8% |
MDS-based measures
Resident assessment data; often used for long-stay care quality.
| Measure | Rate |
|---|---|
| Percentage of long-stay residents whose need for help with daily activit... (QM401) | 5.0% |
| Percentage of long-stay residents who lose too much weight (QM404) | 3.3% |
| Percentage of long-stay residents with a catheter inserted and left in t... (QM406) | 0.4% |
| Percentage of long-stay residents with a urinary tract infection (QM407) | 0.0% |
| Percentage of long-stay residents who have depressive symptoms (QM408) | 2.2% |
| Percentage of long-stay residents who were physically restrained (QM409) | 0.0% |
| Percentage of long-stay residents experiencing one or more falls with ma... (QM410) | 2.6% |
| Percentage of long-stay residents assessed and appropriately given the p... (QM415) | 100.0% |
| Percentage of short-stay residents assessed and appropriately given the... (QM430) | 99.8% |
| Percentage of short-stay residents who newly received an antipsychotic m... (QM434) | 0.7% |
| Percentage of long-stay residents whose ability to walk independently wo... (QM451) | 0.0% |
| Percentage of long-stay residents who received an antianxiety or hypnoti... (QM452) | 13.4% |
| Percentage of long-stay residents assessed and appropriately given the s... (QM454) | 100.0% |
| Percentage of short-stay residents who were assessed and appropriately g... (QM472) | 100.0% |
| Percentage of long-stay residents with pressure ulcers (QM479) | 3.8% |
| Percentage of long-stay residents with new or worsened bowel or bladder... (QM480) | 1.5% |
| Percentage of long-stay residents who received an antipsychotic medicati... (QM481) | 6.2% |
Complaints & Deficiencies
Complaint History by Year
This chart shows the number of complaints filed each year.
Summary:
- 2023: 7 complaints
- 2025: 1 complaint
- Total: 8 complaints on record
Recent Complaints (Since Jan 2023)
| Date | Description |
|---|---|
| May 06, 2025 | Protect each resident from the wrongful use of the resident's belongings or money. |
| Sep 16, 2023 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. |
| Aug 04, 2023 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. |
| Aug 04, 2023 | Provide enough food/fluids to maintain a resident's health. |
| Aug 04, 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. |
| Aug 04, 2023 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. |
| Aug 04, 2023 | Ensure each resident receives an accurate assessment. |
| Aug 04, 2023 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. |
Nearby Hospitals
HIGHLAND HOSPITAL
OAKLAND, CA
AHMC SETON MEDICAL CENTER
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SONOMA VALLEY HOSPITAL
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CHINESE HOSPITAL
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ZUCKERBERG SAN FRANCISCO GENERAL HOSP & TRAUMA CTR
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KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND
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KAISER FOUNDATION HOSPITAL AND REHAB CENTER
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KAISER FOUNDATION HOSPITAL - SAN LEANDRO
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SUTTER SOLANO MEDICAL CENTER
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UCSF HEALTH SAINT FRANCIS HOSPITAL
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ALTA BATES SUMMIT MEDICAL CENTER - ALTA BATES CAMP
BERKELEY, CA
KAISER FOUNDATION HOSPITAL - SOUTH SAN FRANCISCO
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UCSF MEDICAL CENTER
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PETALUMA VALLEY HOSPITAL
PETALUMA, CA
ALAMEDA HOSPITAL
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EDEN MEDICAL CENTER
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UCSF HEALTH ST. MARY'S HOSPITAL
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CALIFORNIA PACIFIC MEDICAL CENTER - MISSION BERNAL
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KAISER FOUNDATION HOSPITAL - SAN FRANCISCO
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Owner & Operator Information
Business Entity
GHC OF SAN RAFAEL, LLC
Ownership Structure
Management & Direction
- ALBERTA AMILCAR ADP OF THE SNF
- ALBERTA AMILCAR OPERATIONAL/MANAGERIAL CONTROL
- ANGELO CLYDE ARGUEL OPERATIONAL/MANAGERIAL CONTROL
- ANGELO CLYDE ARGUEL ADP OF THE SNF
- BMO BANK NATIONAL ASSOCIATION ADP OF THE SNF
- BMO BANK NATIONAL ASSOCIATION OPERATIONAL/MANAGERIAL CONTROL
- KELSEY COLEMAN ADP OF THE SNF
- KELSEY COLEMAN OPERATIONAL/MANAGERIAL CONTROL
- MEGAN DALY ADP OF THE SNF
- MEGAN DALY OPERATIONAL/MANAGERIAL CONTROL
- DINA DEGUZMAN ADP OF THE SNF
- DINA DEGUZMAN OPERATIONAL/MANAGERIAL CONTROL
- JESUS GUTIERREZ OPERATIONAL/MANAGERIAL CONTROL
- JESUS GUTIERREZ ADP OF THE SNF
- LIFE GENERATIONS HEALTHCARE LLC OPERATIONAL/MANAGERIAL CONTROL
- LIFE GENERATIONS HEALTHCARE LLC ADP OF THE SNF
- LOIS MASTROCOLA ADP OF THE SNF
- LOIS MASTROCOLA OPERATIONAL/MANAGERIAL CONTROL
- KABIR NAIN ADP OF THE SNF
- KABIR NAIN OPERATIONAL/MANAGERIAL CONTROL
- MICHAEL NIAKI OPERATIONAL/MANAGERIAL CONTROL
- MICHAEL NIAKI ADP OF THE SNF
- THOMAS OLDS ADP OF THE SNF
- THOMAS OLDS OPERATIONAL/MANAGERIAL CONTROL
- SAN RAFAEL RE LLC ADP OF THE SNF
- FRED SMITH ADP OF THE SNF
- THERAGEN LLC ADP OF THE SNF
- THERAGEN LLC OPERATIONAL/MANAGERIAL CONTROL
Associated Doctors
Local Comparison
| Facility | Distance | Rating |
|---|---|---|
| Morton Bakar Center | N/A | 5 |
| Hayes Convalescent Hospital | N/A | 5 |
| Zuckerberg San Francisco General Hosp and Trauma Snf | N/A | 5 |
| California Pacific Medical Ctr- Davies Campus Hosp | N/A | 5 |
| Washington Center | N/A | 5 |
| Bellaken Skilled Nursing Center | N/A | 5 |
| Excell Health Care Center | N/A | 5 |
| Marina Garden Nursing Center | N/A | 5 |
| St Anthony Care Center | N/A | 5 |
| St Francis Healthcare Center | N/A | 5 |
Related Analysis
Best Nursing Homes in SAN RAFAEL, CA
Compare Smith Ranch Skilled Nursing and Rehabilitation Cente to the top-rated facilities in the area.
Ownership Details
Complete list of registered owners, including direct and indirect ownership.
Noted Deficiencies
Detailed history of deficiencies with descriptions and correction dates.
Nursing Hours Analysis
Detailed breakdown of staffing hours per resident by role.
Frequently Asked Questions
- Skilled Nursing Care: 24/7 medical supervision and complex medical treatments
- Long-term Residential Care: Assistance with daily living activities for extended stays
- Short-term Rehabilitation: Recovery services after hospital stays or surgeries
- Memory Care: Specialized programs for residents with dementia and Alzheimer's disease
- Level of care needed (skilled nursing vs. long-term care)
- Room type (private vs. semi-private)
- Insurance coverage (Medicare, Medicaid, private insurance)
- Length of stay and specific services required
For current rates and to discuss payment options, contact Smith Ranch Skilled Nursing and Rehabilitation Cente directly at 4154991000. Their admissions team can help determine coverage and out-of-pocket expenses.
Environment & Cleanliness
- Overall cleanliness and odors
- Resident room conditions
- Common area maintenance
- Safety features and accessibility
Staff & Care Quality
- Staff-to-resident ratios
- How staff interact with residents
- Response time to resident needs
- Staff knowledge and professionalism
Ask to speak with current residents and their families, tour at different times of day, and review the facility's most recent inspection reports.