73.8/100
Above average
1550 Silveira Parkway, San Rafael, CA 94903
These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.
2 citation(s) involving actual harm or immediate jeopardy
Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.
Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.
Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.
Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.
How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.
The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.
Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.
Hours of nursing care each resident receives per day. The marker on each bar is the national average.
RNs are the licence level most likely to catch a resident deteriorating.
The shift most families visit, and the one thinned first.
The share of nursing staff who left over the last year.
Last standard health inspection: February 12, 2026 (6 months ago).
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
No actual harm, potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
No actual harm, potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
No actual harm, potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
No actual harm, potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
No actual harm, potential for more than minimal harm
Resident Rights Deficiencies
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.
No actual harm, potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
No actual harm, potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
No actual harm, potential for more than minimal harm
Part of GENERATIONS HEALTHCARE, which operates 27 homes. Staffing budgets are usually set at chain level, not in the building.
| Owner | Type | Role | Since |
|---|---|---|---|
| MASTROCOLA, LOIS | Individual | INDIRECT OWNERSHIP INTEREST | — |
| OLDS, THOMAS | Individual | INDIRECT OWNERSHIP INTEREST | — |
| SMITH, FRED | Individual | INDIRECT OWNERSHIP INTEREST | — |
| BMO BANK NATIONAL ASSOCIATION | Organization | 5% OR GREATER SECURITY INTEREST | — |
| BMO BANK NATIONAL ASSOCIATION | Organization | OPERATIONAL/MANAGERIAL CONTROL | — |
| LIFE GENERATIONS HEALTHCARE, LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — |
| THERAGEN, LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — |
| AMILCAR, ALBERTA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| ARGUEL, ANGELO CLYDE | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| COLEMAN, KELSEY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| DALY, MEGAN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| DEGUZMAN, DINA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
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Smith Ranch Skilled Nursing & Rehabilitation Cente holds an ElderGrade of B (73.8 out of 100), which we describe as "above average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.
Residents receive an average of 4.19 nursing hours per day across all nursing staff, against a national average of 3.86 hours.
Yes. 2 of the 49 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.
Yes, Smith Ranch Skilled Nursing & Rehabilitation Cente is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.