SMITH RANCH SKILLED NURSING & REHABILITATION CENTE — Nursing Home in SAN RAFAEL, CA
CMS Five-Star Rating
Based on health inspections, staffing, and quality measures
Facility Overview
| Certified Beds | 80 |
|---|---|
| Average Residents/Day | 70.1 |
| CMS Certification Number | 555595 |
Staffing Levels
Hours Per Resident Day (HPRD)
| Total Nurse Staffing | 4.69 HPRD |
|---|---|
| RN Staffing | 0.43 HPRD |
Health Inspection Findings & Deficiencies
SMITH RANCH SKILLED NURSING & REHABILITATION CENTE had 9 health inspection deficiencies on its most recent inspection (February 12, 2026).
Inspection Findings — February 12, 2026
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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. (Level E)Corrected — February 24, 2026
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PASARR screening for Mental disorders or Intellectual Disabilities (Level D)Corrected — February 24, 2026
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Ensure services provided by the nursing facility meet professional standards of quality. (Level E)Corrected — February 24, 2026
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Provide appropriate treatment and care according to orders, resident’s preferences and goals. (Level D)Corrected — February 24, 2026
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Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (Level D)Corrected — February 24, 2026
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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. (Level D)Corrected — February 24, 2026
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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Level E)Corrected — February 24, 2026
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Keep all essential equipment working safely. (Level E)Corrected — February 24, 2026
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Provide and implement an infection prevention and control program. (Level D)Corrected — February 24, 2026
Smith Ranch Skilled Nursing & Rehabilitation Cente is a 80-bed nursing home in San Rafael, California. It holds a 3-star CMS overall rating. Total nurse staffing is 4.7 hours per resident day, above the California average of 4.5. Its most recent inspection, in February 2026, cited 9 deficiencies, none of them severe.
Nursing coverage appears stronger than typical for the state, which can help with day-to-day care and responsiveness. However, the facility had several non-severe inspection citations touching on the environment, care delivery, and pharmacy practices, so it would be reasonable to ask how those issues have been addressed and what changes were put in place to prevent recurrence.
Frequently Asked Questions
Is SMITH RANCH SKILLED NURSING & REHABILITATION CENTE Medicare and Medicaid certified?
SMITH RANCH SKILLED NURSING & REHABILITATION CENTE is Medicare certified and Medicaid certified according to CMS data.
What is SMITH RANCH SKILLED NURSING & REHABILITATION CENTE's CMS star rating?
SMITH RANCH SKILLED NURSING & REHABILITATION CENTE has an overall CMS rating of 3 out of 5 stars.
How is staffing at SMITH RANCH SKILLED NURSING & REHABILITATION CENTE?
SMITH RANCH SKILLED NURSING & REHABILITATION CENTE reports 4.69383 total nurse hours per resident day.
Has SMITH RANCH SKILLED NURSING & REHABILITATION CENTE had health inspection deficiencies?
On its most recent inspection, SMITH RANCH SKILLED NURSING & REHABILITATION CENTE had 9 total deficiencies, including 0 classified as severe.
How many beds does SMITH RANCH SKILLED NURSING & REHABILITATION CENTE have?
SMITH RANCH SKILLED NURSING & REHABILITATION CENTE has 80 certified beds.
Nearby Nursing Homes
- PROFESSIONAL POST ACUTE CENTER — 2/5 — 0.8 mi
- PINE RIDGE CARE CENTER — 5/5 — 0.8 mi
- NORTHGATE POSTACUTE CARE — 2/5 — 0.8 mi
- MARIN POST ACUTE — 3/5 — 1.3 mi
- Villa Marin — 5/5 — 1.6 mi
- SAN RAFAEL HEALTHCARE & WELLNESS CENTER, LP — 2/5 — 3.1 mi
Data Source
This information is sourced from official CMS (Centers for Medicare & Medicaid Services) public datasets.
CMS Provider Information updated May 1, 2026.
CMS Survey Summary updated May 1, 2026.
CMS Health Deficiencies updated May 1, 2026.
CareQED last updated June 22, 2026.