Smith Ranch Skilled Nursing & Rehabilitation Cente
San Rafael, CA · Medicare and Medicaid-certified nursing home (CCN 555595) · 80 certified beds
Health inspection: 2 · Quality measures: 5 · Staffing: 3
Federal fines: none on current record
Phone: (415) 499-1000 · Verify on Medicare Care Compare ↗
Smith Ranch Skilled Nursing & Rehabilitation Center holds a CMS overall rating of 3 stars, which is at the California state average of 3.16 stars. Its health inspection rating is 2 stars and its staffing rating is 3 stars.
Smith Ranch reports total nurse staffing of about 4.19 hours per resident per day, including 0.42 RN hours per resident per day, with a staffing star rating of 3. Nursing staff turnover is reported at 32.5% by CMS.
Smith Ranch has no federal fines on record, with 0 fines totaling $0.00 and 0 payment denials reported by CMS. No abuse icon or Special Focus Facility status is indicated in the CMS data for this facility.
About this facility
Smith Ranch Skilled Nursing & Rehabilitation Center is a Medicare- and Medicaid-certified nursing home in San Rafael, Marin County, California, first approved for certification on April 15, 1994. The facility is certified for 80 beds and reports an average of 74.3 residents. It operates as a for-profit limited liability company and is part of the Generations Healthcare chain, which includes 27 facilities with an average CMS rating of 4.1 stars.
According to CMS Care Compare, Smith Ranch holds an overall rating of 3 stars, which is at the California state average of 3.16 stars. Its four component ratings break down as follows: health inspection rating of 2 stars, quality measure (QM) rating of 5 stars, and staffing rating of 3 stars.
CMS-reported nurse staffing levels show total nurse hours of 4.19 hours per resident per day, including 0.42 RN hours per resident per day. Nursing staff turnover is reported at 32.5%.
On the penalty record, CMS lists 0 fines totaling $0.00 and 0 payment denials for this facility — no federal fines on record. There is no abuse icon indicated in the data provided, and no Special Focus Facility status is listed for this facility. Ownership has not changed in the past 12 months, so current ratings reflect the current operator.
Families evaluating this facility should review the full inspection record directly on CMS Care Compare for the most current details. Data reflected here is drawn from CMS Care Compare records.
Questions families ask
What is this nursing home's CMS overall star rating and how does it compare to the state average?
Smith Ranch has a CMS overall rating of 3 stars, which is at the California state average of 3.16 stars.
Does this facility accept Medicare, Medicaid, or both?
Yes, this facility is certified for both Medicare and Medicaid.
How well is this facility staffed — nurse hours per resident and turnover?
CMS reports 4.19 total nurse hours per resident per day, including 0.42 RN hours per resident per day, with staff turnover of 32.5% and a staffing star rating of 3.
Does this facility have federal fines or penalties on record?
No, CMS reports 0 fines totaling $0.00 and 0 payment denials — no federal fines on record.
Has CMS flagged this facility for abuse or placed it in the Special Focus program?
The data provided does not indicate an abuse icon or Special Focus Facility status for this facility.
How large is this facility and how many residents live there?
The facility is certified for 80 beds and reports an average of 74.3 residents.
Who owns this facility — and is it part of a chain?
It is owned as a for-profit limited liability company and is part of the Generations Healthcare chain, which has 27 facilities with an average rating of 4.1 stars.
How long has this facility been Medicare/Medicaid certified?
The facility was first approved for certification on April 15, 1994.
What do the four different CMS star ratings mean?
CMS rates facilities on overall, health inspection, staffing, and quality measure (QM) categories; Smith Ranch scores 3, 2, 3, and 5 stars respectively.
Does this facility offer short-term rehabilitation as well as long-term care?
The data provided does not specify service types; please contact the facility at 4154991000 and verify current offerings on Medicare Care Compare.
What should I look for when touring this facility?
The provided data does not cover tour details; please contact the facility at 4154991000 to arrange a visit.
How do I verify this facility's current record on Medicare Care Compare?
You can review the most current details for Smith Ranch at https://www.medicare.gov/care-compare/details/nursing-home/555595?state=CA.
Data: CMS Care Compare (Aug2026 refresh). Star ratings, staffing hours, and penalty records are CMS's official published measures. Always tour the facility, review the current inspection record, and verify details with Medicare before making care decisions.