SMITH RANCH SKILLED NURSING & REHABILITATION CENTE
Certified for Medicare and Medicaid since 1994-04-15, SMITH RANCH SKILLED NURSING & REHABILITATION CENTE is a 80-bed nursing home in SAN RAFAEL, California, averaging 74.3 residents a day.
Has SMITH RANCH SKILLED NURSING & REHABILITATION CENTE been cited for violations?
CMS lists 45 health-inspection deficiencies for SMITH RANCH SKILLED NURSING & REHABILITATION CENTE, all of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is F; the most recent health inspection was 2026-06-09.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2026-06-09 | F0609, F0656 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D |
| 2026-04-15 | F0657, F0658, F0684, F0842 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Ensure services provided by the nursing facility meet professional standards of quality. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E |
| 2026-04-15 | F0760 | Ensure that residents are free from significant medication errors. | D |
| 2026-02-12 | F0584, F0658, F0812, F0908 | 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. / Ensure services provided by the nursing facility meet professional standards of quality. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Keep all essential equipment working safely. | E |
| 2026-02-12 | F0645, F0684, F0755, F0761, F0880 | PASARR screening for Mental disorders or Intellectual Disabilities / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / 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. / Provide and implement an infection prevention and control program. | D |
| 2025-05-16 | F0575, F0812, F0865 | Post 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. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Have a plan that describes the process for conducting QAPI and QAA activities. | F |
| 2025-05-16 | F0658, F0688 | Ensure services provided by the nursing facility meet professional standards of quality. / 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. | E |
| 2025-05-16 | F0552, F0558, F0584, F0641, F0686, F0692, F0693, F0759, F0761 | Ensure that residents are fully informed and understand their health status, care and treatments. / Reasonably accommodate the needs and preferences of each resident. / 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. / Ensure each resident receives an accurate assessment. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Provide enough food/fluids to maintain a resident's health. / Ensure 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. / Ensure medication error rates are not 5 percent or greater. / 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. | D |
| 2025-04-22 | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D |
| 2023-08-22 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F |
| 2023-08-22 | F0577, F0625, F0641, F0656, F0677, F0679, F0759, F0880 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. / Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. / Ensure each resident receives an accurate assessment. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide activities to meet all resident's needs. / Ensure medication error rates are not 5 percent or greater. / Provide and implement an infection prevention and control program. | E |
| 2023-08-22 | F0658, F0676, F0686, F0695, F0760 | Ensure services provided by the nursing facility meet professional standards of quality. / Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Provide safe and appropriate respiratory care for a resident when needed. / Ensure that residents are free from significant medication errors. | D |
How is SMITH RANCH SKILLED NURSING & REHABILITATION CENTE staffed relative to the CA average?
| Measure | This facility | CA average |
|---|---|---|
| Total nurse staffing hours per resident per day | 4.19047 | 4.51570 |
| Total nursing staff turnover (%) | 32.5 | 36.7 |
| Average number of residents per day | 74.3 | 87.9 |
Who owns SMITH RANCH SKILLED NURSING & REHABILITATION CENTE, and what chain is it in?
SMITH RANCH SKILLED NURSING & REHABILITATION CENTE is registered with CMS as For profit - Limited Liability company, operates under the legal business name GHC OF SAN RAFAEL, LLC and belongs to the GENERATIONS HEALTHCARE chain.
| Role | Owner | Association date |
|---|---|---|
| INDIRECT OWNERSHIP INTEREST | MASTROCOLA, LOIS, OLDS, THOMAS, SMITH, FRED | since 07/20/2017 |
| 5% OR GREATER SECURITY INTEREST | BMO BANK NATIONAL ASSOCIATION | since 10/06/2021 |
| OPERATIONAL/MANAGERIAL CONTROL | BMO BANK NATIONAL ASSOCIATION, LIFE GENERATIONS HEALTHCARE, LLC, THERAGEN, LLC, AMILCAR, ALBERTA, ARGUEL, ANGELO CLYDE, COLEMAN, KELSEY, DALY, MEGAN, DEGUZMAN, DINA, GUTIERREZ, JESUS, MASTROCOLA, LOIS, NAIN, KABIR, NIAKI, MICHAEL, OLDS, THOMAS | since 01/08/2024 |
| ADP OF THE SNF | BMO BANK NATIONAL ASSOCIATION, LIFE GENERATIONS HEALTHCARE, LLC, SAN RAFAEL RE, LLC, THERAGEN, LLC, AMILCAR, ALBERTA, ARGUEL, ANGELO CLYDE, COLEMAN, KELSEY, DALY, MEGAN, DEGUZMAN, DINA, GUTIERREZ, JESUS, MASTROCOLA, LOIS, NAIN, KABIR, NIAKI, MICHAEL, OLDS, THOMAS, SMITH, FRED | since 01/08/2024 |
Were you or a family member harmed at SMITH RANCH SKILLED NURSING & REHABILITATION CENTE?