| Smith Ranch Skilled Nursing & Rehabilitation Cente | |
| 1550 Silveira Parkway, San Rafael, California 94903 | |
| (415) 499-1000 | |
| Name | Smith Ranch Skilled Nursing & Rehabilitation Cente |
|---|---|
| Location | 1550 Silveira Parkway, San Rafael, California |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 80 |
| Occupancy Rate | 92.88% |
| Medicare ID (CCN) | 555595 |
| Legal Business Name | Ghc of San Rafael, LLC |
| Ownership Type | For Profit - Limited Liability Company |
| Chain | Generations Healthcare (27 nursing homes) |
| Chain Average Overall Rating | 4.1 out of 5 |
| NPI Number | 1023534443 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Ghc of San Rafael, LLC |
| Doing Business As | Smith Ranch Nursing & Rehabilitation Center |
| Address | 1550 Silveira Pkwy, San Rafael, CA 94903 |
| Phone Number | 415-499-1000 |
| NPI Number | 1417977299 |
| Match | Possible same name, address or phone number |
| Organization Name | Smith Ranch Care Center, LLC |
| Doing Business As | Kindred Transitional Care and Rehabilitation-smith Ranch |
| Address | 1550 Silveira Pkwy, San Rafael, CA 94903 |
| Phone Number | 415-499-1000 |
| NPI Number | 1881855864 |
| Match | Possible same name, address or phone number |
| Organization Name | Kindred Rehabilitation Services |
| Address | 1550 Silveira Pkwy, San Rafael, CA 94903 |
| Phone Number | 415-446-3817 |
| Ratings from Surveys (Inspections): | |
| Ratings from Quality Measures: | |
| Ratings from Staffing Data: | |
| Overall Rating: |
|---|
| Staffing Measure | Provider | National Avg. |
|---|---|---|
| Total nurse staff hours per resident per day | 4.19 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.42 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 1.28 | 0.86 |
| Nurse aide hours per resident per day | 2.49 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 3.75 | 3.42 |
| RN hours per resident per day on the weekend | 0.26 | 0.48 |
| Physical therapist hours per resident per day | 0.24 | 0.07 |
| Total nursing staff turnover | 32.5% | 45.8% |
| Registered nurse turnover | 12.5% | 42.9% |
| Number of administrators who have left the nursing home | 0 | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | No |
| Number of Fines | 0 |
| Total Amount of Fines in Dollars | $0 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 0 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Jun 9, 2026 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Potential for harm, isolated | Corrected by Jun 16, 2026 |
| Jun 9, 2026 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656, Resident Assessment and Care Planning, Complaint inspection | Potential for harm, isolated | Corrected by Jun 16, 2026 |
| Apr 15, 2026 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657, Resident Assessment and Care Planning, Complaint inspection | Potential for harm, pattern | Corrected by May 7, 2026 |
| Apr 15, 2026 | Ensure services provided by the nursing facility meet professional standards of quality. F0658, Resident Assessment and Care Planning, Complaint inspection | Potential for harm, pattern | Corrected by May 7, 2026 |
| Apr 15, 2026 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Complaint inspection | Potential for harm, pattern | Corrected by May 7, 2026 |
| Apr 15, 2026 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842, Resident Assessment and Care Planning, Complaint inspection | Potential for harm, pattern | Corrected by May 7, 2026 |
| Apr 15, 2026 | Ensure that residents are free from significant medication errors. F0760, Pharmacy Service, Complaint inspection | Potential for harm, isolated | Corrected by May 7, 2026 |
| Feb 12, 2026 | 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. F0584, Resident Rights, Standard inspection | Potential for harm, pattern | Corrected by Feb 24, 2026 |
| Feb 12, 2026 | Ensure services provided by the nursing facility meet professional standards of quality. F0658, Resident Assessment and Care Planning, Standard inspection | Potential for harm, pattern | Corrected by Feb 24, 2026 |
| Feb 12, 2026 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, pattern | Corrected by Feb 24, 2026 |
| Feb 12, 2026 | Keep all essential equipment working safely. F0908, Environmental, Standard inspection | Potential for harm, pattern | Corrected by Feb 24, 2026 |
| Feb 12, 2026 | PASARR screening for Mental disorders or Intellectual Disabilities F0645, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Feb 24, 2026 |
| Feb 12, 2026 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Feb 24, 2026 |
| Feb 12, 2026 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Feb 24, 2026 |
| Feb 12, 2026 | 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. F0761, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Feb 24, 2026 |
| Feb 12, 2026 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, isolated | Corrected by Feb 24, 2026 |
| May 16, 2025 | 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. F0575, Resident Rights, Standard inspection | Potential for harm, widespread | Corrected by Jun 17, 2025 |
| May 16, 2025 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, widespread | Corrected by Jun 17, 2025 |
| May 16, 2025 | Have a plan that describes the process for conducting QAPI and QAA activities. F0865, Administration, Standard inspection | Potential for harm, widespread | Corrected by Jun 17, 2025 |
| May 16, 2025 | Ensure services provided by the nursing facility meet professional standards of quality. F0658, Resident Assessment and Care Planning, Standard inspection | Potential for harm, pattern | Corrected by Jun 17, 2025 |
| May 16, 2025 | 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. F0688, Quality of Life and Care, Standard inspection | Potential for harm, pattern | Corrected by Jun 17, 2025 |
| May 16, 2025 | Ensure that residents are fully informed and understand their health status, care and treatments. F0552, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Jun 17, 2025 |
| May 16, 2025 | Reasonably accommodate the needs and preferences of each resident. F0558, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Jun 17, 2025 |
| May 16, 2025 | 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. F0584, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Jun 17, 2025 |
| May 16, 2025 | Ensure each resident receives an accurate assessment. F0641, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Jun 17, 2025 |
| May 16, 2025 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Jun 17, 2025 |
| May 16, 2025 | Provide enough food/fluids to maintain a resident's health. F0692, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Jun 17, 2025 |
| May 16, 2025 | 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. F0693, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Jun 17, 2025 |
| May 16, 2025 | Ensure medication error rates are not 5 percent or greater. F0759, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Jun 17, 2025 |
| May 16, 2025 | 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. F0761, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Jun 17, 2025 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 3.28 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 5.51 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.46 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 0 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 2.21 | 12.8 |
| Percentage of long-stay residents who were physically restrained | 0 | 0.13 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 99.88 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.88 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 0 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 13.74 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 100 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 3.56 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 1.5 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 7.84 | 15.38 |
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