Nursing homes › California › San Rafael › Smith Ranch Skilled Nursing & Rehabilitation Cente
1550 Silveira Parkway, San Rafael, CA 94903 · (415) 499-1000 · 80 certified beds
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Open your comparisonCMS overall star rating: this provider 3/5; median among 1,154 providers with a published value in the same state and provider category: 3/5.
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Per CMS filings, this facility is affiliated with Generations Healthcare, a group operating 27 facilities in 2 states. Group record: average rating 4.1/5, 2 abuse citation icons, 0 facilities on the Special Focus list, $378,169 in federal fines. This facility rates below its group average (4.1/5).
Total nurse staffing: 4.19 (California median: 4.24). RN hours: 0.42. Weekend total: 3.75. Nursing staff turnover: 32%.
In the downloaded CMS dataset: 45 deficiency citations. Below: up to 40 most recent citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-06-09 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2026-06-16 |
| 2026-06-09 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | complaint | corrected 2026-06-16 |
| 2026-04-15 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | complaint | corrected 2026-05-07 |
| 2026-04-15 | Ensure services provided by the nursing facility meet professional standards of quality. | E | complaint | corrected 2026-05-07 |
| 2026-04-15 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | complaint | corrected 2026-05-07 |
| 2026-04-15 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | complaint | corrected 2026-05-07 |
| 2026-04-15 | Ensure that residents are free from significant medication errors. | D | complaint | corrected 2026-05-07 |
| 2026-02-12 | 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. | E | Health | corrected 2026-02-24 |
| 2026-02-12 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Health | corrected 2026-02-24 |
| 2026-02-12 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Health | corrected 2026-02-24 |
| 2026-02-12 | Keep all essential equipment working safely. | E | Health | corrected 2026-02-24 |
| 2026-02-12 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Health | corrected 2026-02-24 |
| 2026-02-12 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Health | corrected 2026-02-24 |
| 2026-02-12 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Health | corrected 2026-02-24 |
| 2026-02-12 | 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 | Health | corrected 2026-02-24 |
| 2026-02-12 | Provide and implement an infection prevention and control program. | D | Health | corrected 2026-02-24 |
| 2025-05-16 | 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. | F | Health | corrected 2025-06-17 |
| 2025-05-16 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Health | corrected 2025-06-17 |
| 2025-05-16 | Have a plan that describes the process for conducting QAPI and QAA activities. | F | Health | corrected 2025-06-17 |
| 2025-05-16 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Health | corrected 2025-06-17 |
| 2025-05-16 | 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 | Health | corrected 2025-06-17 |
| 2025-05-16 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Health | corrected 2025-06-17 |
| 2025-05-16 | Reasonably accommodate the needs and preferences of each resident. | D | Health | corrected 2025-06-17 |
| 2025-05-16 | 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. | D | Health | corrected 2025-06-17 |
| 2025-05-16 | Ensure each resident receives an accurate assessment. | D | Health | corrected 2025-06-17 |
| 2025-05-16 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Health | corrected 2025-06-17 |
| 2025-05-16 | Provide enough food/fluids to maintain a resident's health. | D | Health | corrected 2025-06-17 |
| 2025-05-16 | 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. | D | Health | corrected 2025-06-17 |
| 2025-05-16 | Ensure medication error rates are not 5 percent or greater. | D | Health | corrected 2025-06-17 |
| 2025-05-16 | 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 | Health | corrected 2025-06-17 |
| 2025-04-22 | Protect each resident from the wrongful use of the resident's belongings or money. | D | complaint | corrected 2025-05-06 |
| 2023-08-22 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Health | corrected 2023-09-16 |
| 2023-08-22 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | E | Health | corrected 2023-09-16 |
| 2023-08-22 | 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. | E | Health | corrected 2023-09-16 |
| 2023-08-22 | Ensure each resident receives an accurate assessment. | E | Health | corrected 2023-09-16 |
| 2023-08-22 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Health | corrected 2023-09-16 |
| 2023-08-22 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Health | corrected 2023-09-16 |
| 2023-08-22 | Provide activities to meet all resident's needs. | E | Health | corrected 2023-09-16 |
| 2023-08-22 | Ensure medication error rates are not 5 percent or greater. | E | Health | corrected 2023-09-16 |
| 2023-08-22 | Provide and implement an infection prevention and control program. | E | Health | corrected 2023-09-16 |
No federal fines or payment denials in this downloaded dataset.
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| MASTROCOLA, LOIS | Indirect Ownership Interest | Individual | NOT APPLICABLE | since 07/20/2017 |
| OLDS, THOMAS | Indirect Ownership Interest | Individual | NOT APPLICABLE | since 07/20/2017 |
| SMITH, FRED | Indirect Ownership Interest | Individual | NOT APPLICABLE | since 07/20/2017 |
| BMO BANK NATIONAL ASSOCIATION | Operational/Managerial Control | Organization | NOT APPLICABLE | since 10/06/2021 |
| LIFE GENERATIONS HEALTHCARE, LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 07/20/2017 |
| THERAGEN, LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 07/20/2017 |
| AMILCAR, ALBERTA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 07/11/2023 |
| ARGUEL, ANGELO CLYDE | Operational/Managerial Control | Individual | NOT APPLICABLE | since 03/17/2025 |
| COLEMAN, KELSEY | Operational/Managerial Control | Individual | NOT APPLICABLE | since 05/13/2016 |
| DALY, MEGAN | Operational/Managerial Control | Individual | NOT APPLICABLE | since 06/30/2003 |
| DEGUZMAN, DINA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 01/21/2020 |
| GUTIERREZ, JESUS | Operational/Managerial Control | Individual | NOT APPLICABLE | since 10/31/2023 |
| MASTROCOLA, LOIS | Operational/Managerial Control | Individual | NOT APPLICABLE | since 07/20/2017 |
| NAIN, KABIR | Operational/Managerial Control | Individual | NOT APPLICABLE | since 01/08/2024 |
| NIAKI, MICHAEL | Operational/Managerial Control | Individual | NOT APPLICABLE | since 07/20/2017 |
| OLDS, THOMAS | Operational/Managerial Control | Individual | NOT APPLICABLE | since 07/20/2017 |
How to cite this page: CareRecords, “Smith Ranch Skilled Nursing & Rehabilitation Cente — compliance, penalty and ownership record” (CCN 555595), compiled from the CMS Provider Data Catalog, August 2026 release. https://carerecords.org/nursing-home/smith-ranch-skilled-nursing-rehabilitation-cente-san-rafael-ca/
Source: CMS Provider Data Catalog (August 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 555595. Corrections: data@carerecords.org.