Starfile / California

SMITH RANCH SKILLED NURSING & REHABILITATION CENTE

1550 SILVEIRA PARKWAY, SAN RAFAEL, CA 94903 · CCN 555595

Inspection history vs California & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$0

Number of fines

0

Number of penalties

0

Payment denials

0

Chain

Chain

GENERATIONS HEALTHCARE

Facilities in chain

33

Chain avg overall

3.80 / 5

Inspection citations (43)2 actual harm

1. DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2025-05-16 · Health · corrected 2025-06-17

   Potential for more than minimal harm

2. DF0558Reasonably accommodate the needs and preferences of each resident.2025-05-16 · Health · corrected 2025-06-17

   Potential for more than minimal harm

3. FF0575Post 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.2025-05-16 · Health · corrected 2025-06-17

   Potential for more than minimal harm

4. DF0584Honor 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.2025-05-16 · Health · corrected 2025-06-17

   Potential for more than minimal harm

5. DF0641Ensure each resident receives an accurate assessment.2025-05-16 · Health · corrected 2025-06-17

   Potential for more than minimal harm

6. EF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-05-16 · Health · corrected 2025-06-17

   Potential for more than minimal harm

7. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-05-16 · Health · corrected 2025-06-17

   Potential for more than minimal harm

8. EF0688Provide 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.2025-05-16 · Health · corrected 2025-06-17

   Potential for more than minimal harm

9. DF0692Provide enough food/fluids to maintain a resident's health.2025-05-16 · Health · corrected 2025-06-17

   Potential for more than minimal harm

10. DF0693Ensure 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.2025-05-16 · Health · corrected 2025-06-17

    Potential for more than minimal harm

11. DF0759Ensure medication error rates are not 5 percent or greater.2025-05-16 · Health · corrected 2025-06-17

    Potential for more than minimal harm

12. DF0761Ensure 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.2025-05-16 · Health · corrected 2025-06-17

    Potential for more than minimal harm

13. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-05-16 · Health · corrected 2025-06-17

    Potential for more than minimal harm

14. FF0865Have a plan that describes the process for conducting QAPI and QAA activities.2025-05-16 · Health · corrected 2025-06-17

    Potential for more than minimal harm

15. DF0602Protect each resident from the wrongful use of the resident's belongings or money.2025-04-22 · Health · corrected 2025-05-06

    Potential for more than minimal harm

16. EF0577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.2023-08-22 · Health · corrected 2023-09-16

    Potential for more than minimal harm

17. EF0625Notify 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.2023-08-22 · Health · corrected 2023-09-16

    Potential for more than minimal harm

18. EF0641Ensure each resident receives an accurate assessment.2023-08-22 · Health · corrected 2023-09-16

    Potential for more than minimal harm

19. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-08-22 · Health · corrected 2023-09-16

    Potential for more than minimal harm

20. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2023-08-22 · Health · corrected 2023-09-16

    Potential for more than minimal harm

21. DF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.2023-08-22 · Health · corrected 2023-09-16

    Potential for more than minimal harm

22. EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-08-22 · Health · corrected 2023-09-16

    Potential for more than minimal harm

23. EF0679Provide activities to meet all resident's needs.2023-08-22 · Health · corrected 2023-09-16

    Potential for more than minimal harm

24. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-08-22 · Health · corrected 2023-09-16

    Potential for more than minimal harm

25. DF0695Provide safe and appropriate respiratory care for a resident when needed.2023-08-22 · Health · corrected 2023-09-16

    Potential for more than minimal harm

26. EF0759Ensure medication error rates are not 5 percent or greater.2023-08-22 · Health · corrected 2023-09-16

    Potential for more than minimal harm

27. DF0760Ensure that residents are free from significant medication errors.2023-08-22 · Health · corrected 2023-09-16

    Potential for more than minimal harm

28. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-08-22 · Health · corrected 2023-09-16

    Potential for more than minimal harm

29. EF0880Provide and implement an infection prevention and control program.2023-08-22 · Health · corrected 2023-09-16

    Potential for more than minimal harm

30. DF0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.2023-07-05 · Health · corrected 2023-08-04

    Potential for more than minimal harm

31. DF0641Ensure each resident receives an accurate assessment.2023-07-05 · Health · corrected 2023-08-04

    Potential for more than minimal harm

32. GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-07-05 · Health · corrected 2023-08-04

    Actual harm

33. EF0688Provide 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.2023-07-05 · Health · corrected 2023-08-04

    Potential for more than minimal harm

34. GF0692Provide enough food/fluids to maintain a resident's health.2023-07-05 · Health · corrected 2023-08-04

    Actual harm

35. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-07-05 · Health · corrected 2023-08-04

    Potential for more than minimal harm

36. EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2019-11-19 · Health · corrected 2020-01-13

    Potential for more than minimal harm

37. EF0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.2019-11-19 · Health · corrected 2020-01-13

    Potential for more than minimal harm

38. EF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2019-11-19 · Health · corrected 2020-01-13

    Potential for more than minimal harm

39. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2019-11-19 · Health · corrected 2020-01-13

    Potential for more than minimal harm

40. EF0761Ensure 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.2019-11-19 · Health · corrected 2020-01-13

    Potential for more than minimal harm

41. EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2019-11-19 · Health · corrected 2020-01-13

    Potential for more than minimal harm

42. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2019-11-19 · Health · corrected 2020-01-13

    Potential for more than minimal harm

43. FF0880Provide and implement an infection prevention and control program.2019-11-19 · Health · corrected 2020-01-13

    Potential for more than minimal harm

Ownership

Other facilities in SAN RAFAEL

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.