Home›Browse›California›San Rafael›Smith Ranch Skilled Nursing & Rehabilitation Cente

Nursing homeFAID #13692

Smith Ranch Skilled Nursing & Rehabilitation Cente

1550 SILVEIRA PARKWAY, SAN RAFAEL, CA, 94903

(415) 499-1000

80 licensed beds

★★★★★3/5CMS Five-Star overall2/5 health inspections3/5 staffing5/5 quality measuresSource: CMS Care Compare

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Address

1550 Silveira Parkway

San Rafael, CA 94903

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Public record summary

What we can show you for free.

Bed capacity

CMS facility ID

555595

Care type

Nursing home

County

Marin

Facility name

Smith Ranch Skilled Nursing & Rehabilitation Cente

Street address

1550 SILVEIRA PARKWAY

City / state / ZIP

San Rafael, CA 94903

Phone

(415) 499-1000

About this facility — Smith Ranch Skilled Nursing & Rehabilitation Cente

Smith Ranch Skilled Nursing & Rehabilitation Cente is a Medicare/Medicaid-certified skilled nursing facility in San Rafael, California. It is licensed for 80 beds — below the median for skilled nursing facilities in California (98 beds).

It is one of 36 senior care facilities in San Rafael and 1,165 skilled nursing facilities across California. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Smith Ranch Skilled Nursing & Rehabilitation Cente 65 times across 10 inspections in the last three years, including 3 food-safety citations; no federal fines are on record. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Parent company

Generations Healthcare

Ownership type

For profit - Limited Liability company

Registered owners & officers

Amilcar, Alberta

Operational control · Additional disclosable party — since 2023

Arguel, Angelo Clyde

Operational control · Additional disclosable party — since 2025

Bmo Bank National Association

Security-interest holder · Operational control · Additional disclosable party — since 2021

Coleman, Kelsey

Operational control · Additional disclosable party — since 2016

Daly, Megan

Operational control · Additional disclosable party — since 2003

Deguzman, Dina

Operational control · Additional disclosable party — since 2020

Gutierrez, Jesus

Operational control · Additional disclosable party — since 2023

Life Generations Healthcare, Llc

Operational control · Additional disclosable party — since 2017

Mastrocola, Lois

Indirect owner · Operational control · Additional disclosable party — since 2017

Nain, Kabir

Operational control · Additional disclosable party — since 2024

Niaki, Michael

Operational control · Additional disclosable party — since 2017

Olds, Thomas

Indirect owner · Operational control · Additional disclosable party — since 2017

San Rafael Re, Llc

Additional disclosable party — since 2026

Smith, Fred

Indirect owner · Additional disclosable party — since 2017

Theragen, Llc

Operational control · Additional disclosable party — since 2017

Regulatory standing

Federal court records

2 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)

Licensed / certified since

1994-04-15

CMS overall rating

3 of 5 stars

Health deficiencies

16 at the last standard inspection

Federal fines

None on record

Last standard inspection

2026-02-12

Nurse staffing

4.2 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges

$734 per day (≈ $22,310/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

1% Medicaid · 54% Medicare · 45% private/other

Occupancy

73% (fiscal year 2023)

Vs. state median

43% above the CA median of $514/day — full state cost breakdown

Services & coverage

Licensed beds

Medicare

Accepted

Medicaid

Accepted

Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-08-31. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 3 food-safety citations on its three-year record — flagged below among the inspections.

2026-06-09Health inspectionComplaint-triggered2 citations

F-0609

D · No harm foundFrom a complaint

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2026-06-16

F-0656

D · No harm foundFrom a complaint

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2026-06-16

2026-04-15Health inspectionComplaint-triggered5 citations

F-0657

E · No harm foundFrom a complaint

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2026-05-07

F-0658

E · No harm foundFrom a complaint

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2026-05-07

F-0684

E · No harm foundFrom a complaint

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2026-05-07

F-0760

D · No harm foundFrom a complaint

Ensure that residents are free from significant medication errors.

Corrected 2026-05-07

F-0842

E · No harm foundFrom a complaint

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2026-05-07

7 earlier / fire-safety inspections (58 citations)

2026-02-12Health inspection9 citations

F-0584

E · No harm found

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.

Corrected 2026-02-24

F-0645

D · No harm found

PASARR screening for Mental disorders or Intellectual Disabilities

Corrected 2026-02-24

F-0658

E · No harm found

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2026-02-24

F-0684

D · No harm found

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2026-02-24

F-0755

D · No harm found

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2026-02-24

F-0761

D · No harm found

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.

Corrected 2026-02-24

F-0812

E · No harm foundFood safety

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2026-02-24

F-0880

D · No harm found

Provide and implement an infection prevention and control program.

Corrected 2026-02-24

F-0908

E · No harm found

Keep all essential equipment working safely.

Corrected 2026-02-24

2025-05-16Health inspection14 citations

F-0552

D · No harm found

Ensure that residents are fully informed and understand their health status, care and treatments.

Corrected 2025-06-17

F-0558

D · No harm found

Reasonably accommodate the needs and preferences of each resident.

Corrected 2025-06-17

F-0575

F · No harm found

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.

Corrected 2025-06-17

F-0584

D · No harm found

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.

Corrected 2025-06-17

F-0641

D · No harm found

Ensure each resident receives an accurate assessment.

Corrected 2025-06-17

F-0658

E · No harm found

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2025-06-17

F-0686

D · No harm found

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2025-06-17

F-0688

E · No harm found

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.

Corrected 2025-06-17

F-0692

D · No harm found

Provide enough food/fluids to maintain a resident's health.

Corrected 2025-06-17

F-0693

D · No harm found

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.

Corrected 2025-06-17

F-0759

D · No harm found

Ensure medication error rates are not 5 percent or greater.

Corrected 2025-06-17

F-0761

D · No harm found

Corrected 2025-06-17

F-0812

F · No harm foundFood safety

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2025-06-17

F-0865

F · No harm found

Have a plan that describes the process for conducting QAPI and QAA activities.

Corrected 2025-06-17

2025-04-22Health inspectionComplaint-triggered1 citation

F-0602

D · No harm foundFrom a complaint

Protect each resident from the wrongful use of the resident's belongings or money.

Corrected 2025-05-06

2023-08-22Health inspectionComplaint-triggered14 citations

F-0577

E · No harm found

Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

Corrected 2023-09-16

F-0625

E · No harm found

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.

Corrected 2023-09-16

F-0641

E · No harm found

Ensure each resident receives an accurate assessment.

Corrected 2023-09-16

F-0656

E · No harm found

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2023-09-16

F-0658

D · No harm found

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2023-09-16

F-0676

D · No harm found

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Corrected 2023-09-16

F-0677

E · No harm found

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2023-09-16

F-0679

E · No harm found

Provide activities to meet all resident's needs.

Corrected 2023-09-16

F-0686

D · No harm foundFrom a complaint

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2023-09-16

F-0695

D · No harm found

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2023-09-16

F-0759

E · No harm found

Ensure medication error rates are not 5 percent or greater.

Corrected 2023-09-16

F-0760

D · No harm found

Ensure that residents are free from significant medication errors.

Corrected 2023-09-16

F-0812

F · No harm foundFood safety

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2023-09-16

F-0880

E · No harm found

Provide and implement an infection prevention and control program.

Corrected 2023-09-16

2026-02-12Fire-safety inspection3 citations

K-0363

D · No harm found

Install corridor and hallway doors that block smoke.

Corrected 2026-02-27

K-0920

D · No harm found

Ensure proper usage of power strips and extension cords.

Corrected 2026-03-03

K-0923

D · No harm found

Have proper medical gas storage and administration areas.

Corrected 2026-03-03

2025-05-16Fire-safety inspection5 citations

E-0031

C · No harm found

Provide emergency officials' contact information.

Corrected 2025-05-22

E-0032

C · No harm found

Provide primary/alternate means for communication.

Corrected 2025-05-22

K-0353

D · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-05-22

K-0919

D · No harm found

Meet requirements for the use of electrical equipment.

Corrected 2025-05-22

K-0920

D · No harm found

Ensure proper usage of power strips and extension cords.

Corrected 2025-05-22

2023-08-22Fire-safety inspection12 citations

K-0161

D · No harm found

Use approved construction type or materials.

Corrected 2023-09-21

K-0211

E · No harm found

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2023-09-21

K-0293

D · No harm found

Have properly located and lighted "Exit" signs.

Corrected 2023-09-21

K-0321

D · No harm found

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2023-09-21

K-0341

D · No harm found

Install a fire alarm system that can be heard throughout the facility.

Corrected 2023-09-21

K-0345

E · No harm found

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2023-09-21

K-0346

C · No harm found

Follow proper procedures when the fire alarm was out of service for more than 4 hours.

Corrected 2023-09-21

K-0354

C · No harm found

Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

Corrected 2023-09-21

K-0355

D · No harm found

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2023-09-21

K-0363

D · No harm found

Install corridor and hallway doors that block smoke.

Corrected 2023-09-21

K-0711

E · No harm found

Provide a written emergency evacuation plan.

Corrected 2023-09-21

K-0919

E · No harm found

Meet requirements for the use of electrical equipment.

Corrected 2023-09-21

Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 555595.

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

· · 2 more

Inspection citations — last 5 years

Locked

The 65 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only

Active civil suits

Federal dockets

CDC infection data

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Citations, owner history, lawsuits — decoded into one PDF.

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Original records

Sources we pull for this facility.

Source

CMS Nursing Home Compare

data.cms.gov Provider Data Catalog

Last verified 2026-08-31

Source

Secretary of State filings

Entity & officer search

Pulled when a report is ordered

Source

PACER federal dockets

pacer.uscourts.gov

Pulled when a report is ordered