Smith Ranch Skilled Nursing & Rehabilitation Cente: Staffing, Turnover, and Inspection Record
Smith Ranch Skilled Nursing & Rehabilitation Cente is a 80-bed for-profit nursing home in San Rafael, California, part of Generations Healthcare. In the CMS August 2026 release it reported 2.49 nurse aide hours per resident per day, 6% below the California average of 2.65, and 32.5% nursing staff turnover (California average 36.7%).
Smith Ranch Skilled Nursing & Rehabilitation Cente
1550 Silveira ParkwaySan Rafael, CA 94903
Marin County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Smith Ranch Skilled Nursing & Rehabilitation Cente, nurse aides logged 2.49 hours per resident per day, 6% below the California average. With about 74 residents a day, that works out to roughly 185 aide hours a day, or about 23 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 11% below the all-days figure.
| Hours per resident per day | This home | California avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.49 | 2.65 | 2.32 |
| Licensed practical nurses | 1.28 | 1.20 | 0.86 |
| Registered nurses | 0.42 | 0.67 | 0.69 |
| All nursing staff | 4.19 | 4.52 | 3.86 |
| All nursing staff, weekends | 3.75 | 4.09 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
32.5% of nursing staff at Smith Ranch Skilled Nursing & Rehabilitation Cente left over the year CMS measured, against a California average of 36.7% and a US average of 45.8%. Registered nurse turnover was 12.5%. No administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Feb 12, 2026. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 16 health deficiencies (California average 15.7). CMS lists no fines or payment denials for this home in the last three years.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Smith Ranch Skilled Nursing & Rehabilitation Cente holds 3 of 5 overall; the California average is 3.2.
About Smith Ranch Skilled Nursing & Rehabilitation Cente
- Ownership: For profit - Limited Liability company
- Chain: Generations Healthcare, 27 homes
- Legal name: GHC of San Rafael, LLC
- Medicare and Medicaid certified since: Apr 15, 1994
- Councils: resident council
- Area: urban
Nursing homes near Smith Ranch Skilled Nursing & Rehabilitation Cente
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Professional Post Acute Center San Rafael | 0.8 | 99 | 2.54 | 3.84 | 38.1% | 3 | $148,455 |
| Northgate Postacute Care San Rafael · abuse citation | 0.8 | 52 | 2.70 | 4.07 | 45.5% | 2 | $112,869 |
| Pine Ridge Care Center San Rafael | 0.8 | 101 | 2.90 | 4.48 | 42.9% | 5 | None |
| Marin Post Acute San Rafael · abuse citation | 1.3 | 168 | 2.37 | 3.68 | — | 2 | $10,890 |
| Villa Marin San Rafael | 1.6 | 31 | 4.10 | 7.15 | — | 5 | None |
| San Rafael Healthcare & Wellness Center, LP San Rafael | 3.1 | 54 | 2.48 | 3.91 | — | 2 | $8,278 |
| The Tamalpais Greenbrae | 5.1 | 52 | 2.67 | 4.51 | 40.0% | 5 | None |
| South Marin Health & Wellness Center Greenbrae | 5.2 | 72 | 2.58 | 4.42 | 37.8% | 4 | None |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.