Inspection citations
14’23
15’25
16’26
45 shown
| Date | Severity | What inspectors found | Visit |
|---|---|---|---|
| Jun 9, 2026 | D · potential | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Complaint |
| Jun 9, 2026 | D · potential | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Complaint |
| Apr 15, 2026 | E · potential | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Complaint |
| Apr 15, 2026 | E · potential | Ensure services provided by the nursing facility meet professional standards of quality. | Complaint |
| Apr 15, 2026 | E · potential | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | Complaint |
| Apr 15, 2026 | D · potential | Ensure that residents are free from significant medication errors. | Complaint |
| Apr 15, 2026 | E · potential | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Complaint |
| Feb 12, 2026 | E · potential | 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. | Routine |
| Feb 12, 2026 | D · potential | PASARR screening for Mental disorders or Intellectual Disabilities | Routine |
| Feb 12, 2026 | E · potential | Ensure services provided by the nursing facility meet professional standards of quality. | Routine |
| Feb 12, 2026 | D · potential | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | Routine |
| Feb 12, 2026 | D · potential | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Routine |
| Feb 12, 2026 | D · potential | 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. | Routine |
| Feb 12, 2026 | E · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
| Feb 12, 2026 | D · potential | Provide and implement an infection prevention and control program. | Routine |
| Feb 12, 2026 | E · potential | Keep all essential equipment working safely. | Routine |
| May 16, 2025 | D · potential | Ensure that residents are fully informed and understand their health status, care and treatments. | Routine |
| May 16, 2025 | D · potential | Reasonably accommodate the needs and preferences of each resident. | Routine |
| May 16, 2025 | F · potential | 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. | Routine |
| May 16, 2025 | D · potential | 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. | Routine |
| May 16, 2025 | D · potential | Ensure each resident receives an accurate assessment. | Routine |
| May 16, 2025 | E · potential | Ensure services provided by the nursing facility meet professional standards of quality. | Routine |
| May 16, 2025 | D · potential | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Routine |
| May 16, 2025 | E · potential | 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. | Routine |
| May 16, 2025 | D · potential | Provide enough food/fluids to maintain a resident's health. | Routine |
| May 16, 2025 | D · potential | 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. | Routine |
| May 16, 2025 | D · potential | Ensure medication error rates are not 5 percent or greater. | Routine |
| May 16, 2025 | D · potential | 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. | Routine |
| May 16, 2025 | F · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
| May 16, 2025 | F · potential | Have a plan that describes the process for conducting QAPI and QAA activities. | Routine |
| Apr 22, 2025 | D · potential | Protect each resident from the wrongful use of the resident's belongings or money. | Complaint |
| Aug 22, 2023 | E · potential | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Routine |
| Aug 22, 2023 | E · potential | 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. | Routine |
| Aug 22, 2023 | E · potential | Ensure each resident receives an accurate assessment. | Routine |
| Aug 22, 2023 | E · potential | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Routine |
| Aug 22, 2023 | D · potential | Ensure services provided by the nursing facility meet professional standards of quality. | Routine |
| Aug 22, 2023 | D · potential | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Routine |
| Aug 22, 2023 | E · potential | Provide care and assistance to perform activities of daily living for any resident who is unable. | Routine |
| Aug 22, 2023 | E · potential | Provide activities to meet all resident's needs. | Routine |
| Aug 22, 2023 | D · potential | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Routine |
| Aug 22, 2023 | D · potential | Provide safe and appropriate respiratory care for a resident when needed. | Routine |
| Aug 22, 2023 | E · potential | Ensure medication error rates are not 5 percent or greater. | Routine |
| Aug 22, 2023 | D · potential | Ensure that residents are free from significant medication errors. | Routine |
| Aug 22, 2023 | F · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
| Aug 22, 2023 | E · potential | Provide and implement an infection prevention and control program. | Routine |
Medicare's severity letters: A–C minimal harm, D–F potential for more than minimal harm, G–L actual harm or immediate danger. Source: CMS health deficiencies file, processed October 1, 2026.
Questions to ask on a visit
Smith Ranch Skilled Nursing & Rehabilitation Cente
1550 Silveira Parkway, San Rafael, CA 94903 · (415) 499-1000
Visit date: ____________ Spoke with: ______________________
Record on file
- Certification
- Medicare and Medi-Cal certified skilled nursing facility
- Medicare number (CCN)
- 555595
- Certified beds
- 80
- Legal owner
- Ghc of San Rafael, LLC
- Part of
- Generations Healthcare
Full profile on Medicare's Care Compare. Source: CMS, processed October 1, 2026.
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