Smith Ranch Skilled Nursing & Rehabilitation Cente
1550 Silveira Parkway, San Rafael, CA, 94903
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Order the reportFederal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed June 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Limited Liability company · Chain: Generations Healthcare
- Certified beds
- 80 · avg 72 residents/day
- Total nursing staff turnover
- 33.3% — near the California averageCalifornia avg: 37.4% · National avg: 46.1% · per CMS Care Compare
- RN turnover
- 25% — lower than most California nursing homesCalifornia avg: 39.4% · National avg: 43.3% · per CMS Care Compare
- Administrators who left
- 0 departed — near the California averageCalifornia avg: 0.4 · National avg: 0.5 · per CMS Care Compare
Medicare certification
- CMS Certification Number
- 555595
- Certified beds
- 80 beds · avg 72 residents/day
- Ownership type
- For profit - Limited Liability company
- Continuing-care community
- No
CMS Care Compare, processing date June 1, 2026
Ownership & operations
- Legal business name
- Ghc Of San Rafael, Llc
- Chain affiliation
- Generations Healthcare
CMS Care Compare, processing date June 1, 2026
Federal ownership record
Chain affiliation
Part of the Generations Healthcare chain — 27 facilities across 2 states. Chain-wide average overall rating 4.2 / 5.
Disclosed owners (15 on record)
- San Rafael Re, Llc
Adp of The Snf · since 2026
- Angelo Clyde Arguel
Adp of The Snf · since 2025
- Kabir Nain
Operational/managerial Control · since 2024
- Jesus Gutierrez
Adp of The Snf · since 2023
- Alberta Amilcar
Adp of The Snf · since 2023
- Bmo Bank National Association
5% or Greater Security Interest · since 2021
+ 9 additional owners on the federal record.
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, as of May 2026.
Federal inspection record
Recent health-deficiency citations (most recent 8 of 49)
- E0842·Apr 15, 2026Complaint
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D0760·Apr 15, 2026Complaint
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
- E0684·Apr 15, 2026Complaint
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- E0658·Apr 15, 2026Complaint
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
- E0657·Apr 15, 2026Complaint
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- E0908·Feb 12, 2026
Environmental Deficiencies
Keep all essential equipment working safely.
- D0880·Feb 12, 2026
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- E0812·Feb 12, 2026
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Fire-safety citations
20 Life-Safety-Code citations on file. Most recent: Feb 12, 2026. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Jun 1, 2026.
Facility background report
The entire federal paper trail on this facility, in one report.
We compile everything the government publishes about Smith Ranch Skilled Nursing & Rehabilitation Centeinto one plain-English report: full inspection history with severity grades, every fine, staffing versus state averages, who really owns the facility, and how the owner's other facilities perform. Every fact cites its federal source.
Order the full background report — $249Where this information comes from
- Certification, capacity, ownership, star ratings, staffing, fines, deficiencies: CMS Care Compare, processing date June 1, 2026.
Data comes unaltered from the federal files. See every source we publish from.