Smith Ranch Skilled Nursing & Rehabilitation Center

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

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected May 7, 2026

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

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected May 7, 2026

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

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected May 7, 2026

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

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected May 7, 2026

• Ensure that residents are free from significant medication errors.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected May 7, 2026

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

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Feb 24, 2026

• 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.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Feb 24, 2026

• Keep all essential equipment working safely.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Feb 24, 2026

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

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Feb 24, 2026

• Install corridor and hallway doors that block smoke.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Feb 27, 2026

• PASARR screening for Mental disorders or Intellectual Disabilities

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Feb 24, 2026

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Feb 24, 2026

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Feb 24, 2026

• 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.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Feb 24, 2026

• Provide and implement an infection prevention and control program.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Feb 24, 2026

• Ensure proper usage of power strips and extension cords.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 3, 2026

• Have proper medical gas storage and administration areas.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 3, 2026

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

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jun 17, 2025

• 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.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jun 17, 2025

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

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jun 17, 2025

• 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.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jun 17, 2025

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

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jun 17, 2025

• 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.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 17, 2025

• Ensure each resident receives an accurate assessment.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 17, 2025

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 17, 2025

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 17, 2025

• 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.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 17, 2025

• 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.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 17, 2025

• Ensure medication error rates are not 5 percent or greater.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 17, 2025

• Inspect, test, and maintain automatic sprinkler systems.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 22, 2025

• Meet requirements for the use of electrical equipment.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 22, 2025

• Ensure proper usage of power strips and extension cords.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 22, 2025

• Reasonably accommodate the needs and preferences of each resident.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 17, 2025

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 17, 2025

• Provide emergency officials' contact information.

  Severity C of L: potential for minimal harm, widespreadCorrected May 22, 2025

• Provide primary/alternate means for communication.

  Severity C of L: potential for minimal harm, widespreadCorrected May 22, 2025

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected May 6, 2025

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

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Sep 16, 2023

• Meet requirements for the use of electrical equipment.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Sep 21, 2023

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

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Sep 16, 2023

• 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.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Sep 16, 2023

• Ensure each resident receives an accurate assessment.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Sep 16, 2023

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

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Sep 16, 2023

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

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Sep 16, 2023

• Provide activities to meet all resident's needs.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Sep 16, 2023

• Ensure medication error rates are not 5 percent or greater.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Sep 16, 2023

• Provide and implement an infection prevention and control program.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Sep 16, 2023

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

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Sep 21, 2023

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

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Sep 21, 2023

• Provide a written emergency evacuation plan.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Sep 21, 2023

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Sep 21, 2023

• Use approved construction type or materials.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Sep 21, 2023

• Have properly located and lighted "Exit" signs.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Sep 21, 2023

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Sep 21, 2023

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Sep 21, 2023

• Ensure that residents are free from significant medication errors.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Sep 16, 2023

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Sep 16, 2023

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Sep 16, 2023

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Sep 16, 2023

• Install corridor and hallway doors that block smoke.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Sep 21, 2023

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Sep 16, 2023

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

  Severity C of L: potential for minimal harm, widespreadCorrected Sep 21, 2023

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

  Severity C of L: potential for minimal harm, widespreadCorrected Sep 21, 2023

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

  Severity G of L: actual harm, isolatedFound during a complaint inspectionCorrected Aug 4, 2023

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

  Severity G of L: actual harm, isolatedFound during a complaint inspectionCorrected Aug 4, 2023

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

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Aug 4, 2023

• 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.

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Aug 4, 2023

• Ensure each resident receives an accurate assessment.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Aug 4, 2023

• Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Aug 4, 2023

Smith Ranch Skilled Nursing & Rehabilitation Center offers Skilled Nursing / Long Term Care.

Smith Ranch Skilled Nursing & Rehabilitation Center is located at 1550 Silveira Parkway in San Rafael, California.

Smith Ranch Skilled Nursing & Rehabilitation Center had 6 government inspection visits in the last three years, with 69 citations on file according to CMS Care Compare data. The full history, including what each citation was for and whether it was corrected, is in the inspection section on this page.

Submit the Request Information form on this page to connect with Smith Ranch Skilled Nursing & Rehabilitation Center and arrange a tour. Sharing your timeline and care needs up front helps the community prepare for your visit.