SMITH RANCH SKILLED NURSING & REHABILITATION CENTE
1550 SILVEIRA PARKWAY, SAN RAFAEL, CA, 94903 · 4154991000
Nursing HomeMedicare CertifiedMedicaid CertifiedUpdated 2026-06-10
4.0
★★★★☆
Overall Rating
Health Inspection
3.0
Staffing
3.0
Quality Measures
5.0
80
Licensed Beds
3.0
Staffing Rating
Smith Ranch Skilled Nursing & Rehabilitation Center is a licensed skilled nursing facility located at 1550 Silveira Parkway in San Rafael, California (Marin County, ZIP 94903). The facility operates with 80 certified beds and is owned and operated as a for-profit limited liability company. It is certified for both Medicare and Medicaid, making it eligible to serve residents under either federal program.
The facility holds an overall CMS star rating of 4 out of 5, which places it above the national average of 3.0 stars. CMS star ratings are calculated using three component domains. The health inspection rating stands at 3 stars, reflecting a performance level consistent with the national average based on on-site inspections and complaint investigations conducted by state survey agencies. The staffing rating is also 3 stars, indicating staffing levels that are near but not above national averages when accounting for both registered nurse hours and total nurse staffing per resident day. The quality measure rating is 5 stars, the highest possible score, indicating that the facility performs notably well on CMS-tracked clinical quality indicators, which include measures related to resident health outcomes, medication use, and functional status.
Smith Ranch Skilled Nursing & Rehabilitation Center accepts both Medicare and Medicaid as payment sources. This dual certification means the facility may serve short-term post-acute residents covered under Medicare Part A, as well as long-term residents whose care is funded through Medi-Cal, California's Medicaid program. Individuals without public coverage may also inquire about private pay arrangements. Prospective residents and their families are encouraged to contact the facility directly at (415) 499-1000 to discuss payment options and availability.
When compared to national benchmarks, Smith Ranch presents a mixed but generally favorable profile. Its overall 4-star rating exceeds the national average of 3.0 stars, driven significantly by its 5-star quality measure score. The health inspection and staffing components both sit at 3 stars, aligned with national averages rather than above them. This pattern suggests the facility's strongest documented performance is in clinical quality outcomes, while inspection and staffing levels reflect more typical performance relative to facilities nationwide. The facility is actively operating and continues to be listed in the CMS Provider of Services database.
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About CMS Star Ratings
CMS assigns 1–5 star ratings to Medicare and Medicaid-certified nursing homes based on three domains: health inspections, staffing levels, and quality measures. The overall rating is a weighted composite.
A 5-star overall rating does not guarantee excellence in every domain — inspect each sub-rating independently. Data is updated quarterly.
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Data sourced from CMS Care Compare. Last updated via nightly pipeline.