Smith Ranch Skilled Nursing & Rehabilitation Cente is certified as a Medicare and Medicaid facility and has been approved to provide these services since 1994-04-15. Medicare covers short-term skilled nursing care (typically up to 100 days after a qualifying hospital stay). Medicaid covers long-term care for residents who meet financial eligibility requirements. Contact the facility at (415) 499-1000 or your local Medicaid office to verify current eligibility.

Smith Ranch Skilled Nursing & Rehabilitation Cente holds an overall CMS (Centers for Medicare & Medicaid Services) rating of 3 out of 5 stars. This is made up of three components: Health Inspection (2★), Staffing (3★), and Quality of Resident Care (5★). Our independent composite quality score — which uses the raw underlying CMS numbers to break ties between similarly-rated facilities — is 81.6/100, placing it #2995 of 14703 facilities nationally and #384 of 1162 in California. Star ratings are a useful starting point, but the composite score and individual sub-ratings give a more complete picture for families comparing facilities.

Each resident at Smith Ranch Skilled Nursing & Rehabilitation Cente receives a reported average of 4 hours 35 minutes of total nurse staffing per day. This breaks down as: Registered Nurse (RN) coverage — 28 minutes; Licensed Practical Nurse (LPN) — 1 hour 31 minutes; Nurse Aide — 2 hours 37 minutes. On weekends, total nurse staffing is 4 hours 4 minutes per resident per day. The CMS Staffing Rating for this facility is 3 out of 5. The national average for total nursing hours is approximately 3.5 hrs/day. Total nursing staff turnover is 36.0%. Families are encouraged to ask about current staffing schedules during their facility visit.

The facility has received 5 fine(s) over the 5-year period, totaling $34,241. 31 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings. In the most recent CMS reporting period, the facility received 0 fine(s) totaling $0, and 0 Medicare payment denial(s). Total penalties: 0. The Total Weighted Health Survey Score is 119.0 (lower scores are better). Full inspection history and complaint details are available at medicare.gov/care-compare.

Nationally, Smith Ranch Skilled Nursing & Rehabilitation Cente ranks 2995th out of 14,703 facilities (composite score: 81.6/100), placing it in the top 25% nationwide. Within CA, it ranks 384th out of 1,162 nursing homes. In San Rafael, it ranks 3rd out of 7 facilities. Among facilities sharing its ZIP code, it ranks 3rd of 6. For 2026 staffing: total nurse hours rank #2,095 nationally and RN hours rank #9,499 nationally (#594 in CA). Our composite quality score of 81.6/100 weighs health inspections, quality of resident care, staffing hours, compliance record, and five-year performance trends — giving a more complete picture than CMS star ratings alone, which can place hundreds of facilities in the same 5-star bucket. To browse and compare all nursing homes in San Rafael, visit: https://nursinghomesnearme.org/california/san-rafael/