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Key information
Smith Ranch Skilled Nursing & Rehabilitation Center is an 80-bed nursing home in San Rafael, part of Generations Healthcare. Medicare rates it 3 out of 5 stars overall, with 2 for health inspections, 2 for staffing and 5 for quality of care.
Care on offer includes occupational therapy, physical therapy and speech pathology. It is certified by Medicare and Medi-Cal, and has been since 1994. The nearest hospital, Kaiser Foundation Hospital, which has an emergency room, is 1.9 miles away.
Inspectors have visited 41 times since November 2023, most recently on October 15, 2026. Federal inspectors cited 39 deficiencies in that time, none rated as having harmed a resident (37 potential for harm and 2 minor or administrative). Regulators looked into 40 complaints in that time (4 substantiated, 17 unsubstantiated and 19 without a recorded outcome).
From April to June 2026, each resident received 4.12 hours of nursing care a day on average, 0.34 of them from registered nurses.
Rating and inspection report
Official rating
- Medicare health inspections2/5 · Below average
- Medicare quality measures (long stay)5/5 · Much above average
- Medicare quality measures5/5 · Much above average
- Medicare quality measures (short stay)5/5 · Much above average
- Medicare staffing2/5 · Below average
- State inspectionsNo serious citations in 3 years
Care & pricing
Care available
- Licensed capacity
- 80 beds
- State license
- CA 010000411 · Active
Pricing
- Average daily charge (Medicare cost report): $502 per dayNursing home
Payment types accepted
Daily life
Details
Facilities
- Activity room
- Arts room
- Business room
- Cable TV
- Climate control
- Fitness room
- Furnished
- Game room
- Garden
- Kitchenette
- Library
- Movie room
- Outdoor common space
- Parking Lot
- Private bathroom
- Spa /
sauna / wellness room - Telephone in room
- Walking paths
- Wi-Fi and internet access
- For-profit ownership (limited liability company)
- State-licensed skilled nursing facility (California CDPH)
Activities
- Movie nights
- Music program
- Outdoor programs
- Resident run activities
- Scheduled daily activities
Services
- 12-16 hour nursing
- 24-hour call system
- 24-hour supervision
- Activities of daily living assistance
- Assistance with bathing
- Assistance with dressing
- Assistance with transfers
- Concierge
- Family support services
- Housekeeping
- Laundry
- Licensed nurse on site 24/
7 - Medication administration by staff
- Medication management and reminders
- Move in coordination
- Non-ambulatory care
- Outpatient services
- Physical, occupational or speech therapy
- Resident council
- Special diets (diabetic, renal, pureed)
Dining
- All day dining
- Allergy sensitive
- Diabetes diet
- Dining room
- Gluten free
- Guest Meals
- Professional chef
- Restaurant style dining
Safety and security
- Automatic sprinklers throughout the building
- Emergency alert system
Transportation
- Transportation and parking
Policies
- Accepts Medicaid (Medi-Cal)
- Accepts Medicare
- Pet restrictions
Languages spoken on site
- English
- English spoken
- Spanish Spoken
Come and see for yourself
The best way to know if a place is the right fit is to experience it in person. Arrange a visit to explore the space, get a feel for daily life there, and ask any questions along the way.
Reviews and listings
What families and listing sites say.
Ratings on other sites
- 3.3/5
- 4/5
Reviews
- Google5/5
I really enjoyed my visit to Smith Ranch. The team was welcoming and everyone looked happy. The facility was clean and nice. I met with Mason, the Administrator. He really cares about the residents and staff. I highly recommend this facility for anyone needing post acute rehabilitation.
Read full reviewOct 29, 2026
- Google4/5
My husband has been staying at Smith Ranch Skilled Nursing Facility. For the most part, it is a very good facility. Very clean, very nice staff, decent food. My only complaint is that they have not provided me with a plan or reports about his rehab PT or OT and how they feel he is progressing, which I’ve asked for.
Read full reviewOct 13, 2026
- Google5/5
I brought my friend some food for lunch. He couldn’t eat it all & wanted to save the rest for dinner. I went to the nurses station & asked for a plastic bag with some ice. The ice machine wasn’t working at the time. The staff gave me a plastic bag plus ice packs. They were so very nice & helpful. Thank you!
Read full reviewJul 22, 2026
- Google4/5
Overall, very nice experience with friendly helpful staff. Only two suggestions. While visiting my friend, they were moving in another patient across the hall and the process was extremely noisy. Why not close the door doors of the other patients nearby at those times. The sign and machine is a bit complicated but I understand the need. But at least move it out of the corner where it is more easily accessible, but overall an impressive operation.
Read full reviewJul 18, 2026
- Google5/5
Amazing place. Management are all approachable. The therapists (all four so far) are friendly and committed in helping my daughter recover from her surgery. I highly recommend this facility. Also, facility is always clean. Food is prepared and presented in an appealing way.
Read full reviewMay 21, 2026
- Google1/5
This place should be investigated by the authorities. The lack of service is appaling. Also, if you have a loved one there, they rarely answer their phones so I was under immense stress not knowing if my father was dead or alive. Turns out he did pass while there, and as I was long distance and could not get there in time, I called to reach someone, anyone yet as isual no one answered the phones.
Read full reviewMay 13, 2026
- Google2/5
Sadly, I’ve had to change my review. While it was initially higher, and the nursing and support staff are still great ppl, they are very understaffed, which indicates they are not paying staff enough. Moreover, if your loved one has co-morbidity issues, like my mom, it’s not the right fit, due to under-staffing. My mom came in for therapy after a broken hip. Therapy staff are great. But if there are other issues (my mom has chronic UTIs,) it’s not a good fit. We went to pick up my mom for discharge and immediately had ti take her to Marin General due to dangerously low sodium levels (120 - resulted at 2:15 am without an ambulance being called.) we asked them in the morning if they would call an ambulance and take her to Marin General, however we’re told that if she appears stable, they won’t take her. When we got to the hospital, she was completely delirious, hallucinations both visual and audio. We had to insist that they call an ambulance, after they suggest she stay there until she was better. They are NOT a critical care/emergency facility. Once we got to Marin General, we were able to see how bad her skin was where her diaper had been. She had a bad fungus infection that they’re now treating at the hospital that nobody noticed. She was left far too long and wet diapers, Which clearly indicates understaffing. They have a doctor based out of San Leandro that they have to call to get any type of orders or instructions. Definitely find another location if there are comorbidity issues. If it’s just physical therapy, you’re looking for, it will suffice and the staff with therapy are great. However, if there’s anything else you have to worry about. I recommend going somewhere else.
Read full reviewApr 28, 2026
- Google4/5
I have yet to meet anyone who wants to be in a skilled nursing facility. But, when my husband was told that he had to go to one, of the three places we were offered, Smith Ranch was the best option for rehabilitation and PT. He was not a willing participant in his transition there and wasn’t cooperative about much else while there, except PT and OT. To my surprise, he liked the food better than at the hospital and he was pretty cooperative about PT and OT. Smith Ranch bent over backwards to make him feel better. He was moved to a room that was quiet and was given a lovely roommate. He had excellent PT and OT. We were able to get him outside for fresh air and sunshine. He made good progress and was able to establish a plan to progress towards his exit. Once he had a goal in mind, he worked hard and was motivated. Smith Ranch PT and OT was instrumental in helping him find his motivation and keep focused. He made quick progress!
Read full reviewNov 7, 2025
- Caring.com5/5
hubby was a rehab resident for several months. long after, i needed specific copies of records. Charles is a super human being who not only obtained what I required but hand- delivered same. I am soo impressed with his professionalism and caring attitude toward our needs.
Read full reviewJune P.
Apr 29, 2021
- Caring.com1/5
The staff is rude. You ring your bell and it takes forever for someone to help you. They do not have enough staff to care for patients. DO NOT SEND YOUR loved one here.
Read full reviewGood P. · Family member
Sep 28, 2020
- Caring.com1/5
Rooms are terrible. They couldn't find a bed long enough Not enough staff 2 to 4 people for 28 to 30 patients Didn't understand the seriousness of the patient. Staff they had tried but administration was terrible and never available No activities for people with walkers or wheelchairs Food was not for diabetes Never saw anyone from community. No one ever contacted us about request. This is the third company to own and run the place in 4 years.
Read full reviewFamily member
Aug 28, 2019
- Caring.com5/5
I was a patient for over a month (most stays are much shorter) so I really got to know the place inside and out. Conscientious nurses and aides, an excellent skilled rehabilitation department, and facility doctors who very skilled doctors and empathic people. Lots of other pluses like monthly podiatrist ( if needed) and a beauty salon. I would not hesitate to send a family member there. They are good folk and would not hesitate to put a family member there. They will be in good hands.
Read full reviewResident
Mar 16, 2019
- Caring.com4/5
In my opinion, Kindred Transitional Care and Rehabilitation - Smith Ranch is fine. They're doing a nice job. They have a nice dining room for the residents. They do amazing physical therapy for Mom, and she's doing pretty good. It's a nice place, and it is one the best rehab places in the area.
Read full reviewFamily member
Dec 13, 2016
- Caring.com3/5
Pinewood Hills is too big that it overwhelmed my sister. You walk into the dining room and everything was too massive, and she was a loner. But the people are very friendly and warm. I would recommend it to other people looking for this type of facility.
Read full reviewFamily member
Jan 23, 2016
- Caring.com3/5
My mother was in Kindred for a month. The physical therapy was good. It's a newer place, so the rooms were nicer. The staff she had were very good, but very rushed all the time. There weren't enough people. They had a very small dining room, and the food was adequate.
Read full reviewFamily member
May 8, 2015
- Caring.com5/5
I visited Smith Ranch and it's a very high quality facility. The place is very nicely kept. The residents seemed very happy.
Read full reviewVisitor
Dec 31, 2013
Location
1550 Silveira Pkwy, San Rafael, CA 94903