Smith Ranch Skilled Nursing & Rehabilitation Cente
Meets baseline Medicare standards with room for improvement. A tour and talking to current residents' families is the best next step.
based on 77 Google reviews
Watch Smith Ranch Skilled Nursing & Rehabilitation Cente
Get an email when new inspections, ratings, or penalties are published for this facility.
We’ll only email you about this — no spam, unsubscribe anytime.
What this means for your family
This facility is an excellent choice for patients requiring intensive physical or occupational therapy, as their rehab team is highly regarded. However, because of historical reports of medical neglect and safety lapses, families should proactively ask about their protocols for monitoring symptoms like UTIs and their weekend staffing levels for therapy.
Google Reviews
Google Reviews
77 reviews on Google“Families considering Smith Ranch can expect high-quality rehabilitation and physical therapy services, which are frequently praised by both patients and visitors. While the facility is noted for its cleanliness and a friendly, attentive nursing staff, there are serious, isolated reports of medical neglect and patient safety concerns that should be investigated.”
Quality Themes
Tap a score for detailsStrengths
- Excellent physical and occupational therapy
- Clean and well-maintained facility
- Friendly and attentive nursing staff
- Efficient and modern check-in process
Concerns
- Serious allegations of medical neglect and patient safety issues (mentioned by 2 reviewers)
- Inconsistent PT/OT availability on weekends (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 60 analyzed
How They Respond to Reviews
The owner provides personalized responses that frequently use the reviewer's name and acknowledge specific details mentioned in the review, such as the check-in kiosk or specific staff members. The tone is consistently warm, professional, and appreciative.
Questions for Your Tour
- 1I noticed the management is very responsive to feedback online; how does the leadership team involve families in addressing care improvements?
- 2We are looking for strong rehabilitation support; could you tell us more about the availability of physical and occupational therapy on the weekends?
- 3What specific protocols are in place to ensure resident safety and prevent medical errors during night shifts?
- 4How does the nursing team coordinate care to ensure that all medical needs are met consistently throughout the day?
- 5What kind of daily activities or social outings are organized to keep the residents engaged and active?
- 6Can you describe the process for how the facility monitors and responds to urgent medical changes in a resident's condition?
Personalized based on this facility's data
Key Review Excerpts
“My family member is receiving great PT and rehab care at Smith Ranch.”
“The staff makes it easy and comfortable to visit. There is a quick check-in process that is automated at a kiosk.”
“Not treating UTIs in an elderly pt and causing him to almost die from urosepsis. Time and time again ignoring this pt’s symptoms. Disgraceful!”
Staffing
Staffing Hours
per resident/day · Medicare 2026RN hours are below the national benchmark. RNs handle complex medical needs and medication, so ask about coverage during your visit.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
15
measures
2
measures
Residents whose bladder or bowel control got worse
Residents whose walking got worse
Residents needing more daily help over time
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents on antipsychotic medication
Residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Smith Ranch has faced recurring issues with families filing complaint reports, including serious concerns about pressure ulcer care, nutrition, medication management, and resident protection from financial exploitation. The facility shows persistent problems across multiple areas - nutrition and food safety violations appear in three separate surveys, while medication errors and wound care deficiencies recur frequently. Though all violations have correction dates, the pattern of repeated deficiencies in core care areas suggests ongoing quality challenges families should investigate thoroughly during visits.
Apr 15, 2026Complaint5
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.
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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.
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Feb 12, 2026Routine12
Resident Rights Deficiencies
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.
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Environmental Deficiencies
Keep all essential equipment working safely.
Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
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.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
May 16, 2025Routine19
Resident Rights Deficiencies
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.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Administration Deficiencies
Have a plan that describes the process for conducting QAPI and QAA activities.
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Quality of Life and Care Deficiencies
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.
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Resident Rights Deficiencies
Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies
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.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies
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.
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies
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.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Gas, Vacuum, and Electrical Systems Deficiencies
Meet requirements for the use of electrical equipment.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Emergency Preparedness Deficiencies
Provide emergency officials' contact information.
Emergency Preparedness Deficiencies
Provide primary/alternate means for communication.
Apr 22, 2025Complaint1
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from the wrongful use of the resident's belongings or money.
Aug 22, 2023Complaint1
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Aug 22, 2023Routine25
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Rights Deficiencies
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Resident Rights Deficiencies
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.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Provide activities to meet all resident's needs.
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Miscellaneous Deficiencies
Provide a written emergency evacuation plan.
Gas, Vacuum, and Electrical Systems Deficiencies
Meet requirements for the use of electrical equipment.
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Quality of Life and Care Deficiencies
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Construction Deficiencies
Use approved construction type or materials.
Egress Deficiencies
Have properly located and lighted "Exit" signs.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies
Install a fire alarm system that can be heard throughout the facility.
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Smoke Deficiencies
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Smoke Deficiencies
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Ownership & Operations
Who Operates This Facility
Smith Ranch Skilled Nursing & Rehabilitation Cente
for profit
Chain Affiliation
Generations Healthcare
27 facilities nationwide
Chain avg rating: 3.8/5 · Rank 24 of 33
Ownership & Management
Owners
Mastrocola, Lois
Owner (parent company)
Olds, Thomas
Owner (parent company)
Smith, Fred
Owner (parent company)
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
77 reviews from families & visitors
Official Website
Visit lifegen.net
Medicare data downloads
Original nursing home datasets
EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.
Nearby Alternatives
Professional Post Acute Center
< 1 miNursing Home · San Rafael, CA
Northgate Postacute Care
< 1 miNursing Home · San Rafael, CA
Pine Ridge Care Center
< 1 miNursing Home · San Rafael, CA
Roses Resthome
1.4 miAssisted Living · San Rafael, CA
The Vincent
1.6 miAssisted Living · San Rafael, CA
Drake Terrace
1.7 miAssisted Living · San Rafael, CA