With a score of 61 out of 100, Smith Ranch Skilled Nursing & Rehabilitation Cente earns a C grade — placing it near the middle of California nursing facilities. Families should review the detailed metrics below when considering this San Rafael location.
Smith Ranch Skilled Nursing & Rehabilitation Cente provides above-average staffing with 4.59 total nurse hours per resident per day. Higher staffing levels are generally associated with better care outcomes and more attentive staff.
Recent inspections identified 43 deficiencies at Smith Ranch Skilled Nursing & Rehabilitation Cente. While none were classified as the most serious level, families should review the detailed inspection history below.
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 4.59 | 3.8 | Above Average |
| Registered Nurses (RN) | 0.47 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 1.51 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 2.61 | 2.4 | Average |
| Weekend Total Nursing | 4.07 | 3.8 | Average |
| Weekend RN Hours | 0.28 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0575 Severity FPost a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may fileMay 15, 2025 · Resident Rights Deficiencies
- Tag 0812 Severity FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.May 15, 2025 · Nutrition and Dietary Deficiencies
- Tag 0865 Severity FHave a plan that describes the process for conducting QAPI and QAA activities.May 15, 2025 · Administration Deficiencies
- Tag 0658 Severity EEnsure services provided by the nursing facility meet professional standards of quality.May 15, 2025 · Resident Assessment and Care Planning Deficiencies
- Tag 0688 Severity EProvide 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 medicMay 15, 2025 · Quality of Life and Care Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 3.2% | 4.5% | Better |
| Falls with major injury | 2.6% | 3.0% | Better |
| On antipsychotic medication | 7.2% | 14.5% | Better |
| Urinary tract infections | 1.4% | 2.5% | Better |
| ADL decline (daily activities) | 6.6% | 14.0% | Better |
| Excessive weight loss | 2.5% | 7.5% | Better |
| New/worsened incontinence | 2.2% | 45.0% | Better |
How This Grade Was Calculated
This facility's grade of C is based on a score of 61 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 3★ → 24 pts (max 40)
- Health Inspection Rating: 2★ → 10 pts (max 25)
- Staffing Rating: 3★ → 12 pts (max 20)
- Quality Measures Rating: 5★ → 15 pts (max 15)
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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