CCN 555595 · Marin County, California
Smith Ranch Skilled Nursing & Rehabilitation Cente
1550 Silveira Parkway, San Rafael, CA 94903
Smith Ranch Skilled Nursing & Rehabilitation Cente is a 80-bed for-profit nursing home in San Rafael, California, first certified for Medicare or Medicaid in 1994. CMS rates it 3 out of 5 stars overall in its September 2026 data, and it averaged 74.3 residents a day, about 93% of its certified beds. We found no FHA-insured Section 232 loan for it in HUD's healthcare endorsement database (fiscal 2001 onward).
Facility facts
- Certified beds
- 80
- Average residents per day
- 74.3 (92.9% of beds)
- Ownership type
- For profit - Limited Liability company
- Certification
- Medicare and Medicaid
- Legal business name
- Ghc of San Rafael, LLC
- Certified since
- Apr 15, 1994
- Chain or affiliated group
- Generations Healthcare (27 facilities, chain average 4.0 stars)
- Location
- Urban
Ratings and staffing
Star ratings run from 1 to 5. Staffing is nurse hours per resident per day from CMS Payroll Based Journal data; turnover is the CMS annual nursing staff turnover rate. Occupancy is CMS's average daily census divided by certified beds.
| Measure | This facility | California median | US median |
|---|---|---|---|
| Overall rating | 3 of 5 | State spread: 186 at 1, 213 at 2, 244 at 3, 240 at 4, 270 at 5 | |
| Health inspections | 2 of 5 | ||
| Quality measures | 5 of 5 | ||
| Staffing | 3 of 5 | ||
| Total nurse hours per resident per day | 4.19 | 4.24 | 3.68 |
| RN hours per resident per day | 0.42 | 0.50 | 0.58 |
| Weekend nurse hours per resident per day | 3.75 | ||
| Nursing staff turnover | 32.5% | 36.4% | 44.9% |
| Occupancy (residents / beds) | 92.9% | 92.0% | 85.7% |
| Fines reported by CMS | None | ||
| Health deficiencies, latest standard survey | 16 (Feb 12, 2026) | ||
HUD 223(f) Express Lane: the CMS part
HUD gives 223(f) applications queue priority when the facility has CMS overall and health inspection ratings of at least 2 stars and no abuse icon, among other tests (ORCF criteria of March 31, 2026). Smith Ranch Skilled Nursing & Rehabilitation Cente meets that part today: 3 stars overall, 2 on health inspections, no abuse icon. The loan-to-value, coverage and operator tests depend on the deal. All the criteria.
Who owns and operates it
These are the owners and operators the facility reported to CMS: anyone with a 5% or greater direct or indirect stake, and any organization with operational or managerial control.
| Name | Role | Share | Since |
|---|---|---|---|
| Bmo Bank, N.A.Organization | Security Interest | n/a | 10/06/2021 |
| Bmo Bank, N.A.Organization | Operational / Managerial Control | n/a | 10/06/2021 |
| Life Generations Healthcare, LLCOrganization | Operational / Managerial Control | n/a | 07/20/2017 |
| Theragen, LLCOrganization | Operational / Managerial Control | n/a | 07/20/2017 |
| Amilcar, AlbertaIndividual | Operational / Managerial Control | n/a | 07/11/2023 |
| Arguel, Angelo ClydeIndividual | Operational / Managerial Control | n/a | 03/17/2025 |
| Coleman, KelseyIndividual | Operational / Managerial Control | n/a | 05/13/2016 |
| Daly, MeganIndividual | Operational / Managerial Control | n/a | 06/30/2003 |
| Deguzman, DinaIndividual | Operational / Managerial Control | n/a | 01/21/2020 |
| Gutierrez, JesusIndividual | Operational / Managerial Control | n/a | 10/31/2023 |
| Mastrocola, LoisIndividual | Operational / Managerial Control | n/a | 07/20/2017 |
| Nain, KabirIndividual | Operational / Managerial Control | n/a | 01/08/2024 |
| Niaki, MichaelIndividual | Operational / Managerial Control | n/a | 07/20/2017 |
| Olds, ThomasIndividual | Operational / Managerial Control | n/a | 07/20/2017 |
Changes of ownership
| Effective | Buyer | Seller |
|---|---|---|
| Sep 1, 2017 | Ghc of San Rafael, LLC | Smith Ranch Care Center, LLC |
HUD Section 232 loans
No FHA-insured loan matching this facility appears in HUD's database of healthcare endorsements, which covers fiscal 2001 onward (HUD data run of July 8, 2026). A loan could still exist under a different project name or from before 2001.
Sources and dates
Facility, rating, staffing and ownership data: CMS Provider Information and CMS Ownership, processing date September 2026. Private equity, REIT and mortgage-interest flags and changes of ownership: CMS Skilled Nursing Facility All Owners and Change of Ownership files (2026-10-01). FHA-insured loans: HUD Office of Healthcare Programs endorsement database, data run July 8, 2026. How we join them, and what the join can get wrong: methodology.
SNF Register is independent. It is not affiliated with or endorsed by CMS, HUD or FHA. Spotted an error? Write to hello@hudskillednursing.loan.