Establishment profile
SMITH RANCH SKILLED NURSING & REHABILITATION CENTE
1550 SILVEIRA PARKWAY, SAN RAFAEL, CA, 94903
Operated by GENERATIONS HEALTHCARE · 1 of 27 establishments
Summary
SMITH RANCH SKILLED NURSING & REHABILITATION CENTE has no OSHA inspection history on file. Federal records covering wage, environmental, labor relations, and other agencies are noted below where present.
The most recent federal enforcement activity was recorded 0 days ago.
Federal records were found in 1 of 15 sources. Sources without matching records returned empty for this establishment.
Agency coverage
SMITH RANCH SKILLED NURSING & REHABILITATION CENTE appears in CMS nursing home enforcement record only. No matching records were found in OSHA workplace safety, WHD wage enforcement, MSHA mine safety, EPA environmental compliance, NLRB labor relations, OFLC visa and labor certification (historical), FMCSA motor carrier registration, SAM.gov federal debarment, CPSC product recalls, or NHTSA vehicle recalls. Single-agency enforcement records typically indicate either a discrete incident-based inspection or a low-risk operational profile.
OSHA workplace safety
No OSHA inspections, citations, or accidents on file for SMITH RANCH SKILLED NURSING & REHABILITATION CENTE. Verify directly with Occupational Safety and Health Administration →
Safety self-report (OSHA 300A)
No self-reported injury rates filed with OSHA's Injury Tracking Application for SMITH RANCH SKILLED NURSING & REHABILITATION CENTE. Verify directly with OSHA Injury Tracking Application →
OSHA severe injury reports
No severe injury reports (hospitalization, amputation, or loss of an eye) on file under 29 CFR 1904.39 for SMITH RANCH SKILLED NURSING & REHABILITATION CENTE. Verify directly with Occupational Safety and Health Administration →
Activity timeline
Most recent federal enforcement activity recorded 0 days ago. Data on this page is refreshed weekly.
Wage & Hour Division (WHD)
No WHD wage, overtime, or child-labor enforcement cases on file for SMITH RANCH SKILLED NURSING & REHABILITATION CENTE. Verify directly with Wage and Hour Division →
Mine safety (MSHA)
No MSHA mine safety violations on file for SMITH RANCH SKILLED NURSING & REHABILITATION CENTE. Verify directly with Mine Safety and Health Administration →
Labor relations (NLRB)
No NLRB unfair labor practice charges or union representation cases on file for SMITH RANCH SKILLED NURSING & REHABILITATION CENTE. Verify directly with National Labor Relations Board →
Visa & labor certification (OFLC) — historical
No H-1B, H-2A, or H-2B labor condition applications on file (historical data only — DOL ended OFLC publication) for SMITH RANCH SKILLED NURSING & REHABILITATION CENTE. Verify directly with Office of Foreign Labor Certification →
Environmental compliance (EPA)
No EPA inspections or formal enforcement actions on file for SMITH RANCH SKILLED NURSING & REHABILITATION CENTE. Verify directly with Environmental Protection Agency →
CMS nursing-home record
CCN 555595 · Chain: GENERATIONS HEALTHCARE
Source: CMS Provider Data Catalog (Care Compare) — health-inspection deficiencies, fines, and ratings. Full nursing-home record →
CMS Care Compare deficiencies
Every Health Deficiency citation issued by CMS surveyors during this facility’s annual and complaint-triggered surveys. F-tags reference 42 CFR 483 regulatory requirements (resident rights, staffing, infection control, medication management, etc.). Scope-severity letters grade citations from A (isolated potential harm) through L (widespread immediate jeopardy); immediate-jeopardy citations are the critical signal. 45 citations across 6 surveys · 9 complaint-triggered · 45 marked corrected.
| Survey date | F-Tag | Severity | Description | Type | Corrected |
|---|---|---|---|---|---|
| Jun 2026 | 0609 | D | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies | Complaint | Jun 2026 |
| Jun 2026 | 0656 | D | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies | Complaint | Jun 2026 |
| Apr 2026 | 0657 | E | 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 | Complaint | May 2026 |
| Apr 2026 | 0658 | E | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies | Complaint | May 2026 |
| Apr 2026 | 0684 | E | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies | Complaint | May 2026 |
| Apr 2026 | 0842 | E | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies | Complaint | May 2026 |
| Apr 2026 | 0760 | D | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies | Complaint | May 2026 |
| Feb 2026 | 0584 | E | 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 Rights Deficiencies | Standard | Feb 2026 |
| Feb 2026 | 0658 | E | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies | Standard | Feb 2026 |
| Feb 2026 | 0812 | E | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies | Standard | Feb 2026 |
| Feb 2026 | 0908 | E | Keep all essential equipment working safely. Environmental Deficiencies | Standard | Feb 2026 |
| Feb 2026 | 0645 | D | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies | Standard | Feb 2026 |
| Feb 2026 | 0684 | D | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies | Standard | Feb 2026 |
| Feb 2026 | 0755 | D | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies | Standard | Feb 2026 |
| Feb 2026 | 0761 | D | 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. Pharmacy Service Deficiencies | Standard | Feb 2026 |
| Feb 2026 | 0880 | D | Provide and implement an infection prevention and control program. Infection Control Deficiencies | Standard | Feb 2026 |
| May 2025 | 0575 | F | 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. Resident Rights Deficiencies | Standard | Jun 2025 |
| May 2025 | 0812 | F | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies | Standard | Jun 2025 |
| May 2025 | 0865 | F | Have a plan that describes the process for conducting QAPI and QAA activities. Administration Deficiencies | Standard | Jun 2025 |
| May 2025 | 0658 | E | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies | Standard | Jun 2025 |
| May 2025 | 0688 | E | 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 | Standard | Jun 2025 |
| May 2025 | 0552 | D | Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies | Standard | Jun 2025 |
| May 2025 | 0558 | D | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies | Standard | Jun 2025 |
| May 2025 | 0584 | D | 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 Rights Deficiencies | Standard | Jun 2025 |
| May 2025 | 0641 | D | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies | Standard | Jun 2025 |
| May 2025 | 0686 | D | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies | Standard | Jun 2025 |
| May 2025 | 0692 | D | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies | Standard | Jun 2025 |
| May 2025 | 0693 | D | 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. Quality of Life and Care Deficiencies | Standard | Jun 2025 |
| May 2025 | 0759 | D | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies | Standard | Jun 2025 |
| May 2025 | 0761 | D | 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. Pharmacy Service Deficiencies | Standard | Jun 2025 |
| Apr 2025 | 0602 | D | Protect each resident from the wrongful use of the resident's belongings or money. Freedom from Abuse, Neglect, and Exploitation Deficiencies | Complaint | May 2025 |
| Aug 2023 | 0812 | F | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies | Standard | Sep 2023 |
| Aug 2023 | 0577 | E | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. Resident Rights Deficiencies | Standard | Sep 2023 |
| Aug 2023 | 0625 | E | 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 Rights Deficiencies | Standard | Sep 2023 |
| Aug 2023 | 0641 | E | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies | Standard | Sep 2023 |
| Aug 2023 | 0656 | E | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies | Standard | Sep 2023 |
| Aug 2023 | 0677 | E | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies | Standard | Sep 2023 |
| Aug 2023 | 0679 | E | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies | Standard | Sep 2023 |
| Aug 2023 | 0759 | E | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies | Standard | Sep 2023 |
| Aug 2023 | 0880 | E | Provide and implement an infection prevention and control program. Infection Control Deficiencies | Standard | Sep 2023 |
| Aug 2023 | 0658 | D | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies | Standard | Sep 2023 |
| Aug 2023 | 0676 | D | 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 | Standard | Sep 2023 |
| Aug 2023 | 0686 | D | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies | Complaint | Sep 2023 |
| Aug 2023 | 0695 | D | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies | Standard | Sep 2023 |
| Aug 2023 | 0760 | D | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies | Standard | Sep 2023 |
Source: CMS Care Compare Health Deficiencies dataset. Standard survey citations come from routine annual inspections; complaint citations come from CMS investigations of resident or family complaints; infection control citations come from focused infection-prevention surveys. F-tag definitions are at cms.gov/medicare/quality-initiatives-patient-assessment-instruments/nursinghomequalityinits.
In the news
Part of a larger organization
SMITH RANCH SKILLED NURSING & REHABILITATION CENTE is one of 27 establishments rolled up under the parent organization GENERATIONS HEALTHCARE.
Federal enforcement records on this page represent activity at this specific establishment only. The full enforcement footprint of GENERATIONS HEALTHCARE across all 27 of its tracked locations is viewable on the parent profile.
Other locations under this parent
Other establishments operated by GENERATIONS HEALTHCARE, ordered by federal enforcement volume:
- GRAMERCY COURTSACRAMENTO, CA — 1 federal enforcement record
Related searches
- All GENERATIONS HEALTHCARE locationsParent rollup
- Employers in CAState-wide enforcement data
About this data
This profile aggregates federal enforcement records on SMITH RANCH SKILLED NURSING & REHABILITATION CENTE from every major federal compliance and enforcement source. OSHA workplace safety inspections, WHD wage cases, MSHA mine safety, EPA environmental enforcement, NLRB labor relations, OFLC visa/labor certification, FMCSA motor carrier registration, SAM.gov debarments, CMS nursing-home records, BLS industry safety benchmarks, OSHA ITA self-reported injury rates, SEC enforcement and financial disclosures, CPSC and NHTSA recalls.
Establishments are matched across agencies using normalized employer name, state, and ZIP code. This establishment resolves to the parent rollup GENERATIONS HEALTHCARE, which operates 27 establishments in our dataset.
OSHA citations typically appear 3–8 months after the inspection, so very recent enforcement actions may not yet be reflected. Profiles may be incomplete if the establishment operates under multiple legal names or files under variations our entity-matching rules don’t yet cover. To report a missing record or correction, email corrections@fastdol.com.
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Contact sales →Frequently asked
- What is SMITH RANCH SKILLED NURSING & REHABILITATION CENTE's OSHA violation history?
- SMITH RANCH SKILLED NURSING & REHABILITATION CENTE has no OSHA inspections on record.