Cycle 1
Health 2025-09-11 · Fire 2025-09-11
8 health deficiencies
Top issue: Administration (1 deficiency)
6 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Greenbrae, CA
The Tamalpais
3-star overall rating with 4-star inspections with 8 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
501 Via Casitas, Greenbrae, CA
(415) 461-2300
Overall
3 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
52
Certified beds
Average residents
21
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1969-06-23
CMS approved date
Coverage
Medicare
Participation flags
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
1.30
Registered nurse staffing · state 0.65 · national 0.68
LPN hours / resident day
0.62
Licensed practical nurse staffing · state 1.22 · national 0.87
Aide hours / resident day
2.92
Nurse aide staffing · state 2.64 · national 2.35
Total nurse hours
4.85
All reported nurse hours · state 4.51 · national 3.89
Licensed hours
1.92
RN + LPN hours · state 1.87 · national 1.54
Weekend hours
4.15
Weekend nurse staffing · state 4.08 · national 3.43
Weekend RN hours
0.41
Weekend registered nurse coverage · state 0.50 · national 0.47
Physical therapist
0.20
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
1.49
CMS adjusted RN staffing hours
Adjusted total hours
5.54
CMS adjusted total nurse staffing hours
Case-mix index
1.20
Higher values indicate more complex resident acuity
RN turnover
44%
Annual RN turnover · state 42% · national 45%
Total nurse turnover
41%
Annual nurse turnover · state 38% · national 46%
SNF VBP
Value-based purchasing
Program rank
1,131
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
59.57
Composite VBP score used to determine payment impact.
Payment multiplier
1.0148
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
3.64
Performance 19.74% · Measure score 3.64 · Achievement 3.64 · This facility did not have sufficient data to calculate a baseline period measure result.
Healthcare-associated infections
5.39
Performance 6.22% · Measure score 5.39 · Achievement 5.39 · This facility did not have sufficient data to calculate a baseline period measure result.
Total nurse turnover
6.94
Baseline 21.62% · Performance 35.29% · Measure score 6.94 · Achievement 6.94 · Improvement 0
Adjusted total nurse staffing
7.86
Baseline 4.91 hours · Performance 5.31 hours · Measure score 7.86 · Achievement 7.86 · Improvement 4.10
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.37% |
10.72%
1.4 pts better
|
No Different than the National Rate · Eligible stays 67 · Observed rate 1.49% · Lower 95% interval 5.31% |
| Discharge to community | 55.94% |
50.57%
5.4 pts better
|
No Different than the National Rate · Eligible stays 60 · Observed rate 63.33% · Lower 95% interval 47.21% |
| Medicare spending per beneficiary | 0.88 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 89.66% |
95.27%
5.6 pts worse
|
Numerator 26 · Denominator 29 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 29 |
| Discharge self-care score | 42.31% |
53.69%
11.4 pts worse
|
Numerator 11 · Denominator 26 |
| Discharge mobility score | 30.77% |
50.94%
20.2 pts worse
|
Numerator 8 · Denominator 26 |
| Pressure ulcers or injuries, new or worsened | 6.9% |
2.29%
4.6 pts worse
|
Numerator 2 · Denominator 29 · Adjusted rate 7.82% |
| Healthcare-associated infections requiring hospitalization | 6.23% |
7.12%
0.9 pts better
|
No Different than the National Rate · Eligible stays 37 · Observed rate 0% · Lower 95% interval 3.07% |
| Staff COVID-19 vaccination coverage | 28.23% |
8.2%
20 pts better
|
Numerator 35 · Denominator 124 |
| Staff flu vaccination coverage | 84.09% |
42%
42.1 pts better
|
Numerator 111 · Denominator 132 |
| Discharge function score | 38.46% |
56.45%
18 pts worse
|
Numerator 10 · Denominator 26 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 13 · Too few residents or stays to report publicly. |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.2 |
2.3
1.1 pts better
|
1.9
0.7 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.2 · Observed 0.7 · Expected 1.0 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.8 |
1.6
0.2 pts worse
|
1.8
About the same
|
Long Stay · 20240701-20250630 · Adjusted 1.8 · Observed 1.1 · Expected 1.0 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 96.7% |
98.5%
1.8 pts worse
|
93.4%
3.3 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 96.7% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0.0% |
1.6%
1.6 pts better
|
3.3%
3.3 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 1.9% |
6.8%
4.9 pts better
|
11.4%
9.5 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 1.9% |
| Percentage of long-stay residents who lose too much weight | 9.6% |
4.1%
5.5 pts worse
|
5.4%
4.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 9.6% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 7.4% |
13.7%
6.3 pts better
|
19.6%
12.2 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 7.4% |
| Percentage of long-stay residents who received an antipsychotic medication | 13.3% |
14.2%
0.9 pts better
|
16.7%
3.4 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 13.3% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.4%
0.4 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 34.2% |
11.0%
23.2 pts worse
|
16.3%
17.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 34.2% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 45.3% |
10.7%
34.6 pts worse
|
14.9%
30.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 45.3% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
1.0%
1 pts better
|
1.0%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.0% |
1.2%
1.2 pts better
|
1.7%
1.7 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 29.6% |
10.9%
18.7 pts worse
|
19.8%
9.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 29.6% |
| Percentage of long-stay residents with pressure ulcers | 0.0% |
4.7%
4.7 pts better
|
5.1%
5.1 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 78.6% |
94.0%
15.4 pts worse
|
81.7%
3.1 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 69.8% · Q2 77.8% · Q3 73.3% · Q4 94.4% · 4Q avg 78.6% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 15.4% |
11.2%
4.2 pts worse
|
12.0%
3.4 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 15.4% · Observed 11.8% · Expected 8.5% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 2.1% |
1.5%
0.6 pts worse
|
1.6%
0.5 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 3.7% · Q2 4.2% · Q3 0.0% · Q4 0.0% · 4Q avg 2.1% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 86.1% |
93.2%
7.1 pts worse
|
79.7%
6.4 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 86.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 30.5% |
23.2%
7.3 pts worse
|
23.9%
6.6 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 30.5% · Observed 17.6% · Expected 13.8% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-12-08 · Fire 2023-12-08
5 health deficiencies
Top issue: Pharmacy Service (2 deficiencies)
3 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Cycle 3
Health 2019-10-25 · Fire 2019-10-25
1 health deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
6 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2025-09-11
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-09-30
F · Potential for more than minimal harm
2025-09-11
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-09-30
F · Potential for more than minimal harm
2025-09-11
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-09-30
E · Potential for more than minimal harm
2025-09-11
K293 · Egress Deficiencies
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2025-09-30
D · Potential for more than minimal harm
2025-09-11
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2025-09-30
D · Potential for more than minimal harm
2025-09-11
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2025-09-30
E · Potential for more than minimal harm
2023-12-08
K347 · Smoke Deficiencies
Fire Safety
Properly provide smoke detection systems in areas open to corridors.
Corrected 2024-01-03
E · Potential for more than minimal harm
2023-12-08
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-01-03
D · Potential for more than minimal harm
2023-12-08
K355 · Smoke Deficiencies
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2024-01-03
E · Potential for more than minimal harm
2019-10-25
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2019-12-31
D · Potential for more than minimal harm
2019-10-25
E32 · Emergency Preparedness Deficiencies
Fire Safety
Provide primary/alternate means for communication.
Corrected 2019-12-31
D · Potential for more than minimal harm
2019-10-25
K222 · Egress Deficiencies
Fire Safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2019-12-31
D · Potential for more than minimal harm
2019-10-25
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2019-12-31
D · Potential for more than minimal harm
2019-10-25
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2019-12-31
D · Potential for more than minimal harm
2019-10-25
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2019-12-31
Inspection history
Recent health citations
F · Potential for more than minimal harm
2025-09-11
F727 · Nursing and Physician Services Deficiencies
Health
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected 2025-10-11
F · Potential for more than minimal harm
2025-09-11
F836 · Administration Deficiencies
Health
Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.
Corrected 2025-10-11
E · Potential for more than minimal harm
2025-09-11
F761 · Pharmacy Service Deficiencies
Health
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.
Corrected 2025-10-11
D · Potential for more than minimal harm
2025-09-11
F628 · Resident Rights Deficiencies
Health
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected 2025-10-11
D · Potential for more than minimal harm
2025-09-11
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-10-11
D · Potential for more than minimal harm
2025-09-11
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-10-11
D · Potential for more than minimal harm
2025-09-11
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-10-11
D · Potential for more than minimal harm
2025-09-11
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-10-11
E · Potential for more than minimal harm
2023-12-08
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-01-08
D · Potential for more than minimal harm
2023-12-08
F582 · Resident Rights Deficiencies
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2024-01-08
D · Potential for more than minimal harm
2023-12-08
F637 · Resident Assessment and Care Planning Deficiencies
Health
Assess the resident when there is a significant change in condition
Corrected 2024-01-08
D · Potential for more than minimal harm
2023-12-08
F758 · Pharmacy Service Deficiencies
Health
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected 2024-01-08
D · Potential for more than minimal harm
2023-12-08
F761 · Pharmacy Service Deficiencies
Health
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.
Corrected 2024-01-08
F · Potential for more than minimal harm
2019-10-25
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2019-12-02
Penalties and ownership
What sits behind the stars
Ownership
Sequoia Living Inc
5% Or Greater Direct Ownership Interest · Organization
Agostino, Valerie
Corporate Director · Individual
Atwood, Martha
Corporate Officer · Individual
Corriea, Richard
Corporate Director · Individual
Friesen, Paul
W-2 Managing Employee · Individual
Herman, Steven
Corporate Director · Individual
Howie, Carl
Corporate Director · Individual
Ito, Holly
Corporate Director · Individual
Jamison, David
Corporate Director · Individual
Lim, Marianne
Corporate Director · Individual
Lynn, Patricia
Corporate Director · Individual
Mayeda, Nancy
Corporate Director · Individual
Mcvey, Sarah
5% Or Greater Indirect Ownership Interest · Individual
Mcvey, Sarah
Corporate Officer · Individual
Sanderson, Cory
Corporate Director · Individual
Shoemake, Charles
Corporate Officer · Individual
Spaulding, Dianne
Corporate Director · Individual
Suey, Marilyn
Corporate Director · Individual
Tumbale, Terence
Operational/Managerial Control · Individual
Tumbale, Terence
W-2 Managing Employee · Individual
Ziaie Matin, Maryam
Contracted Managing Employee · Individual
Nearby options
Other facilities in reach
#1
South Marin Health & Wellness Center
Greenbrae, CA
4-star overall rating with 3-star inspections with 13 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
#2
San Rafael Healthcare & Wellness Center, LP
San Rafael, CA
2-star overall rating with 2-star inspections with $8,278 in total fines with 29 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
#3
The Redwoods, A Community Of Seniors
Mill Valley, CA
1-star overall rating with 1-star inspections with $133,365 in total fines with 16 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
Jump out