The Tamalpais
501 Via Casitas, Greenbrae, CA 94904 · Marin County · 52 certified beds · avg 20 residents/day · certified since Jun 23, 1969
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 5/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
All citations in the current public record (14)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Sep 11, 2025 | F · Potential for harm, facility-wide | The facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing. |
| Sep 11, 2025 | F · Potential for harm, facility-wide | The facility was not properly licensed, or did not operate in compliance with federal, state, and local laws, regulations, and accepted professional standards. |
| Sep 11, 2025 | E · Potential for harm, repeated | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Sep 11, 2025 | D · Potential for harm, one-off | The facility did not provide required paperwork or notices about a resident's needs, their right to appeal a transfer or discharge, or the facility's bed-hold policy (how long a bed is saved during a hospital stay). |
| Sep 11, 2025 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Sep 11, 2025 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Sep 11, 2025 | D · Potential for harm, one-off | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Sep 11, 2025 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Dec 8, 2023 | E · Potential for harm, repeated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Dec 8, 2023 | D · Potential for harm, one-off | The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered. |
| Dec 8, 2023 | D · Potential for harm, one-off | The facility did not reassess a resident after a significant change in their condition, such as a sudden decline in health. A full new assessment is required when a resident's condition changes in a major way. |
| Dec 8, 2023 | D · Potential for harm, one-off | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. |
| Dec 8, 2023 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Oct 25, 2019 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (5 → 8).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2019 | 1 | 0 | F |
| 2023 | 5 | 0 | E |
| 2025 | 8 | 0 | F |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | California avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 5.14 | 4.31 | 3.95 | top 12% in California; top 11% in the U.S. |
| Registered Nurse hours | 1.80 | 0.61 | 0.69 | top 2% in California; top 2% in the U.S. |
| Weekend total nurse staffing | 3.46 | 3.90 | 3.50 | bottom 26% in California; top 44% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.65 | 0.51 | 0.48 | top 18% in California; top 19% in the U.S. |
| Total nursing staff turnover (%) | 40.0 | 36.7 | 45.8 | bottom 38% in California; top 36% in the U.S. |
| RN turnover (%) | 14.3 | 38.1 | 42.9 | top 10% in California; top 7% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.51, RN 1.58, weekend 3.03. Staffing rating: 5/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 3/5 · long-stay residents: 4/5 · short-stay residents: 3/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| McVey, Sarah | Individual | 5% or Greater Indirect Ownership Interest | — | 09/24/2019 |
| Sequoia Living INC | Organization | 5% or Greater Direct Ownership Interest | 100% | 07/25/1984 |
| Agostino, Valerie | Individual | Corporate Director | NOT APPLICABLE | 12/07/2020 |
| Atwood, Martha | Individual | Corporate Officer | NOT APPLICABLE | 01/03/1994 |
| Atwood, Martha | Individual | ADP of the SNF | NOT APPLICABLE | 01/09/2025 |
| Corriea, Richard | Individual | Corporate Director | NOT APPLICABLE | 05/19/2021 |
| Friesen, Paul | Individual | W-2 Managing Employee | NOT APPLICABLE | 01/03/2022 |
| Friesen, Paul | Individual | ADP of the SNF | NOT APPLICABLE | 01/09/2025 |
| Herman, Steven | Individual | Corporate Director | NOT APPLICABLE | 01/01/2017 |
| Howie, Carl | Individual | Corporate Director | NOT APPLICABLE | 05/01/2011 |
| Ito, Holly | Individual | Corporate Director | NOT APPLICABLE | 10/25/2022 |
| Jamison, David | Individual | Corporate Director | NOT APPLICABLE | 05/01/2014 |
| Lim, Marianne | Individual | Corporate Director | NOT APPLICABLE | 07/21/2020 |
| Lynn, Patricia | Individual | Corporate Director | NOT APPLICABLE | 04/29/2020 |
| Mayeda, Nancy | Individual | Corporate Director | NOT APPLICABLE | 01/01/2016 |
| McVey, Sarah | Individual | Corporate Officer | NOT APPLICABLE | 09/24/2019 |
| McVey, Sarah | Individual | ADP of the SNF | NOT APPLICABLE | 01/09/2025 |
| Sanderson, Cory | Individual | Corporate Director | NOT APPLICABLE | 05/29/2024 |
| Shoemake, Charles | Individual | Corporate Officer | NOT APPLICABLE | 08/14/2020 |
| Shoemake, Charles | Individual | ADP of the SNF | NOT APPLICABLE | 01/09/2025 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How many hours a day is a registered nurse physically in the building, including weekends?"
- "Can you tell me about this citation and confirm your license and compliance status today?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| South Marin Health & Wellness Center | 0.6 mi | Greenbrae, CA | ★★★★☆ | 3/5 | |
| San Rafael Healthcare & Wellness Center, LP | 2.1 mi | San Rafael, CA | ★★☆☆☆ | 2/5 | |
| The Redwoods, a Community of Seniors | 3.6 mi | Mill Valley, CA | ★★☆☆☆ | 2/5 | |
| Marin Post Acute | 4.0 mi | San Rafael, CA | ★★☆☆☆ | 2/5 | abuse |
| Villa Marin | 4.1 mi | San Rafael, CA | ★★★★★ | 4/5 | |
| Pine Ridge Care Center | 4.5 mi | San Rafael, CA | ★★★★★ | 3/5 | |
| Northgate Postacute Care | 4.5 mi | San Rafael, CA | ★★☆☆☆ | 2/5 | abuse |
| Professional Post Acute Center | 4.5 mi | San Rafael, CA | ★★★☆☆ | 2/5 | |
| Smith Ranch Skilled Nursing & Rehabilitation Cente | 5.1 mi | San Rafael, CA | ★★★☆☆ | 2/5 | |
| Richmond Post Acute Care | 9.8 mi | Richmond, CA | ★★★★☆ | 4/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 056077.