How to file a complaint about care →
No fines or payment denials in the published 3-year window.
The Tamalpais
501 Via Casitas, Greenbrae, CA 94904 (opens Google Maps) · Marin County · (415) 461-2300· 52 certified beds · avg 20 residents/day · certified since Jun 23, 1969 · Medicare only — not Medicaid certified
Certified for Medicare only. Medicare pays for short rehabilitation stays, not for long-term care — and this facility cannot bill Medicaid, which is what most families rely on for a long stay. Ask what a long-term stay here would cost and how it would be paid for. Who pays for nursing home care →
4/5
Health inspection rating (on-site)
inspected Sep 11, 2025
0
Serious findings on record
$0
Fines, last 3 years
5.14
Nurse hours/resident/day (adjusted)
Every record stays on this page.
What health inspectors found (on-site government inspections — the most independent evidence available)
New to these records? How to read an inspection report →
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 5/5 · how star ratings work →
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 quality measures from resident assessments and claims.
Inspection findings in the public record
Showing the latest 3 of 14 inspection findings. Open the full record below to read every finding.
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. F-0727
The facility was not properly licensed, or did not operate in compliance with federal, state, and local laws, regulations, and accepted professional standards. F-0836
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. F-0761
View all 14 inspection findingsShow only the latest 3 findings
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Sep 11, 2025 | F · Potential for more than minimal harm, widespread | 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. · F-0727 |
| Sep 11, 2025 | F · Potential for more than minimal harm, widespread | The facility was not properly licensed, or did not operate in compliance with federal, state, and local laws, regulations, and accepted professional standards. · F-0836 |
| Sep 11, 2025 | E · Potential for more than minimal harm, pattern | 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. · F-0761 |
| Sep 11, 2025 | D · Potential for more than minimal harm, isolated | 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). · F-0628 |
| Sep 11, 2025 | D · Potential for more than minimal harm, isolated | 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. · F-0656 |
| Sep 11, 2025 | D · Potential for more than minimal harm, isolated | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684 |
| Sep 11, 2025 | D · Potential for more than minimal harm, isolated | 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. · F-0812 |
| Sep 11, 2025 | D · Potential for more than minimal harm, isolated | 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. · F-0880 |
| Dec 8, 2023 | E · Potential for more than minimal harm, pattern | 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. · F-0880 |
| Dec 8, 2023 | D · Potential for more than minimal harm, isolated | 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. · F-0582 |
| Dec 8, 2023 | D · Potential for more than minimal harm, isolated | 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. · F-0637 |
| Dec 8, 2023 | D · Potential for more than minimal harm, isolated | 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. · F-0758 |
| Dec 8, 2023 | D · Potential for more than minimal harm, isolated | 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. · F-0761 |
| Oct 25, 2019 | F · Potential for more than minimal harm, widespread | 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. · F-0812 |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (5 → 8).
All citationsSerious citations (G–L)
2019
All citations: 1
Serious citations (G–L): 0
2023
All citations: 5
Serious citations (G–L): 0
2025
All citations: 8
Serious citations (G–L): 0
All bars start at zero. Exact values and supporting details remain below.
| 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)
Nurse staffing (from payroll records, adjusted for how much care residents need)
What these staffing numbers mean →
This facilityCalifornia averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 5.14
California average: 4.31
U.S. average: 3.95
Registered Nurse hours
This facility: 1.80
California average: 0.61
U.S. average: 0.69
Weekend total nurse staffing
This facility: 3.46
California average: 3.90
U.S. average: 3.50
All bars start at zero. Exact values and supporting details remain below.
| 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 for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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.Comparing with Medicare Care Compare? Care Compare shows the raw figure (4.51 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 5/5.
Quality measures: assessments & claims
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 3/5 · long-stay residents: 4/5 · short-stay residents: 3/5
Costs & payment
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for The Tamalpais. CMS inspection and staffing records do not tell us what this home will charge you.
Calculate a stay from a quote you receive
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Before you compare prices
- Request the room type, effective date and itemized daily rate in writing.
- Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
- Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.
Understand who pays for care · How we handle price evidence · Report an incorrect price
Who owns this facility
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
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 |
Showing 20 of 27 parties CMS has on file for this facility; 7 are not displayed. The full list is in the CMS Ownership dataset.
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?"
Also worth asking anywhere
- "Your weekend nurse staffing is reported below the California midpoint — how does the weekend schedule differ from a weekday?"
- "Can I see the plan of correction for the findings in your most recent state inspection?"
- "CMS reports 40% total nursing staff turnover here — who on the care team has been with you longest?"
- "The ownership record on file lists 27 owning or managing parties — who makes the decisions about staffing levels?"
- "Can I visit again unannounced, at a mealtime or on a weekend?"
Nearby facilities (12 closest of 62 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 | |
| Shields Richmond Nursing Center | 9.9 mi | Richmond, CA | ★★★★☆ | 2/5 | |
| Vale Healthcare Center | 10.4 mi | San Pablo, CA | ★★★☆☆ | 2/5 |
Compare this facility with the 3 closest →
Other facilities in the same county
CMS records place this facility in Marin, CA — 11 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.
- Novato Healthcare Center — Novato, CA · overall 1/5abuse
Listed by facility name — not a ranking. Homes already in the table above are not repeated here.
Facility data as of CMS processing date 2026-08-01. CCN 056077.