South Marin Health & Wellness Center
Greenbrae, Marin County, California · CCN 055093 · For-profit (LLC) · part of Aspen Skilled Healthcare (35 facilities, chain average 3.7 stars)
CMS rates South Marin Health & Wellness Center 4 of 5 overall as of August 2026. 72 certified beds, 63 residents a day on average. 37 citations on record from the current inspection cycles; no fines on record.
CMS’s ratings
The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.
| Overall | ★★★★☆ 4 of 5 |
|---|---|
| Health inspections | ★★★☆☆ 3 of 5 |
| Staffing | ★★★★☆ 4 of 5 |
| Quality measures | ★★★★★ 5 of 5 |
| Quality: long-stay / short-stay | 5 / 5 of 5 |
Staffing
| Total nurse staffing | 4.42245 hours per resident per day |
|---|---|
| Registered nurses | 0.91869 hours per resident per day |
| Weekend total | 3.86278 hours per resident per day |
| Nursing staff turnover | 37.8% (registered nurses 28.6%) |
| Administrators who left | 0 |
Citations from health inspections
Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 2026-01-23 complaint survey |
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident Rights Deficiencies · tag F0628 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-02-12 |
| 2026-01-23 complaint survey |
Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · tag F0658 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-02-12 |
| 2025-12-04 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. Resident Rights Deficiencies · tag F0557 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2026-01-04 |
| 2025-12-04 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · tag F0759 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2026-01-04 |
| 2025-12-04 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2026-01-04 |
| 2025-12-04 | Implement a program that monitors antibiotic use. Infection Control Deficiencies · tag F0881 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2026-01-04 |
| 2025-12-04 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. Resident Rights Deficiencies · tag F0553 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-01-04 |
| 2025-12-04 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident Rights Deficiencies · tag F0628 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-01-04 |
| 2025-12-04 | 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 · tag F0656 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-01-04 |
| 2025-12-04 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · tag F0686 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-01-04 |
| 2025-12-04 | 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 · tag F0693 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-01-04 |
| 2025-12-04 | Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · tag F0697 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-01-04 |
| 2025-12-04 | 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 · tag F0761 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-01-04 |
| 2024-11-22 | 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 · tag F0761 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-12-18 |
| 2024-11-22 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. Nutrition and Dietary Deficiencies · tag F0803 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-12-18 |
| 2024-11-22 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · tag F0804 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-12-18 |
| 2024-11-22 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-12-18 |
| 2024-11-22 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. Nutrition and Dietary Deficiencies · tag F0813 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-12-18 |
| 2024-11-22 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-12-18 |
| 2024-11-22 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · tag F0921 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-12-18 |
| 2024-11-22 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental Deficiencies · tag F0925 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-12-18 |
| 2024-11-22 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · tag F0658 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-12-18 |
| 2024-11-22 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-12-18 |
| 2024-06-12 complaint survey |
Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-08-29 |
| 2024-03-18 complaint survey |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0609 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-04-30 |
| 2022-05-17 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · tag F0550 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2022-06-10 |
| 2022-05-17 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · tag F0644 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2022-06-10 |
| 2022-05-17 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · tag F0677 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2022-06-10 |
| 2022-05-17 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · tag F0686 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2022-06-10 |
| 2022-05-17 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · tag F0756 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2022-06-10 |
| 2022-05-17 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · tag F0760 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2022-06-10 |
| 2022-05-17 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. Nutrition and Dietary Deficiencies · tag F0802 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2022-06-10 |
| 2022-05-17 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Resident Rights Deficiencies · tag F0585 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2022-06-10 |
| 2022-05-17 | 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 · tag F0656 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2022-06-10 |
| 2022-05-17 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · tag F0658 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2022-06-10 |
| 2022-05-17 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · tag F0695 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2022-06-10 |
| 2022-05-17 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2022-06-10 |
Fines and payment denials
No fines or payment denials on record since 2023.
Who owns and runs it
Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.
| Name | Role | Share | Since |
|---|---|---|---|
| Agse LLC Organization | adp of the snf | — | 2018-12-20 |
| Aspen Healthcare Services LLC Organization | adp of the snf | — | 2023-01-01 |
| East West Bank Organization | adp of the snf | — | 2018-12-20 |
| Moss Adams LLP Organization | adp of the snf | — | 2018-12-20 |
| Sequoia Healthcare Group LLC Organization | adp of the snf | — | 2023-01-01 |
| Skbm LLC Organization | adp of the snf | — | 2025-10-22 |
| Wells Fargo Bank, National Association Organization | adp of the snf | — | 2018-12-20 |
| Agse LLC Organization | direct ownership interest | — | 2018-12-20 |
| Aspen Skilled Healthcare Inc. Organization | indirect ownership interest | — | 2018-12-20 |
| Sequoia Healthcare Group LLC Organization | indirect ownership interest | — | 2023-01-01 |
| Skbm LLC Organization | indirect ownership interest | — | 2018-12-20 |
| Agse LLC Organization | operational/managerial control | — | 2018-12-20 |
| Bradshaw, Jeffrey Individual | adp of the snf | — | 2023-01-01 |
| Brady, Vern Individual | adp of the snf | — | 2023-01-01 |
| Case, Ryan Individual | adp of the snf | — | 2023-01-01 |
| Castro, Madelene Individual | adp of the snf | — | 2020-09-01 |
| Jurado, Frank Individual | adp of the snf | — | 2023-01-01 |
| Necke, Kyle Individual | adp of the snf | — | 2017-10-23 |
| Nguyen, Susan Individual | adp of the snf | — | 2019-01-01 |
| Paxman, Marcus Individual | adp of the snf | — | 2023-01-01 |
| Rawe, Colton Individual | adp of the snf | — | 2023-01-01 |
| Bradshaw, Peter Individual | indirect ownership interest | — | 2023-07-07 |
| Elsner, Eric Individual | indirect ownership interest | — | 2018-12-20 |
| Kirkwood, Jared Individual | indirect ownership interest | — | 2019-01-01 |
| Orgill, Craig Individual | indirect ownership interest | — | 2019-01-01 |
| Parti, Rajesh Individual | indirect ownership interest | — | 2018-12-20 |
| Parti, Shruty Individual | indirect ownership interest | — | 2018-12-20 |
| Paxman, Marcus Individual | indirect ownership interest | — | 2022-04-01 |
| Bradshaw, Jeffrey Individual | individual is an owner, partner or trustee of any adp of the snf | — | 2025-10-24 |
| Rawe, Colton Individual | managing control - governing body | — | 2023-01-01 |
| Castro, Madelene Individual | operational/managerial control | — | 2020-09-01 |
| Necke, Kyle Individual | operational/managerial control | — | 2017-10-23 |
| Rawe, Colton Individual | operational/managerial control | — | 2023-01-01 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for South Marin Health & Wellness Center.
Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Marin County.