The Sequoias
Portola Valley, San Mateo County, California · CCN 055466 · Non-profit (Corporation) · not part of a chain
CMS rates The Sequoias 5 of 5 overall as of August 2026. 43 certified beds, 31 residents a day on average. 20 citations on record from the current inspection cycles; 1 fine totalling $12,703.
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 | ★★★★★ 5 of 5 |
|---|---|
| Health inspections | ★★★★★ 5 of 5 |
| Staffing | ★★★★☆ 4 of 5 |
| Quality measures | ★★★★★ 5 of 5 |
| Quality: long-stay / short-stay | 5 / 5 of 5 |
Staffing
| Total nurse staffing | 4.28258 hours per resident per day |
|---|---|
| Registered nurses | 0.61222 hours per resident per day |
| Weekend total | 3.00409 hours per resident per day |
| Nursing staff turnover | 6.3% (registered nurses 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 |
|---|---|---|---|
| 2025-08-07 | 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 2025-08-29 |
| 2025-08-07 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · tag F0582 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-08-29 |
| 2025-08-07 | 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 · tag F0657 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-08-29 |
| 2025-08-07 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · tag F0755 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-08-29 |
| 2025-08-07 | Implement a program that monitors antibiotic use. Infection Control Deficiencies · tag F0881 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-08-29 |
| 2024-05-24 | 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 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2024-07-01 |
| 2024-05-24 | 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 · tag F0584 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-07-01 |
| 2024-05-24 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. Resident Assessment and Care Planning Deficiencies · tag F0640 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-07-01 |
| 2024-05-24 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · tag F0641 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-07-01 |
| 2024-05-24 | 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 2024-07-01 |
| 2024-05-24 complaint survey |
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Nursing and Physician Services Deficiencies · tag F0726 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-07-01 |
| 2024-05-24 | 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. Pharmacy Service Deficiencies · tag F0758 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-07-01 |
| 2024-05-24 | 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 2024-07-01 |
| 2024-05-24 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. Administration Deficiencies · tag F0851 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-07-01 |
| 2021-12-30 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · tag F0655 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2022-01-27 |
| 2021-12-30 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · tag F0658 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2022-01-27 |
| 2021-12-30 | Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · tag F0814 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2022-01-27 |
| 2021-12-30 | 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 2022-01-27 |
| 2021-12-30 | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · tag F0692 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2022-01-27 |
| 2021-12-30 | 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 2022-01-27 |
Fines and payment denials
| Date | Penalty | Amount |
|---|---|---|
| 2023-10-30 | Fine | $12,703 |
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 |
|---|---|---|---|
| Sequoia Living Inc. Organization | 5% or greater direct ownership interest | 100% | 1967-01-18 |
| Sequoia Living Inc. Organization | adp of the snf | — | 2025-01-14 |
| Mcvey, Sarah Individual | 5% or greater indirect ownership interest | — | 2019-09-24 |
| Atwood, Martha Individual | adp of the snf | — | 1994-01-03 |
| Chen, Can Individual | adp of the snf | — | 2017-10-01 |
| Mcvey, Sarah Individual | adp of the snf | — | 2019-09-24 |
| Shoemake, Charles Individual | adp of the snf | — | 2025-01-14 |
| Wasley-Fairley, Suzanne Individual | adp of the snf | — | 2022-08-01 |
| Agostino, Valerie Individual | corporate director | — | 2020-12-07 |
| Corriea, Richard Individual | corporate director | — | 2021-05-19 |
| Herman, Steven Individual | corporate director | — | 2017-01-01 |
| Howie, Carl Individual | corporate director | — | 2011-05-01 |
| Ito, Holly Individual | corporate director | — | 2022-10-25 |
| Jamison, David Individual | corporate director | — | 2014-06-01 |
| Lim, Marianne Individual | corporate director | — | 2020-07-21 |
| Lynn, Patricia Individual | corporate director | — | 2020-04-29 |
| Mayeda, Nancy Individual | corporate director | — | 2016-01-01 |
| Sanderson, Cory Individual | corporate director | — | 2024-05-29 |
| Spaulding, Dianne Individual | corporate director | — | 2014-05-01 |
| Suey, Marilyn Individual | corporate director | — | 2023-05-22 |
| Mcvey, Sarah Individual | corporate officer | — | 2019-09-24 |
| Shoemake, Charles Individual | corporate officer | — | 2020-08-14 |
| Chen, Can Individual | operational/managerial control | — | 2017-10-01 |
| Mcvey, Sarah Individual | operational/managerial control | — | 2019-09-24 |
| Wasley-Fairley, Suzanne Individual | operational/managerial control | — | 2022-08-01 |
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 The Sequoias.
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 San Mateo County.