Nursing Care Index

The Tamalpais

Greenbrae, Marin County, California · CCN 056077 · Non-profit (Corporation) · not part of a chain

CMS rates The Tamalpais 5 of 5 overall as of August 2026. 52 certified beds, 20 residents a day on average. 14 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★★★★★ 5 of 5
Health inspections★★★★☆ 4 of 5
Staffing★★★★★ 5 of 5
Quality measures★★★☆☆ 3 of 5
Quality: long-stay / short-stay4 / 3 of 5

Staffing

Total nurse staffing4.50561 hours per resident per day
Registered nurses1.57972 hours per resident per day
Weekend total3.03072 hours per resident per day
Nursing staff turnover40% (registered nurses 14.3%)
Administrators who left1

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.

SurveyFindingSeverityStatus
2025-09-11 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.
Nursing and Physician Services Deficiencies · tag F0727
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2025-10-11
2025-09-11 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.
Administration Deficiencies · tag F0836
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2025-10-11
2025-09-11 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
2025-10-11
2025-09-11 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
2025-10-11
2025-09-11 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
2025-10-11
2025-09-11 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
2025-10-11
2025-09-11 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
2025-10-11
2025-09-11 Provide and implement an infection prevention and control program.
Infection Control Deficiencies · tag F0880
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-10-11
2023-12-08 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
2024-01-08
2023-12-08 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
2024-01-08
2023-12-08 Assess the resident when there is a significant change in condition
Resident Assessment and Care Planning Deficiencies · tag F0637
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-01-08
2023-12-08 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
2024-01-08
2023-12-08 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
2024-01-08
2019-10-25 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
2019-12-02

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.

NameRoleShareSince
Sequoia Living Inc.
Organization
5% or greater direct ownership interest100%1984-07-25
Mcvey, Sarah
Individual
5% or greater indirect ownership interest2019-09-24
Atwood, Martha
Individual
adp of the snf2025-01-09
Friesen, Paul
Individual
adp of the snf2025-01-09
Mcvey, Sarah
Individual
adp of the snf2025-01-09
Shoemake, Charles
Individual
adp of the snf2025-01-09
Tumbale, Terence
Individual
adp of the snf2025-01-09
Ziaie Matin, Maryam
Individual
adp of the snf2025-01-09
Ziaie Matin, Maryam
Individual
contracted managing employee2022-01-01
Agostino, Valerie
Individual
corporate director2020-12-07
Corriea, Richard
Individual
corporate director2021-05-19
Herman, Steven
Individual
corporate director2017-01-01
Howie, Carl
Individual
corporate director2011-05-01
Ito, Holly
Individual
corporate director2022-10-25
Jamison, David
Individual
corporate director2014-05-01
Lim, Marianne
Individual
corporate director2020-07-21
Lynn, Patricia
Individual
corporate director2020-04-29
Mayeda, Nancy
Individual
corporate director2016-01-01
Sanderson, Cory
Individual
corporate director2024-05-29
Spaulding, Dianne
Individual
corporate director2014-05-01
Suey, Marilyn
Individual
corporate director2023-05-22
Atwood, Martha
Individual
corporate officer1994-01-03
Mcvey, Sarah
Individual
corporate officer2019-09-24
Shoemake, Charles
Individual
corporate officer2020-08-14
Tumbale, Terence
Individual
operational/managerial control2024-12-18
Friesen, Paul
Individual
w-2 managing employee2022-01-03
Tumbale, Terence
Individual
w-2 managing employee2021-01-11

What changed

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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.