California › San Mateo County › Portola Valley
The Sequoias
501 Portola Road, Portola Valley, CA 94028
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Certified for 43 beds, The Sequoias serves Portola Valley in San Mateo County, California and has taken Medicare and Medicaid residents since 1967.
CMS gives it 5 of 5 stars overall, above the California median of 3; the health inspection rating is 5, staffing 4 and quality measures 5.
Inspectors recorded 20 health deficiencies across the three most recent survey cycles (5, 8, 7 by cycle, most recent first), none at the actual-harm level. That is 46.5 per 100 beds, about the same as the state median of 51.1.
CMS lists 1 penalty in the period covered: fines totalling $13K.
Reported nurse staffing is 4.3 hours per resident per day (0.6 RN), close to the California median of 4.2; nursing staff turnover is 6.3%.
Compared with county, state and nation
| Measure | This facility | San Mateo Co. median | California median | US average |
|---|---|---|---|---|
| Overall star rating | 5 | 5 | 3 | 3.0 |
| Health citations, 3 cycles | 20 | 43 | 44 | 28.7 |
| Citations per 100 beds | 46.5 | 32.8 | 51.1 | 26.8 |
| Total nurse hours per resident day | 4.3 | 4.4 | 4.2 | 3.9 |
| RN hours per resident day | 0.6 | 0.7 | 0.5 | 0.7 |
| Nursing staff turnover | 6.3% | 34.1% | 36.4% | 45.8% |
| Fines listed | $12,703 | $0 | $0 | — |
County and state figures are medians across facilities (14 in the county, 1165 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: California average per facility for the same cycle, as published by CMS. Standard health survey dates: 7 Aug 2025, 24 May 2024.
Severity mix: D ×14 E ×5 F ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 7 Aug 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 29 Aug 2025 |
| 7 Aug 2025 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard survey | 29 Aug 2025 |
| 7 Aug 2025 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 29 Aug 2025 |
| 7 Aug 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 29 Aug 2025 |
| 7 Aug 2025 | F0881 | Implement a program that monitors antibiotic use. | D | Standard survey | 29 Aug 2025 |
| 24 May 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 1 Jul 2024 |
| 24 May 2024 | F0584 | 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. | D | Standard survey | 1 Jul 2024 |
| 24 May 2024 | F0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | D | Standard survey | 1 Jul 2024 |
| 24 May 2024 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 1 Jul 2024 |
| 24 May 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 1 Jul 2024 |
| 24 May 2024 | F0758 | 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. | D | Standard survey | 1 Jul 2024 |
| 24 May 2024 | F0761 | 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. | D | Standard survey | 1 Jul 2024 |
| 24 May 2024 | F0851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | D | Standard survey | 1 Jul 2024 |
| 24 May 2024 | F0726 | 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. | D | Complaint investigation | 1 Jul 2024 |
| 30 Dec 2021 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | E | Standard survey | 27 Jan 2022 |
| 30 Dec 2021 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Standard survey | 27 Jan 2022 |
| 30 Dec 2021 | F0814 | Dispose of garbage and refuse properly. | E | Standard survey | 27 Jan 2022 |
| 30 Dec 2021 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 27 Jan 2022 |
| 30 Dec 2021 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 27 Jan 2022 |
| 30 Dec 2021 | F0761 | 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. | D | Standard survey | 27 Jan 2022 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 30 Oct 2023 | Fine | $12,703 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the California average. Turnover: nursing staff 6.3%, RNs 0.0%; — administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | California median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 6.5% | 8.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.3% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.0% | 0.7% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 1.3% | 1.3% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.9% | 0.8% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 9.0% | 8.6% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 1.3% | 3.6% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 4.3% | 9.1% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: non-profit, corporation. Legal business name: Sequoia Living Inc.
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Sequoia Living Inc | 5% or greater direct ownership interest | 100% | 01/18/1967 |
| Sequoia Living Inc | Adp of the snf | NOT APPLICABLE | 01/14/2025 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in San Mateo County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Belmont Healthcare Center | Belmont | 74 | 5 | 5 | 3 | 21 | 28.4 | — | 22 Jun 2026 |
| Brookside Skilled Nursing Hospital | San Mateo | 96 | 5 | 4 | 5 | 22 | 22.9 | — | 16 Apr 2026 |
| Devonshire Oaks Nursing Center | Redwood City | 38 | 5 | 4 | 4 | 28 | 73.7 | — | 17 Jan 2025 |
| Golden Heights Healthcare | Daly City | 102 | 5 | 4 | 5 | 46 | 45.1 | — | 4 Aug 2025 |
| Linda Mar Care Center | Pacifica | 59 | 5 | 4 | 4 | 17 | 28.8 | — | 27 Jan 2025 |
| Pacifica Nursing and Rehabilitation Center | Pacifica | 68 | 5 | 5 | 5 | 6 | 8.8 | — | 22 Nov 2024 |
| Atherton Park Post-Acute | Menlo Park | 160 | 4 | 3 | 3 | 49 | 30.6 | — | 16 Apr 2026 |
| Peninsula Post-Acute | Burlingame | 62 | 4 | 4 | 2 | 43 | 69.4 | — | 3 Jun 2026 |
All 14 facilities in San Mateo County
Questions and answers
How many deficiencies has The Sequoias been cited for?
20 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The California median is 44 per facility.
Has The Sequoias been fined?
Yes. CMS lists fines totalling $13K in the period covered.
How does staffing at The Sequoias compare?
Reported total nurse staffing is 4.3 hours per resident per day against a California median of 4.2 and a national average of 3.9.
Who operates The Sequoias?
Ownership type is non-profit, corporation. Organisations in the CMS ownership record include Sequoia Living Inc. Individual owners and managers are not listed on this site.
When was The Sequoias last inspected?
The most recent survey or investigation in the CMS record is dated 7 Aug 2025; the most recent standard health survey was 7 Aug 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.