California › Marin County › Greenbrae
The Tamalpais
501 Via Casitas, Greenbrae, CA 94904
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 52 beds, The Tamalpais serves Greenbrae in Marin County, California and has taken Medicare and Medicaid residents since 1969.
CMS gives it 5 of 5 stars overall, above the California median of 3; the health inspection rating is 4, staffing 5 and quality measures 3.
Inspectors recorded 14 health deficiencies across the three most recent survey cycles (8, 5, 1 by cycle, most recent first), none at the actual-harm level. That is 26.9 per 100 beds, fewer than the state median of 51.1.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 4.5 hours per resident per day (1.6 RN), close to the California median of 4.2; nursing staff turnover is 40.0%.
Compared with county, state and nation
| Measure | This facility | Marin Co. median | California median | US average |
|---|---|---|---|---|
| Overall star rating | 5 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 14 | 45 | 44 | 28.7 |
| Citations per 100 beds | 26.9 | 56.3 | 51.1 | 26.8 |
| Total nurse hours per resident day | 4.5 | 4.2 | 4.2 | 3.9 |
| RN hours per resident day | 1.6 | 0.5 | 0.5 | 0.7 |
| Nursing staff turnover | 40.0% | 40.0% | 36.4% | 45.8% |
| Fines listed | $0 | $8,278 | $0 | — |
County and state figures are medians across facilities (11 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: 11 Sep 2025, 8 Dec 2023.
Severity mix: D ×9 E ×2 F ×3
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 |
|---|---|---|---|---|---|
| 11 Sep 2025 | F0727 | 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. | F | Standard survey | 11 Oct 2025 |
| 11 Sep 2025 | F0836 | 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. | F | Standard survey | 11 Oct 2025 |
| 11 Sep 2025 | 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. | E | Standard survey | 11 Oct 2025 |
| 11 Sep 2025 | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | Standard survey | 11 Oct 2025 |
| 11 Sep 2025 | 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 | 11 Oct 2025 |
| 11 Sep 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 11 Oct 2025 |
| 11 Sep 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard survey | 11 Oct 2025 |
| 11 Sep 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 11 Oct 2025 |
| 8 Dec 2023 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 8 Jan 2024 |
| 8 Dec 2023 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard survey | 8 Jan 2024 |
| 8 Dec 2023 | F0637 | Assess the resident when there is a significant change in condition | D | Standard survey | 8 Jan 2024 |
| 8 Dec 2023 | 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 | 8 Jan 2024 |
| 8 Dec 2023 | 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 | 8 Jan 2024 |
| 25 Oct 2019 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 2 Dec 2019 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the California average. Turnover: nursing staff 40.0%, RNs 14.3%; 1 administrator 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 | 43.8% | 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 | 1.8% | 0.7% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 1.8% | 1.3% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.0% | 0.8% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 29.0% | 8.6% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 0.0% | 3.6% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 2.6% | 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% | 07/25/1984 |
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 Marin County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Pine Ridge Care Center | San Rafael | 101 | 5 | 3 | 5 | 43 | 42.6 | — | 12 Feb 2026 |
| Villa Marin | San Rafael | 31 | 5 | 4 | 4 | 21 | 67.7 | — | 18 Nov 2025 |
| South Marin Health & Wellness Center | Greenbrae | 72 | 4 | 3 | 4 | 37 | 51.4 | — | 23 Jan 2026 |
| Professional Post Acute Center | San Rafael | 99 | 3 | 2 | 4 | 77 | 77.8 | $148K | 8 May 2026 |
| Smith Ranch Skilled Nursing & Rehabilitation Cente | San Rafael | 80 | 3 | 2 | 3 | 45 | 56.3 | — | 9 Jun 2026 |
| Marin Post Acuteabuse icon | San Rafael | 168 | 2 | 2 | 2 | 46 | 27.4 | $11K | 25 Jun 2026 |
| Northgate Postacute Careabuse icon | San Rafael | 52 | 2 | 2 | 2 | 65 | 125.0 | $113K | 18 Jun 2026 |
| San Rafael Healthcare & Wellness Center, LP | San Rafael | 54 | 2 | 2 | 4 | 55 | 101.9 | $8K | 1 Jul 2026 |
All 11 facilities in Marin County
Questions and answers
How many deficiencies has The Tamalpais been cited for?
14 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 Tamalpais been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at The Tamalpais compare?
Reported total nurse staffing is 4.5 hours per resident per day against a California median of 4.2 and a national average of 3.9.
Who operates The Tamalpais?
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 Tamalpais last inspected?
The most recent survey or investigation in the CMS record is dated 11 Sep 2025; the most recent standard health survey was 11 Sep 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.