The Redwoods, a Community of Seniors
40 Camino Alto · Mill Valley, CA · 94941 · 4153832741
58 certified beds Non profit - Corporation
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $54,421 in fines in the last 24 months.
- 4 citations involved actual harm to residents.
- Staffing hours comfortably above national benchmarks.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
$54,421 in federal fines in the last 24 months
1 fine — CMS fines are reserved for verified, serious non-compliance.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 1 of 5 Staffing: 5 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 4.63 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.75 | 0.55–0.75 |
| Weekend hours / resident-day | 4.08 | ≈ weekday level |
| Nursing turnover / year | 35% | median 45% |
| Fines (3-yr window) | 2 · $103,054 |
Inspection citations (37 in the current record)
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Potential for harm · D August 19, 2025 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected September 11, 2025 · Resident Assessment and Care Planning
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Potential for harm · D July 29, 2025 · found via complaint
Ensure each resident receives an accurate assessment.
Corrected September 2, 2025 · Resident Assessment and Care Planning
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Potential for harm · D July 29, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected September 2, 2025 · Infection Control
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Potential for harm · D April 23, 2025 · found via complaint
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected May 23, 2025 · Resident Rights
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Actual harm · G July 12, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected August 23, 2024 · Quality of Life and Care
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Potential for harm · D July 12, 2024
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected July 17, 2024 · Resident Rights
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Potential for harm · D July 12, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected July 29, 2024 · Resident Assessment and Care Planning
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Potential for harm · E July 12, 2024
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.
Corrected August 8, 2024 · Nursing and Physician Services
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Potential for harm · E July 12, 2024
Post nurse staffing information every day.
Corrected August 8, 2024 · Nursing and Physician Services
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Potential for harm · E July 12, 2024
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected August 8, 2024 · Pharmacy Service
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Potential for harm · E July 12, 2024
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.
Corrected August 8, 2024 · Pharmacy Service
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Potential for harm · E July 12, 2024
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.
Corrected August 8, 2024 · Pharmacy Service
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Potential for harm · E July 12, 2024
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected August 8, 2024 · Resident Assessment and Care Planning
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Potential for harm · E July 12, 2024
Have a plan that describes the process for conducting QAPI and QAA activities.
Corrected August 8, 2024 · Administration
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Potential for harm · E July 12, 2024
Provide and implement an infection prevention and control program.
Corrected August 8, 2024 · Infection Control
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Potential for harm · E July 12, 2024
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected August 8, 2024 · Nursing and Physician Services
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Actual harm · G September 27, 2023 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected November 17, 2023 · Quality of Life and Care
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Potential for harm · D September 27, 2023 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected November 17, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Actual harm · G February 18, 2022
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected April 14, 2022 · Quality of Life and Care
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Actual harm · G February 18, 2022
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 14, 2022 · Quality of Life and Care
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Potential for harm · F February 18, 2022
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.
Corrected April 14, 2022 · Resident Rights
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Potential for harm · F February 18, 2022
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected April 14, 2022 · Resident Assessment and Care Planning
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Potential for harm · F February 18, 2022
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected April 14, 2022 · Resident Assessment and Care Planning
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Potential for harm · D February 18, 2022
Assist a resident in gaining access to vision and hearing services.
Corrected April 14, 2022 · Quality of Life and Care
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Potential for harm · F February 18, 2022
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected May 5, 2022 · Pharmacy Service
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| July 12, 2024 | Fine | $54,421 |
| July 12, 2024 | Payment Denial | 14 days |
| September 27, 2023 | Fine | $48,633 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 555826 · certified since April 4, 2005. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.