The Tamalpais

501 Via Casitas · Greenbrae, CA · 94904 · 4154612300

52 certified beds Non profit - Corporation Part of a CCRC

Why this verdict

  • Inspection results are getting worse cycle over cycle, not better.
  • Staffing hours comfortably above national benchmarks.
  • No federal fines or payment denials in CMS’s 3-year window.

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Red flags

No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.

Score breakdown

Inspection record 30% of score 56
Serious harm & abuse 20% 100
Staffing 20% 90
Federal penalties 15% 100
Trend 10% 28
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 5 of 5 Inspections: 4 of 5 Staffing: 5 of 5 Quality measures: 3 of 5

Total nurse hours / resident-day4.703.48 min · 4.1 strong
RN hours / resident-day1.660.55–0.75
Weekend hours / resident-day3.73≈ weekday level
Nursing turnover / year36%median 45%
Fines (3-yr window)none

Inspection citations (14 in the current record)

  • Potential for harm · D September 11, 2025

    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

    Corrected October 11, 2025 · Resident Rights

  • Potential for harm · D September 11, 2025

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected October 11, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D September 11, 2025

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected October 11, 2025 · Quality of Life and Care

  • Potential for harm · F September 11, 2025

    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.

    Corrected October 11, 2025 · Nursing and Physician Services

  • Potential for harm · E September 11, 2025

    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 October 11, 2025 · Pharmacy Service

  • Potential for harm · D September 11, 2025

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected October 11, 2025 · Nutrition and Dietary

  • Potential for harm · F September 11, 2025

    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.

    Corrected October 11, 2025 · Administration

  • Potential for harm · D September 11, 2025

    Provide and implement an infection prevention and control program.

    Corrected October 11, 2025 · Infection Control

  • Potential for harm · D December 8, 2023

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    Corrected January 8, 2024 · Resident Rights

  • Potential for harm · D December 8, 2023

    Assess the resident when there is a significant change in condition

    Corrected January 8, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D December 8, 2023

    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 January 8, 2024 · Pharmacy Service

  • Potential for harm · D December 8, 2023

    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 January 8, 2024 · Pharmacy Service

  • Potential for harm · E December 8, 2023

    Provide and implement an infection prevention and control program.

    Corrected January 8, 2024 · Infection Control

  • Potential for harm · F October 25, 2019

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected December 2, 2019 · Nutrition and Dietary

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 056077 · certified since June 23, 1969. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.