The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited July 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
THE REDWOODS, A COMMUNITY OF SENIORS
MILL VALLEY, CA · Medicare-certified · 58 beds
Needs attention
Non-profit
1 of 5 overall
THE REDWOODS, A COMMUNITY OF SENIORS (MILL VALLEY, CA) has an overall rating of 1 out of 5 stars, with 1-star health inspection and staffing ratings but a 4-star quality measures rating. It also has a recent federal penalty and $54,421 in fines over the last 24 months; staffing is below the federal benchmark.
Facility ratings
Health inspections
Staffing
Quality measures
Last inspection: August 19, 2025Penalties, last 24 months: $54,421recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports not reported.
Staffing detail
Total staff turnover: 35%
Registered nurse turnover: 40%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
16.7%16%Improving
Residents with a fall causing major injury
8.8%5.6%Improving
Residents with pressure ulcers (bedsores)
0%0%No change
Residents with a urinary tract infection
0%3.1%Worsening
Residents who lost too much weight
3.3%7.4%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
17.2%37%Worsening
Residents whose ability to walk got worse
—16.3%—
Long-stay residents on antianxiety or sleep medication
23.3%3.4%Improving
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
3%0%Improving
Residents with new or worsening incontinence
29.6%33.1%Worsening
Residents with depressive symptoms
0%3.3%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—97.4%—
Long-stay residents given the pneumonia vaccine
91.2%100%Improving
Short-stay residents given the seasonal flu vaccine
—84.8%—
Short-stay residents given the pneumonia vaccine
78.3%85.1%Improving
What the inspectors found
The home failed to ensure nurses and nurse aides had the needed skills to care for each resident and support their well-being. Cited May 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 726 — 42 CFR §483.35 — S/S: G
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited February 2022 — isolated incident, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
The nursing home failed to develop and carry out a complete care plan that met each resident’s needs with clear steps and timelines. Cited February 2022 — widespread issue, potential for harm.
View the original federal record
F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: F
The home failed to protect residents’ right to complain without fear and did not ensure grievances were handled promptly. Cited February 2022 — widespread issue, potential for harm.
View the original federal record
F-Tag 585 — 42 CFR §483.10 — S/S: F
Recent history
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- PENALTY
A federal payment denial was recorded.
- PENALTY
A federal fine of $54,421 was recorded.
Penalties & enforcement
On record with Medicare: 3 fines · $133,365 in total fines · 1 payment denial.
- 14 days
Medicare/Medicaid payment denial
Jul 12, 2024
- $54,421
Federal fine
Jul 12, 2024
- $48,633
Federal fine
Sep 27, 2023
- $30,311
Federal fine
May 25, 2023
Operator & ownership
- Ownership
- Non profit - Corporation
- Occupancy
- 43.1 residents on an average day (74% of 58 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 21 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.