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
Data as of July 1, 2026
1 of 5 overall
The Redwoods, a Community of Seniors has a 1-star overall rating, with a 1-star health inspection rating but stronger 4-star staffing and quality ratings; reported staffing is 4.65 hours per resident per day versus the 4.1 federal benchmark. It also has $54,421 in fines in the last 24 months and a recent federal penalty, with recent inspection concerns about accident hazards, pressure ulcer care, and care planning.
Facility ratings
Health inspections
Staffing
4.6477 hrs/resident/day
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 4.6477.
Staffing detail
- Registered nurses
- 0.53
- Licensed practical nurses
- 0.95
- Nurse aides
- 3.17
- Weekend nursing
- 4.22
Hours per resident per day.
Total staff turnover: 40%
Registered nurse turnover: 56%
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
19.2%17.9%Improving
Residents with a fall causing major injury
7.9%11.1%Worsening
Residents with pressure ulcers (bedsores)
3.3%2.3%Improving
Residents with a urinary tract infection
2.9%0%Improving
Residents who lost too much weight
6.5%3.3%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
9.4%21.4%Worsening
Residents whose ability to walk got worse
—18.2%—
Long-stay residents on antianxiety or sleep medication
32.4%13.3%Improving
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
2.5%0%Improving
Residents with new or worsening incontinence
6%25.9%Worsening
Residents with depressive symptoms
0%0%No change
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
100%100%No change
Short-stay residents given the seasonal flu vaccine
—84.8%—
Short-stay residents given the pneumonia vaccine
91.3%85.5%Worsening
What the inspectors found
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
The home failed to create and carry out a timely plan to meet a new resident’s most immediate needs after admission. Cited February 2022 — widespread issue, potential for harm.
View the original federal record
F-Tag 655 — 42 CFR §483.21 — S/S: F
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- 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: 2 fines · $103,054 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
Operator & ownership
- Ownership
- Non profit - Corporation
- Occupancy
- 43.4 residents on an average day (75% 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.