The Tamalpais in Greenbrae has a 5 out of 5 overall rating, with strong staffing and a 4-star health inspection score, though its quality measures are lower at 3 stars. It reports 4.70 nurse hours per resident per day, above the 4.1 federal benchmark, and had $0 in fines in the last 24 months.
Last inspection: September 11, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.6988.
Staffing detail
Registered nurses
1.66
Licensed practical nurses
0.44
Nurse aides
2.60
Weekend nursing
3.73
Hours per resident per day.
Total staff turnover: 36%
Registered nurse turnover: 29%
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).
Last yrNowTrend
Long-stay residents on antipsychotic medication
—2.6%—
Residents with a fall causing major injury
—0%—
Residents with pressure ulcers (bedsores)
—0%—
Residents with a urinary tract infection
—1.7%—
Residents who lost too much weight
—7.7%—
Residents who were physically restrained
—0%—
Residents needing more help with daily activities
—48.1%—
Residents whose ability to walk got worse
—31.4%—
Long-stay residents on antianxiety or sleep medication
—5.6%—
Short-stay residents newly given an antipsychotic
4.2%0%Improving
Residents with a long-term catheter
—0%—
Residents with new or worsening incontinence
—34.3%—
Residents with depressive symptoms
—1.9%—
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the pneumonia vaccine
—96.7%—
Short-stay residents given the seasonal flu vaccine
—86.1%—
Short-stay residents given the pneumonia vaccine
77.8%94.4%Improving
What the inspectors found
The home failed to have a registered nurse on duty enough hours each day and to keep a registered nurse as the full-time director of nursing. Cited September 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 727 — 42 CFR §483.35 — S/S: F
The home failed to ensure it was properly licensed and following all required laws, rules, and professional standards. Cited September 2025 — widespread issue, potential for harm.
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F-Tag 836 — 42 CFR §483.70(a) — S/S: F
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited October 2019 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to properly label and securely store medications and biologicals. Cited September 2025 — limited pattern, potential for harm.
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F-Tag 761 — 42 CFR §483.45(g) — S/S: E
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited December 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: E
Recent history
STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
INSPECTION
Health inspection found 8 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Operator & ownership
Ownership
Non profit - Corporation
Occupancy
21.5 residents on an average day (41% of 52 beds)
Resident voice
Resident council
Medicare history
Certified for 57 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.