Nursing homeActive
South Marin Health & Wellness Center
1220 South Eliseo Drive, Greenbrae, CA 94904415461970072 certified beds · 63 residentsFor profit - Limited Liability companyMedicare and Medicaid
Surveys on file
6
since 2022
Deficiencies
37
● 0● 37● 0
Penalties · 3 yrs
—
none on file
Last survey
2026-01-23
Complaint
CMS overall
4 / 5
stars as published by CMS
CMS overall 4/5
Health 3
Staffing 4
Quality 5
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · California Department of Public Health · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-01-23 | Complaint | 020 | CMS-2567 (Care Compare) | — |
| 2025-12-04 | Standard | 0110 | CMS-2567 (Care Compare) | — |
| 2024-11-22 | Standard | 0100 | CMS-2567 (Care Compare) | — |
| 2024-06-12 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2024-03-18 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2022-05-17 | Standard | 0120 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · California Department of Public Health publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-02-12Record 055093-20260123-F628
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-02-12Record 055093-20260123-F658
F553Allow resident to participate in the development and implementation of his or her person-centered plan of care.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-01-04Record 055093-20251204-F553
F557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-01-04Record 055093-20251204-F557
F628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-01-04Record 055093-20251204-F628
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-01-04Record 055093-20251204-F656
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-01-04Record 055093-20251204-F686
F693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-01-04Record 055093-20251204-F693
F697Provide safe, appropriate pain management for a resident who requires such services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-01-04Record 055093-20251204-F697
F759Ensure medication error rates are not 5 percent or greater.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-01-04Record 055093-20251204-F759
F761Ensure 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-01-04Record 055093-20251204-F761
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-01-04Record 055093-20251204-F880
F881Implement a program that monitors antibiotic use.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-01-04Record 055093-20251204-F881
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-18Record 055093-20241122-F658
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-18Record 055093-20241122-F689
F761Ensure 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.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-12-18Record 055093-20241122-F761
F803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-12-18Record 055093-20241122-F803
F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-12-18Record 055093-20241122-F804
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-12-18Record 055093-20241122-F812
F813Have a policy regarding use and storage of foods brought to residents by family and other visitors.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-12-18Record 055093-20241122-F813
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-12-18Record 055093-20241122-F880
F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.Scope/severity EStandard
Environment
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-12-18Record 055093-20241122-F921
F925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.Scope/severity EStandard
Environment
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-12-18Record 055093-20241122-F925
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-08-29Record 055093-20240612-F684
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity EStandard
Abuse & neglect
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-04-30Record 055093-20240318-F609
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-06-10Record 055093-20220517-F550
F585Honor 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.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-06-10Record 055093-20220517-F585
F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-06-10Record 055093-20220517-F644
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-06-10Record 055093-20220517-F656
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-06-10Record 055093-20220517-F658
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-06-10Record 055093-20220517-F677
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-06-10Record 055093-20220517-F686
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-06-10Record 055093-20220517-F695
F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-06-10Record 055093-20220517-F756
F760Ensure that residents are free from significant medication errors.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-06-10Record 055093-20220517-F760
F802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-06-10Record 055093-20220517-F802
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-06-10Record 055093-20220517-F812
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.92
Facility
California
National
California 0.67 · National 0.69
Total nurse hours per resident day4.42
Facility
California
National
California 4.52 · National 3.86
Weekend total nurse hours3.86
Facility
California
National
California 4.09 · National 3.42
Total nursing staff turnover38%
Facility
California
National
California 37% · National 46%
Registered nurse turnover29%
Facility
California
National
California 38% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | California | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 2.7% | 4.3% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 1.3% | 1.6% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 11.1% | 12.0% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 2.6% | 1.2% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.4% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 3.6% | 10.2% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 2.1% | 4.0% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 22.1% | 13.7% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Agse LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Castro, Madelene Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Necke, Kyle Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Rawe, Colton Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Agse LLC Organization | DIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Agse LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Aspen Healthcare Services LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Aspen Skilled Healthcare Inc Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Bradshaw, Jeffrey Individual | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | NOT APPLICABLE | — | — |
| Bradshaw, Jeffrey Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Bradshaw, Peter Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Brady, Vern Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Case, Ryan Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Castro, Madelene Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| East West Bank Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Elsner, Eric Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Jurado, Frank Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Kirkwood, Jared Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Moss Adams LLP Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Necke, Kyle Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Nguyen, Susan Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Orgill, Craig Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Parti, Rajesh Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Parti, Shruty Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Paxman, Marcus Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Paxman, Marcus Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Rawe, Colton Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Rawe, Colton Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Sequoia Healthcare Group LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Sequoia Healthcare Group LLC Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Skbm LLC Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Skbm LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Wells Fargo Bank, National Association Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
Part of a chain
Aspen Skilled Healthcare — 35 facilities
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or California.
No county cost figures on file for Marin.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| The Tamalpais Greenbrae | 0.6 mi | 2025-09-11 | 0130 |
| San Rafael Healthcare & Wellness Center, LP San Rafael | 2.1 mi | 2026-07-01 | 0371 |
| The Redwoods, A Community Of Seniors Mill Valley | 3.5 mi | 2026-05-22 | 0272 |
| Villa Marin San Rafael | 4.1 mi | 2025-11-18 | 060 |
| Marin Post Acute San Rafael | 4.2 mi | 2026-06-25 | 0281 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |