Nursing homeActive
The Redwoods, A Community Of Seniors
40 Camino Alto, Mill Valley, CA 94941415383274158 certified beds · 43 residentsNon profit - CorporationMedicare and Medicaid
Surveys on file
7
since 2022
Deficiencies
42
● 0● 38● 4
Penalties · 3 yrs
$103,054
2 fines · 1 action
Last survey
2026-05-22
Standard
CMS overall
2 / 5
stars as published by CMS
CMS overall 2/5
Health 2
Staffing 4
Quality 4
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 |
|---|---|---|---|---|
| 2026-05-22 | Standard | 0110 | CMS-2567 (Care Compare) | — |
| 2025-08-19 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2025-07-29 | Complaint | 020 | CMS-2567 (Care Compare) | — |
| 2025-04-23 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2024-07-12 | Standard | 0111 | CMS-2567 (Care Compare) | — |
| 2023-09-27 | Complaint | 011 | CMS-2567 (Care Compare) | — |
| 2022-02-18 | Standard | 0112 | 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.
F605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-06-25Record 555826-20260522-F605
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-06-25Record 555826-20260522-F657
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-06-25Record 555826-20260522-F677
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 2026-06-25Record 555826-20260522-F684
F699Provide care or services that was trauma informed and/or culturally competent.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-06-25Record 555826-20260522-F699
F759Ensure medication error rates are not 5 percent or greater.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-06-25Record 555826-20260522-F759
F760Ensure that residents are free from significant medication errors.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-06-25Record 555826-20260522-F760
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 2026-06-25Record 555826-20260522-F761
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2026-06-25Record 555826-20260522-F812
F880Provide and implement an infection prevention and control program.Scope/severity FStandard
Infection control
Widespread; no actual harm, potential for more than minimal harm.Corrected 2026-06-25Record 555826-20260522-F880
F925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.Scope/severity FStandard
Environment
Widespread; no actual harm, potential for more than minimal harm.Corrected 2026-06-25Record 555826-20260522-F925
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 2025-09-11Record 555826-20250819-F658
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-09-02Record 555826-20250729-F641
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-09-02Record 555826-20250729-F880
F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-23Record 555826-20250423-F623
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity GHarm
Care planningFalls
Isolated; actual harm that is not immediate jeopardy.Corrected 2024-08-23Record 555826-20240712-F689
F578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-07-17Record 555826-20240712-F578
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 2024-07-29Record 555826-20240712-F656
F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.Scope/severity EStandard
Staffing
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-08-08Record 555826-20240712-F726
F732Post nurse staffing information every day.Scope/severity EStandard
Staffing
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-08-08Record 555826-20240712-F732
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 2024-08-08Record 555826-20240712-F756
F758Implement 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.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-08-08Record 555826-20240712-F758
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 2024-08-08Record 555826-20240712-F761
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-08-08Record 555826-20240712-F842
F865Have a plan that describes the process for conducting QAPI and QAA activities.Scope/severity EStandard
Records
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-08-08Record 555826-20240712-F865
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 2024-08-08Record 555826-20240712-F880
F947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.Scope/severity EStandard
Staffing
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-08-08Record 555826-20240712-F947
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity GHarm
Care planningFalls
Isolated; actual harm that is not immediate jeopardy.Corrected 2023-11-17Record 555826-20230927-F689
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-11-17Record 555826-20230927-F609
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity GHarm
Care planning
Isolated; actual harm that is not immediate jeopardy.Corrected 2022-04-14Record 555826-20220218-F686
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity GHarm
Care planningFalls
Isolated; actual harm that is not immediate jeopardy.Corrected 2022-04-14Record 555826-20220218-F689
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 FStandard
Dignity & rights
Widespread; no actual harm, potential for more than minimal harm.Corrected 2022-04-14Record 555826-20220218-F585
F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedScope/severity FStandard
Care planningRecords
Widespread; no actual harm, potential for more than minimal harm.Corrected 2022-04-14Record 555826-20220218-F655
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity FStandard
Care planningRecords
Widespread; no actual harm, potential for more than minimal harm.Corrected 2022-04-14Record 555826-20220218-F656
F685Assist a resident in gaining access to vision and hearing services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-04-14Record 555826-20220218-F685
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity FStandard
Medication
Widespread; no actual harm, potential for more than minimal harm.Corrected 2022-05-05Record 555826-20220218-F755
F758Implement 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-04-14Record 555826-20220218-F758
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 2022-04-14Record 555826-20220218-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 2022-05-09Record 555826-20220218-F761
F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.Scope/severity FStandard
Records
Widespread; no actual harm, potential for more than minimal harm.Corrected 2022-04-14Record 555826-20220218-F867
F881Implement a program that monitors antibiotic use.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-04-14Record 555826-20220218-F881
F883Develop and implement policies and procedures for flu and pneumonia vaccinations.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-04-14Record 555826-20220218-F883
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2024-07-12 | Civil money penalty | $54,421 | CMS · Penalties |
| 2024-07-12 | Denial of payment for new admissions Payment denial for 14 days, from 2024-08-09 | — | CMS · Penalties |
| 2023-09-27 | Civil money penalty | $48,633 | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.53
Facility
California
National
California 0.67 · National 0.69
Total nurse hours per resident day4.65
Facility
California
National
California 4.52 · National 3.86
Weekend total nurse hours4.22
Facility
California
National
California 4.09 · National 3.42
Total nursing staff turnover40%
Facility
California
National
California 37% · National 46%
Registered nurse turnover56%
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 | 1.5% | 4.3% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 7.5% | 1.6% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 18.5% | 12.0% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 1.5% | 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 | 21.8% | 10.2% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 6.0% | 4.0% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 14.4% | 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 |
|---|---|---|---|---|
| Davidenko, Elena Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Picetti, Dominic Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Ruth-Islas, Kyle Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| The Redwoods, A Community Of Seniors Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Bikle, Daniel Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Davidenko, Elena Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Flynn, Andrea Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Gordon, Peter Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Harmon, Robert Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Hines, Janet Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Imwalle, Brittany Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Joachim, Caroline Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Lucaccini, Margaret Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Meislin, Vera Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Miller, Burton Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Picetti, Dominic Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Pollack, Kendra Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Rand, David Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Reynolds, Robert Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Ronald, Richard Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Ruth-Islas, Kyle Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Smith, Laura Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| The Redwoods, A Community Of Seniors Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Yuo, Holly Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Yuo, Holly Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
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 |
|---|---|---|---|
| South Marin Health & Wellness Center Greenbrae | 3.5 mi | 2026-01-23 | 0250 |
| The Tamalpais Greenbrae | 3.6 mi | 2025-09-11 | 0130 |
| San Rafael Healthcare & Wellness Center, LP San Rafael | 5.6 mi | 2026-07-01 | 0371 |
| Marin Post Acute San Rafael | 7.5 mi | 2026-06-25 | 0281 |
| Villa Marin San Rafael | 7.6 mi | 2025-11-18 | 060 |
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 |