The Tamalpais
Greenbrae, California · CCN 056077
11 surveys since 2011. The first finding at harm level was recorded in 2015.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 51
- Surveys
- 11
- Harm or worse
- 2
- Immediate jeopardy
- 0
Findings where a surveyor recorded actual harm to a resident.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 52
- Ownership
- Non profit - Corporation
- Chain
- Independent
- County
- Marin
- Medicare-certified since
- 1969
CMS ratings
- Overall
- 5
- Health inspection
- 4
- Staffing
- 5
- Quality measures
- 3
CMS’s own Five-Star ratings.
Compared with similar facilities
Not shown for this facility: too few citations in window (n=13, floor 20).
Last survey on record
Sep 11, 2025
424 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 4.51 | 4.85 |
| Registered-nurse hours per resident day | 1.58 | — |
| Annual nurse turnover | 40.0% | 28.6% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
No fines, payment denials or special-focus designation on the current CMS record.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J— | K— | L— |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D964.3% | E214.3% | F321.4% |
| No harm, potential for minimal | A— | B— | C— |
Most frequently cited here
In CMS’s current monthly file.
- F7612×
Ensure 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.
- F8122×
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F8802×
Provide and implement an infection prevention and control program.
- F5821×
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- F6281×
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
In the surveyor’s words
From the most serious findings on record at The Tamalpais, in the surveyor’s own words.
- No harm, potential for more than minimal, widespreadF727Sep 11, 2025
Based on interview and record review, the facility failed to provide a Registered Nurse (RN) for eight consecutive hours a day, seven days a week from January 2025 to August 2025 for all the residents residing in the facility.This failure had the potential to result in insufficient nursing care and services for the vulnerable residential population residing in the facility.During a review of the facility's Payroll Based Journal (PBJ) Staffing Data Report, dated Quarter 2 2025 (January 1 - March 31), the PBJ Staffing Data Report indicated, the facility had no RN hours for the following Sundays: 1/5/2025, 2/2/2025, 2/16/2025, 3/2/2025, and 3/30/2025.During a review of the facility's Skilled Daily Staffing, assignment report dated Sunday, 8/17/2025, the Skilled Daily Staffing report indicated… […]
- No harm, potential for more than minimal, widespreadF836Sep 11, 2025
Based on interview and record review, the facility failed to have a dedicated full-time infection preventionist (IP) according to the California Assembly [NAME] (AB) 2644 (Chapter 287, Statutes of 2020). This failure had the potential to negatively affect the facility's infection prevention and control program and the residents' quality of care.Findings:During an interview on 9/10/25 at 3:21 p.m., with the IP, the IP stated her responsibilities included assist with infection surveillance, track and trend infections, train staff in infection control, keep up to date with infection control and prevention guidelines, and participate in the infection control committee and the quality assurance and performance improvement (QAPI). […]
- No harm, potential for more than minimal, patternF761Sep 11, 2025
Based on observation, interview, and record review, the facility failed to remove one multidose vial of PPD diagnostic antigen (chemical used to indicate tuberculosis) from the medication refrigerator 30 days after opening per facility policy. This failure had the potential to expose all the residents to use of an outdated antigen which could lead to an incorrect medical diagnosis for Tuberculosis (bacterial respiratory infection.)During an observation and interview on 9/9/2025 at 3:02 p.m. in the medication refrigerator located in the nursing station, with the Director of Nursing (DON), the DON verified a vial of PPD diagnostic antigen label indicated an opening date of 7/25/2025. […]
- No harm, potential for more than minimal, patternF880Dec 8, 2023
Based on observations, interviews, record review, and facility policy review, the facility failed to ensure proper infection control practices during medication administration for three (Residents #8, #12, and #87) of nine residents observed during medication administration. Findings included: A review of a facility policy titled Personal Protective Equipment - Gloves, revised in July 2009, revealed, Gloves must be worn when handling blood, body fluids, secretions, excretions, mucous membranes and/or non-intact skin. Further review of the policy revealed, 3. The use of gloves will vary according to the procedure involved. The use of disposable gloves is indicated: a. […]
- No harm, potential for more than minimal, isolatedF628Sep 11, 2025
Based on interview and record review, the facility failed to ensure one of 2 sampled discharge residents (Resident 26), had a discharge order and discharge summary maintained in their medical record. This failure had the potential to adversely affect Resident 26's continuity of care after discharge. Findings:During a review of Resident 26's Face Sheet, the Face Sheet indicated Resident 26 was admitted to the facility on [DATE] with diagnoses of atrial fibrillation (irregular heart rhythm), myocardial infarction (heart muscle damage), asthma (difficulty breathing), high blood pressure, and elevated liver enzymes.During a concurrent interview and record review on 9/10/2025 at 3:13 p.m. […]
Read 21 findings in full →The most serious and the most recent: 21 of 51 on record.
Every survey on record
FindingsAt actual harm or above
- Sep 11, 2025Standard8 findings
- Dec 8, 2023Standard5 findings
- Oct 25, 2019Standard1 finding
- Oct 26, 2018Standard6 findings · 1 harm
- Nov 17, 2017Standard5 findings
- Oct 28, 2016Standard and complaint4 findings
- Oct 16, 2015Standard and complaint3 findings · 1 harm
- Oct 10, 2014Standard4 findings
Show the 3 earlier surveys
- Aug 22, 2013—4 findings
- Jul 12, 2012—6 findings
- May 19, 2011—5 findings
Surveys that found no deficiencies are not in CMS’s files and do not appear here.
Comparable facilities
The nearest facilities to this one in the same peer group, by weighted findings.
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