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THE SEQUOIAS

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THE SEQUOIAS is a non profit - corporation facility in PORTOLA VALLEY, CA with 43 certified beds and a 5-star overall CMS rating. The facility has 20 deficiency records on file. Total penalties: $13K.

501 PORTOLA ROAD, PORTOLA VALLEY, CA 94028

Phone: 6508511501

Overall Rating

5/5

Health Inspection

5/5

Staffing

5/5

Quality Measures

5/5

Long-Stay Quality

5/5

Facility Information

Provider Number
055466
Ownership
Non profit - Corporation
Provider Type
Medicare
Beds
43
Residents
32
In Hospital
No
County
San Mateo
Last Inspection
Aug 7, 2025

Staffing Data

RN Hours
0.75 (nat'l avg: 0.68)
LPN Hours
1.39
CNA Hours
2.82
Total Nursing Hours
4.96 (nat'l avg: 3.89)
PT Hours
0.07
Nursing Turnover
16.1%
RN Turnover
28.6%

What the CMS Record Reveals About THE SEQUOIAS

THE SEQUOIAS operates 43 certified beds in PORTOLA VALLEY, CA with approximately 32 residents currently in care, and carries a CMS overall rating of 5 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (5★), staffing levels (5★), and quality measures (5★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone — a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

The inspection file contains 20 deficiency records from recent surveys, all falling in the no-harm or minimal-harm bands of the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 1 penalty totaling $13K against this provider, a tangible indicator that regulators moved beyond citation into financial consequence. Staffing is reported at 4.96 total nursing hours per resident day (national average 3.89), with RN coverage at 0.75 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "Non profit - Corporation" ownership and operating as a "Medicare" provider, THE SEQUOIAS falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes — ratings and fines are lagging indicators of those upstream choices. Reported nursing turnover at this facility is 16.1%, within a range generally associated with stable care teams. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report — the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (20 most recent)

D — Isolated - Minimal harm Aug 7, 2025 Tag: 0881

Implement a program that monitors antibiotic use.

Category: Infection Control Deficiencies

Corrected: Aug 29, 2025

E — Pattern - Minimal harm Aug 7, 2025 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Aug 29, 2025

D — Isolated - Minimal harm Aug 7, 2025 Tag: 0755

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Category: Pharmacy Service Deficiencies

Corrected: Aug 29, 2025

D — Isolated - Minimal harm Aug 7, 2025 Tag: 0657

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Aug 29, 2025

D — Isolated - Minimal harm Aug 7, 2025 Tag: 0582

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Category: Resident Rights Deficiencies

Corrected: Aug 29, 2025

D — Isolated - Minimal harm May 24, 2024 Tag: 0851

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

Category: Administration Deficiencies

Corrected: Jul 1, 2024

F — Widespread - Minimal harm May 24, 2024 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Jul 1, 2024

D — Isolated - Minimal harm May 24, 2024 Tag: 0761

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.

Category: Pharmacy Service Deficiencies

Corrected: Jul 1, 2024

D — Isolated - Minimal harm May 24, 2024 Tag: 0758

Implement 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.

Category: Pharmacy Service Deficiencies

Corrected: Jul 1, 2024

D — Isolated - Minimal harm May 24, 2024 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jul 1, 2024

D — Isolated - Minimal harm May 24, 2024 Tag: 0641

Ensure each resident receives an accurate assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jul 1, 2024

D — Isolated - Minimal harm May 24, 2024 Tag: 0640

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jul 1, 2024

D — Isolated - Minimal harm May 24, 2024 Tag: 0584

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Category: Resident Rights Deficiencies

Corrected: Jul 1, 2024

D — Isolated - Minimal harm May 24, 2024 Tag: 0726

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Category: Nursing and Physician Services Deficiencies

Corrected: Jul 1, 2024

E — Pattern - Minimal harm Dec 30, 2021 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Jan 27, 2022

E — Pattern - Minimal harm Dec 30, 2021 Tag: 0814

Dispose of garbage and refuse properly.

Category: Nutrition and Dietary Deficiencies

Corrected: Jan 27, 2022

D — Isolated - Minimal harm Dec 30, 2021 Tag: 0761

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.

Category: Pharmacy Service Deficiencies

Corrected: Jan 27, 2022

D — Isolated - Minimal harm Dec 30, 2021 Tag: 0692

Provide enough food/fluids to maintain a resident's health.

Category: Quality of Life and Care Deficiencies

Corrected: Jan 27, 2022

E — Pattern - Minimal harm Dec 30, 2021 Tag: 0658

Ensure services provided by the nursing facility meet professional standards of quality.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jan 27, 2022

E — Pattern - Minimal harm Dec 30, 2021 Tag: 0655

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jan 27, 2022

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 8.1% Yes
Percentage of long-stay residents who lose too much weight Long Stay 1.5% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.0% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 0.0% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 0.0% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 2.7% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 98.6% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 91.0% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 0.0% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 13.6% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 4.3% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 100.0% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 87.7% No
Percentage of long-stay residents with pressure ulcers Long Stay 0.0% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 23.1% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 0.0% Yes

Penalty History 1 penalties totaling $13K

Date Type Amount
Oct 30, 2023 Fine $13K

Frequently Asked Questions

What is the overall CMS rating for THE SEQUOIAS?
THE SEQUOIAS has an overall CMS rating of 5 out of 5 stars. This rating combines health inspection results (5★), staffing levels (5★), and quality measures (5★).
What are the staffing levels at THE SEQUOIAS?
THE SEQUOIAS reports 4.96 total nursing hours per resident day (national average: 3.89). RN hours are 0.75 per resident day (national average: 0.68). Nursing staff turnover is 16.1%.
How many beds does THE SEQUOIAS have?
THE SEQUOIAS has 43 certified beds with approximately 32 residents. The facility is located at 501 PORTOLA ROAD, PORTOLA VALLEY, CA 94028.
Does THE SEQUOIAS have any deficiencies on record?
Yes, THE SEQUOIAS has 20 deficiencies on record from recent inspections. Most deficiencies are classified as no harm or minimal harm.
Has THE SEQUOIAS received any fines or penalties?
Yes, THE SEQUOIAS has received 1 penalties totaling $13K.
Who owns THE SEQUOIAS?
THE SEQUOIAS is classified as "Non profit - Corporation" ownership. The facility type is "Medicare".
When was THE SEQUOIAS last inspected?
The most recent health inspection for THE SEQUOIAS was on Aug 7, 2025. The facility received a health inspection rating of 5 out of 5 stars.
What quality measures are tracked for THE SEQUOIAS?
THE SEQUOIAS is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.

Related

Data sourced from official U.S. government datasets. See our methodology for details. Retrieved and formatted by PlainNursing Editorial