The Sequoias
501 Portola Road · Portola Valley, CA · 94028 · 6508511501
43 certified beds Non profit - Corporation Part of a CCRC
- Staffing hours comfortably above national benchmarks.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 5 of 5 Inspections: 5 of 5 Staffing: 5 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 4.91 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.86 | 0.55–0.75 |
| Weekend hours / resident-day | 4.58 | ≈ weekday level |
| Nursing turnover / year | 10% | median 45% |
| Fines (3-yr window) | 1 · $12,703 |
Inspection citations (20 in the current record)
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Potential for harm · D August 7, 2025
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected August 29, 2025 · Resident Rights
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Potential for harm · D August 7, 2025
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected August 29, 2025 · Resident Assessment and Care Planning
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Potential for harm · D August 7, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected August 29, 2025 · Pharmacy Service
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Potential for harm · E August 7, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected August 29, 2025 · Nutrition and Dietary
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Potential for harm · D August 7, 2025
Implement a program that monitors antibiotic use.
Corrected August 29, 2025 · Infection Control
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Potential for harm · D May 24, 2024
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.
Corrected July 1, 2024 · Resident Rights
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Potential for harm · D May 24, 2024
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected July 1, 2024 · Resident Assessment and Care Planning
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Potential for harm · D May 24, 2024
Ensure each resident receives an accurate assessment.
Corrected July 1, 2024 · Resident Assessment and Care Planning
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Potential for harm · D May 24, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected July 1, 2024 · Resident Assessment and Care Planning
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Potential for harm · D May 24, 2024
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.
Corrected July 1, 2024 · Pharmacy Service
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Potential for harm · D May 24, 2024
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.
Corrected July 1, 2024 · Pharmacy Service
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Potential for harm · F May 24, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected July 1, 2024 · Nutrition and Dietary
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Potential for harm · D May 24, 2024
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Corrected July 1, 2024 · Administration
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Potential for harm · D May 24, 2024 · found via complaint
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.
Corrected July 1, 2024 · Nursing and Physician Services
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Potential for harm · E December 30, 2021
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected January 27, 2022 · Resident Assessment and Care Planning
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Potential for harm · E December 30, 2021
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected January 27, 2022 · Resident Assessment and Care Planning
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Potential for harm · D December 30, 2021
Provide enough food/fluids to maintain a resident's health.
Corrected January 27, 2022 · Quality of Life and Care
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Potential for harm · D December 30, 2021
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.
Corrected January 27, 2022 · Pharmacy Service
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Potential for harm · E December 30, 2021
Dispose of garbage and refuse properly.
Corrected January 27, 2022 · Nutrition and Dietary
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Potential for harm · E December 30, 2021
Provide and implement an infection prevention and control program.
Corrected January 27, 2022 · Infection Control
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| October 30, 2023 | Fine | $12,703 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 055466 · certified since January 18, 1967. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.