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Nursing HomeMedicaid Investigative

The Redwoods, a Community of Seniors

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

40 Camino Alto, Mill Valley, CA 9494158 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
4.2/5

based on 18 Google reviews

5
4
3
2
1
The Redwoods, a Community of Seniors Nursing Home in Mill Valley, CA — Street View
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4/ 10
moderate Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (1/5 stars)
  • Low staffing rating (1/5 stars)
  • Above-median deficiencies (16 vs median 13.0)

Bottom 25% in CA · $133,365 in fines

Source: Medicare data

What this means for your family

The Redwoods offers a beautiful environment with excellent social programming and a long history of resident satisfaction. However, families with residents managing complex medical conditions, such as congestive heart failure, should perform rigorous due diligence regarding the clinical competency of the nursing and dietary staff.

Google Reviews

Google Reviews

18 reviews on Google
Families can expect a beautiful, modern facility with high-quality amenities and engaging social activities for long-term residents. However, while many praise the long-term community atmosphere, there are serious concerns regarding the clinical competence of nursing staff in managing specific medical conditions like CHF.

Quality Themes

Tap a score for details
FoodN/AStaff4.0Clean5.0Activities5.0MedsN/AMemoryN/ACommsN/AValueN/A

Strengths

  • Beautiful, modern facilities and private rooms
  • Engaging activities and interest groups
  • Welcoming and friendly community atmosphere
  • High-quality long-term residential experience

Concerns

  • Clinical incompetence in nursing/dietary staff regarding specific medical needs

Rating Trends

Tap a year to see what changed

234'17(3)'19(1)'21(1)'23(2)'25(5)

Distribution · 20 analyzed

5
14
4
1
3
0
2
2
1
3

How They Respond to Reviews

11%response rate

This facility rarely responds to reviews.

Questions for Your Tour

  • 1The facility looks beautiful and modern; could you tell me more about how the private rooms are set up for resident comfort?
  • 2We've heard wonderful things about the community atmosphere here; what kind of interest groups or social activities are currently available for residents?
  • 3How does the nursing team manage specific medical needs or complex dietary requirements to ensure every resident's clinical care is precise?
  • 4In the event of a medical emergency during the night, what is the protocol for getting immediate assistance for a resident?
  • 5I noticed the facility is very engaged with the community; how does the management team typically address and work through feedback or concerns raised by families?
  • 6With a smaller, intimate community of 58 residents, how do you ensure that staffing levels remain consistent and attentive during busy shifts?

Personalized based on this facility's data


Key Review Excerpts

My grandmother is very happy here, the facilities are beautiful and they offer many engaging activities, interest groups, and support groups.

Grandchild of resident · 2024★★★★★

The head RN, charge RN and dietician did not know what CHF was and kept pushing po fluids on him. As an ICU RN I spent a long time educating them about CHF and why it was important to limit his fluids.

Family member (ICU RN) · 2025★★☆☆☆

My mom has been at The Redwoods for almost 18 years! She and our family absolute LOVE it...even through the challenges of Covid.

Long-term resident's family · 2022★★★★★
Source: 18 Google reviews

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
4/ 5
Better Than Avg

4

measures

Worse Than Avg

7

measures

Mixed Results

6

measures

Long-Stay Residents
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility23.1%
Worse than Avg
Here
23.1%
US
19.4%
CA
10.7%
Marin
14.5%
😔

Residents with depression symptoms

↓ Lower is better
This Facility1.5%
Better than Avg
Here
1.5%
US
12.1%
CA
7.0%
Marin
7.6%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility20.8%
Worse than Avg
Here
20.8%
US
14.4%
CA
10.4%
Marin
13.9%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility16.8%
Mixed vs Avgs
Here
16.8%
US
19.5%
CA
13.7%
Marin
9.8%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility18.3%
Worse than Avg
Here
18.3%
US
15.4%
CA
11.6%
Marin
14.7%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility16.3%
Worse than Avg
Here
16.3%
US
15.3%
CA
10.5%
Marin
12.3%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility85.6%
Mixed vs Avgs
Here
85.6%
US
81.8%
CA
94.2%
Marin
96.9%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility84.8%
Mixed vs Avgs
Here
84.8%
US
79.7%
CA
93.2%
Marin
93.3%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
CA
1.5%
Marin
1.0%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

15deficiencies
4penalties
Near state avg (15.4)
9 complaint-triggered
$133,365 in fines

Families have filed multiple complaints about this facility over the years, with recent issues in 2024-2025 including concerns about accident prevention, abuse reporting, and infection control. The most recurring problems involve safety hazards and accident prevention, medication management issues, and fire safety violations. While the facility has corrected all identified deficiencies, the pattern of repeat issues across multiple surveys—particularly with safety and medication oversight—suggests ongoing operational challenges that warrant careful evaluation during a visit.

Aug 19, 2025Complaint
1
0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

Jul 29, 2025Complaint
2
0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Apr 23, 2025Complaint
2
0623Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

0623Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Jul 12, 2024Complaint
1
0689Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Jul 12, 2024Routine
15
0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0347Potential for harm · WidespreadCorrected

Smoke Deficiencies

Properly provide smoke detection systems in areas open to corridors.

0920Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0726Potential for harm · PatternCorrected

Nursing and Physician Services Deficiencies

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.

0732Potential for harm · PatternCorrected

Nursing and Physician Services Deficiencies

Post nurse staffing information every day.

0756Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

0758Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

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.

0761Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

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.

0842Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

0865Potential for harm · PatternCorrected

Administration Deficiencies

Have a plan that describes the process for conducting QAPI and QAA activities.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0947Potential for harm · PatternCorrected

Nursing and Physician Services Deficiencies

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

0578Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor 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.

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0363Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

Sep 27, 2023Complaint
2
0689Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Federal Penalties

Fine

Jul 12, 2024

$54,421

Payment Denial

Jul 12, 2024

14-day denial

Fine

Sep 27, 2023

$48,633

Fine

May 25, 2023

$30,311

Ownership & Operations

Who Operates This Facility

Owner / Operator

The Redwoods, a Community of Seniors

Organization Type

nonprofit

Ownership & Management

Key personnel

Bikle, DanielOfficer / DirectorFlynn, AndreaOfficer / DirectorGordon, PeterOfficer / DirectorHarmon, RobertOfficer / DirectorHines, JanetOfficer / Director
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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