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Nursing Home Top Rated

The Sequoias

Strong Medicare quality ratings; families often praise professional and knowledgeable rehab/therapy team. Still worth an in-person visit.

501 Portola Road, Portola Valley, CA 9402843 bedsLicensed & Active
5/5
Medicare
Inspection
Quality
Staffing
Google rating
4.6/5

based on 28 Google reviews

5
4
3
2
1
The Sequoias Nursing Home in Portola Valley, CA — Street View
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What this means for your family

The facility offers excellent rehabilitation services and a highly professional therapy team, making it a strong candidate for post-surgery recovery. However, because there is a severe allegation of neglect and hygiene issues, families should perform a physical visit and ask specific questions about how hygiene and responsiveness are monitored during night and weekend shifts.

Google Reviews

Google Reviews

28 reviews on Google
The Sequoias is highly regarded by many for its professional rehabilitation services, skilled nursing, and beautiful, well-maintained grounds. However, a critical review highlights severe concerns regarding neglect and hygiene during skilled nursing stays, which contrasts sharply with the praise for the attentive staff seen in other reviews.

Quality Themes

Tap a score for details
Food5.0Staff9.0Clean5.0ActivitiesN/AMedsN/AMemoryN/AComms5.0ValueN/A

Strengths

  • Professional and knowledgeable rehab/therapy team
  • Beautifully maintained grounds and scenic views
  • Organized orientation and family communication
  • Clean and well-maintained rooms

Concerns

  • Instances of patient neglect and hygiene issues
  • Guest room layout and lack of amenities (closet space, sink size)

Rating Trends

Tap a year to see what changed

234'12(2)'15(1)'18(2)'20(2)'22(9)'24(8)'26(4)

Distribution · 43 analyzed

5
36
4
2
3
0
2
3
1
2

How They Respond to Reviews

4%response rate

This facility rarely responds to reviews.

Questions for Your Tour

  • 1We were so impressed to see your 5-star CMS ratings for staffing and health inspections; how do you maintain such high standards of care with your team?
  • 2The grounds look absolutely beautiful in photos; what kind of outdoor activities or scenic walks are available for residents to enjoy?
  • 3We've heard great things about your rehab and therapy team; could you tell us more about how they work with residents to regain independence?
  • 4How do you ensure that personal hygiene and daily grooming needs are consistently met for every resident?
  • 5Since we'll be visiting often, could you tell us a bit about the guest room layout and what amenities are available for family members staying overnight?
  • 6What is your protocol for handling medical emergencies or sudden changes in a resident's health during the night?

Personalized based on this facility's data


Key Review Excerpts

The ENTIRE staff was well trained, respectful, knowledgeable, helpful and kind. They were organized and shared expectations in an orientation style meeting with our family when we first arrived.

Skilled Nursing family member · 2025★★★★★

Everyone--nurses, CNAs, physical and occupational therapists, dietitian, and admin staff--were attentive and responsive to my needs, very knowledgeable and professional, and easy to work with.

Rehab patient · 2025★★★★★

She was ignored for almost the entire 10 days she was there. She was left sitting in her feces for several hours at a time. She contracted a fairly severe fungal infection all over her peritineal area.

Skilled Nursing family member · 2026☆☆☆☆
Source: 28 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.86hrs
OK
Registered nurses for medical care
Total Nursing
4.91hrs
OK
All nurses + aides combined
Staff Turnover
10%
Lower is better (< 30% = good)
RN Turnover
17%
Lower is better (< 30% = good)

This facility meets the national staffing benchmarks. Higher staffing is linked to fewer falls and better day-to-day care.

Quality Measures

Quality Measures

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

Medicare Rating
5/ 5
Better Than Avg

12

measures

Worse Than Avg

2

measures

Mixed Results

3

measures

Long-Stay Residents
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility2.9%
Better than Avg
Here
2.9%
US
19.5%
CA
13.7%
San mateo
9.4%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility2.0%
Better than Avg
Here
2.0%
US
15.4%
CA
11.6%
San mateo
9.0%
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
12.1%
CA
7.0%
San mateo
3.7%

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

🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility20.9%
Worse than Avg
Here
20.9%
US
19.4%
CA
10.7%
San mateo
12.7%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility7.9%
Better than Avg
Here
7.9%
US
14.4%
CA
10.4%
San mateo
8.9%
⚖️

Residents who lost too much weight

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
5.3%
CA
4.1%
San mateo
5.6%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility87.7%
Mixed vs Avgs
Here
87.7%
US
79.7%
CA
93.2%
San mateo
88.5%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility89.7%
Mixed vs Avgs
Here
89.7%
US
81.8%
CA
94.2%
San mateo
84.9%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.5%
Better than Avg
Here
0.5%
US
1.6%
CA
1.5%
San mateo
0.8%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

5deficiencies
1penalties
Well below state avg (15.4)
1 complaint-triggered
$12,703 in fines

The Sequoias shows recurring issues across all three surveys in fire safety systems, medication management, and care planning, with one complaint filed by families regarding nursing staff competency. Most deficiencies center on fire safety equipment maintenance, sprinkler systems, and smoke detection, while care issues include medication labeling and resident assessment problems. All violations have been corrected according to state records, though the pattern of repeated fire safety and pharmaceutical service deficiencies across multiple years suggests ongoing operational challenges.

Aug 7, 2025Routine
12
0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

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

0582Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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

0657Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0755Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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

0881Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Implement a program that monitors antibiotic use.

0355Potential for harm · IsolatedCorrected

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

0363Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0919Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Meet requirements for the use of electrical equipment.

0920Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0353Minimal · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0712Minimal · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

May 24, 2024Routine
20
0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

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

0037Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Establish staff and initial training requirements.

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.

0039Potential for harm · PatternCorrected

Emergency Preparedness Deficiencies

Conduct testing and exercise requirements.

0291Potential for harm · PatternCorrected

Egress Deficiencies

Install emergency lighting that can last at least 1 1/2 hours.

0293Potential for harm · PatternCorrected

Egress Deficiencies

Have properly located and lighted "Exit" signs.

0353Potential for harm · PatternCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0712Potential for harm · PatternCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0918Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0584Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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.

0640Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

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.

0758Potential for harm · IsolatedCorrected

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 · IsolatedCorrected

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.

0851Potential for harm · IsolatedCorrected

Administration Deficiencies

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

0324Potential for harm · IsolatedCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0363Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0923Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

May 24, 2024Complaint
1
0726Potential for harm · IsolatedCorrected

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.

Dec 30, 2021Routine
10
0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

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

0655Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

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

0658Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

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

0814Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Dispose of garbage and refuse properly.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0692Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0761Potential for harm · IsolatedCorrected

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.

0321Potential for harm · IsolatedCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0353Potential for harm · IsolatedCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0919Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Meet requirements for the use of electrical equipment.

Federal Penalties

Fine

Oct 30, 2023

$12,703

Ownership & Operations

Who Operates This Facility

Owner / Operator

The Sequoias

Organization Type

nonprofit

Ownership & Management

Owners

Sequoia Living INC

Owner · Organization

100%

Mcvey, Sarah

Owner (parent company)

Key personnel

Agostino, ValerieOfficer / DirectorCorriea, RichardOfficer / DirectorHerman, StevenOfficer / DirectorHowie, CarlOfficer / DirectorIto, HollyOfficer / Director
Source: Medicare provider data

Contact

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References & Resources

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