THE SEQUOIAS
501 PORTOLA ROAD
PORTOLA VALLEY, CA, 94028
6508511501
CCN: 055466
5
Overall5
Health5
Staffing5
QualitySpecial FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
Ownership
| Name | Role | % |
|---|---|---|
| SEQUOIA LIVING INC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% |
| MCVEY, SARAH | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED |
| HERMAN, STEVEN | CORPORATE DIRECTOR | NOT APPLICABLE |
| LYNN, PATRICIA | CORPORATE DIRECTOR | NOT APPLICABLE |
| MAYEDA, NANCY | CORPORATE DIRECTOR | NOT APPLICABLE |
| SANDERSON, CORY | CORPORATE DIRECTOR | NOT APPLICABLE |
| SPAULDING, DIANNE | CORPORATE DIRECTOR | NOT APPLICABLE |
| SUEY, MARILYN | CORPORATE DIRECTOR | NOT APPLICABLE |
| AGOSTINO, VALERIE | CORPORATE DIRECTOR | NOT APPLICABLE |
| CORRIEA, RICHARD | CORPORATE DIRECTOR | NOT APPLICABLE |
| HOWIE, CARL | CORPORATE DIRECTOR | NOT APPLICABLE |
| ITO, HOLLY | CORPORATE DIRECTOR | NOT APPLICABLE |
| JAMISON, DAVID | CORPORATE DIRECTOR | NOT APPLICABLE |
| LIM, MARIANNE | CORPORATE DIRECTOR | NOT APPLICABLE |
| SHOEMAKE, CHARLES | CORPORATE OFFICER | NOT APPLICABLE |
| MCVEY, SARAH | CORPORATE OFFICER | NOT APPLICABLE |
| CHEN, CAN | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| MCVEY, SARAH | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| WASLEY-FAIRLEY, SUZANNE | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
Penalties (1)
| Date | Type | Amount |
|---|---|---|
| 2023-10-30 | Fine | $13K |
Health Deficiencies (20)
2025-08-07 · Health
D
F881 · Infection Control Deficiencies
Implement a program that monitors antibiotic use.
E
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
F755 · Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
F657 · 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.
D
F582 · Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
2024-05-24 · Health
D
F851 · Administration Deficiencies
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
F
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
F761 · 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.
D
F758 · 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.
D
F726 · 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.
D
F656 · 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.
D
F641 · Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
D
F640 · Resident Assessment and Care Planning Deficiencies
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
D
F584 · 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.
2021-12-30 · Health
E
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
E
F814 · Nutrition and Dietary Deficiencies
Dispose of garbage and refuse properly.
D
F761 · 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.
D
F692 · Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
E
F658 · Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
E
F655 · 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
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day3.68
4.96
RN Hrs/Resident/Day0.54
0.75
LPN Hrs/Resident/Day0.81
1.39
CNA Hrs/Resident/Day2.33
2.82
PT Hrs/Resident/Day0.12
0.07
Data as of 2026-03-01