The Sequoias: Staffing, Turnover, and Inspection Record
The Sequoias is a 43-bed nonprofit nursing home in Portola Valley, California. In the CMS August 2026 release it reported 2.37 nurse aide hours per resident per day, 10% below the California average of 2.65, and 6.3% nursing staff turnover (California average 36.7%).
The Sequoias
501 Portola RoadPortola Valley, CA 94028
San Mateo County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At The Sequoias, nurse aides logged 2.37 hours per resident per day, 10% below the California average. With about 31 residents a day, that works out to roughly 73 aide hours a day, or about 9 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 30% below the all-days figure.
| Hours per resident per day | This home | California avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.37 | 2.65 | 2.32 |
| Licensed practical nurses | 1.30 | 1.20 | 0.86 |
| Registered nurses | 0.61 | 0.67 | 0.69 |
| All nursing staff | 4.28 | 4.52 | 3.86 |
| All nursing staff, weekends | 3.00 | 4.09 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
6.3% of nursing staff at The Sequoias left over the year CMS measured, against a California average of 36.7% and a US average of 45.8%. Registered nurse turnover was 0.0%.
Inspections and penalties
State inspectors last completed a standard health inspection on Aug 7, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 5 health deficiencies (California average 15.7). CMS lists 1 fine totaling $12,703 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Oct 30, 2023 | Fine | $12,703 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. The Sequoias holds 5 of 5 overall; the California average is 3.2.
About The Sequoias
- Ownership: Non profit - Corporation
- Legal name: Sequoia Living Inc
- Medicare and Medicaid certified since: Jan 18, 1967
- Part of a continuing care retirement community
- Councils: resident council
- Area: urban
Nursing homes near The Sequoias
The closest homes by distance, with the same CMS figures. Select a column to sort.
| VI at Palo Alto Palo Alto | 5.0 | 44 | 3.32 | 6.10 | 20.3% | 5 | None |
| Atherton Park Post-Acute Menlo Park | 5.6 | 160 | 2.50 | 3.90 | 32.9% | 4 | None |
| The Terraces at Los Altos Health Facility Los Altos | 5.6 | 30 | 2.90 | 5.45 | 47.1% | 4 | None |
| Palo Alto Post-Acute Palo Alto | 5.7 | 66 | 2.19 | 4.32 | 45.2% | 4 | None |
| Webster House Palo Alto | 6.1 | 145 | 2.76 | 5.05 | 20.6% | 5 | None |
| Devonshire Oaks Nursing Center Redwood City | 6.4 | 38 | 2.60 | 4.64 | — | 5 | None |
| Villa Siena Mountain View · many days without an RN | 7.1 | 30 | 3.71 | 6.04 | 15.2% | 1 | None |
| Los Altos Post-Acute Los Altos | 7.3 | 152 | 2.44 | 4.15 | 52.4% | 3 | None |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.