| South Marin Health & Wellness Center | |
| 1220 South Eliseo Drive, Greenbrae, California 94904 | |
| (415) 461-9700 | |
| Name | South Marin Health & Wellness Center |
|---|---|
| Location | 1220 South Eliseo Drive, Greenbrae, California |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 72 |
| Occupancy Rate | 86.81% |
| Medicare ID (CCN) | 055093 |
| Legal Business Name | Agse LLC |
| Ownership Type | For Profit - Limited Liability Company |
| Chain | Aspen Skilled Healthcare (35 nursing homes) |
| Chain Average Overall Rating | 3.7 out of 5 |
| NPI Number | 1902329782 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Agse, LLC |
| Doing Business As | South Marin Health & Wellness Center |
| Address | 1220 S Eliseo Dr, Greenbrae, CA 94904 |
| Phone Number | 415-461-9700 |
| NPI Number | 1235159039 |
| Match | Possible same name, address or phone number |
| Organization Name | Greenbrae Care Center, LLC |
| Doing Business As | Kindred Transitional Care and Rehabilitation-south Marin |
| Address | 1220 S Eliseo Dr, Greenbrae, CA 94904 |
| Phone Number | 415-461-9700 |
| Ratings from Surveys (Inspections): | |
| Ratings from Quality Measures: | |
| Ratings from Staffing Data: | |
| Overall Rating: |
|---|
| Staffing Measure | Provider | National Avg. |
|---|---|---|
| Total nurse staff hours per resident per day | 4.42 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.92 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.93 | 0.86 |
| Nurse aide hours per resident per day | 2.58 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 3.86 | 3.42 |
| RN hours per resident per day on the weekend | 0.75 | 0.48 |
| Physical therapist hours per resident per day | 0.18 | 0.07 |
| Total nursing staff turnover | 37.8% | 45.8% |
| Registered nurse turnover | 28.6% | 42.9% |
| Number of administrators who have left the nursing home | 0 | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | No |
| Number of Fines | 0 |
| Total Amount of Fines in Dollars | $0 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 0 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Jan 23, 2026 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. F0628, Resident Rights, Complaint inspection | Potential for harm, isolated | Corrected by Feb 12, 2026 |
| Jan 23, 2026 | Ensure services provided by the nursing facility meet professional standards of quality. F0658, Resident Assessment and Care Planning, Complaint inspection | Potential for harm, isolated | Corrected by Feb 12, 2026 |
| Dec 4, 2025 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. F0557, Resident Rights, Standard inspection | Potential for harm, pattern | Corrected by Jan 4, 2026 |
| Dec 4, 2025 | Ensure medication error rates are not 5 percent or greater. F0759, Pharmacy Service, Standard inspection | Potential for harm, pattern | Corrected by Jan 4, 2026 |
| Dec 4, 2025 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, pattern | Corrected by Jan 4, 2026 |
| Dec 4, 2025 | Implement a program that monitors antibiotic use. F0881, Infection Control, Standard inspection | Potential for harm, pattern | Corrected by Jan 4, 2026 |
| Dec 4, 2025 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. F0553, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Jan 4, 2026 |
| Dec 4, 2025 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. F0628, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Jan 4, 2026 |
| Dec 4, 2025 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Jan 4, 2026 |
| Dec 4, 2025 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Jan 4, 2026 |
| Dec 4, 2025 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. F0693, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Jan 4, 2026 |
| Dec 4, 2025 | Provide safe, appropriate pain management for a resident who requires such services. F0697, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Jan 4, 2026 |
| Dec 4, 2025 | 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. F0761, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Jan 4, 2026 |
| Nov 22, 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. F0761, Pharmacy Service, Standard inspection | Potential for harm, pattern | Corrected by Dec 18, 2024 |
| Nov 22, 2024 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. F0803, Nutrition and Dietary, Standard inspection | Potential for harm, pattern | Corrected by Dec 18, 2024 |
| Nov 22, 2024 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. F0804, Nutrition and Dietary, Standard inspection | Potential for harm, pattern | Corrected by Dec 18, 2024 |
| Nov 22, 2024 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, pattern | Corrected by Dec 18, 2024 |
| Nov 22, 2024 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. F0813, Nutrition and Dietary, Standard inspection | Potential for harm, pattern | Corrected by Dec 18, 2024 |
| Nov 22, 2024 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, pattern | Corrected by Dec 18, 2024 |
| Nov 22, 2024 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. F0921, Environmental, Standard inspection | Potential for harm, pattern | Corrected by Dec 18, 2024 |
| Nov 22, 2024 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. F0925, Environmental, Standard inspection | Potential for harm, pattern | Corrected by Dec 18, 2024 |
| Nov 22, 2024 | Ensure services provided by the nursing facility meet professional standards of quality. F0658, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Dec 18, 2024 |
| Nov 22, 2024 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Dec 18, 2024 |
| Jun 12, 2024 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Corrected by Aug 29, 2024 |
| Mar 18, 2024 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Potential for harm, pattern | Corrected by Apr 30, 2024 |
| May 17, 2022 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550, Resident Rights, Standard inspection | Potential for harm, pattern | Corrected by Jun 10, 2022 |
| May 17, 2022 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. F0644, Resident Assessment and Care Planning, Standard inspection | Potential for harm, pattern | Corrected by Jun 10, 2022 |
| May 17, 2022 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677, Quality of Life and Care, Standard inspection | Potential for harm, pattern | Corrected by Jun 10, 2022 |
| May 17, 2022 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686, Quality of Life and Care, Standard inspection | Potential for harm, pattern | Corrected by Jun 10, 2022 |
| May 17, 2022 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. F0756, Pharmacy Service, Standard inspection | Potential for harm, pattern | Corrected by Jun 10, 2022 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 3.6 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 2.08 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 2.6 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 0.73 | 12.8 |
| Percentage of long-stay residents who were physically restrained | 0 | 0.13 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.29 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 100 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.25 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 4.53 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 22.07 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 100 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 2.74 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 3.1 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 11.11 | 15.38 |