Medical and dental care
Cited in 4 reports, with 4 deficiencies in total.
MARIN TERRACE
297 MILLER AVE, Mill Valley CA 94941
49 bedsLatest official report Mar 10, 2026Licensed
Additional info
- Telephone
- (415) 388-9526
- Licensee
- MARIN TERRACE LLC
- Administrator
- KATHLEEN DEVERA
- Contact
- KATHLEEN DEVERA
- License first date
- Apr 9, 2020
- License effective date
- Apr 9, 2020
- District office
- SANTA ROSA RO · (707) 588-5026
- Regional office
- 21
- Clients served
- 983 - RCFE / DEMENTIA
Summary
The available records show 16 Type A and 22 Type B deficiencies for this facility.
- Most recent inspection
- Mar 10, 2026
- Most recent deficiency
- Mar 10, 2026
No later report is available, so the records do not show what happened afterward.
What Type A and Type B mean
- Type A
- Violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
- Type B
- Violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care.
Both classifications are published by California CDSS and are shown as published. SeniorLivingFacts does not rename them or add a severity level of its own.
At a glance
Counts cover the five-year public record. Typical figures are the median for the 4 Marin County facilities licensed for 16 to 49 beds, except where too few exist to state one — those come from facilities with 7 or more beds.
In the available public five-year record, CCLD published 20 reports for this facility: 9 inspections, 10 complaint investigations, and 1 licensing or administrative record.
Those records contain 16 Type A and 22 Type B deficiencies.
0 deficiencies have explicit official correction or clearance evidence in the loaded records.
- Official inspections
- 9
- Recorded deficiencies
- 38
- Type A deficiencies
- 16
- Type B deficiencies
- 22
- Substantiated complaints
- 8
- Repeated topics
- 7
Fewer than the typical 12
1 in the last 12 months
Well above the typical 10
5 in the last 12 months
Well above the typical 6
2 in the last 12 months
Well above the typical 7
3 in the last 12 months
Well above the typical 1
1 in the last 12 months
Last 36 months
Repeated topics
Topics cited in more than one report during the last 36 months. A repeat may show a pattern worth asking about. Each date opens its report below.
Resident rights
Cited in 3 reports, with 4 deficiencies in total.
Staffing, personnel, and training
Cited in 3 reports, with 4 deficiencies in total.
Facility condition and maintenance
Cited in 2 reports, with 4 deficiencies in total.
Health conditions and treatments
Cited in 2 reports, with 3 deficiencies in total.
Incident reporting
Cited in 2 reports, with 2 deficiencies in total.
Licensing and administration
Cited in 2 reports, with 2 deficiencies in total.
Official report history
All preserved reports from the most recent to the oldest, sortable by report type.
Complaint
Allegations1 substantiated · 2 unsubstantiated · 0 unfounded · 1 cited
Health conditions and treatmentsType A
- Official classification
- Type A
- Official code
- 87628(a)
- Regulation authority
- CCR
What the official deficiency says
87628(a)Diabetes: licensee shall be permitted to accept or retain a resident who has diabetes if the resident is able to perform his/her own glucose testing with blood or urine specimens. This requirement is not met as evidenced by: Based on interviews & file review the licensee failed to ensure that resident (R1) was retained at the facility while not able to perform a glucose testing as per physician's report, but the facility did not followed up more than once to ensure R1’s glucose levels were monitored, which poses an immediate risk to the health and safety of residents in care.
Official plan of correction
The Administrator agrees to ensure blood glucose testing is performed by an appropriately skilled medical professional or contact R1’s physician for current blood glucose order and submit plan to CCL to ensure a skilled medical professional is performing the test by POC due date.
Deadline recorded: Mar 11, 2026. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Mar 11, 2026
Correction not verified in available records
Complaint
Allegations1 substantiated · 2 unsubstantiated · 0 unfounded · 1 cited
Medical and dental careType A
- Official classification
- Type A
- Official code
- 87465(a)(1)
- Regulation authority
- CCR
What the official deficiency says
87465(a)(1) Incidental Medical and Dental Care. The licensee shall arrange, or assist in arranging, for medical and dental care appropriate to the conditions and needs of residents. ***Based on statements and documents, this requirement not met as evidenced by: R1 sustained rash for approximately 4 weeks prior to receiving medical treatment arranged by facility. This posed an immediate risk to the health of R1.
Official plan of correction
Administration to review the requirements of 87465 and will submit a written declaration confirming compliance to CCL by POC date in order to clear the deficiency.
Deadline recorded: Oct 22, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Oct 22, 2024
Correction not verified in available records
Complaint
Allegations1 substantiated · 2 unsubstantiated · 0 unfounded · 1 cited
Medical and dental careType A
- Official classification
- Type A
- Official code
- 87465(e)
- Regulation authority
- CCR
What the official deficiency says
87465(e) Incidental Medical and Dental Care. For every prescription and nonprescription PRN medication for which the licensee provides assistance there shall be a signed, dated written order from a physician, on a prescription blank, maintained in the residents file, and a label on the medication… Based upon statements, this requirement not met as evidenced by: An OTC sleep aid was observed in R1’s room which was not prescribed by R1’s physician. This posed an immediate risk to R1’s health.
Official plan of correction
Cleared at time of visit. Facility has provided refresher training to staff on the requirements of 87465.
Deadline recorded: Oct 15, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Oct 15, 2024
Correction not verified in available records
Complaint
Allegations1 substantiated · 0 unsubstantiated · 0 unfounded · 1 cited
Medical and dental careType A
- Official classification
- Type A
- Official code
- 87465(g)
- Regulation authority
- CCR
What the official deficiency says
(g) The licensee shall immediately telephone 9-1-1 if an injury or other circumstance has resulted in an imminent threat to a resident’s health including, but not limited to, an apparent life-threatening medical crisis... This requirement was not met as evidenced by: based on document review and interviews conducted, the licensee did not comply with the section cited above by not contacting emergency services in a timely manner.
Official plan of correction
Administrator agrees to submit proof of in-service training for all direct care staff regarding how to determine when to call 911. Proof of training must include: staff names with signatures, dates, topics covered, who conducted the training, etc. Proof to be submitted by POC due date 08/02/24.
Deadline recorded: Jul 20, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jul 20, 2024
Correction not verified in available records
Complaint
Allegations5 substantiated · 2 unsubstantiated · 0 unfounded · 5 cited
Resident rightsType A
- Official classification
- Type A
- Official code
- 1569.269(a)(6)
- Regulation authority
- CCR
What the official deficiency says
§1569.269 Enumerated rights; severability (a) Residents of RCFE shall have all of the following rights: (6) To care, supervision, & services that meet their individual needs and are delivered by staff that are sufficient in numbers, qualifications, and competency to meet their needs. This requirement has not been met as evidence by: Based on LPA’s records review and interviews. The facility staff did not ensure that R1 was provided with adequate supervision by locking the back door of the main building blocking R1 from coming inside as well as staff not going to check on R1 every two-three hour as ordered by their physician, which is an immediate risk to the health and safety of residents in care.
Official plan of correction
The Licensee/Administrator agrees to submit a plan to ensure facility is following up on resident’s needs and observation of the resident to CCL by POC due date to clear the citation. *Immedicate civil penalty issued in the amount of $250 for repeated violation within 12 months (11/2023). Administrator was informed that the Department will be scheduling an informal virtual office meeting to address areas of concerns & overall compliance of the facility.
Deadline recorded: Mar 5, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Mar 5, 2024
Correction not verified in available records
Medical and dental careType A
- Official classification
- Type A
- Official code
- 87465(g)
- Regulation authority
- CCR
What the official deficiency says
87465 Incidental Medical and Dental Care (g) The licensee shall immediately telephone 9-1-1 if an injury or other circumstance has resulted in an imminent threat to a resident’s health including, but not limited to, an apparent life-threatening medical crisis except as specified in Sections 87469(c)(2), (c)(3), or (c)(4). This requirement has not been met as evidence by: Based on LPA’s records review and interviews. The facility staff failed to call 911 or other medical personnel as the hospice agency after R1 had a fall and changes of conditions, which poses an immediate health and safety risk to residents in care.
Official plan of correction
The Licensee/Administrator agrees to submit a plan regarding timely medical care after resident’s fall and will train staff as to the regulation. Administrator agrees to send proof of training & written fall plan in how to ensure what staff are to do after a fall to CCL by POC due date to clear the citation. Administrator was informed that the Department will be scheduling an informal virtual office meeting to address areas of concerns & overall compliance of the facility.
Deadline recorded: Mar 5, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Mar 5, 2024
Correction not verified in available records
Staffing, personnel, and trainingType B
- Official classification
- Type B
- Official code
- 87411(a)
- Regulation authority
- CCR
What the official deficiency says
87411 Personnel Requirements (a) Facility personnel shall at all times be sufficient in numbers, & competent to provide the services necessary to meet resident needs...ensure provision of personal assistance & care...This requirement has not been met as evidence by: Based on interviews conducted and records review. Facility staff did not assist R1 with shower & toileting as ordered by their physician supposedly due to their aggressive behavior after R1 came back from hospital, which poses an immediate risk to the health and safety of the residents in care.
Official plan of correction
Administrator agrees to submit a written plan in how staff will assist residents with showering & toileting at all times by POC due date. Administrator was informed that the Department will be scheduling an informal virtual office meeting to address areas of concerns & overall compliance of the facility.
Deadline recorded: Mar 25, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Mar 25, 2024
Correction not verified in available records
Basic services and supervisionType B
- Official classification
- Type B
- Official code
- 87464(f)(3)
- Regulation authority
- CCR
What the official deficiency says
87464 Basic Services (f) Basic services shall at a minimum include: (3) Three nutritionally well-balanced meals and snacks made available daily, including low salt or other modified diets prescribed by a doctor as a medical necessity…This requirement has not been met as evidenced by Based on LPA’s observation, records review and interviews with the administrator revealing that facility was not providing meals that meet Recommended Dietary Allowances. This is a potential risk to residents in care.
Official plan of correction
Facility agrees to submit a planned menu that meets the Recommended Dietary Allowances of the Food and Nutrition Board of the National Research Council by POC due date to clear the deficiency. Administrator was informed that the Department will be scheduling an informal virtual office meeting to address areas of concerns & overall compliance of the facility.
Deadline recorded: Mar 25, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Mar 25, 2024
Correction not verified in available records
Resident rightsType B
- Official classification
- Type B
- Official code
- 87468.1(a)(2)
- Regulation authority
- CCR
What the official deficiency says
87468.1 Personal Rights of...(a) Residents in all RCFE shall have all of the following personal rights: (2) To be accorded safe, healthful & comfortable accommodations ...This requirement has not been met as evidence by: Based on LPAs observation and record review the facility failed to ensure resident's R1 personal rights where met when R1 was found unattended on the floor wearing only pull-up diaper, which poses a potential health and safety risk to residents in care.
Official plan of correction
Administrator agrees to submit a written plan to ensure facility is following up on residents’ needs by POC due date. Administrator was informed that the Department will be scheduling an informal virtual office meeting to address areas of concerns & overall compliance of the facility.
Deadline recorded: Mar 25, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Mar 25, 2024
Correction not verified in available records
Complaint
Allegations1 substantiated · 0 unsubstantiated · 0 unfounded · 1 cited
Resident rightsType A
- Official classification
- Type A
- Official code
- 1569.269(a)(6)
- Regulation authority
- CCR
What the official deficiency says
§1569.269 Enumerated rights; severability (a) Residents of residential care facilities for the elderly shall have all of the following rights: (6) To care, supervision, and services that meet their individual needs and are delivered by staff that are sufficient in numbers, qualifications, and competency to meet their needs. This requirement has not been met as evidence by: Based on LPA’s records review and interviews conducted with staff, the Administrator did not ensure that resident (R1) was assisted with proper care while residing in the facility, which poses an immediate risk to the health & safety of resident in care.
Official plan of correction
Administrator agrees to submit a plan to ensure facility is following up on resident’s care needs to CCL by POC due date.
Deadline recorded: Nov 21, 2023. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Nov 21, 2023
Correction not verified in available records
Complaint
Allegations0 substantiated · 3 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations1 substantiated · 1 unsubstantiated · 0 unfounded · 1 cited
Food serviceType B
- Official classification
- Type B
- Official code
- 87555(b)(9)
- Regulation authority
- CCR
What the official deficiency says
87555 General Food Service Requirements: (b)The following food service requirements shall apply: (9) Procedures which protect the safety, acceptability and nutritive values of food shall be observed in food storage, preparation and service. This requirement was not met as evidenced by: Based on a tour of the facility kitchen and the fridge, LPA observed three cans of whipped cream that had an expiration date of August 8, 2022.
Official plan of correction
Plan of Correction shall include the facility Interim Administrator provide staff training with a sign-in sheet and a plan for future compliance. Plan of Correction due by: January 10, 2023
Deadline recorded: Jan 10, 2023. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jan 10, 2023
Correction not verified in available records
Complaint
Allegations1 substantiated · 1 unsubstantiated · 0 unfounded · 1 cited
Basic services and supervisionType B
- Official classification
- Type B
- Official code
- 87464(f)(4)
- Regulation authority
- CCR
What the official deficiency says
87464(f)(4)-Basic Services: (f) Basic services shall at a minimum include: (4) Personal assistance and care as needed by the resident and as indicated in the pre-admission appraisal, with those activities of daily living such as dressing, eating, bathing and assistance with taking prescribed medications, as specified in Section 87608, Postural Supports. This requirement was not met as evidenced by: Based off document reviews of the Level of Care plan, the document indicated that the resident will be receiving regular bathes via two staff members and not sponge bathes. This regulation is a potential health, safety and personal rights risk to resident(s) in care.
Official plan of correction
Plan of Correction shall include following the Level of Care document and conduct staff training. In addition, Licensee/Administrator shall provide a written summary on how future compliance will be met moving forward. Plan of Correction due date for staff training and written summary: December 23, 2022.
Deadline recorded: Dec 16, 2022. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Dec 16, 2022
Correction not verified in available records
Complaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportSource and limits
California Department of Social Services, Community Care Licensing Division. Public facility history is described by the source as a five-year window. Older records and previous-licensee history may require a regional-office request. Type 741 RCFE-CCRCs, nursing homes, and other care settings are excluded from this page.
Read the data methodology