Elder Care Record

California › Santa Clara County › San Jose

A Grace Sub Acute & Skilled Care

1250 S. Winchester Boulevard, San Jose, CA 95128

CCN 056376 · For-profit, corporation · 166 certified beds

Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.

Certified for 166 beds, A Grace Sub Acute & Skilled Care serves San Jose in Santa Clara County, California and has taken Medicare and Medicaid residents since 1980.

CMS gives it 4 of 5 stars overall, above the California median of 3; the health inspection rating is 3, staffing 4 and quality measures 5.

Inspectors recorded 47 health deficiencies across the three most recent survey cycles (14, 15, 18 by cycle, most recent first), none at the actual-harm level. That is 28.3 per 100 beds, fewer than the state median of 51.1.

CMS lists no fines or payment denials against the facility in the period covered.

Reported nurse staffing is 5.3 hours per resident per day (1.1 RN), above the California median of 4.2; nursing staff turnover is 19.6%.

47health deficiencies, 3 survey cyclesnone at actual-harm level
$0fines listed by CMS0 penalties in period
5.3nurse hours per resident per daystate median 4.2
76%occupancy (residents ÷ beds)126 residents a day

Compared with county, state and nation

MeasureThis facilitySanta Clara Co. medianCalifornia medianUS average
Overall star rating4433.0
Health citations, 3 cycles47404428.7
Citations per 100 beds28.345.751.126.8
Total nurse hours per resident day5.34.24.23.9
RN hours per resident day1.10.70.50.7
Nursing staff turnover19.6%31.6%36.4%45.8%
Fines listed$0$0$0—

County and state figures are medians across facilities (50 in the county, 1165 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)14
Cycle 215
Cycle 318

Dark bar: this facility. Grey bar: California average per facility for the same cycle, as published by CMS. Standard health survey dates: 18 Oct 2024, 13 May 2022.

Severity mix: D ×36 E ×11

Health deficiencies

Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.

Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
14 Aug 2025F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint investigation4 Sep 2025
18 Oct 2024F0658Ensure services provided by the nursing facility meet professional standards of quality.EStandard survey8 Nov 2024
18 Oct 2024F0700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.EStandard survey8 Nov 2024
18 Oct 2024F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EStandard survey8 Nov 2024
18 Oct 2024F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey8 Nov 2024
18 Oct 2024F0880Provide and implement an infection prevention and control program.EStandard survey8 Nov 2024
18 Oct 2024F0558Reasonably accommodate the needs and preferences of each resident.DStandard survey8 Nov 2024
18 Oct 2024F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard survey8 Nov 2024
18 Oct 2024F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard survey8 Nov 2024
18 Oct 2024F0757Ensure each resident’s drug regimen must be free from unnecessary drugs.DStandard survey8 Nov 2024
18 Oct 2024F0759Ensure medication error rates are not 5 percent or greater.DStandard survey8 Nov 2024
18 Oct 2024F0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.DStandard survey8 Nov 2024
18 Oct 2024F0919Make sure that a working call system is available in each resident's bathroom and bathing area.DStandard survey8 Nov 2024
18 Oct 2024F0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.DStandard survey8 Nov 2024
9 Jul 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation10 Jul 2024
14 Mar 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation11 Apr 2024
28 Dec 2023F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation29 Jan 2024
13 May 2022F0658Ensure services provided by the nursing facility meet professional standards of quality.EStandard survey25 May 2022
13 May 2022F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EStandard survey27 May 2022
13 May 2022F0759Ensure medication error rates are not 5 percent or greater.EStandard survey27 May 2022
13 May 2022F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey26 May 2022
13 May 2022F0880Provide and implement an infection prevention and control program.EStandard survey3 Jun 2022
13 May 2022F0552Ensure that residents are fully informed and understand their health status, care and treatments.DStandard survey16 May 2022
13 May 2022F0558Reasonably accommodate the needs and preferences of each resident.DStandard survey25 May 2022
13 May 2022F0583Keep residents' personal and medical records private and confidential.DStandard survey25 May 2022
13 May 2022F0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.DStandard survey27 May 2022
13 May 2022F0697Provide safe, appropriate pain management for a resident who requires such services.DStandard survey25 May 2022
13 May 2022F0698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard survey25 May 2022
13 May 2022F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard survey13 May 2022
13 May 2022F0758Implement 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.DStandard survey13 May 2022
13 May 2022F0761Ensure 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.DStandard survey13 May 2022
13 May 2022F0790Provide routine and 24-hour emergency dental care for each resident.DStandard survey27 May 2022
7 Jun 2019F0880Provide and implement an infection prevention and control program.EStandard survey26 Jun 2019
7 Jun 2019F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard survey26 Jun 2019
7 Jun 2019F0552Ensure that residents are fully informed and understand their health status, care and treatments.DStandard survey26 Jun 2019
7 Jun 2019F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DStandard survey26 Jun 2019
7 Jun 2019F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DStandard survey26 Jun 2019
7 Jun 2019F0641Ensure each resident receives an accurate assessment.DStandard survey26 Jun 2019
7 Jun 2019F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey26 Jun 2019
7 Jun 2019F0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.DStandard survey26 Jun 2019
7 Jun 2019F0693Ensure 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.DStandard survey26 Jun 2019
7 Jun 2019F0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.DStandard survey26 Jun 2019
7 Jun 2019F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard survey26 Jun 2019
7 Jun 2019F0758Implement 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.DStandard survey26 Jun 2019
7 Jun 2019F0759Ensure medication error rates are not 5 percent or greater.DStandard survey26 Jun 2019
7 Jun 2019F0761Ensure 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.DStandard survey26 Jun 2019
7 Jun 2019F0813Have a policy regarding use and storage of foods brought to residents by family and other visitors.DStandard survey26 Jun 2019

Penalties

CMS lists no fines or payment denials for this facility in the period covered.

Staffing

Total nursing5.35 h
Nurse aides2.8 h
LPN1.42 h
RN1.12 h
Weekend total5.07 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the California average. Turnover: nursing staff 19.6%, RNs 27.6%; 1 administrator left in the reporting year.

Quality measures

MeasureResidentsThis facilityCalifornia medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay11.6%8.9%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.9%0.3%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay0.2%0.7%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay0.2%1.3%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay0.0%0.8%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay8.1%8.6%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay4.4%3.6%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay4.9%9.1%13.4%

Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.

Ownership

Ownership type: for-profit, corporation. Legal business name: Lita & Ava Inc..

No organisations are listed in the CMS ownership record for this facility.

Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.

Other nursing homes in Santa Clara County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Childrens Hc Org No Ca -Pediatric Hospital D/P SNFCampbell2755—1659.3$3K10 Oct 2024
Childrens Hc Org No Ca Saratoga Pediatric SubacuteSaratoga3754—1848.6—26 Jun 2026
Creekside Post-AcuteSan Jose1305444232.3$20K23 Sep 2025
Idylwood Care CenterSunnyvale1855453016.2—1 Jul 2026
Lincoln Glen Skilled NursingSan Jose595352745.8—24 Mar 2025
O'Connor Hospital D/P SNFSan Jose245552395.8—29 Aug 2025
Plum Tree Care CenterSan Jose765433343.4$8K11 Jun 2026
Saratoga Retirement Community Health CenterSaratoga945542021.3—25 Apr 2025

All 50 facilities in Santa Clara County

Questions and answers

How many deficiencies has A Grace Sub Acute & Skilled Care been cited for?

47 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The California median is 44 per facility.

Has A Grace Sub Acute & Skilled Care been fined?

CMS lists no fines against the facility in the period covered.

How does staffing at A Grace Sub Acute & Skilled Care compare?

Reported total nurse staffing is 5.3 hours per resident per day against a California median of 4.2 and a national average of 3.9.

Who operates A Grace Sub Acute & Skilled Care?

Ownership type is for-profit, corporation. Individual owners and managers are not listed on this site.

When was A Grace Sub Acute & Skilled Care last inspected?

The most recent survey or investigation in the CMS record is dated 14 Aug 2025; the most recent standard health survey was 18 Oct 2024.

Where does this data come from?

All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.

Provenance

Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.