Health Care Ctr at the Forum at Rancho San AntonioCMS ratings, inspections and fines
- Address
- 23600 Via Esplendor, Cupertino, CA 95014
- CCN
- 555524
- Ownership type
- Non-profit, other
- Certified beds
- 48
- Chain
- Life Care Services
- Residents per day
- 46
- CMS flags
- None in the CMS record
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Health Care Ctr at the Forum at Rancho San Antonio an overall rating of 4 of 5 stars. The last standard survey was on 30 Jan 2026. The latest survey cycle has 17 health citations. The median for nursing homes in California is 14. CMS lists no fines for this home in its penalties file.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Changes in the CMS recordFeed of changes in California (RSS)
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Santa Clara County median | California median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 4 | 4.0 | 3.0 | 3.0 |
| Health inspection rating | 2 | 3.0 | 3.0 | 2.8 |
| Staffing rating | 5 | 4.0 | 3.0 | 2.9 |
| Quality measure rating | 5 | 5.0 | 4.0 | 3.6 |
A median is the middle value of the homes in the group: 50 homes in the county, 1,165 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | California median |
|---|---|---|---|
| Cycle 1 (latest) | 30 Jan 2026 | 17 | 14 |
| Cycle 2 | 19 Jul 2024 | 14 | 14 |
| Cycle 3 | No date | 5 | 15 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | J0 | K0 | L0 |
| Actual harm that is not immediate jeopardy | G0 | H0 | I0 |
| No actual harm, potential for more than minimal harm | |||
| No actual harm, potential for minimal harm | A0 | B0 | C0 |
Survey cycle 1 (latest): 17 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 14 May 2026 | F0551 | Give the resident's representative the ability to exercise the resident's rights. | D | Complaint investigation | 26 May 2026 |
| 9 Apr 2026 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 17 Apr 2026 |
| 30 Jan 2026 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 28 Feb 2026 |
| 30 Jan 2026 | F0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | E | Standard survey | 28 Feb 2026 |
| 30 Jan 2026 | F0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | E | Standard survey | 28 Feb 2026 |
| 30 Jan 2026 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 28 Feb 2026 |
| 30 Jan 2026 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 28 Feb 2026 |
| 30 Jan 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 28 Feb 2026 |
| 30 Jan 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 28 Feb 2026 |
| 30 Jan 2026 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | E | Standard survey | 28 Feb 2026 |
| 30 Jan 2026 | F0700 | Try 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. | D | Standard survey | 28 Feb 2026 |
| 30 Jan 2026 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard survey | 28 Feb 2026 |
| 30 Jan 2026 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | Standard survey | 28 Feb 2026 |
| 30 Jan 2026 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | E | Standard survey | 28 Feb 2026 |
| 30 Jan 2026 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard survey | 28 Feb 2026 |
| 30 Jan 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 28 Feb 2026 |
| 30 Jan 2026 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 28 Feb 2026 |
Survey cycle 2: 14 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 6 Sep 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 20 Sep 2024 |
| 19 Jul 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 18 Aug 2024 |
| 19 Jul 2024 | F0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | E | Standard survey | 18 Aug 2024 |
| 19 Jul 2024 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard survey | 18 Aug 2024 |
| 19 Jul 2024 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 18 Aug 2024 |
| 19 Jul 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 18 Aug 2024 |
| 19 Jul 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 18 Aug 2024 |
| 19 Jul 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 18 Aug 2024 |
| 19 Jul 2024 | F0700 | Try 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. | D | Standard survey | 18 Aug 2024 |
| 19 Jul 2024 | F0732 | Post nurse staffing information every day. | D | Standard survey | 18 Aug 2024 |
| 19 Jul 2024 | F0758 | 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 | Standard survey | 18 Aug 2024 |
| 19 Jul 2024 | F0761 | 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. | E | Standard survey | 18 Aug 2024 |
| 19 Jul 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 18 Aug 2024 |
| 19 Jul 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 18 Aug 2024 |
Survey cycle 3: 5 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 9 Jun 2023 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 9 Jul 2023 |
| 9 Jun 2023 | F0758 | 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 | Standard survey | 9 Jul 2023 |
| 9 Jun 2023 | F0761 | 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. | E | Standard survey | 9 Jul 2023 |
| 9 Jun 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 9 Jul 2023 |
| 9 Jun 2023 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 9 Jul 2023 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
CMS lists no fine and no payment denial for this home in its penalties file.
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | California median | California average (CMS) |
|---|---|---|---|
| All nurse staff | 5.75 | 4.20 | 4.52 |
| Registered nurses (RN) | 1.07 | 0.50 | 0.67 |
| Licensed practical nurses (LPN) | 1.36 | 1.20 | |
| Nurse aides | 3.32 | 2.65 | |
| All nurse staff, weekends | 5.28 | 3.80 | 4.09 |
- Nurse staff turnover in a year
- 28.8%
- Nurse staff turnover, California median
- 36.4%
- RN turnover in a year
- 27.3%
- Administrators who left in a year
- 0
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | California median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 15.1% | 8.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 1.4% | 0.3% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 3.4% | 0.7% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 4.4% | 1.3% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 0.8% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 14.1% | 8.6% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 6.5% | 3.6% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 1.6% | 9.1% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- Non-profit, other
- Setting
- Continuing care retirement community
- Legal business name
- Rancho San Antonio Retirement Services, Inc.
- Chain
- Life Care Services (43 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Rancho San Antonio Retirement Housing Corporation | 5% or greater direct ownership interest | 100% | 2 Jul 1999 |
| Life Care Services LLC | Operational/managerial control | 1 Jun 2012 | |
| Life Care Services LLC | Adp of the snf | 22 Apr 2025 | |
| Rancho San Antonio Retirement Housing Corporation | Adp of the snf | 31 May 1992 |
The site shows organisations only. It does not show the names of persons.
Other homes in Santa Clara County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Los Altos Post-Acute | Los Altos | 3 of 5 | 7 | $0 | 27 Feb 2025 | |
| Sunny View Manor | Cupertino | 5 of 5 | 4 | $8,176 | 17 Apr 2025 | |
| Cupertino Healthcare & Wellness Center | Cupertino | 3 of 5 | 15 | $0 | 22 Dec 2025 | |
| Idylwood Care Center | Sunnyvale | 5 of 5 | 12 | $0 | 11 Apr 2025 | |
| Sunnyvale Post-Acute Center | Sunnyvale | 1 of 5 | 27 | $0 | 18 Oct 2024 | |
| Mountain View Healthcare Center | Mountain View | 3 of 5 | 29 | $54,912 | 23 May 2025 | |
| Villa Siena | Mountain View | 1 of 5 | 11 | $0 | 28 Jul 2025 | |
| Camino Ridge Post-Acute | Mountain View | 1 of 5 | 26 | $8,428 | 28 Mar 2025 | |
| Sunnyvale Gardens Post Acute | Sunnyvale | 3 of 5 | 18 | $43,176 | 18 Nov 2024 | |
| Cedar Crest Nursing and Rehabilitation Center | Sunnyvale | 4 of 5 | 15 | $0 | 11 Aug 2025 | |
| The Terraces at Los Altos Health Facility | Los Altos | 4 of 5 | 11 | $0 | 1 Aug 2025 | |
| Westwood Post Acute | San Jose | 2 of 5 | 32 | $31,936 | 18 Apr 2025 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Health Care Ctr at the Forum at Rancho San Antonio (CCN 555524). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/health-care-ctr-at-the-forum-at-rancho-san-antonio-cupertino-ca-555524/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Health Care Ctr at the Forum at Rancho San Antonio last inspected?
- The latest inspection with a citation in the CMS record was on 14 May 2026. It was a complaint investigation. It gave 1 citation. The standard survey before the last one was on 19 Jul 2024.
- Who operates Health Care Ctr at the Forum at Rancho San Antonio?
- The CMS record gives the ownership type as non-profit, other. CMS lists the home in the chain Life Care Services. The CMS ownership file names Life Care Services LLC for operational or managerial control. This site does not show the names of persons.
- Is Health Care Ctr at the Forum at Rancho San Antonio a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 5 homes in California as Special Focus Facilities and 31 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.