A Grace Sub Acute & Skilled Care - San Jose Nursing Home
General Information
UPDATEFederal Provider Number
56376
Provider Name
A GRACE SUB ACUTE & SKILLED CARE
Provider Address
1250 S. WINCHESTER BOULEVARD
SAN JOSE, CA 95128
SAN JOSE, CA 95128
Provider Phone Number
4082413844
Provider SSA County
530
Provider County Name
Santa Clara
Ownership Type
For profit - Corporation
Number of Certified Beds
166
Number of Residents in Certified Beds
126
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LITA & AVA INC.
Date First Approved to Provide Medicare and Medicaid services
1980-07-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.76071
Reported LPN Staffing Hours per Resident per Day
1.56706
Reported RN Staffing Hours per Resident per Day
1.06667
Reported Licensed Staffing Hours per Resident per Day
2.63373
Reported Total Nurse Staffing Hours per Resident per Day
5.39444
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09087
Expected CNA Staffing Hours per Resident per Day
2.56475
Expected LPN Staffing Hours per Resident per Day
0.88872
Expected RN Staffing Hours per Resident per Day
1.25948
Expected Total Nurse Staffing Hours per Resident per Day
4.71295
Adjusted CNA Staffing Hours per Resident per Day
2.64117
Adjusted LPN Staffing Hours per Resident per Day
1.46352
Adjusted RN Staffing Hours per Resident per Day
0.63281
Adjusted Total Nurse Staffing Hours per Resident per Day
4.61376
Cycle 1 Total Number of Health Deficiencies
14
Cycle 1 Number of Standard Health Deficiencies
13
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
68
Cycle 1 Standard Survey Health Date
2014-09-09
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
68
Cycle 2 Total Number of Health Deficiencies
18
Cycle 2 Number of Standard Health Deficiencies
13
Cycle 2 Number of Complaint Health Deficiencies
5
Cycle 2 Health Deficiency Score
92
Cycle 2 Standard Health Survey Date
2013-12-06
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
19
Cycle 3 Number of Standard Health Deficiencies
12
Cycle 3 Number of Complaint Health Deficiencies
8
Cycle 3 Health Deficiency Score
96
Cycle 3 Standard Health Survey Date
2012-11-14
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
96
Total Weighted Health Survey Score
80.66700
Number of Facility Reported Incidents
4
Number of Substantiated Complaints
18
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01
Nursiong Homes Nearby
San Tomas Convalescent Hospital
3580 Payne Avenue |
SAN JOSE CA 95117 | 0.7 mile away
Empress Care Center, Llc
1299 S. Bascom Avenue |
SAN JOSE CA 95128 | 0.9 mile away
White Blossom Care Center
1990 Fruitdale Avenue |
SAN JOSE CA 95128 | 1.3 miles away
Greenhills Manor
238 Virginia Avenue |
CAMPBELL CA 95008 | 1.5 miles away
Courtyard Care Center
340 Northlake Drive |
SAN JOSE CA 95117 | 1.7 miles away
O'connor Hospital Dp/snf
2105 Forest Avenue |
SAN JOSE CA 95128 | 1.8 miles away
Willow Glen Center
1267 Meridian Avenue |
SAN JOSE CA 95125 | 1.9 miles away
Skyline Healthcare Center - San Jose
2065 Forest Avenue |
SAN JOSE CA 95128 | 1.9 miles away
Mission Skilled Nursing & Subacute Center
410 North Winchester Boulevard |
SANTA CLARA CA 95050 | 2.2 miles away
Camden Convalescent Hospital
1331 Camden Avenue |
CAMPBELL CA 95008 | 2.3 miles away
Amberwood Gardens
1601 Petersen Avenue |
SAN JOSE CA 95129 | 2.8 miles away
Children's Recovery Center Of No Ca D/p Snf
3777 South Bascom Avenue |
CAMPBELL CA 95008 | 3 miles away
Herman Health Care Center
2295 Plummer Avenue |
SAN JOSE CA 95125 | 3 miles away
Subacute/saratoga
13425 Sousa Lane |
SARATOGA CA 95070 | 3.3 miles away
Plum Tree Care Center
2580 Samaritan Drive |
SAN JOSE CA 95124 | 3.5 miles away
Reviews: Be the first to review this provider.
Share your experience with A Grace Sub Acute & Skilled Care. You can help others by writing a review.
