Inspection citations
15’19
15’22
1’23
15’24
1’25
47 shown
| Date | Severity | What inspectors found | Visit |
|---|---|---|---|
| Aug 14, 2025 | D · potential | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Complaint |
| Oct 18, 2024 | D · potential | Reasonably accommodate the needs and preferences of each resident. | Routine |
| Oct 18, 2024 | D · potential | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Routine |
| Oct 18, 2024 | E · potential | Ensure services provided by the nursing facility meet professional standards of quality. | Routine |
| Oct 18, 2024 | E · potential | 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. | Routine |
| Oct 18, 2024 | E · potential | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Routine |
| Oct 18, 2024 | D · potential | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Routine |
| Oct 18, 2024 | D · potential | Ensure each resident’s drug regimen must be free from unnecessary drugs. | Routine |
| Oct 18, 2024 | D · potential | Ensure medication error rates are not 5 percent or greater. | Routine |
| Oct 18, 2024 | D · potential | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Routine |
| Oct 18, 2024 | E · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
| Oct 18, 2024 | E · potential | Provide and implement an infection prevention and control program. | Routine |
| Oct 18, 2024 | D · potential | Make sure that a working call system is available in each resident's bathroom and bathing area. | Routine |
| Oct 18, 2024 | D · potential | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Routine |
| Jul 9, 2024 | D · potential | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | Complaint |
| Mar 14, 2024 | D · potential | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Complaint |
| Dec 28, 2023 | D · potential | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | Complaint |
| May 13, 2022 | D · potential | Ensure that residents are fully informed and understand their health status, care and treatments. | Routine |
| May 13, 2022 | D · potential | Reasonably accommodate the needs and preferences of each resident. | Routine |
| May 13, 2022 | D · potential | Keep residents' personal and medical records private and confidential. | Routine |
| May 13, 2022 | E · potential | Ensure services provided by the nursing facility meet professional standards of quality. | Routine |
| May 13, 2022 | D · potential | Provide 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. | Routine |
| May 13, 2022 | D · potential | Provide safe, appropriate pain management for a resident who requires such services. | Routine |
| May 13, 2022 | D · potential | Provide safe, appropriate dialysis care/services for a resident who requires such services. | Routine |
| May 13, 2022 | E · potential | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Routine |
| May 13, 2022 | D · potential | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Routine |
| May 13, 2022 | D · potential | 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. | Routine |
| May 13, 2022 | E · potential | Ensure medication error rates are not 5 percent or greater. | Routine |
| May 13, 2022 | D · potential | 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. | Routine |
| May 13, 2022 | D · potential | Provide routine and 24-hour emergency dental care for each resident. | Routine |
| May 13, 2022 | E · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
| May 13, 2022 | E · potential | Provide and implement an infection prevention and control program. | Routine |
| Jun 7, 2019 | D · potential | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Routine |
| Jun 7, 2019 | D · potential | Ensure that residents are fully informed and understand their health status, care and treatments. | Routine |
| Jun 7, 2019 | D · potential | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Routine |
| Jun 7, 2019 | D · potential | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Routine |
| Jun 7, 2019 | D · potential | Ensure each resident receives an accurate assessment. | Routine |
| Jun 7, 2019 | D · potential | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Routine |
| Jun 7, 2019 | D · potential | Provide 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. | Routine |
| Jun 7, 2019 | D · potential | 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. | Routine |
| Jun 7, 2019 | D · potential | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Routine |
| Jun 7, 2019 | D · potential | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Routine |
| Jun 7, 2019 | D · potential | 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. | Routine |
| Jun 7, 2019 | D · potential | Ensure medication error rates are not 5 percent or greater. | Routine |
| Jun 7, 2019 | D · potential | 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. | Routine |
| Jun 7, 2019 | D · potential | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Routine |
| Jun 7, 2019 | E · potential | Provide and implement an infection prevention and control program. | Routine |
Medicare's severity letters: A–C minimal harm, D–F potential for more than minimal harm, G–L actual harm or immediate danger. Source: CMS health deficiencies file, processed October 1, 2026.
Questions to ask on a visit
A Grace Sub Acute & Skilled Care
1250 S. Winchester Boulevard, San Jose, CA 95128 · (408) 241-3844
Visit date: ____________ Spoke with: ______________________
Record on file
- Certification
- Medicare and Medi-Cal certified skilled nursing facility
- Medicare number (CCN)
- 056376
- Certified beds
- 166
- Legal owner
- Lita & Ava INC.
Full profile on Medicare's Care Compare. Source: CMS, processed October 1, 2026.
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