Cycle 1
Health 2025-08-21 · Fire 2025-08-21
16 health deficiencies
Top issue: Nutrition and Dietary (7 deficiencies)
5 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
San Jose, CA
Mission De La Casa
2-star overall rating with 1-star inspections with $51,753 in total fines with 16 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
2501 Alvin Avenue, San Jose, CA
(408) 238-9751
Overall
2 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
163
Certified beds
Average residents
148
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1991-12-17
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
0.67
Registered nurse staffing · state 0.65 · national 0.68
LPN hours / resident day
0.74
Licensed practical nurse staffing · state 1.22 · national 0.87
Aide hours / resident day
3.05
Nurse aide staffing · state 2.64 · national 2.35
Total nurse hours
4.45
All reported nurse hours · state 4.51 · national 3.89
Licensed hours
1.41
RN + LPN hours · state 1.87 · national 1.54
Weekend hours
4.11
Weekend nurse staffing · state 4.08 · national 3.43
Weekend RN hours
0.45
Weekend registered nurse coverage · state 0.50 · national 0.47
Physical therapist
0.07
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
0.76
CMS adjusted RN staffing hours
Adjusted total hours
5.03
CMS adjusted total nurse staffing hours
Case-mix index
1.21
Higher values indicate more complex resident acuity
RN turnover
29%
Annual RN turnover · state 42% · national 45%
Total nurse turnover
19%
Annual nurse turnover · state 38% · national 46%
SNF VBP
Value-based purchasing
Program rank
2,800
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
47.66
Composite VBP score used to determine payment impact.
Payment multiplier
1.0013
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
1.65
Baseline 19.32% · Performance 20.67% · Measure score 1.65 · Achievement 1.65 · Improvement 0
Healthcare-associated infections
3.47
Baseline 6.44% · Performance 6.80% · Measure score 3.47 · Achievement 3.47 · Improvement 0
Total nurse turnover
10
Baseline 31.71% · Performance 20.61% · Measure score 10 · Achievement 10 · Improvement 9
Adjusted total nurse staffing
3.95
Baseline 4.36 hours · Performance 4.2 hours · Measure score 3.95 · Achievement 3.95 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.68% |
10.72%
About the same
|
No Different than the National Rate · Eligible stays 282 · Observed rate 9.93% · Lower 95% interval 8.42% |
| Discharge to community | 50.24% |
50.57%
0.3 pts worse
|
No Different than the National Rate · Eligible stays 254 · Observed rate 44.09% · Lower 95% interval 42.52% |
| Medicare spending per beneficiary | 1.12 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 169 · Denominator 169 |
| Falls with major injury | 1.18% |
0.77%
0.4 pts worse
|
Numerator 2 · Denominator 169 |
| Discharge self-care score | 57.98% |
53.69%
4.3 pts better
|
Numerator 69 · Denominator 119 |
| Discharge mobility score | 55.46% |
50.94%
4.5 pts better
|
Numerator 66 · Denominator 119 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 169 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 6.8% |
7.12%
0.3 pts better
|
No Different than the National Rate · Eligible stays 145 · Observed rate 6.21% · Lower 95% interval 4.15% |
| Staff COVID-19 vaccination coverage | 10.13% |
8.2%
1.9 pts better
|
Numerator 23 · Denominator 227 |
| Staff flu vaccination coverage | 73.22% |
42%
31.2 pts better
|
Numerator 257 · Denominator 351 |
| Discharge function score | 49.58% |
56.45%
6.9 pts worse
|
Numerator 59 · Denominator 119 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 89 · Denominator 89 |
| Transfer of health information to patient | 96.3% |
96.28%
About the same
|
Numerator 26 · Denominator 27 |
| Resident COVID-19 vaccinations up to date | 22.58% |
25.2%
2.6 pts worse
|
Numerator 21 · Denominator 93 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.4 |
2.3
0.9 pts better
|
1.9
0.5 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.4 · Observed 1.1 · Expected 1.5 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.7 |
1.6
0.9 pts better
|
1.8
1.1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.7 · Observed 0.5 · Expected 1.1 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 98.9% |
98.5%
0.4 pts better
|
93.4%
5.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 97.8% · Q4 97.7% · 4Q avg 98.9% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 96.5% |
98.2%
1.7 pts worse
|
95.5%
1 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 96.5% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.0% |
1.6%
0.4 pts worse
|
3.3%
1.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.2% · Q2 1.5% · Q3 2.2% · Q4 2.3% · 4Q avg 2.0% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.0% |
6.8%
6.8 pts better
|
11.4%
11.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents who lose too much weight | 3.4% |
4.1%
0.7 pts better
|
5.4%
2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 4.1% · Q3 2.5% · Q4 4.3% · 4Q avg 3.4% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 1.6% |
13.7%
12.1 pts better
|
19.6%
18 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.4% · Q3 2.4% · Q4 1.7% · 4Q avg 1.6% |
| Percentage of long-stay residents who received an antipsychotic medication | 5.6% |
14.2%
8.6 pts better
|
16.7%
11.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.5% · Q2 6.4% · Q3 5.6% · Q4 4.7% · 4Q avg 5.6% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.4%
0.4 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 13.4% |
11.0%
2.4 pts worse
|
16.3%
2.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 17.3% · Q2 15.2% · Q3 6.9% · Q4 13.2% · 4Q avg 13.4% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 12.5% |
10.7%
1.8 pts worse
|
14.9%
2.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 17.2% · Q2 9.8% · Q3 12.9% · Q4 10.0% · 4Q avg 12.5% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.2% |
1.0%
0.8 pts better
|
1.0%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.9% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.2% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.0% |
1.2%
0.2 pts better
|
1.7%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.5% · Q3 0.8% · Q4 1.6% · 4Q avg 1.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 12.0% |
10.9%
1.1 pts worse
|
19.8%
7.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 12.8% · Q2 11.5% · Q3 11.6% · Q4 12.0% · 4Q avg 12.0% |
| Percentage of long-stay residents with pressure ulcers | 1.7% |
4.7%
3 pts better
|
5.1%
3.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.8% · Q2 1.6% · Q3 3.2% · Q4 1.4% · 4Q avg 1.7% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 96.4% |
94.0%
2.4 pts better
|
81.7%
14.7 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 98.1% · Q2 98.2% · Q3 97.1% · Q4 91.7% · 4Q avg 96.4% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 2.2% |
11.2%
9 pts better
|
12.0%
9.8 pts better
|
Short Stay · 20240701-20250630 · Adjusted 2.2% · Observed 2.1% · Expected 10.2% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.7% |
1.5%
0.2 pts worse
|
1.6%
0.1 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 1.5% · Q2 2.5% · Q3 1.3% · Q4 1.5% · 4Q avg 1.7% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 96.6% |
93.2%
3.4 pts better
|
79.7%
16.9 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 96.6% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 20.4% |
23.2%
2.8 pts better
|
23.9%
3.5 pts better
|
Short Stay · 20240701-20250630 · Adjusted 20.4% · Observed 17.1% · Expected 20.0% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-06-27 · Fire 2024-06-27
5 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
4 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Cycle 3
Health 2021-07-12 · Fire 2021-07-12
14 health deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
4 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2025-08-21
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-09-11
F · Potential for more than minimal harm
2025-08-21
K753 · Miscellaneous Deficiencies
Fire Safety
Have restrictions on the use of highly flammable decorations.
Corrected 2025-09-11
D · Potential for more than minimal harm
2025-08-21
K321 · Smoke Deficiencies
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2025-09-11
D · Potential for more than minimal harm
2025-08-21
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2025-09-11
D · Potential for more than minimal harm
2025-08-21
K355 · Smoke Deficiencies
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2025-09-11
F · Potential for more than minimal harm
2024-06-27
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-07-15
E · Potential for more than minimal harm
2024-06-27
K919 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Meet requirements for the use of electrical equipment.
Corrected 2024-07-15
D · Potential for more than minimal harm
2024-06-27
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-07-15
D · Potential for more than minimal harm
2024-06-27
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2024-07-15
F · Potential for more than minimal harm
2021-07-12
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2021-08-03
E · Potential for more than minimal harm
2021-07-12
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2021-08-03
D · Potential for more than minimal harm
2021-07-12
K325 · Smoke Deficiencies
Fire Safety
Have properly installed hallway dispensers for alcohol-based hand rub.
Corrected 2021-08-03
D · Potential for more than minimal harm
2021-07-12
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2021-08-03
Inspection history
Recent health citations
K · Immediate jeopardy
2025-08-21
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-09-16
F · Potential for more than minimal harm
2025-08-21
F801 · Nutrition and Dietary Deficiencies
Health
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Corrected 2025-09-16
F · Potential for more than minimal harm
2025-08-21
F802 · Nutrition and Dietary Deficiencies
Health
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Corrected 2025-09-16
F · Potential for more than minimal harm
2025-08-21
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-09-16
F · Potential for more than minimal harm
2025-08-21
F813 · Nutrition and Dietary Deficiencies
Health
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Corrected 2025-09-16
F · Potential for more than minimal harm
2025-08-21
F814 · Nutrition and Dietary Deficiencies
Health
Dispose of garbage and refuse properly.
Corrected 2025-09-16
E · Potential for more than minimal harm
2025-08-21
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-09-16
E · Potential for more than minimal harm
2025-08-21
F657 · Resident Assessment and Care Planning Deficiencies
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2025-09-16
E · Potential for more than minimal harm
2025-08-21
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-09-16
E · Potential for more than minimal harm
2025-08-21
F700 · Quality of Life and Care Deficiencies
Health
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.
Corrected 2025-09-16
D · Potential for more than minimal harm
2025-08-21
F645 · Resident Assessment and Care Planning Deficiencies
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2025-09-16
D · Potential for more than minimal harm
2025-08-21
F740 · Quality of Life and Care Deficiencies
Health
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected 2025-09-16
D · Potential for more than minimal harm
2025-08-21
F800 · Nutrition and Dietary Deficiencies
Health
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Corrected 2025-09-16
D · Potential for more than minimal harm
2025-08-21
F803 · Nutrition and Dietary Deficiencies
Health
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected 2025-09-16
D · Potential for more than minimal harm
2025-08-21
F908 · Environmental Deficiencies
Health
Keep all essential equipment working safely.
Corrected 2025-09-16
D · Potential for more than minimal harm
2025-08-21
F925 · Environmental Deficiencies
Health
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected 2025-09-16
F · Potential for more than minimal harm
2024-06-27
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-07-26
D · Potential for more than minimal harm
2024-06-27
F645 · Resident Assessment and Care Planning Deficiencies
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2024-07-26
D · Potential for more than minimal harm
2024-06-27
F759 · Pharmacy Service Deficiencies
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2024-07-26
G · Actual harm
2024-04-18
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-05-13
D · Potential for more than minimal harm
2024-03-28
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-04-22
E · Potential for more than minimal harm
2021-07-12
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2021-08-12
D · Potential for more than minimal harm
2021-07-12
F557 · Resident Rights Deficiencies
Health
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected 2021-08-12
D · Potential for more than minimal harm
2021-07-12
F558 · Resident Rights Deficiencies
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2021-08-12
D · Potential for more than minimal harm
2021-07-12
F637 · Resident Assessment and Care Planning Deficiencies
Health
Assess the resident when there is a significant change in condition
Corrected 2021-08-12
D · Potential for more than minimal harm
2021-07-12
F644 · Resident Assessment and Care Planning Deficiencies
Health
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2021-08-12
D · Potential for more than minimal harm
2021-07-12
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2021-08-12
D · Potential for more than minimal harm
2021-07-12
F677 · Quality of Life and Care Deficiencies
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2021-08-12
D · Potential for more than minimal harm
2021-07-12
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2021-08-12
D · Potential for more than minimal harm
2021-07-12
F690 · Quality of Life and Care Deficiencies
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2021-08-12
D · Potential for more than minimal harm
2021-07-12
F698 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2021-08-12
D · Potential for more than minimal harm
2021-07-12
F761 · Pharmacy Service Deficiencies
Health
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.
Corrected 2021-08-12
D · Potential for more than minimal harm
2021-07-12
F801 · Nutrition and Dietary Deficiencies
Health
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Corrected 2021-08-12
D · Potential for more than minimal harm
2021-07-12
F813 · Nutrition and Dietary Deficiencies
Health
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Corrected 2021-08-12
D · Potential for more than minimal harm
2021-07-12
F881 · Infection Control Deficiencies
Health
Implement a program that monitors antibiotic use.
Corrected 2021-08-12
Penalties and ownership
What sits behind the stars
$51,753
2025-08-21
Fine
Fine · fine $51,753
Fine
Ownership
Nguyen, Ngai
5% Or Greater Direct Ownership Interest · Individual
Aoay, Norie
Operational/Managerial Control · Individual
Eieta, Julie
Operational/Managerial Control · Individual
Evans, Joy
Operational/Managerial Control · Individual
Gupta, Atin
Operational/Managerial Control · Individual
Hedger, Josh
Operational/Managerial Control · Individual
Luc, Ha
Operational/Managerial Control · Individual
Lucas, Alethea
Operational/Managerial Control · Individual
Nguyen, Anh
Operational/Managerial Control · Individual
Nguyen, Kym
Operational/Managerial Control · Individual
Nguyen, Ngai
Operational/Managerial Control · Individual
Nguyen, Ngai
Corporate Director · Individual
Nguyen, Ngai
Corporate Officer · Individual
Perez, Angelica
Operational/Managerial Control · Individual
Rabara, Rosana
Operational/Managerial Control · Individual
Tse, Daniel
Operational/Managerial Control · Individual
Vetsa, Surekha
Operational/Managerial Control · Individual
Nearby options
Other facilities in reach
#1
The Ridge Post Acute
San Jose, CA
3-star overall rating with 3-star inspections with 8 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
#2
Vista Manor Nursing Center
San Jose, CA
5-star overall rating with 5-star inspections with 4 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
#3
Canyon Springs Post-Acute
San Jose, CA
3-star overall rating with 2-star inspections with 18 recent health deficiencies with 15 fire-safety deficiencies in the latest cycle
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