11 health deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
6 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
San Jose, CA
5-star overall rating with 4-star inspections with $8,018 in total fines with 11 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
2580 Samaritan Drive, San Jose, CA
(408) 356-8181
Overall
5 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
76
Certified beds
Average residents
65
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Generations Healthcare
Operator or chain grouping
Approved since
1967-12-18
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
33 facilities
Chain averages 4 overall / 3 health / 3 staffing / 4 quality stars
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
RN hours / resident day
0.84
Registered nurse staffing · state 0.65 · national 0.68
LPN hours / resident day
1.34
Licensed practical nurse staffing · state 1.22 · national 0.87
Aide hours / resident day
2.46
Nurse aide staffing · state 2.64 · national 2.35
Total nurse hours
4.64
All reported nurse hours · state 4.51 · national 3.89
Licensed hours
2.18
RN + LPN hours · state 1.87 · national 1.54
Weekend hours
4.18
Weekend nurse staffing · state 4.08 · national 3.43
Weekend RN hours
0.52
Weekend registered nurse coverage · state 0.50 · national 0.47
Physical therapist
0.16
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
0.72
CMS adjusted RN staffing hours
Adjusted total hours
3.97
CMS adjusted total nurse staffing hours
Case-mix index
1.60
Higher values indicate more complex resident acuity
RN turnover
67%
Annual RN turnover · state 42% · national 45%
Total nurse turnover
48%
Annual nurse turnover · state 38% · national 46%
SNF VBP
Program rank
9,368
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
23.87
Composite VBP score used to determine payment impact.
Payment multiplier
0.9833
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
1.58
Baseline 24.46% · Performance 22.91% · Measure score 1.58 · Achievement 0 · Improvement 1.58
Healthcare-associated infections
1.65
Baseline 9.64% · Performance 8.64% · Measure score 1.65 · Achievement 0 · Improvement 1.65
Total nurse turnover
2.39
Baseline 49.28% · Performance 53.92% · Measure score 2.39 · Achievement 2.39 · Improvement 0
Adjusted total nurse staffing
3.93
Baseline 4.26 hours · Performance 4.20 hours · Measure score 3.93 · Achievement 3.93 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.99% |
10.72%
0.3 pts worse
|
No Different than the National Rate · Eligible stays 297 · Observed rate 10.1% · Lower 95% interval 7.95% |
| Discharge to community | 63.16% |
50.57%
12.6 pts better
|
Better than the National Rate · Eligible stays 330 · Observed rate 56.97% · Lower 95% interval 55.65% |
| Medicare spending per beneficiary | 1.06 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 201 · Denominator 201 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 201 |
| Discharge self-care score | 46.97% |
53.69%
6.7 pts worse
|
Numerator 62 · Denominator 132 |
| Discharge mobility score | 45.45% |
50.94%
5.5 pts worse
|
Numerator 60 · Denominator 132 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 201 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 8.64% |
7.12%
1.5 pts worse
|
No Different than the National Rate · Eligible stays 196 · Observed rate 9.69% · Lower 95% interval 5.73% |
| Staff COVID-19 vaccination coverage | 11.76% |
8.2%
3.6 pts better
|
Numerator 16 · Denominator 136 |
| Staff flu vaccination coverage | 48.05% |
42%
6 pts better
|
Numerator 74 · Denominator 154 |
| Discharge function score | 50.76% |
56.45%
5.7 pts worse
|
Numerator 67 · Denominator 132 |
| Transfer of health information to provider | 98.28% |
95.95%
2.3 pts better
|
Numerator 57 · Denominator 58 |
| Transfer of health information to patient | 99.16% |
96.28%
2.9 pts better
|
Numerator 118 · Denominator 119 |
| Resident COVID-19 vaccinations up to date | 28.44% |
25.2%
3.2 pts better
|
Numerator 31 · Denominator 109 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.0 |
2.3
0.3 pts better
|
1.9
0.1 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.0 · Observed 2.2 · Expected 2.1 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.7 |
1.6
1.1 pts worse
|
1.8
0.9 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.7 · Observed 2.6 · Expected 1.6 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
98.5%
1.5 pts better
|
93.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% |
98.2%
1.8 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.4% |
1.6%
0.2 pts better
|
3.3%
1.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.8% · Q2 2.7% · Q3 0.0% · Q4 0.0% · 4Q avg 1.4% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 14.7% |
6.8%
7.9 pts worse
|
11.4%
3.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 17.9% · Q2 11.5% · Q3 3.7% · Q4 25.0% · 4Q avg 14.7% |
| Percentage of long-stay residents who lose too much weight | 9.3% |
4.1%
5.2 pts worse
|
5.4%
3.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 17.2% · Q2 13.3% · Q3 3.8% · Q4 0.0% · 4Q avg 9.3% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 6.3% |
13.7%
7.4 pts better
|
19.6%
13.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 10.0% · Q2 9.7% · Q3 3.7% · Q4 0.0% · 4Q avg 6.3% |
| Percentage of long-stay residents who received an antipsychotic medication | 3.9% |
14.2%
10.3 pts better
|
16.7%
12.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.1% · 4Q avg 3.9% · 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 | 8.0% |
11.0%
3 pts better
|
16.3%
8.3 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 8.0% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 3.2% |
10.7%
7.5 pts better
|
14.9%
11.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.8% · Q3 0.0% · Q4 10.0% · 4Q avg 3.2% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
1.0%
1 pts better
|
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% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.5% |
1.2%
0.3 pts worse
|
1.7%
0.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 6.5% · 4Q avg 1.5% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 11.2% |
10.9%
0.3 pts worse
|
19.8%
8.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.8% · Q2 3.0% · Q3 19.3% · Q4 13.9% · 4Q avg 11.2% |
| Percentage of long-stay residents with pressure ulcers | 3.1% |
4.7%
1.6 pts better
|
5.1%
2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.1% · Q2 2.3% · Q3 4.6% · Q4 3.7% · 4Q avg 3.1% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 98.1% |
94.0%
4.1 pts better
|
81.7%
16.4 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 97.1% · Q2 97.9% · Q3 98.4% · Q4 99.0% · 4Q avg 98.1% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 8.6% |
11.2%
2.6 pts better
|
12.0%
3.4 pts better
|
Short Stay · 20240701-20250630 · Adjusted 8.6% · Observed 7.6% · Expected 9.9% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.4% |
1.5%
1.1 pts better
|
1.6%
1.2 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.8% · Q3 0.8% · Q4 0.0% · 4Q avg 0.4% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 97.0% |
93.2%
3.8 pts better
|
79.7%
17.3 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 97.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 27.3% |
23.2%
4.1 pts worse
|
23.9%
3.4 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 27.3% · Observed 25.9% · Expected 22.6% · Used in QM five-star |
Survey summary
Top issue: Resident Assessment and Care Planning (3 deficiencies)
6 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Top issue: Pharmacy Service (3 deficiencies)
6 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Top issue: Quality of Life and Care (4 deficiencies)
11 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (4 deficiencies)
Fire safety
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2025-04-18
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2025-04-18
Fire Safety
Meet requirements for the use of electrical equipment.
Corrected 2025-04-18
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2025-04-18
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2025-04-18
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-04-18
Fire Safety
Use approved construction type or materials.
Corrected 2024-01-17
Fire Safety
Meet other general requirements that are deficient.
Corrected 2024-01-17
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-01-17
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-01-17
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-01-17
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-01-17
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2022-03-16
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 2022-03-16
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2022-03-16
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2022-03-16
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2022-03-16
Fire Safety
Meet requirements for the use of electrical equipment.
Corrected 2022-03-16
Fire Safety
Establish roles under a Waiver declared by secretary.
Corrected 2022-03-16
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2022-03-16
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2022-03-16
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2022-03-16
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2022-03-16
Inspection history
Health
Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
Corrected 2025-08-30
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-08-22
Health
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Corrected 2025-08-22
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-04-26
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-04-26
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 2025-04-26
Health
Provide and implement an infection prevention and control program.
Corrected 2025-04-26
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-04-26
Health
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected 2025-04-26
Health
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2025-04-26
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-04-26
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-10-09
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-06-30
Health
Provide and implement an infection prevention and control program.
Corrected 2024-06-30
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-12-31
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 2023-12-31
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-12-31
Health
Provide and implement an infection prevention and control program.
Corrected 2023-12-31
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2023-12-31
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-12-31
Health
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.
Corrected 2023-12-31
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2023-12-31
Health
Prepare residents for a safe transfer or discharge from the nursing home.
Corrected 2023-11-29
Health
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
Corrected 2023-08-03
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2022-03-13
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2022-03-13
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 2022-03-13
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2022-03-13
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2022-03-13
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2022-03-13
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2022-03-13
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2022-03-13
Health
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.
Corrected 2022-03-13
Penalties and ownership
Fine · fine $8,018
Fine
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Security Interest · Organization
Corporate Director · Individual
Corporate Officer · Individual
W-2 Managing Employee · Individual
Corporate Director · Individual
Corporate Officer · Individual
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