Federal inspection record · CMS data as of October 1, 2026

The Villas At Saratoga Skilled Nsg & Assisted Lvg

20400 Saratoga-Los Gatos Rd, Saratoga, CA · (408) 741-2950

CMS overall rating

2 of 5

Compare with a nearby home →
Certified beds
86
Residents per day
80
Ownership
For-Profit
Chain
Kalesta Healthcare Group
Medicare / Medicaid
Medicare + Medicaid
Certified since
January 1, 1967

1

How this home got 2 stars

The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in California.

  2. Staffing

    no change

    Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.

  3. Quality measures

    +1 star

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    2 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among California homes

The Villas At Saratoga Skilled Nsg & Assisted Lvg carries 151 inspection points. That is fewer than 18% of California's 1,154 rated homes.

5★4★3★2★1★+35 homes above 300.2505102550100200inspection points → fewer is better on the leftThis home · 151 pts · 1★

Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in California: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.

  • 5★ 0–33 pts
  • 4★ 33–66 pts
  • 3★ 66–96 pts
  • 2★ 96–146 pts
  • 1★ over 146 pts

Bars show every rated home in California by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.

3

What inspectors found

60 health citations on record since 2020. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 0 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 2 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 42 4 pts
E 10 8 pts
F 3 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 3 0 pts
C 0 0 pts

Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.

Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.

Harm and immediate-jeopardy citations (2)

  1. G

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    November 25, 2025 · Complaint inspection · Quality of Life and Care · F689 · Corrected December 9, 2025

  2. G

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    August 22, 2024 · Complaint inspection · Quality of Life and Care · F689 · Corrected September 10, 2024

Everything else, by area of care

Quality of Life and Care12E
  1. D

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    May 8, 2026 · Complaint · F689 · Corrected May 22, 2026

  2. D

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    March 3, 2026 · Complaint · F689 · Corrected March 19, 2026

  3. D

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    August 20, 2025 · Complaint · F689 · Corrected September 10, 2025

  4. D

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    August 12, 2025 · Complaint · F684 · Corrected August 20, 2025

  5. E

    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.

    December 20, 2024 · Standard · F700 · Corrected January 10, 2025

  6. D

    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.

    December 20, 2024 · Standard · F693 · Corrected January 10, 2025

  7. D

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    December 20, 2024 · Standard · F698 · Corrected January 10, 2025

  8. D

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    November 14, 2022 · Standard · F677 · Corrected November 14, 2022

  9. D

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    November 14, 2022 · Standard · F684 · Corrected November 30, 2022

  10. D

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    November 14, 2022 · Standard · F686 · Corrected November 14, 2022

  11. D

    Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

    January 17, 2020 · Standard · F676 · Corrected February 10, 2020

  12. D

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    January 17, 2020 · Standard · F684 · Corrected February 10, 2020

Resident Rights10E
  1. D

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    November 25, 2025 · Complaint · F584 · Corrected December 9, 2025

  2. E

    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.

    December 20, 2024 · Standard · F578 · Corrected January 10, 2025

  3. D

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    December 20, 2024 · Standard · F550 · Corrected January 10, 2025

  4. D

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    November 14, 2022 · Standard · F550 · Corrected December 2, 2022

  5. D

    Allow residents to self-administer drugs if determined clinically appropriate.

    November 14, 2022 · Standard · F554 · Corrected December 5, 2022

  6. D

    Reasonably accommodate the needs and preferences of each resident.

    November 14, 2022 · Standard · F558 · Corrected November 14, 2022

  7. D

    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.

    November 14, 2022 · Standard · F578 · Corrected November 14, 2022

  8. D

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    November 14, 2022 · Standard · F623 · Corrected November 14, 2022

  9. D

    Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

    November 14, 2022 · Standard · F625 · Corrected November 18, 2022

  10. D

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    January 17, 2020 · Standard · F584 · Corrected February 10, 2020

Pharmacy Service10E
  1. D

    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.

    November 25, 2025 · Complaint · F761 · Corrected December 9, 2025

  2. D

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    December 20, 2024 · Standard · F755 · Corrected January 10, 2025

  3. D

    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.

    December 20, 2024 · Standard · F758 · Corrected January 10, 2025

  4. D

    Ensure medication error rates are not 5 percent or greater.

    December 20, 2024 · Standard · F759 · Corrected January 10, 2025

  5. D

    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.

    November 14, 2022 · Standard · F758 · Corrected November 18, 2022

  6. D

    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.

    November 14, 2022 · Standard · F761 · Corrected November 14, 2022

  7. E

    Ensure medication error rates are not 5 percent or greater.

    January 17, 2020 · Standard · F759 · Corrected February 10, 2020

  8. E

    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.

    January 17, 2020 · Standard · F761 · Corrected February 10, 2020

  9. D

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    January 17, 2020 · Standard · F755 · Corrected February 10, 2020

  10. D

    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.

    January 17, 2020 · Standard · F758 · Corrected February 10, 2020

Nutrition and Dietary9F
  1. F

    Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.

    December 20, 2024 · Standard · F800 · Corrected December 30, 2024

  2. F

    Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

    December 20, 2024 · Standard · F802 · Corrected December 30, 2024

  3. F

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    December 20, 2024 · Standard · F812 · Corrected December 30, 2024

  4. E

    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.

    December 20, 2024 · Standard · F803 · Corrected December 30, 2024

  5. E

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    December 20, 2024 · Standard · F804 · Corrected December 30, 2024

  6. E

    Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.

    December 20, 2024 · Standard · F808 · Corrected December 30, 2024

  7. E

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    November 14, 2022 · Standard · F812 · Corrected December 14, 2022

  8. D

    Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.

    November 14, 2022 · Standard · F808 · Corrected November 14, 2022

  9. D

    Dispose of garbage and refuse properly.

    November 14, 2022 · Standard · F814 · Corrected December 14, 2022

Resident Assessment and Care Planning7D
  1. D

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    March 3, 2026 · Complaint · F656 · Corrected March 19, 2026

  2. D

    Ensure services provided by the nursing facility meet professional standards of quality.

    December 11, 2025 · Complaint · F658 · Corrected December 15, 2025

  3. D

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    December 20, 2024 · Standard · F656 · Corrected January 10, 2025

  4. D

    Assess the resident when there is a significant change in condition

    November 14, 2022 · Standard · F637 · Corrected November 14, 2022

  5. D

    PASARR screening for Mental disorders or Intellectual Disabilities

    November 14, 2022 · Standard · F645 · Corrected November 14, 2022

  6. D

    Ensure services provided by the nursing facility meet professional standards of quality.

    November 14, 2022 · Standard · F658 · Corrected November 14, 2022

  7. D

    Ensure services provided by the nursing facility meet professional standards of quality.

    January 17, 2020 · Standard · F658 · Corrected February 10, 2020

Infection Control4E
  1. E

    Provide and implement an infection prevention and control program.

    March 3, 2026 · Complaint · F880 · Corrected March 19, 2026

  2. D

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

    March 3, 2026 · Complaint · F883 · Corrected March 19, 2026

  3. D

    Provide and implement an infection prevention and control program.

    December 20, 2024 · Standard · F880 · Corrected January 10, 2025

  4. E

    Provide and implement an infection prevention and control program.

    November 14, 2022 · Standard · F880 · Corrected December 14, 2022

Environmental4D
  1. D

    Keep all essential equipment working safely.

    December 20, 2024 · Standard · F908 · Corrected December 30, 2024

  2. B

    Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

    December 20, 2024 · Standard · F912 · Not yet marked corrected

  3. B

    Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

    November 14, 2022 · Standard · F912 · Corrected December 14, 2022

  4. B

    Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

    January 17, 2020 · Standard · F912 · Corrected February 10, 2020

Freedom from Abuse, Neglect, and Exploitation2D
  1. D

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    March 16, 2026 · Complaint · F609 · Corrected April 10, 2026

  2. D

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    August 12, 2025 · Complaint · F607 · Corrected August 20, 2025

Inspection history

  1. 2024-12-20

    28 health deficiencies · 7 fire-safety deficiencies

    Top issue: Nutrition and Dietary (6 deficiencies)

  2. 2022-11-14

    22 health deficiencies · 1 fire-safety deficiencies

    Top issue: Resident Rights (6 deficiencies)

  3. 2020-01-17

    10 health deficiencies · 4 fire-safety deficiencies

    Top issue: Pharmacy Service (4 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 4 h 33 min of nursing staff time a day, 29 min of it from a registered nurse.

This home

4 h 33 min

California average

4 h 33 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 22% of nursing staff and 36% of registered nurses left in the past year, along with 1 administrator.

Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.

5

Fines and payment denials

$40,323 in federal fines on record over the past three years.

DatePenaltyAmount
2025-11-25Fine$32,292
2024-08-22Fine$8,031

6

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Number of hospitalizations per 1000 long-stay resident days0.7 pts better1.52.21.8
Number of outpatient emergency department visits per 1000 long-stay resident days0.8 pts worse2.31.51.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccineAbout the same98.7%98.7%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine0.6 pts better98.5%97.9%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury0.3 pts better1.3%1.6%3.2%
Percentage of long-stay residents who have depressive symptoms4.3 pts better3.3%7.6%13.5%
Percentage of long-stay residents who lose too much weightAbout the same4.1%4.1%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication3 pts worse16.7%13.7%19.5%
Percentage of long-stay residents who received an antipsychotic medication7.7 pts worse20.0%12.3%15.4%
Percentage of long-stay residents who were physically restrained0.3 pts better0.0%0.3%0.1%
Percentage of long-stay residents whose ability to walk independently worsened1 pts better7.9%8.9%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased0.4 pts worse10.6%10.2%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.4 pts better0.3%0.7%0.7%
Percentage of long-stay residents with a urinary tract infection1.2 pts better0.0%1.2%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence3.1 pts better6.7%9.8%18.3%
Percentage of long-stay residents with pressure ulcers2.2 pts better2.1%4.3%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine4.1 pts better98.7%94.6%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit2.3 pts better8.8%11.1%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication2.1 pts worse3.4%1.3%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine4.2 pts better97.3%93.1%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission3.6 pts worse26.2%22.6%23.4%

·

Who owns and runs it

36 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Kalesta Healthcare Group, LLC5% Or Greater Direct Ownership Interest · Organization100%19 facilities
Clawson, Scott5% Or Greater Indirect Ownership Interest · Individual48%34 facilities
Williams, Ryan5% Or Greater Indirect Ownership Interest · Individual48%28 facilities
Chen, Kai ShinCorporate Director · Individual0%9 facilities
Chen, Kai ShinOperational/Managerial Control · Individual0%9 facilities
Clawson, ScottCorporate Officer · Individual0%34 facilities
De Ocampo, AngelaOperational/Managerial Control · Individual0%1 facilities
Duenas, JoseOperational/Managerial Control · Individual0%1 facilities
Fields, DomoniqueCorporate Director · Individual0%8 facilities
Fields, DomoniqueOperational/Managerial Control · Individual0%8 facilities
Flake, EthanCorporate Director · Individual0%9 facilities
Flake, EthanOperational/Managerial Control · Individual0%9 facilities
Franco, Lionel RyanOperational/Managerial Control · Individual0%1 facilities
Gandhi, KavitaOperational/Managerial Control · Individual0%1 facilities
Haggerty, KevinOperational/Managerial Control · Individual0%2 facilities
Haggerty, KevinAdp Of The SNF · Individual0%2 facilities
Hinkle, CortneyCorporate Director · Individual0%7 facilities
Hinkle, CortneyOperational/Managerial Control · Individual0%7 facilities
Jones, StevenCorporate Officer · Individual0%13 facilities
Jones, StevenOperational/Managerial Control · Individual0%13 facilities
Limosnero, AnalieOperational/Managerial Control · Individual0%1 facilities
Lopez, EloyOperational/Managerial Control · Individual0%1 facilities
Modi, IshankumarCorporate Director · Individual0%8 facilities
Modi, IshankumarOperational/Managerial Control · Individual0%8 facilities
Mosher, StevenCorporate Director · Individual0%8 facilities
Mosher, StevenOperational/Managerial Control · Individual0%8 facilities
Murray, JeffreyCorporate Director · Individual0%8 facilities
Murray, JeffreyOperational/Managerial Control · Individual0%8 facilities
Renaldo, MariOperational/Managerial Control · Individual0%1 facilities
Soares, MichaelCorporate Director · Individual0%8 facilities
Soares, MichaelOperational/Managerial Control · Individual0%8 facilities
Texas Capital Bank Na5% Or Greater Security Interest · Organization0%8 facilities
Tucker, RileyOperational/Managerial Control · Individual0%3 facilities
Tucker, RileyAdp Of The SNF · Individual0%3 facilities
Williams, RyanCorporate Officer · Individual0%28 facilities
Williams, RyanOperational/Managerial Control · Individual0%28 facilities

·

Fire safety

12 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Smoke6F
  1. F

    Have an alternate power supply for its alarm system.

    June 10, 2026 · K344 · Corrected June 25, 2026

  2. F

    Have approved installation, maintenance and testing program for fire alarm systems.

    December 20, 2024 · K345 · Corrected January 7, 2025

  3. D

    Install corridor and hallway doors that block smoke.

    December 20, 2024 · K363 · Corrected January 7, 2025

  4. D

    Install corridor and hallway doors that block smoke.

    November 14, 2022 · K363 · Corrected December 12, 2022

  5. D

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    January 17, 2020 · K321 · Corrected March 17, 2020

  6. D

    Install corridor and hallway doors that block smoke.

    January 17, 2020 · K363 · Corrected March 17, 2020

Gas, Vacuum, and Electrical Systems4F
  1. D

    Ensure proper usage of power strips and extension cords.

    June 10, 2026 · K920 · Corrected June 25, 2026

  2. F

    Have generator or other power source capable of supplying service within 10 seconds.

    December 30, 2025 · K918 · Corrected January 15, 2026

  3. F

    Have generator or other power source capable of supplying service within 10 seconds.

    December 20, 2024 · K918 · Corrected January 7, 2025

  4. E

    Have generator or other power source capable of supplying service within 10 seconds.

    January 17, 2020 · K918 · Corrected March 17, 2020

Miscellaneous1D
  1. D

    Provide a written emergency evacuation plan.

    December 20, 2024 · K711 · Corrected January 7, 2025

Emergency Preparedness1D
  1. D

    Conduct testing and exercise requirements.

    January 17, 2020 · E39 · Corrected March 17, 2020

·

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