Palo Alto, CA

Vi At Palo Alto

5-star overall rating with 4-star inspections with 6 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle

600 Sand Hill Road, Palo Alto, CA

(650) 853-5001

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

4 / 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

44

Certified beds

Average residents

38

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Vi Living

Operator or chain grouping

Approved since

2006-09-07

CMS approved date

Coverage

Medicare

Participation flags

Chain footprint

10 facilities

Chain averages 5 overall / 4 health / 5 staffing / 5 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

Hours and turnover

RN hours / resident day

1.34

Registered nurse staffing · state 0.65 · national 0.68

LPN hours / resident day

1.14

Licensed practical nurse staffing · state 1.22 · national 0.87

Aide hours / resident day

3.33

Nurse aide staffing · state 2.64 · national 2.35

Total nurse hours

5.81

All reported nurse hours · state 4.51 · national 3.89

Licensed hours

2.47

RN + LPN hours · state 1.87 · national 1.54

Weekend hours

5.24

Weekend nurse staffing · state 4.08 · national 3.43

Weekend RN hours

1.10

Weekend registered nurse coverage · state 0.50 · national 0.47

Physical therapist

0.24

Reported PT staffing · state 0.10 · national 0.07

Adjusted RN hours

1.19

CMS adjusted RN staffing hours

Adjusted total hours

5.14

CMS adjusted total nurse staffing hours

Case-mix index

1.54

Higher values indicate more complex resident acuity

RN turnover

27%

Annual RN turnover · state 42% · national 45%

Total nurse turnover

21%

Annual nurse turnover · state 38% · national 46%

SNF VBP

Value-based purchasing

Program rank

103

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

85.48

Composite VBP score used to determine payment impact.

Payment multiplier

1.0268

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

10

Baseline 15.65% · Performance 16.98% · Measure score 10 · Achievement 10 · Improvement 0

Healthcare-associated infections

10

Baseline 4.72% · Performance 4.74% · Measure score 10 · Achievement 10 · Improvement 0

Total nurse turnover

6.14

Baseline 30.91% · Performance 38.57% · Measure score 6.14 · Achievement 6.14 · Improvement 0

Adjusted total nurse staffing

8.05

Baseline 5.64 hours · Performance 5.37 hours · Measure score 8.05 · Achievement 8.05 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	7.53%	10.72% 3.2 pts better	Better than the National Rate · Eligible stays 590 · Observed rate 2.88% · Lower 95% interval 5.64%
Discharge to community	67.57%	50.57% 17 pts better	Better than the National Rate · Eligible stays 602 · Observed rate 81.73% · Lower 95% interval 65.31%
Medicare spending per beneficiary	0.7	1.02 0.3 pts better
Drug regimen review with follow-up	99.64%	95.27% 4.4 pts better	Numerator 279 · Denominator 280
Falls with major injury	0.36%	0.77% 0.4 pts better	Numerator 1 · Denominator 280
Discharge self-care score	25.31%	53.69% 28.4 pts worse	Numerator 61 · Denominator 241
Discharge mobility score	28.63%	50.94% 22.3 pts worse	Numerator 69 · Denominator 241
Pressure ulcers or injuries, new or worsened	0.36%	2.29% 1.9 pts better	Numerator 1 · Denominator 280 · Adjusted rate 0.58%
Healthcare-associated infections requiring hospitalization	4.74%	7.12% 2.4 pts better	No Different than the National Rate · Eligible stays 322 · Observed rate 1.24% · Lower 95% interval 2.98%
Staff COVID-19 vaccination coverage	30.99%	8.2% 22.8 pts better	Numerator 22 · Denominator 71
Staff flu vaccination coverage	48.15%	42% 6.1 pts better	Numerator 39 · Denominator 81
Discharge function score	30.71%	56.45% 25.7 pts worse	Numerator 74 · Denominator 241
Transfer of health information to provider	100%	95.95% 4 pts better	Numerator 42 · Denominator 42
Transfer of health information to patient	99.09%	96.28% 2.8 pts better	Numerator 217 · Denominator 219
Resident COVID-19 vaccinations up to date	70.31%	25.2% 45.1 pts better	Numerator 90 · Denominator 128

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.1	2.3 1.2 pts better	1.9 0.8 pts better	Long Stay · 20240701-20250630 · Adjusted 1.1 · Observed 1.2 · Expected 2.0 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	0	1.6 1.6 pts better	1.8 1.8 pts better	Long Stay · 20240701-20250630 · Adjusted 0 · Observed 0 · 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% · 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	0.0%	1.6% 1.6 pts better	3.3% 3.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q4 0.0% · 4Q avg 0.0% · 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% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents who lose too much weight	5.1%	4.1% 1 pts worse	5.4% 0.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q4 10.0% · 4Q avg 5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	2.5%	13.7% 11.2 pts better	19.6% 17.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.5% · Q4 0.0% · 4Q avg 2.5%
Percentage of long-stay residents who received an antipsychotic medication	6.1%	14.2% 8.1 pts better	16.7% 10.6 pts better	Long Stay · 2024Q4-2025Q3 · 4Q avg 6.1% · 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% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose need for help with daily activities has increased	16.7%	10.7% 6 pts worse	14.9% 1.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 20.0% · Q4 15.0% · 4Q avg 16.7% · 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 · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	7.1%	1.2% 5.9 pts worse	1.7% 5.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 13.6% · Q2 10.0% · Q4 4.3% · 4Q avg 7.1% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	1.5%	10.9% 9.4 pts better	19.8% 18.3 pts better	Long Stay · 2024Q4-2025Q3 · Q4 0.0% · 4Q avg 1.5%
Percentage of long-stay residents with pressure ulcers	2.3%	4.7% 2.4 pts better	5.1% 2.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 3.0% · Q4 3.0% · 4Q avg 2.3% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	99.6%	94.0% 5.6 pts better	81.7% 17.9 pts better	Short Stay · 2024Q4-2025Q3 · Q1 99.3% · Q2 99.3% · Q3 100.0% · Q4 100.0% · 4Q avg 99.6%
Percentage of short-stay residents who had an outpatient emergency department visit	5.6%	11.2% 5.6 pts better	12.0% 6.4 pts better	Short Stay · 20240701-20250630 · Adjusted 5.6% · Observed 4.0% · Expected 7.9% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	0.2%	1.5% 1.3 pts better	1.6% 1.4 pts better	Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 1.0% · 4Q avg 0.2% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	100.0%	93.2% 6.8 pts better	79.7% 20.3 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	18.5%	23.2% 4.7 pts better	23.9% 5.4 pts better	Short Stay · 20240701-20250630 · Adjusted 18.5% · Observed 11.3% · Expected 14.6% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-08-23 · Fire 2024-08-23

6 health deficiencies

Top issue: Pharmacy Service (2 deficiencies)

3 fire-safety deficiencies

Top issue: Miscellaneous (1 deficiency)

Cycle 2 Health 2023-03-17 · Fire 2023-03-17

6 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

4 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 3 Health 2019-08-23 · Fire 2019-08-23

6 health deficiencies

Top issue: Pharmacy Service (3 deficiencies)

3 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-08-23

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2024-09-13

F · Potential for more than minimal harm 2024-08-23

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2024-09-13

F · Potential for more than minimal harm 2024-08-23

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-09-13

D · Potential for more than minimal harm 2023-03-17

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2023-03-31

D · Potential for more than minimal harm 2023-03-17

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 2023-03-31

D · Potential for more than minimal harm 2023-03-17

K343 · Smoke Deficiencies

Fire Safety

Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.

Corrected 2023-03-31

D · Potential for more than minimal harm 2023-03-17

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2023-03-31

F · Potential for more than minimal harm 2019-08-23

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2019-10-09

D · Potential for more than minimal harm 2019-08-23

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2019-10-09

D · Potential for more than minimal harm 2019-08-23

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2019-10-09

Inspection history

Recent health citations

E · Potential for more than minimal harm 2024-08-23

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 2024-09-13

E · Potential for more than minimal harm 2024-08-23

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 2024-09-13

D · Potential for more than minimal harm 2024-08-23

F583 · Resident Rights Deficiencies

Health

Keep residents' personal and medical records private and confidential.

Corrected 2024-09-13

D · Potential for more than minimal harm 2024-08-23

F755 · Pharmacy Service Deficiencies

Health

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

Corrected 2024-09-13

D · Potential for more than minimal harm 2024-08-23

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2024-09-13

D · Potential for more than minimal harm 2024-08-23

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-09-13

G · Actual harm 2024-03-22

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 2024-04-18

D · Potential for more than minimal harm 2024-02-15

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 2024-02-26

D · Potential for more than minimal harm 2023-08-15

F655 · Resident Assessment and Care Planning Deficiencies

Health

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Corrected 2023-09-06

E · Potential for more than minimal harm 2023-03-17

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 2023-04-10

D · Potential for more than minimal harm 2023-03-17

F688 · Quality of Life and Care Deficiencies

Health

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.

Corrected 2023-04-10

D · Potential for more than minimal harm 2023-03-17

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2023-04-10

D · Potential for more than minimal harm 2023-03-17

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-04-10

D · Potential for more than minimal harm 2023-03-17

F881 · Infection Control Deficiencies

Health

Implement a program that monitors antibiotic use.

Corrected 2023-04-10

E · Potential for more than minimal harm 2019-08-23

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2019-09-12

D · Potential for more than minimal harm 2019-08-23

F755 · Pharmacy Service Deficiencies

Health

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

Corrected 2019-09-12

D · Potential for more than minimal harm 2019-08-23

F758 · Pharmacy Service Deficiencies

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 2019-09-12

D · Potential for more than minimal harm 2019-08-23

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2019-09-12

Penalties and ownership

What sits behind the stars

Ownership

Cc-Development Group, Inc.

5% Or Greater Direct Ownership Interest · Organization

100% 9 facilities 1999-06-23

Margot And Tom Pritzker Foundation