| A Grace Sub Acute & Skilled Care | |
| 1250 S. Winchester Boulevard, San Jose, California 95128 | |
| (408) 241-3844 | |
| Name | A Grace Sub Acute & Skilled Care |
|---|---|
| Location | 1250 S. Winchester Boulevard, San Jose, California |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 166 |
| Occupancy Rate | 76.02% |
| Medicare ID (CCN) | 056376 |
| Legal Business Name | Lita & Ava Inc. |
| Ownership Type | For Profit - Corporation |
| NPI Number | 1689828840 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Lita & Ava Inc. |
| Doing Business As | A Grace Sub Acute & Skilled Care |
| Address | 1250 S Winchester Blvd, San Jose, CA 95128 |
| Phone Number | 408-241-3844 |
| NPI Number | 1235116609 |
| Match | Possible same name, address or phone number |
| Organization Name | Wch, Inc |
| Doing Business As | Winchester Conv. Hospital |
| Address | 1250 S Winchester Blvd, San Jose, CA 95128 |
| Phone Number | 408-241-3844 |
| NPI Number | 1306986591 |
| Match | Possible same name, address or phone number |
| Organization Name | Wch., Inc |
| Doing Business As | San Jose Sub-acute and Skilled Care |
| Address | 1250 S Winchester Blvd, San Jose, CA 95128 |
| Phone Number | 408-241-3844 |
| NPI Number | 1619840154 |
| Match | Possible same name, address or phone number |
| Organization Name | Celebes Sea Holdings LLC |
| Doing Business As | Santana Hills Healthcare Center |
| Address | 1250 S Winchester Blvd, San Jose, CA 95128 |
| Phone Number | 858-798-5700 |
| NPI Number | 1962648626 |
| Match | Possible same name, address or phone number |
| Organization Name | Lita & Ava Inc |
| Doing Business As | A Grace Sub Acute & Skilled Care |
| Address | 1250 S Winchester Blvd, San Jose, CA 95128 |
| Phone Number | 408-241-3844 |
| Ratings from Surveys (Inspections): | |
| Ratings from Quality Measures: | |
| Ratings from Staffing Data: | |
| Overall Rating: |
|---|
| Staffing Measure | Provider | National Avg. |
|---|---|---|
| Total nurse staff hours per resident per day | 5.35 | 3.86 |
| Registered nurse (RN) hours per resident per day | 1.12 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 1.42 | 0.86 |
| Nurse aide hours per resident per day | 2.8 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 5.07 | 3.42 |
| RN hours per resident per day on the weekend | 0.99 | 0.48 |
| Physical therapist hours per resident per day | 0.04 | 0.07 |
| Total nursing staff turnover | 19.6% | 45.8% |
| Registered nurse turnover | 27.6% | 42.9% |
| Number of administrators who have left the nursing home | 1 | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | No |
| Number of Fines | 0 |
| Total Amount of Fines in Dollars | $0 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 0 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Aug 14, 2025 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755, Pharmacy Service, Complaint inspection | Potential for harm, isolated | Corrected by Sep 4, 2025 |
| Oct 18, 2024 | Ensure services provided by the nursing facility meet professional standards of quality. F0658, Resident Assessment and Care Planning, Standard inspection | Potential for harm, pattern | Corrected by Nov 8, 2024 |
| Oct 18, 2024 | 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. F0700, Quality of Life and Care, Standard inspection | Potential for harm, pattern | Corrected by Nov 8, 2024 |
| Oct 18, 2024 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755, Pharmacy Service, Standard inspection | Potential for harm, pattern | Corrected by Nov 8, 2024 |
| Oct 18, 2024 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, pattern | Corrected by Nov 8, 2024 |
| Oct 18, 2024 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, pattern | Corrected by Nov 8, 2024 |
| Oct 18, 2024 | Reasonably accommodate the needs and preferences of each resident. F0558, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Nov 8, 2024 |
| Oct 18, 2024 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted F0655, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Nov 8, 2024 |
| Oct 18, 2024 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. F0756, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Nov 8, 2024 |
| Oct 18, 2024 | Ensure each resident’s drug regimen must be free from unnecessary drugs. F0757, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Nov 8, 2024 |
| Oct 18, 2024 | Ensure medication error rates are not 5 percent or greater. F0759, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Nov 8, 2024 |
| Oct 18, 2024 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. F0806, Nutrition and Dietary, Standard inspection | Potential for harm, isolated | Corrected by Nov 8, 2024 |
| Oct 18, 2024 | Make sure that a working call system is available in each resident's bathroom and bathing area. F0919, Environmental, Standard inspection | Potential for harm, isolated | Corrected by Nov 8, 2024 |
| Oct 18, 2024 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. F0921, Environmental, Standard inspection | Potential for harm, isolated | Corrected by Nov 8, 2024 |
| Jul 9, 2024 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Corrected by Jul 10, 2024 |
| Mar 14, 2024 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Corrected by Apr 11, 2024 |
| Dec 28, 2023 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Corrected by Jan 29, 2024 |
| May 13, 2022 | Ensure services provided by the nursing facility meet professional standards of quality. F0658, Resident Assessment and Care Planning, Standard inspection | Potential for harm, pattern | Corrected by May 25, 2022 |
| May 13, 2022 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755, Pharmacy Service, Standard inspection | Potential for harm, pattern | Corrected by May 27, 2022 |
| May 13, 2022 | Ensure medication error rates are not 5 percent or greater. F0759, Pharmacy Service, Standard inspection | Potential for harm, pattern | Corrected by May 27, 2022 |
| May 13, 2022 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, pattern | Corrected by May 26, 2022 |
| May 13, 2022 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, pattern | Corrected by Jun 3, 2022 |
| May 13, 2022 | Ensure that residents are fully informed and understand their health status, care and treatments. F0552, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by May 16, 2022 |
| May 13, 2022 | Reasonably accommodate the needs and preferences of each resident. F0558, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by May 25, 2022 |
| May 13, 2022 | Keep residents' personal and medical records private and confidential. F0583, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by May 25, 2022 |
| May 13, 2022 | 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. F0688, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by May 27, 2022 |
| May 13, 2022 | Provide safe, appropriate pain management for a resident who requires such services. F0697, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by May 25, 2022 |
| May 13, 2022 | Provide safe, appropriate dialysis care/services for a resident who requires such services. F0698, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by May 25, 2022 |
| May 13, 2022 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. F0756, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by May 13, 2022 |
| May 13, 2022 | 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. F0758, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by May 13, 2022 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 11.59 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 5.49 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.92 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 0.25 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 0.62 | 12.8 |
| Percentage of long-stay residents who were physically restrained | 0 | 0.13 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0.25 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 93.3 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 8.1 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 10.86 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 96.19 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 88.64 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 4.42 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 3.25 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 4.88 | 15.38 |
Almaden Health and Rehabilitation Center Location: 2065 Los Gatos-almaden Road, San Jose, California 95124 Phone: (408) 377-9275 |
Canyon Springs Post-acute Location: 180 North Jackson Avenue, San Jose, California 95116 Phone: (408) 259-8700 |
Empress Care Center, LLC Location: 1299 S. Bascom Avenue, San Jose, California 95128 Phone: (408) 287-0616 |
Herman Health Care Center Location: 2295 Plummer Avenue, San Jose, California 95125 Phone: (408) 269-0701 |