| Canyon Springs Post-acute | |
| 180 North Jackson Avenue, San Jose, California 95116 | |
| (408) 259-8700 | |
| Name | Canyon Springs Post-acute |
|---|---|
| Location | 180 North Jackson Avenue, San Jose, California |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 199 |
| Occupancy Rate | 95.03% |
| Medicare ID (CCN) | 056082 |
| Legal Business Name | Dragonfruit Holdings LLC |
| Ownership Type | For Profit - Limited Liability Company |
| Chain | Pacs Group (274 nursing homes) |
| Chain Average Overall Rating | 2.9 out of 5 |
| NPI Number | 1639548308 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Dragonfruit Holdings, LLC |
| Doing Business As | Canyon Springs Post-acute |
| Address | 180 N Jackson Ave, San Jose, CA 95116 |
| Phone Number | 408-259-8700 |
| NPI Number | 1134140072 |
| Match | Possible same name, address or phone number |
| Organization Name | SNF Properties, Inc |
| Doing Business As | Emmanuel Convalscent of San Jose |
| Address | 180 N Jackson Ave, San Jose, CA 95116 |
| Phone Number | 408-259-8700 |
| NPI Number | 1912192261 |
| Match | Possible same name, address or phone number |
| Organization Name | Lifehouse San Jose Operations, LLC |
| Doing Business As | San Jose Healthcare Center |
| Address | 180 N Jackson Ave, San Jose, CA 95116 |
| Phone Number | 408-259-8700 |
| 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 | 3.69 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.44 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.91 | 0.86 |
| Nurse aide hours per resident per day | 2.34 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 3.52 | 3.42 |
| RN hours per resident per day on the weekend | 0.35 | 0.48 |
| Physical therapist hours per resident per day | 0.11 | 0.07 |
| Total nursing staff turnover | 31.6% | 45.8% |
| Registered nurse turnover | 15.8% | 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 |
|---|---|---|---|
| Jul 22, 2025 | 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 | No revisit needed |
| Jun 24, 2025 | 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 Jun 26, 2025 |
| May 9, 2025 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, widespread | Corrected by May 30, 2025 |
| May 9, 2025 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. F0605, Freedom from Abuse, Neglect, and Exploitation, Standard inspection | Potential for harm, pattern | Corrected by May 30, 2025 |
| May 9, 2025 | Ensure each resident receives an accurate assessment. F0641, Resident Assessment and Care Planning, Standard inspection | Potential for harm, pattern | Corrected by May 30, 2025 |
| May 9, 2025 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Standard inspection | Potential for harm, pattern | Corrected by May 30, 2025 |
| May 9, 2025 | 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 30, 2025 |
| May 9, 2025 | Ensure medication error rates are not 5 percent or greater. F0759, Pharmacy Service, Standard inspection | Potential for harm, pattern | Corrected by May 30, 2025 |
| May 9, 2025 | 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. F0761, Pharmacy Service, Standard inspection | Potential for harm, pattern | Corrected by May 30, 2025 |
| May 9, 2025 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842, Resident Assessment and Care Planning, Standard inspection | Potential for harm, pattern | Corrected by May 30, 2025 |
| May 9, 2025 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by May 30, 2025 |
| May 9, 2025 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by May 30, 2025 |
| May 9, 2025 | 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. F0693, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by May 30, 2025 |
| May 9, 2025 | Provide safe and appropriate respiratory care for a resident when needed. F0695, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by May 30, 2025 |
| May 9, 2025 | 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, isolated | Corrected by May 30, 2025 |
| May 9, 2025 | 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. F0803, Nutrition and Dietary, Standard inspection | Potential for harm, isolated | Corrected by May 30, 2025 |
| May 9, 2025 | 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 May 30, 2025 |
| Apr 30, 2025 | Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. F0773, Administration, Complaint inspection | Potential for harm, isolated | Corrected by May 12, 2025 |
| Jan 6, 2025 | Provide and implement an infection prevention and control program. F0880, Infection Control, Complaint inspection | Potential for harm, pattern | Corrected by Jan 24, 2025 |
| Jun 26, 2024 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580, Resident Rights, Complaint inspection | Potential for harm, isolated | Corrected by Jul 12, 2024 |
| Jun 26, 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 12, 2024 |
| Jun 26, 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, Complaint inspection | Potential for harm, isolated | Corrected by Jul 12, 2024 |
| Jun 26, 2024 | Provide timely, quality laboratory services/tests to meet the needs of residents. F0770, Administration, Complaint inspection | Potential for harm, isolated | Corrected by Jul 12, 2024 |
| Jun 26, 2024 | Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. F0773, Administration, Complaint inspection | Potential for harm, isolated | Corrected by Jul 12, 2024 |
| Feb 15, 2024 | Ensure each resident receives an accurate assessment. F0641, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Mar 4, 2024 |
| Feb 15, 2024 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. F0644, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Mar 4, 2024 |
| Feb 15, 2024 | PASARR screening for Mental disorders or Intellectual Disabilities F0645, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Mar 4, 2024 |
| Feb 15, 2024 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Mar 4, 2024 |
| Nov 1, 2023 | Ensure services provided by the nursing facility meet professional standards of quality. F0658, Resident Assessment and Care Planning, Complaint inspection | Potential for harm, isolated | Corrected by Nov 16, 2023 |
| Jun 14, 2021 | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. F0622, Resident Rights, Standard inspection | Actual harm, isolated | Corrected by Jul 26, 2021 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 1.56 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 1.11 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.12 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 0.31 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 6.05 | 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 | 1.18 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.85 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 99.6 | 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 | 3.74 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 5.61 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 100 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 1.5 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 8.27 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 4.66 | 15.38 |
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