| Plum Tree Care Center | |
| 2580 Samaritan Drive, San Jose, California 95124 | |
| (408) 356-8181 | |
| Name | Plum Tree Care Center |
|---|---|
| Location | 2580 Samaritan Drive, San Jose, California |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 76 |
| Occupancy Rate | 91.45% |
| Medicare ID (CCN) | 055866 |
| Legal Business Name | Ghc of Los Gatos, LLC |
| Ownership Type | For Profit - Limited Liability Company |
| Chain | Generations Healthcare (27 nursing homes) |
| Chain Average Overall Rating | 4.1 out of 5 |
| NPI Number | 1083618441 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Ghc of Los Gatos, LLC |
| Doing Business As | Plum Tree Care Center |
| Address | 2580 Samaritan Dr, San Jose, CA 95124 |
| Phone Number | 408-356-8181 |
| 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 | 4.53 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.7 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 1.39 | 0.86 |
| Nurse aide hours per resident per day | 2.44 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 4.16 | 3.42 |
| RN hours per resident per day on the weekend | 0.5 | 0.48 |
| Physical therapist hours per resident per day | 0.13 | 0.07 |
| Total nursing staff turnover | 42.6% | 45.8% |
| Registered nurse turnover | 62.5% | 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 | 1 |
| Total Amount of Fines in Dollars | $8,018 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 1 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Jun 11, 2026 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. F0627, Resident Rights, Complaint inspection | Potential for harm, isolated | Corrected by Jun 24, 2026 |
| Aug 7, 2025 | Let each resident or the resident's legal representative access or purchase copies of all the resident's records. F0573, Resident Rights, Complaint inspection | Potential for harm, isolated | Corrected by Aug 30, 2025 |
| Jul 16, 2025 | 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 Aug 22, 2025 |
| Jul 16, 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 Aug 22, 2025 |
| Mar 28, 2025 | 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 Apr 26, 2025 |
| Mar 28, 2025 | Provide safe and appropriate respiratory care for a resident when needed. F0695, Quality of Life and Care, Standard inspection | Potential for harm, pattern | Corrected by Apr 26, 2025 |
| Mar 28, 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 Apr 26, 2025 |
| Mar 28, 2025 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, pattern | Corrected by Apr 26, 2025 |
| Mar 28, 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 Apr 26, 2025 |
| Mar 28, 2025 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. F0604, Freedom from Abuse, Neglect, and Exploitation, Standard inspection | Potential for harm, isolated | Corrected by Apr 26, 2025 |
| Mar 28, 2025 | 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 Apr 26, 2025 |
| Mar 28, 2025 | 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, isolated | Corrected by Apr 26, 2025 |
| Sep 24, 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 | Actual harm, isolated | Corrected by Oct 9, 2024 |
| May 31, 2024 | 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 Jun 30, 2024 |
| May 31, 2024 | Provide and implement an infection prevention and control program. F0880, Infection Control, Complaint inspection | Potential for harm, isolated | Corrected by Jun 30, 2024 |
| Dec 1, 2023 | 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 Dec 31, 2023 |
| Dec 1, 2023 | 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 Dec 31, 2023 |
| Dec 1, 2023 | 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 Dec 31, 2023 |
| Dec 1, 2023 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, pattern | Corrected by Dec 31, 2023 |
| Dec 1, 2023 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. F0582, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Dec 31, 2023 |
| Dec 1, 2023 | Ensure services provided by the nursing facility meet professional standards of quality. F0658, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Dec 31, 2023 |
| Dec 1, 2023 | 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 Dec 31, 2023 |
| Dec 1, 2023 | Ensure medication error rates are not 5 percent or greater. F0759, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Dec 31, 2023 |
| Oct 31, 2023 | Prepare residents for a safe transfer or discharge from the nursing home. F0624, Resident Rights, Complaint inspection | Potential for harm, isolated | Corrected by Nov 29, 2023 |
| Feb 11, 2022 | 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, pattern | Corrected by Mar 13, 2022 |
| Feb 11, 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 Mar 13, 2022 |
| Feb 11, 2022 | 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 Mar 13, 2022 |
| Feb 11, 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 Mar 13, 2022 |
| Feb 11, 2022 | 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 Mar 13, 2022 |
| Feb 11, 2022 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Mar 13, 2022 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 8.24 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 3.09 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 1.65 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 16.36 | 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 | 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 | 98.93 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.51 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 5.53 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 0.98 | 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 | 96.98 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 3.88 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 10.79 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 0 | 15.38 |
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