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Health Care Ctr At The Forum At Rancho San Antonio

23600 Via Esplendor, Cupertino, CA 95014
6509440200
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Overall CMS Rating

5.0/5

vs State Average: 3.2 stars

4.0/5

Health Inspections

vs State Average: 2.8/5

5.0/5

Staffing Level

vs State Average: 3.1/5

5.0/5

Quality Measures

vs State Average: 4.1/5

0 penalties in last 3 years
Penalties
vs State Average: 1.3 penalties

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Ratings Deep Dive

Score
4.0
State Average
2.8
National Average
2.8
5 Deficiencies found in last inspections
0 Penalties in last 3 years
0 Fines issued
Citation Date Description Severity
Sep 6, 2024 Provide appropriate treatment and care according to orders, resident’s preferences and goals. D
Jul 19, 2024 Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. D
Jul 19, 2024 Ensure each resident receives an accurate assessment. D
Jul 19, 2024 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. D
Jul 19, 2024 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. E
Score
5.0
State Average
3.1
National Average
2.9
1.2 RN Hours / Resident / Day
5.3 Total Nurse Hours / Resident / Day
50.0% RN Turnover Rate
Score
5.0
State Average
4.1
National Average
3.6
4.0 Long-Stay QM Rating
5.0 Short-Stay QM Rating
38.8 Avg Residents Per Day
Measure Score Type
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay
Percentage of long-stay residents who lose too much weight Long Stay
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay
Percentage of long-stay residents with a urinary tract infection Long Stay
Percentage of long-stay residents who have depressive symptoms Long Stay
Percentage of long-stay residents who were physically restrained Long Stay
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay

Ownership & Compliance

Ownership Info
5% OR GREATER DIRECT OWNERSHIP INTEREST RANCHO SAN ANTONIO RETIREMENT HOUSING CORPORATION
OPERATIONAL/MANAGERIAL CONTROL LIFE CARE SERVICES LLC
OPERATIONAL/MANAGERIAL CONTROL JO, DANIEL
OPERATIONAL/MANAGERIAL CONTROL KAO, NANCY
OPERATIONAL/MANAGERIAL CONTROL NELSON, MARK
CORPORATE DIRECTOR EXLINE, RICK
CORPORATE DIRECTOR JOHNSON, EIKO
CORPORATE OFFICER BRAUMAN, SHARON
CORPORATE OFFICER BROWN, KATHY
CORPORATE OFFICER BUSH, ELLYN
Recent Penalties

No penalty records found.

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