Nursing home

A Grace Sub Acute & Skilled Care

1250 S. Winchester Boulevard, San Jose, CA 95128

★★★★★Overall Medicare rating
★★★★★Health inspections
★★★★★Staffing
★★★★★Quality measures

Medicare rates every nursing home from 1 to 5 stars. 5 is much above average, 1 is much below.

Findings, latest cycle13
Findings with harm or immediate jeopardy, 3 cycles0
Fines, 3 years$0
Beds166

Inspection findings

Inspectors recorded 47 findings in the last three inspection cycles.

47 No harm, but a risk of harm

Each entry below is a requirement that inspectors found the home did not meet on that date, in the regulator's own English wording.

Inspection dateAreaRequirement the home did not meet (official wording, in English)SeverityCorrected
Aug 14, 2025Pharmacy and medicationsProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (F0755)No harm, but a risk of harm
isolated · from a complaint
Corrected: Sep 4, 2025
Oct 18, 2024Building and environmentMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. (F0921)No harm, but a risk of harm
isolated
Corrected: Nov 8, 2024
Oct 18, 2024Building and environmentMake sure that a working call system is available in each resident's bathroom and bathing area. (F0919)No harm, but a risk of harm
isolated
Corrected: Nov 8, 2024
Oct 18, 2024Infection controlProvide and implement an infection prevention and control program. (F0880)No harm, but a risk of harm
pattern
Corrected: Nov 8, 2024
Oct 18, 2024Food and nutritionProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (F0812)No harm, but a risk of harm
pattern
Corrected: Nov 8, 2024
Oct 18, 2024Food and nutritionEnsure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. (F0806)No harm, but a risk of harm
isolated
Corrected: Nov 8, 2024
Oct 18, 2024Pharmacy and medicationsEnsure medication error rates are not 5 percent or greater. (F0759)No harm, but a risk of harm
isolated
Corrected: Nov 8, 2024
Oct 18, 2024Pharmacy and medicationsEnsure each resident’s drug regimen must be free from unnecessary drugs. (F0757)No harm, but a risk of harm
isolated
Corrected: Nov 8, 2024
Oct 18, 2024Pharmacy and medicationsEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. (F0756)No harm, but a risk of harm
isolated
Corrected: Nov 8, 2024
Oct 18, 2024Pharmacy and medicationsProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (F0755)No harm, but a risk of harm
pattern
Corrected: Nov 8, 2024
Oct 18, 2024Quality of life and careTry 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)No harm, but a risk of harm
pattern
Corrected: Nov 8, 2024
Oct 18, 2024Resident assessment and care planningEnsure services provided by the nursing facility meet professional standards of quality. (F0658)No harm, but a risk of harm
pattern
Corrected: Nov 8, 2024
Oct 18, 2024Resident assessment and care planningCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted (F0655)No harm, but a risk of harm
isolated
Corrected: Nov 8, 2024
Oct 18, 2024Resident rightsReasonably accommodate the needs and preferences of each resident. (F0558)No harm, but a risk of harm
isolated
Corrected: Nov 8, 2024
Jul 9, 2024Quality of life and careProvide appropriate treatment and care according to orders, resident’s preferences and goals. (F0684)No harm, but a risk of harm
isolated · from a complaint
Corrected: Jul 10, 2024
Earlier inspections (32)
Inspection dateAreaRequirement the home did not meet (official wording, in English)SeverityCorrected
Mar 14, 2024Quality of life and careEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (F0689)No harm, but a risk of harm
isolated · from a complaint
Corrected: Apr 11, 2024
Dec 28, 2023Quality of life and careProvide appropriate treatment and care according to orders, resident’s preferences and goals. (F0684)No harm, but a risk of harm
isolated · from a complaint
Corrected: Jan 29, 2024
May 13, 2022Infection controlProvide and implement an infection prevention and control program. (F0880)No harm, but a risk of harm
pattern
Corrected: Jun 3, 2022
May 13, 2022Food and nutritionProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (F0812)No harm, but a risk of harm
pattern
Corrected: May 26, 2022
May 13, 2022Quality of life and careProvide routine and 24-hour emergency dental care for each resident. (F0790)No harm, but a risk of harm
isolated
Corrected: May 27, 2022
May 13, 2022Pharmacy and medicationsEnsure 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)No harm, but a risk of harm
isolated
Corrected: May 13, 2022
May 13, 2022Pharmacy and medicationsEnsure medication error rates are not 5 percent or greater. (F0759)No harm, but a risk of harm
pattern
Corrected: May 27, 2022
May 13, 2022Pharmacy and medicationsImplement 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)No harm, but a risk of harm
isolated
Corrected: May 13, 2022
May 13, 2022Pharmacy and medicationsEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. (F0756)No harm, but a risk of harm
isolated
Corrected: May 13, 2022
May 13, 2022Pharmacy and medicationsProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (F0755)No harm, but a risk of harm
pattern
Corrected: May 27, 2022
May 13, 2022Quality of life and careProvide safe, appropriate dialysis care/services for a resident who requires such services. (F0698)No harm, but a risk of harm
isolated
Corrected: May 25, 2022
May 13, 2022Quality of life and careProvide safe, appropriate pain management for a resident who requires such services. (F0697)No harm, but a risk of harm
isolated
Corrected: May 25, 2022
May 13, 2022Quality of life and careProvide 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)No harm, but a risk of harm
isolated
Corrected: May 27, 2022
May 13, 2022Resident assessment and care planningEnsure services provided by the nursing facility meet professional standards of quality. (F0658)No harm, but a risk of harm
pattern
Corrected: May 25, 2022
May 13, 2022Resident rightsKeep residents' personal and medical records private and confidential. (F0583)No harm, but a risk of harm
isolated
Corrected: May 25, 2022
May 13, 2022Resident rightsReasonably accommodate the needs and preferences of each resident. (F0558)No harm, but a risk of harm
isolated
Corrected: May 25, 2022
May 13, 2022Resident rightsEnsure that residents are fully informed and understand their health status, care and treatments. (F0552)No harm, but a risk of harm
isolated
Corrected: May 16, 2022
Jun 7, 2019Infection controlProvide and implement an infection prevention and control program. (F0880)No harm, but a risk of harm
pattern
Corrected: Jun 26, 2019
Jun 7, 2019Food and nutritionHave a policy regarding use and storage of foods brought to residents by family and other visitors. (F0813)No harm, but a risk of harm
isolated
Corrected: Jun 26, 2019
Jun 7, 2019Pharmacy and medicationsEnsure 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)No harm, but a risk of harm
isolated
Corrected: Jun 26, 2019
Jun 7, 2019Pharmacy and medicationsEnsure medication error rates are not 5 percent or greater. (F0759)No harm, but a risk of harm
isolated
Corrected: Jun 26, 2019
Jun 7, 2019Pharmacy and medicationsImplement 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)No harm, but a risk of harm
isolated
Corrected: Jun 26, 2019
Jun 7, 2019Pharmacy and medicationsProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (F0755)No harm, but a risk of harm
isolated
Corrected: Jun 26, 2019
Jun 7, 2019Quality of life and careEnsure each resident must receive and the facility must provide necessary behavioral health care and services. (F0740)No harm, but a risk of harm
isolated
Corrected: Jun 26, 2019
Jun 7, 2019Quality of life and careEnsure 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)No harm, but a risk of harm
isolated
Corrected: Jun 26, 2019
Jun 7, 2019Quality of life and careProvide 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)No harm, but a risk of harm
isolated
Corrected: Jun 26, 2019
Jun 7, 2019Resident assessment and care planningDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (F0656)No harm, but a risk of harm
isolated
Corrected: Jun 26, 2019
Jun 7, 2019Resident assessment and care planningEnsure each resident receives an accurate assessment. (F0641)No harm, but a risk of harm
isolated
Corrected: Jun 26, 2019
Jun 7, 2019Resident rightsProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. (F0623)No harm, but a risk of harm
isolated
Corrected: Jun 26, 2019
Jun 7, 2019Abuse, neglect and exploitationTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (F0609)No harm, but a risk of harm
isolated
Corrected: Jun 26, 2019
Jun 7, 2019Resident rightsEnsure that residents are fully informed and understand their health status, care and treatments. (F0552)No harm, but a risk of harm
isolated
Corrected: Jun 26, 2019
Jun 7, 2019Resident rightsHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (F0550)No harm, but a risk of harm
isolated
Corrected: Jun 26, 2019

Fines and payment denials

No federal fines or payment denials in the last three years.

Staffing

Nurse staff hours per resident per day5.65California median: 4.27
Registered nurse hours per resident per day1.19California median: 0.52
Nurse staff hours on weekends5.10California median: 3.85
Nursing staff who left within a year24.5%California median: 36.0%

About this home

Beds166
Residents per day, average125.8
OwnershipFor-profit, corporation
In Medicare/Medicaid sinceJul 1, 1980

Questions to ask when you call

Source. Medicare Care Compare (CMS Provider Data), data dated Oct 1, 2026. Open this home on Medicare.gov · Report an error

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