A Grace Sub Acute & Skilled Care

Name: A Grace Sub Acute & Skilled Care
Address: 1250 S. WINCHESTER BOULEVARD, San Jose, CA, 95128, US
Telephone: 4082413844

1250 S. Winchester Boulevard, San Jose, CA 95128 · Santa Clara County · 166 certified beds · avg 126 residents/day · certified since Jul 1, 1980

3/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.41

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 4/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (47)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Aug 14, 2025	D · Potential for harm, one-off	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint
Oct 18, 2024	E · Potential for harm, repeated	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow.
Oct 18, 2024	E · Potential for harm, repeated	The facility used bed rails without first trying safer alternatives, or without assessing the resident's safety risk, discussing the risks and benefits with the resident or family, getting consent, and installing the rails correctly.
Oct 18, 2024	E · Potential for harm, repeated	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Oct 18, 2024	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Oct 18, 2024	E · Potential for harm, repeated	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Oct 18, 2024	D · Potential for harm, one-off	The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups.
Oct 18, 2024	D · Potential for harm, one-off	The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable.
Oct 18, 2024	D · Potential for harm, one-off	The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems.
Oct 18, 2024	D · Potential for harm, one-off	The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason.
Oct 18, 2024	D · Potential for harm, one-off	The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time.
Oct 18, 2024	D · Potential for harm, one-off	The facility did not provide food that accounts for each resident's allergies, intolerances, and personal preferences, or did not offer appealing alternatives.
Oct 18, 2024	D · Potential for harm, one-off	The facility did not have a working call system — the button or cord residents use to summon help — in each resident's bathroom and bathing area.
Oct 18, 2024	D · Potential for harm, one-off	The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors.
Jul 9, 2024	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint
Mar 14, 2024	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
Dec 28, 2023	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint
May 13, 2022	E · Potential for harm, repeated	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow.
May 13, 2022	E · Potential for harm, repeated	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
May 13, 2022	E · Potential for harm, repeated	The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time.
May 13, 2022	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
May 13, 2022	E · Potential for harm, repeated	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
May 13, 2022	D · Potential for harm, one-off	The facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand.
May 13, 2022	D · Potential for harm, one-off	The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups.
May 13, 2022	D · Potential for harm, one-off	The facility did not keep residents' personal and medical information private and confidential.
May 13, 2022	D · Potential for harm, one-off	The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline.
May 13, 2022	D · Potential for harm, one-off	The facility did not provide safe and appropriate pain management for a resident who needed it.
May 13, 2022	D · Potential for harm, one-off	The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail.
May 13, 2022	D · Potential for harm, one-off	The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems.
May 13, 2022	D · Potential for harm, one-off	The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits.
May 13, 2022	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
May 13, 2022	D · Potential for harm, one-off	The facility did not provide routine dental care and 24-hour emergency dental care for residents.
Jun 7, 2019	E · Potential for harm, repeated	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Jun 7, 2019	D · Potential for harm, one-off	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights.
Jun 7, 2019	D · Potential for harm, one-off	The facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand.
Jun 7, 2019	D · Potential for harm, one-off	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation.
Jun 7, 2019	D · Potential for harm, one-off	The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal.
Jun 7, 2019	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Jun 7, 2019	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Jun 7, 2019	D · Potential for harm, one-off	The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline.
Jun 7, 2019	D · Potential for harm, one-off	The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes.
Jun 7, 2019	D · Potential for harm, one-off	The facility did not provide necessary behavioral health care and services — support for residents' mental and emotional wellbeing, including conditions like depression and anxiety.
Jun 7, 2019	D · Potential for harm, one-off	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Jun 7, 2019	D · Potential for harm, one-off	The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits.
Jun 7, 2019	D · Potential for harm, one-off	The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time.
Jun 7, 2019	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Jun 7, 2019	D · Potential for harm, one-off	The facility did not have a policy covering how food brought in by family and visitors is used and stored safely.

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (15 → 13).

Year	Citations	Worst severity that year
2019	15	E
2022	15	E
2023	1	D
2024	15	E
2025	1	D

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	California avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	3.41	4.31	3.95	bottom 7% in California; bottom 32% in the U.S.
Registered Nurse hours	0.71	0.61	0.69	top 23% in California; top 35% in the U.S.
Weekend total nurse staffing	3.24	3.90	3.50	bottom 13% in California; bottom 44% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.99	0.51	0.48	top 8% in California; top 6% in the U.S.
Total nursing staff turnover (%)	19.6	36.7	45.8	top 7% in California; top 3% in the U.S.
RN turnover (%)	27.6	38.1	42.9	top 32% in California; top 25% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 5.35, RN 1.12, weekend 5.07. Staffing rating: 4/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 4/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
Adelman, Jason	Individual	5% or Greater Direct Ownership Interest	—	12/15/2008
Javier, Julita	Individual	5% or Greater Direct Ownership Interest	—	12/15/2008
Javier, Pepito	Individual	5% or Greater Direct Ownership Interest	—	12/15/2008
Rando, James	Individual	5% or Greater Direct Ownership Interest	—	12/15/2008
Aquino, Victor	Individual	W-2 Managing Employee	NOT APPLICABLE	04/16/2014
Javier, Pepito	Individual	Corporate Director	NOT APPLICABLE	12/15/2008
Sanchez, Pelita	Individual	Corporate Director	NOT APPLICABLE	12/15/2008

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
"Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
"What alternatives do you try before using bed rails, and how do you involve families in that decision?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"Can you give me examples of how you adjust daily routines and room setups to fit each resident's preferences?"
"What does the care plan for a brand-new resident cover in the first 48 hours, and who writes it?"
"Does a pharmacist review every resident's medications and chart monthly, and how are their concerns acted on?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection
Creekside Post-Acute	0.6 mi	San Jose, CA	★★★★★	4/5
Empress Care Center, LLC	1.1 mi	San Jose, CA	★★★★☆	2/5
White Blossom Care Center	1.2 mi	San Jose, CA	★★☆☆☆	1/5
Baywood Post Acute	1.5 mi	Campbell, CA	★★★☆☆	3/5
Courtyard Care Center	1.7 mi	San Jose, CA	★★★☆☆	3/5
Skyline Healthcare Center - San Jose	1.8 mi	San Jose, CA	★☆☆☆☆	1/5
O'Connor Hospital D/P SNF	1.8 mi	San Jose, CA	★★★★★	5/5
Camden Postacute Care, INC	2.1 mi	Campbell, CA	★★★★☆	3/5
The Win Post-Acute	2.2 mi	Santa Clara, CA	★★★★★	4/5
The Redwoods Post-Acute	2.2 mi	San Jose, CA	★★★☆☆	2/5
Westwood Post Acute	2.8 mi	San Jose, CA	★★☆☆☆	1/5
Childrens HC Org No Ca -Pediatric Hospital D/P SNF	3.0 mi	Campbell, CA	★★★★★	5/5

Compare this facility with the 3 closest →

All facilities in San Jose →

Facility data as of CMS processing date 2026-08-01. CCN 056376.

The Care File

Visit checklist — A Grace Sub Acute & Skilled Care

1250 S. Winchester Boulevard, San Jose, CA 95128 · 4082413844

Health inspection rating 3/5 · CMS overall 4/5· Fines (3y): $0

Questions for the administrator:

☐ "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
☐ "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
☐ "What alternatives do you try before using bed rails, and how do you involve families in that decision?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "Can you give me examples of how you adjust daily routines and room setups to fit each resident's preferences?"
☐ "What does the care plan for a brand-new resident cover in the first 48 hours, and who writes it?"
☐ "Does a pharmacist review every resident's medications and chart monthly, and how are their concerns acted on?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 056376 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)