Lincoln Glen Skilled Nursing
2671 Plummer Avenue, San Jose, CA 95125 · Santa Clara County · 59 certified beds · avg 53 residents/day · certified since Jul 1, 1989 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 5/5
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 (27)
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 |
|---|---|---|
| Mar 24, 2025 | F · Potential for harm, facility-wide | 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. |
| Mar 24, 2025 | F · Potential for harm, facility-wide | 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. |
| Mar 24, 2025 | E · Potential for harm, repeated | 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. |
| Mar 24, 2025 | 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. |
| Mar 24, 2025 | 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. |
| Mar 24, 2025 | 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. |
| Mar 24, 2025 | D · Potential for harm, one-off | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. |
| Mar 24, 2025 | 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. |
| Mar 24, 2025 | D · Potential for harm, one-off | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. |
| Mar 24, 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. |
| Mar 24, 2025 | 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. |
| Nov 13, 2023 | 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. |
| Nov 13, 2023 | D · Potential for harm, one-off | The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. |
| Nov 13, 2023 | D · Potential for harm, one-off | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| Nov 13, 2023 | 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. |
| Nov 13, 2023 | 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. |
| Nov 13, 2023 | D · Potential for harm, one-off | The facility did not provide the social services residents need — such as counseling, help with adjustment, or connecting to outside resources — to achieve the best possible quality of life. · from a complaint |
| May 20, 2022 | E · Potential for harm, repeated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| May 20, 2022 | E · Potential for harm, repeated | The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident. |
| May 20, 2022 | E · Potential for harm, repeated | 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 20, 2022 | E · Potential for harm, repeated | The facility did not employ enough qualified food and nutrition staff, including a qualified dietician, to properly run its food service. |
| May 20, 2022 | E · Potential for harm, repeated | The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician. |
| May 20, 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 20, 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 20, 2022 | 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. |
| May 20, 2022 | D · Potential for harm, one-off | The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. |
| May 20, 2022 | 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. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (6 → 11).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2022 | 10 | 0 | E |
| 2023 | 6 | 0 | E |
| 2025 | 11 | 0 | F |
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) | 4.89 | 4.31 | 3.95 | top 17% in California; top 15% in the U.S. |
| Registered Nurse hours | 1.11 | 0.61 | 0.69 | top 9% in California; top 12% in the U.S. |
| Weekend total nurse staffing | 4.56 | 3.90 | 3.50 | top 12% in California; top 11% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.61 | 0.51 | 0.48 | top 21% in California; top 22% in the U.S. |
| Total nursing staff turnover (%) | 22.6 | 36.7 | 45.8 | top 12% in California; top 5% in the U.S. |
| RN turnover (%) | 10.0 | 38.1 | 42.9 | top 5% in California; top 4% 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 4.76, RN 1.07, weekend 4.44. Staffing rating: 5/5.
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: —/5
Who owns this facility
Non profit - Church related
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Lincoln Glen Manor for Senior Citizens | Organization | 5% or Greater Direct Ownership Interest | 100% | 11/21/2008 |
| Cole, Tyler | Individual | Corporate Director | NOT APPLICABLE | 01/01/2023 |
| Cole, Tyler | Individual | ADP of the SNF | NOT APPLICABLE | 01/13/2025 |
| Dill, Ouida | Individual | Corporate Director | NOT APPLICABLE | 11/13/2023 |
| Dill, Ouida | Individual | ADP of the SNF | NOT APPLICABLE | 01/13/2025 |
| Durfee, Don | Individual | Corporate Director | NOT APPLICABLE | 11/13/2023 |
| Durfee, Don | Individual | ADP of the SNF | NOT APPLICABLE | 01/13/2025 |
| Eldridge, Diane | Individual | Corporate Director | NOT APPLICABLE | 12/09/2008 |
| Eldridge, Diane | Individual | ADP of the SNF | NOT APPLICABLE | 01/13/2025 |
| Kroeker, Loren | Individual | Corporate Director | NOT APPLICABLE | 10/01/2024 |
| Kroeker, Loren | Individual | ADP of the SNF | NOT APPLICABLE | 10/01/2024 |
| Lincoln Glen Manor for Senior Citizens | Organization | Operational/Managerial Control | NOT APPLICABLE | 11/21/2008 |
| Lincoln Glen Manor for Senior Citizens | Organization | Trustee of the SNF | NOT APPLICABLE | 11/21/2008 |
| Lincoln Glen Manor for Senior Citizens | Organization | ADP of the SNF | NOT APPLICABLE | 12/27/2024 |
| Mortensen, Brad | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/01/2024 |
| Mortensen, Brad | Individual | ADP of the SNF | NOT APPLICABLE | 03/01/2022 |
| Ollenburger, Randy | Individual | Corporate Director | NOT APPLICABLE | 01/01/2010 |
| Ollenburger, Randy | Individual | ADP of the SNF | NOT APPLICABLE | 01/13/2025 |
| Penner, Daryl | Individual | Corporate Director | NOT APPLICABLE | 01/01/2015 |
| Penner, Daryl | Individual | ADP of the SNF | NOT APPLICABLE | 01/13/2025 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "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?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "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 your staff protect residents' dignity in everyday care, like bathing and dressing?"
- "Who completes resident assessments here, and how do you check them for accuracy?"
- "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "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 | Flags |
|---|---|---|---|---|---|
| Herman Health Care Center | 0.4 mi | San Jose, CA | ★☆☆☆☆ | 1/5 | |
| The Redwoods Post-Acute | 1.8 mi | San Jose, CA | ★★★☆☆ | 2/5 | |
| Empress Care Center, LLC | 2.4 mi | San Jose, CA | ★★★★☆ | 2/5 | |
| Camden Postacute Care, INC | 2.8 mi | Campbell, CA | ★★★★☆ | 3/5 | |
| Almaden Health and Rehabilitation Center | 2.9 mi | San Jose, CA | ★★★★☆ | 3/5 | |
| White Blossom Care Center | 2.9 mi | San Jose, CA | ★★☆☆☆ | 1/5 | |
| Childrens HC Org No Ca -Pediatric Hospital D/P SNF | 3.0 mi | Campbell, CA | ★★★★★ | 5/5 | |
| Plum Tree Care Center | 3.2 mi | San Jose, CA | ★★★★★ | 4/5 | |
| Woodlands Healthcare Center | 3.3 mi | Los Gatos, CA | ★★★★★ | 5/5 | |
| A Grace Sub Acute & Skilled Care | 3.3 mi | San Jose, CA | ★★★★☆ | 3/5 | |
| Baywood Post Acute | 3.3 mi | Campbell, CA | ★★★☆☆ | 3/5 | |
| Stonebrook Health and Rehabilitation | 3.5 mi | Los Gatos, CA | ★★★★★ | 4/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 555363.