Morgan Hill Healthcare Center
530 West Dunne Avenue, Morgan Hill, CA 95037 · Santa Clara County · 52 certified beds · avg 51 residents/day · certified since Dec 1, 1997
Part of chain: SPYGLASS HEALTHCARE (9 facilities, chain avg rating 3.1★)
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.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · Dec 5, 2025 · F-0627 · triggered by a complaint
The facility did not make sure a transfer or discharge met the resident's needs and preferences, or did not properly prepare the resident to leave safely.
Why it matters: A rushed or poorly planned move can leave a resident somewhere that can't meet their needs.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Dec 18, 2025 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Dec 11, 2024 · F-0684 · triggered by a complaint
The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Why it matters: Care that strays from doctor's orders or ignores the resident's wishes can lead to declining health and avoidable harm.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Dec 23, 2024 (Deficient, Provider has date of correction)
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 |
|---|---|---|
| Dec 5, 2025 | ▲ G · Actual harm, one-off | The facility did not make sure a transfer or discharge met the resident's needs and preferences, or did not properly prepare the resident to leave safely. · from a complaint |
| Apr 11, 2025 | E · Potential for harm, repeated | 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. |
| Apr 11, 2025 | 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. |
| Apr 11, 2025 | 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. |
| Apr 11, 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. |
| Apr 11, 2025 | 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. |
| Apr 11, 2025 | D · Potential for harm, one-off | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. |
| Apr 11, 2025 | D · Potential for harm, one-off | 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. |
| Apr 11, 2025 | B · Minimal risk, repeated | The facility had resident rooms smaller than required — at least 80 square feet per person in shared rooms and 100 square feet in single rooms. |
| Jan 15, 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. · from a complaint |
| Dec 11, 2024 | ▲ G · Actual 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 |
| Dec 8, 2023 | 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. |
| Dec 8, 2023 | E · Potential for harm, repeated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| Dec 8, 2023 | 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. |
| Dec 8, 2023 | E · Potential for harm, repeated | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Dec 8, 2023 | E · Potential for harm, repeated | The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day. |
| Dec 8, 2023 | 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. |
| Dec 8, 2023 | 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. |
| Dec 8, 2023 | 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. |
| Dec 8, 2023 | D · Potential for harm, one-off | The facility did not keep residents' personal and medical information private and confidential. |
| Dec 8, 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. |
| Dec 8, 2023 | D · Potential for harm, one-off | The facility did not enter each resident's assessment information into the required format and send it to the state within 7 days of completing the assessment, as the rules require. |
| Dec 8, 2023 | 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. |
| Dec 8, 2023 | 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. |
| Dec 8, 2023 | 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. |
| Dec 8, 2023 | 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. |
| Dec 8, 2023 | D · Potential for harm, one-off | The facility was not properly licensed, or did not operate in compliance with federal, state, and local laws, regulations, and accepted professional standards. |
| Dec 8, 2023 | D · Potential for harm, one-off | The facility did not have firmly secured handrails on both sides of its hallways. |
| Dec 8, 2023 | B · Minimal risk, repeated | The facility had resident rooms smaller than required — at least 80 square feet per person in shared rooms and 100 square feet in single rooms. |
| Jul 1, 2022 | F · Potential for harm, facility-wide | The facility did not have enough support staff to safely and effectively run its food and nutrition service. |
| Jul 1, 2022 | F · Potential for harm, facility-wide | 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. |
| Jul 1, 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. |
| Jul 1, 2022 | E · Potential for harm, repeated | 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. |
| Jul 1, 2022 | E · Potential for harm, repeated | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. |
| Jul 1, 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. |
| Jul 1, 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. |
| Jul 1, 2022 | 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. |
| Jul 1, 2022 | 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. |
| Jul 1, 2022 | D · Potential for harm, one-off | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. |
| Jul 1, 2022 | D · Potential for harm, one-off | The facility did not help a resident get vision and hearing services — such as eye exams, glasses, hearing tests, or hearing aids. |
| Jul 1, 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. |
| Jul 1, 2022 | 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. |
| Jul 1, 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. |
| Jul 1, 2022 | 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. |
| Jul 1, 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. |
| Jul 1, 2022 | D · Potential for harm, one-off | 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. |
| Jul 1, 2022 | B · Minimal risk, repeated | The facility had resident rooms smaller than required — at least 80 square feet per person in shared rooms and 100 square feet in single rooms. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (18 → 8).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2022 | 18 | 0 | F |
| 2023 | 18 | 0 | F |
| 2024 | 1 | 1 | G ▲ |
| 2025 | 10 | 1 | G ▲ |
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)
2 fines totaling $17,261.
| Date | Type | Amount / length |
|---|---|---|
| Dec 5, 2025 | Fine | $9,110 |
| Dec 11, 2024 | Fine | $8,151 |
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) | 3.75 | 4.31 | 3.95 | bottom 24% in California; bottom 49% in the U.S. |
| Registered Nurse hours | 0.52 | 0.61 | 0.69 | top 43% in California; bottom 41% in the U.S. |
| Weekend total nurse staffing | 3.63 | 3.90 | 3.50 | bottom 41% in California; top 36% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.53 | 0.51 | 0.48 | top 28% in California; top 29% in the U.S. |
| Total nursing staff turnover (%) | 28.6 | 36.7 | 45.8 | top 25% in California; top 12% in the U.S. |
| RN turnover (%) | 44.4 | 38.1 | 42.9 | bottom 36% in California; bottom 45% 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 3.81, RN 0.53, weekend 3.68. Staffing rating: 3/5.
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: 5/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Amm Trust | Organization | 5% or Greater Indirect Ownership Interest | 10% | 04/10/2024 |
| McCormack, Ryan | Individual | 5% or Greater Indirect Ownership Interest | 24% | 04/10/2024 |
| O'Shea, Brady | Individual | 5% or Greater Indirect Ownership Interest | 6% | 04/10/2024 |
| Phytonic Holding LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 04/10/2024 |
| Spyglass Healthcare LLC | Organization | 5% or Greater Indirect Ownership Interest | 60% | 04/10/2024 |
| Ang, Lilibeth | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/01/2023 |
| Ang, Lilibeth | Individual | ADP of the SNF | NOT APPLICABLE | 07/01/2023 |
| Awerbuck, Matthew | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2024 |
| Awerbuck, Matthew | Individual | ADP of the SNF | NOT APPLICABLE | 04/01/2024 |
| Conrad, Tierra | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/01/2023 |
| Conrad, Tierra | Individual | ADP of the SNF | NOT APPLICABLE | 07/01/2023 |
| Cretin, Claire | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/01/2023 |
| Cretin, Claire | Individual | ADP of the SNF | NOT APPLICABLE | 07/01/2023 |
| Gonzalez-Espinoza, Ashley | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/30/2024 |
| Gonzalez-Espinoza, Ashley | Individual | ADP of the SNF | NOT APPLICABLE | 09/30/2024 |
| Kaae, Brett | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/13/2024 |
| Kaae, Brett | Individual | ADP of the SNF | NOT APPLICABLE | 05/13/2024 |
| Lopez Anaya, Moises | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/01/2023 |
| Lopez Anaya, Moises | Individual | ADP of the SNF | NOT APPLICABLE | 07/01/2023 |
| McCormack, Ryan | Individual | Corporate Officer | NOT APPLICABLE | 04/10/2024 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Before a resident is discharged or transferred, how do you make sure the new place can actually meet their needs?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
- "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
- "What is your current medication error rate, and what have you changed to bring errors down?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Could I join residents for a meal to see the food quality and temperature for myself?"
- "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 |
|---|---|---|---|---|---|
| Pacific Hills Post Acute | 0.2 mi | Morgan Hill, CA | ★★★★☆ | 3/5 | |
| Gilroy Healthcare Center | 8.7 mi | Gilroy, CA | ★★☆☆☆ | 1/5 | |
| Manresa Healthcare Center | 15.1 mi | Watsonville, CA | ★★★★☆ | 4/5 | |
| Watsonville Nursing Center | 15.3 mi | Watsonville, CA | ★★★☆☆ | 3/5 | |
| Watsonville Post Acute Center | 15.3 mi | Watsonville, CA | ★★★★★ | 4/5 | |
| Mission de la Casa | 16.5 mi | San Jose, CA | ★★☆☆☆ | 1/5 | |
| Lincoln Glen Skilled Nursing | 17.0 mi | San Jose, CA | ★★★★★ | 3/5 | |
| Almaden Health and Rehabilitation Center | 17.1 mi | San Jose, CA | ★★★★☆ | 3/5 | |
| Herman Health Care Center | 17.3 mi | San Jose, CA | ★☆☆☆☆ | 1/5 | |
| Stonebrook Health and Rehabilitation | 18.1 mi | Los Gatos, CA | ★★★★★ | 4/5 | |
| The Ridge Post Acute | 18.2 mi | San Jose, CA | ★★★★★ | 4/5 | |
| The Terraces of Los Gatos | 18.3 mi | Los Gatos, CA | ★★★★★ | 5/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 555712.