Mountain View Healthcare Center
2530 Solace Place, Mountain View, CA 94040 · Santa Clara County · 129 certified beds · avg 127 residents/day · certified since Jan 1, 1967
Part of chain: SPYGLASS HEALTHCARE (9 facilities, chain avg rating 3.1★)
2/5
Health inspection rating (on-site)
2
Serious findings on record
$54,912
Fines, last 3 years
3.34
Nurse hours/resident/day (adjusted)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 3/5
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, repeated · Jul 2, 2024 · F-0622 · triggered by a complaint
The facility transferred or discharged a resident without a valid reason, or failed to provide the required documentation and information when moving a resident out.
Why it matters: Improper discharge or transfer can suddenly uproot a resident from their home and care without warning or recourse.
Severity (H): Multiple residents were actually harmed by the same failure — a pattern of real harm, not an isolated incident.
Corrected: Jul 15, 2024 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · May 7, 2021 · F-0694
The facility did not safely and appropriately administer IV fluids (fluids given through a vein) for residents who needed them.
Why it matters: Improper IV care can cause infections, dehydration, or dangerous fluid imbalances.
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: Jun 6, 2021 (Deficient, Provider has date of correction)
All citations in the current public record (59)
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 |
|---|---|---|
| May 29, 2026 | 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. · from a complaint |
| Jan 23, 2026 | 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. · from a complaint |
| Dec 4, 2025 | D · Potential for 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 |
| Jul 8, 2025 | D · Potential for harm, one-off | The facility did not provide required paperwork or notices about a resident's needs, their right to appeal a transfer or discharge, or the facility's bed-hold policy (how long a bed is saved during a hospital stay). · from a complaint |
| May 28, 2025 | 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. · from a complaint |
| May 28, 2025 | E · Potential for harm, repeated | 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 23, 2025 | E · Potential for harm, repeated | 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. |
| May 23, 2025 | E · Potential for harm, repeated | 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. |
| May 23, 2025 | E · Potential for harm, repeated | 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. |
| May 23, 2025 | 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. |
| May 23, 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. |
| May 23, 2025 | E · Potential for harm, repeated | 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 23, 2025 | E · Potential for harm, repeated | 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. |
| May 23, 2025 | E · Potential for harm, repeated | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. |
| May 23, 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. |
| May 23, 2025 | E · Potential for harm, repeated | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. |
| May 23, 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. |
| May 23, 2025 | E · Potential for harm, repeated | The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices. |
| May 23, 2025 | D · Potential for harm, one-off | The facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate. |
| May 23, 2025 | 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 23, 2025 | 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. |
| May 23, 2025 | D · Potential for harm, one-off | The facility gave residents unnecessary mind-altering (psychotropic) medications, or used drugs in a way that restrained residents by dulling their ability to think, move, or function. |
| May 23, 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. |
| May 23, 2025 | D · Potential for harm, one-off | The facility allowed residents to lose the ability to do daily activities — like bathing, dressing, and eating — when there was no medical reason for the decline. Good care helps residents keep the abilities they have. |
| May 23, 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. |
| May 23, 2025 | 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 23, 2025 | D · Potential for harm, one-off | 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. |
| May 23, 2025 | 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. |
| May 23, 2025 | 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. |
| May 23, 2025 | 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 23, 2025 | D · Potential for harm, one-off | The facility did not make sure special medical diets — like low-sodium or diabetic diets — were properly ordered by the resident's doctor or managed by a qualified dietitian as state law allows. |
| May 23, 2025 | D · Potential for harm, one-off | The facility did not have a working program to monitor how antibiotics are used. Tracking antibiotic use helps make sure these drugs are given only when needed and remain effective. |
| Sep 3, 2024 | E · Potential for harm, repeated | The facility did not keep residents' personal and medical information private and confidential. · from a complaint |
| Aug 26, 2024 | 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. · from a complaint |
| Aug 26, 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. · from a complaint |
| Aug 26, 2024 | 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. · from a complaint |
| Aug 23, 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. · from a complaint |
| Jul 8, 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 |
| Jul 5, 2024 | D · Potential for harm, one-off | 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. · from a complaint |
| Jul 5, 2024 | D · Potential for harm, one-off | The facility did not provide timely, approved x-ray services or have an agreement with an approved provider to supply them. · from a complaint |
| Jul 2, 2024 | ▲ H · Actual harm, repeated | The facility transferred or discharged a resident without a valid reason, or failed to provide the required documentation and information when moving a resident out. · from a complaint |
| Jul 2, 2024 | E · Potential for harm, repeated | 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. · from a complaint |
| Jun 4, 2024 | E · Potential for harm, repeated | The facility was not properly licensed, or did not operate in compliance with federal, state, and local laws, regulations, and accepted professional standards. · from a complaint |
| Mar 7, 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. · from a complaint |
| Nov 16, 2023 | F · Potential for harm, facility-wide | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. |
| Nov 16, 2023 | D · Potential for harm, one-off | The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. |
| Nov 16, 2023 | 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. |
| Oct 25, 2023 | D · Potential for harm, one-off | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint |
| Oct 25, 2023 | 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. · from a complaint |
| Oct 25, 2023 | 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. · from a complaint |
| Aug 29, 2023 | D · Potential for harm, one-off | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint |
| May 7, 2021 | ▲ G · Actual harm, one-off | The facility did not safely and appropriately administer IV fluids (fluids given through a vein) for residents who needed them. |
| May 7, 2021 | 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. |
| May 7, 2021 | E · Potential for harm, repeated | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. |
| May 7, 2021 | 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 7, 2021 | 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. |
| May 7, 2021 | D · Potential for harm, one-off | 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. |
| May 7, 2021 | 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. |
| May 7, 2021 | 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. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (3 → 26).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2021 | 8 | 1 | G ▲ |
| 2023 | 7 | 0 | F |
| 2024 | 12 | 1 | H ▲ |
| 2025 | 30 | 0 | E |
| 2026 | 2 | 0 | E |
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)
1 fine totaling $54,912.
| Date | Type | Amount / length |
|---|---|---|
| Jun 4, 2024 | Fine | $54,912 |
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) | 3.34 | 4.31 | 3.95 | bottom 6% in California; bottom 28% in the U.S. |
| Registered Nurse hours | 0.59 | 0.61 | 0.69 | top 33% in California; top 49% in the U.S. |
| Weekend total nurse staffing | 3.06 | 3.90 | 3.50 | bottom 6% in California; bottom 34% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.68 | 0.51 | 0.48 | top 16% in California; top 17% in the U.S. |
| Total nursing staff turnover (%) | 37.7 | 36.7 | 45.8 | bottom 45% in California; top 30% in the U.S. |
| RN turnover (%) | 33.3 | 38.1 | 42.9 | top 40% in California; top 33% 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 4.08, RN 0.73, weekend 3.74. 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 |
|---|---|---|---|---|
| Bak, Abraham | Individual | Direct Ownership Interest | NOT APPLICABLE | 04/13/2023 |
| Brandi, Robert | Individual | Indirect Ownership Interest | NOT APPLICABLE | 10/01/2022 |
| McCormack, Ryan | Individual | 5% or Greater Indirect Ownership Interest | 20% | 10/01/2022 |
| O'Shea, Brady | Individual | 5% or Greater Indirect Ownership Interest | 5% | 10/01/2022 |
| Spyglass Healthcare LLC | Organization | 5% or Greater Direct Ownership Interest | 50% | 10/01/2022 |
| Bak, Abraham | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/01/2022 |
| Bautista, Mary | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/01/2022 |
| Bautista, Mary | Individual | ADP of the SNF | NOT APPLICABLE | 10/01/2022 |
| Bowline, Andrea | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/01/2022 |
| Bowline, Andrea | Individual | ADP of the SNF | NOT APPLICABLE | 10/01/2022 |
| Duque, Elizalde | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/01/2022 |
| Duque, Elizalde | Individual | ADP of the SNF | NOT APPLICABLE | 10/01/2022 |
| Haunga, Veisinia | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/01/2022 |
| McCormack, Shane | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/01/2022 |
| McCormack, Shane | Individual | ADP of the SNF | NOT APPLICABLE | 10/01/2022 |
| Mejia-Aceituno, Kimberly | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/01/2022 |
| Mejia-Aceituno, Kimberly | Individual | ADP of the SNF | NOT APPLICABLE | 10/01/2022 |
| Smith, Gregory | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/01/2022 |
| Smith, Gregory | Individual | ADP of the SNF | NOT APPLICABLE | 10/01/2022 |
| Syed, Quratul | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/01/2022 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Under what circumstances would you discharge or transfer a resident, and what notice and appeal rights would we have?"
- "Who on your staff manages IV therapy, and what training and monitoring is in place?"
- "How do you explain health changes and treatment options to residents and their families?"
- "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
- "Before a resident is discharged or transferred, how do you make sure the new place can actually meet their needs?"
- "What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
- "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 |
|---|---|---|---|---|---|
| Camino Ridge Post-Acute | 0.4 mi | Mountain View, CA | ★☆☆☆☆ | 1/5 | |
| Villa Siena | 0.7 mi | Mountain View, CA | ★☆☆☆☆ | 3/5 | |
| Los Altos Post-Acute | 0.9 mi | Los Altos, CA | ★★★☆☆ | 3/5 | |
| Sunnyvale Post-Acute Center | 1.5 mi | Sunnyvale, CA | ★☆☆☆☆ | 1/5 | |
| Idylwood Care Center | 1.5 mi | Sunnyvale, CA | ★★★★★ | 4/5 | |
| Health Care Ctr at the Forum at Rancho San Antonio | 2.1 mi | Cupertino, CA | ★★★★☆ | 2/5 | |
| The Terraces at Los Altos Health Facility | 2.8 mi | Los Altos, CA | ★★★★☆ | 3/5 | |
| Sunnyvale Gardens Post Acute | 2.9 mi | Sunnyvale, CA | ★★★☆☆ | 2/5 | |
| Sunny View Manor | 3.1 mi | Cupertino, CA | ★★★★★ | 4/5 | |
| Cupertino Healthcare & Wellness Center | 3.5 mi | Cupertino, CA | ★★★☆☆ | 3/5 | |
| Cedar Crest Nursing and Rehabilitation Center | 3.5 mi | Sunnyvale, CA | ★★★★☆ | 3/5 | |
| Westwood Post Acute | 6.6 mi | San Jose, CA | ★★☆☆☆ | 1/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 055316.