Webster House

Name: Webster House
Address: 437 WEBSTER STREET, Palo Alto, CA, 94301, US
Telephone: 6503283300

437 Webster Street, Palo Alto, CA 94301 · Santa Clara County · 145 certified beds · avg 64 residents/day · certified since Jun 8, 1983

Part of chain: FRONT PORCH (9 facilities, chain avg rating 4.8★)

5/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

5.52

Nurse hours/resident/day (adjusted)

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

Health inspection rating: ★★★★★5/5 · 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 (23)

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
Jun 9, 2026	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
Jan 30, 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.
Jan 30, 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.
Feb 27, 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.
Feb 27, 2023	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.
Feb 27, 2023	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.
Feb 27, 2023	E · Potential for harm, repeated	The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature.
Feb 27, 2023	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.
Feb 27, 2023	D · Potential for harm, one-off	The facility did not reassess a resident after a significant change in their condition, such as a sudden decline in health. A full new assessment is required when a resident's condition changes in a major way.
Feb 27, 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.
Feb 27, 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.
Feb 27, 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.
Feb 27, 2023	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.
Feb 27, 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.
Feb 27, 2023	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.
Feb 27, 2023	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.
Feb 27, 2023	D · Potential for harm, one-off	The facility did not electronically submit complete and accurate staffing information to the government, based on payroll and other verifiable records.
Feb 27, 2023	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.
Nov 15, 2019	E · Potential for harm, repeated	The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature.
Nov 15, 2019	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.
Nov 15, 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.
Nov 15, 2019	D · Potential for harm, one-off	The facility did not provide routine dental care and 24-hour emergency dental care for residents.
Nov 15, 2019	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.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (15 → 2).

Year	Citations	Worst severity that year
2019	5	E
2023	15	E
2025	2	D
2026	1	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)

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)	5.52	4.31	3.95	top 8% in California; top 7% in the U.S.
Registered Nurse hours	1.16	0.61	0.69	top 7% in California; top 10% in the U.S.
Weekend total nurse staffing	4.14	3.90	3.50	top 26% in California; top 19% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.76	0.51	0.48	top 13% in California; top 13% in the U.S.
Total nursing staff turnover (%)	20.6	36.7	45.8	top 8% in California; top 3% in the U.S.
RN turnover (%)	36.4	38.1	42.9	top 49% in California; top 40% 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 5.05, RN 1.06, weekend 3.79. 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: 5/5

Who owns this facility

Non profit - Corporation

Owner / manager	Type	Role	Stake	Since
Front Porch Communities and Services	Organization	5% or Greater Direct Ownership Interest	100%	04/01/2022
Akopyan, Gevork	Individual	Operational/Managerial Control	NOT APPLICABLE	10/12/2022
Dunn, Michael	Individual	Operational/Managerial Control	NOT APPLICABLE	03/01/2026
Dunn, Michael	Individual	ADP of the SNF	NOT APPLICABLE	05/07/2026
Duranteau, Nancy	Individual	Corporate Director	NOT APPLICABLE	04/01/2021
Forte, Vincent	Individual	Corporate Director	NOT APPLICABLE	04/01/2021
Frederick, Melissa	Individual	Operational/Managerial Control	NOT APPLICABLE	12/30/2017
Frederick, Melissa	Individual	ADP of the SNF	NOT APPLICABLE	12/30/2017
Front Porch Communities and Services	Organization	ADP of the SNF	NOT APPLICABLE	04/01/2022
Handy, Joanne	Individual	Corporate Director	NOT APPLICABLE	04/01/2021
Ichien, Christopher	Individual	Operational/Managerial Control	NOT APPLICABLE	06/04/2018
Jacobs, Laura	Individual	Corporate Director	NOT APPLICABLE	01/01/2019
Jordan, Maria	Individual	Operational/Managerial Control	NOT APPLICABLE	12/19/2024
Kelly, Sean	Individual	Corporate Officer	NOT APPLICABLE	03/06/2023
Kelly, Sean	Individual	Operational/Managerial Control	NOT APPLICABLE	03/06/2023
Kroeker, Kevin	Individual	Corporate Director	NOT APPLICABLE	01/01/2018
Macango, Susan	Individual	Operational/Managerial Control	NOT APPLICABLE	05/04/2026
McGovern, Marion	Individual	Corporate Director	NOT APPLICABLE	01/01/2017
McMullin, Mary	Individual	Operational/Managerial Control	NOT APPLICABLE	04/01/2025
Merkin, Nickolas	Individual	Individual Is an Owner, Partner or Trustee of Any ADP of the SNF	NOT APPLICABLE	11/12/2025

Questions to ask on your visit

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

"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"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?"
"What alternatives do you try before using bed rails, and how do you involve families in that decision?"
"What is your current medication error rate, and what have you changed to bring errors down?"
"Could I join residents for a meal to see the food quality and temperature for myself?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"If my family member's health suddenly changes, how quickly do you reassess them and update their care?"
"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
Palo Alto Post-Acute	0.5 mi	Palo Alto, CA	★★★★☆	3/5
VI at Palo Alto	1.3 mi	Palo Alto, CA	★★★★★	4/5
Atherton Park Post-Acute	1.6 mi	Menlo Park, CA	★★★★☆	3/5
The Terraces at Los Altos Health Facility	4.6 mi	Los Altos, CA	★★★★☆	3/5
Devonshire Oaks Nursing Center	5.0 mi	Redwood City, CA	★★★★★	4/5
The Sequoias	6.1 mi	Portola Valley, CA	★★★★★	5/5
Villa Siena	6.5 mi	Mountain View, CA	★☆☆☆☆	3/5
Camino Ridge Post-Acute	6.9 mi	Mountain View, CA	★☆☆☆☆	1/5
Mountain View Healthcare Center	7.2 mi	Mountain View, CA	★★★☆☆	2/5
Los Altos Post-Acute	7.5 mi	Los Altos, CA	★★★☆☆	3/5
Belmont Healthcare Center	8.2 mi	Belmont, CA	★★★★★	5/5
Health Care Ctr at the Forum at Rancho San Antonio	8.6 mi	Cupertino, CA	★★★★☆	2/5

Compare this facility with the 3 closest →

All facilities in Palo Alto →

Facility data as of CMS processing date 2026-08-01. CCN 555156.

The Care File

Visit checklist — Webster House

437 Webster Street, Palo Alto, CA 94301 · 6503283300

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

Questions for the administrator:

☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "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?"
☐ "What alternatives do you try before using bed rails, and how do you involve families in that decision?"
☐ "What is your current medication error rate, and what have you changed to bring errors down?"
☐ "Could I join residents for a meal to see the food quality and temperature for myself?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "If my family member's health suddenly changes, how quickly do you reassess them and update their care?"
☐ "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 555156 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)