County: Santa Clara

City: Campbell

Camden Convalescent Hospital
(408) 377-4030 — 1331 Camden Avenue — Campbell, CA 95008


Services
How to interpret services information.

Cap.= 60 Type = SNF Medi-Cal: yes Medicare: no

From CANHR questionnaire returned 10/16/2002:
"Alzheimer's Unit": NoWanderer alert: No
Locked Ward: No
Types of Residents Accepted: D E I L P Q R S U
Types of Residents Not Accepted: A B F J M N O T
Languages spoken by direct-care staff: A I
Family Council: Yes

Violations Record
From Dept. of Public Health as of 4/30/2008;
Citations as of 5/1/2009.
Last DHS Certification Inspection = 8/27/2007.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2003 0 0 0 17 15 3 8.5
2004 0 0 0 12 17.8 3 9.2
2005 0 1 0 31 19.6 3 10.4
2006 0 0 0 38 20.8 14 12.5
2007 0 0 0 25 21.7 6 14.8
2008 0 0 0 0 12.1 0 6.3

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City: Campbell

Greenhills Manor
(408) 379-8114 — 238 Virginia Ave. — Campbell, CA 95008


Services
How to interpret services information.

Cap.= 45 Type = SNF Medi-Cal: yes Medicare: no

From CANHR questionnaire returned 4/25/2005:
"Alzheimer's Unit": NoWanderer alert: Yes
Locked Ward: No
Types of Residents Accepted: A D E I J P Q R S T U V
Types of Residents Not Accepted: B F L M N O
Languages spoken by direct-care staff: A I J
Family Council: No Family Council

Violations Record
From Dept. of Public Health as of 4/30/2008;
Citations as of 5/1/2009.
Last DHS Certification Inspection = 7/30/2007.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2003 0 0 1 19 15 5 8.5
2004 0 0 0 18 17.8 0 9.2
2005 0 0 0 12 19.6 0 10.4
2006 0 0 0 70 20.8 3 12.5
2007 0 0 0 22 21.7 6 14.8
2008 0 0 0 1 12.1 2 6.3

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City: Cupertino

Health Care Ctr at the Forum at Rancho San Antonio
(650) 944-0200 — 23600 Via Esplendor — Cupertino, CA 95014


Services
How to interpret services information.

Cap.= 48 Type = SNF / CCRC Medi-Cal: no Medicare: yes

From CANHR questionnaire returned 6/2/2005:
"Alzheimer's Unit": NoWanderer alert: Yes
Locked Ward: No
Types of Residents Accepted: A D E F I L M R S U V
Types of Residents Not Accepted: B J N O P Q T
Languages spoken by direct-care staff: A
Family Council: Not Specified

Violations Record
From Dept. of Public Health as of 4/30/2008;
Citations as of 5/1/2009.
Last DHS Certification Inspection = 8/1/2007.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2003 0 0 0 5 15 3 8.5
2004 0 0 0 8 17.8 0 9.2
2005 0 0 0 16 19.6 3 10.4
2006 0 0 0 17 20.8 2 12.5
2007 0 0 0 10 21.7 1 14.8
2008 0 0 0 0 12.1 0 6.3

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City: CUPERTINO

Pleasant View Convalescent Hospital
(408) 253-9034 — 22590 Voss Avenue — CUPERTINO, CA 95014


Services
How to interpret services information.

Cap.= 170 Type = SNF Medi-Cal: yes Medicare: yes

From CANHR questionnaire returned 8/20/2003:
"Alzheimer's Unit": NoWanderer alert: Yes
Locked Ward: No
Types of Residents Accepted: A D E F I L R S T U V
Types of Residents Not Accepted: B J M N O P Q
Languages spoken by direct-care staff: A B C E I
Family Council: No Family Council

Violations Record
From Dept. of Public Health as of 4/30/2008;
Citations as of 5/1/2009.
Last DHS Certification Inspection = 12/27/2007.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2003 0 0 0 16 15 13 8.5
2004 0 0 0 17 17.8 16 9.2
2005 0 0 0 18 19.6 21 10.4
2006 0 0 0 0 20.8 15 12.5
2007 1 0 0 34 21.7 6 14.8
2008 0 0 0 0 12.1 0 6.3

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City: Cupertino

Sunny View Manor
(408) 253-4300 — 22445 Cupertino Road — Cupertino, CA 95014


Services
How to interpret services information.

Cap.= 48 Type = SNF / CCRC Medi-Cal: yes Medicare: yes

From CANHR questionnaire returned 4/27/2005:
"Alzheimer's Unit": YesWanderer alert: Yes
Locked Ward: Yes
Types of Residents Accepted: B E I O
Types of Residents Not Accepted: A D F J L M N P Q R S T U V
Languages spoken by direct-care staff: A B I Y
Family Council: Yes

Violations Record
From Dept. of Public Health as of 4/30/2008;
Citations as of 5/1/2009.
Last DHS Certification Inspection = 12/3/2007.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2003 0 0 0 19 15 2 8.5
2004 0 0 0 13 17.8 12 9.2
2005 0 0 0 17 19.6 12 10.4
2006 0 0 0 19 20.8 4 12.5
2007 0 0 0 24 21.7 7 14.8
2008 0 0 0 0 12.1 2 6.3

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City: Gilroy

Gilroy Healthcare And Rehabilitation Center
(408) 842-9311 — 8170 Murray Avenue — Gilroy, Ca 95020


Services
How to interpret services information.

Cap.= 134 Type = SNF Medi-Cal: yes Medicare: yes

From CANHR questionnaire returned 7/8/1994:
"Alzheimer's Unit": YesWanderer alert: Yes
Locked Ward: Yes
Types of Residents Accepted: B I M O S
Types of Residents Not Accepted:
Languages spoken by direct-care staff:
Family Council: Yes

Violations Record
From Dept. of Public Health as of 4/30/2008;
Citations as of 5/1/2009.
Last DHS Certification Inspection = 11/14/2007.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2003 0 0 8 31 15 23 8.5
2004 0 0 0 12 17.8 17 9.2
2005 0 0 0 46 19.6 38 10.4
2006 0 0 2 38 20.8 34 12.5
2007 0 2 2 40 21.7 16 14.8
2008 0 0 1 6 12.1 15 6.3

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City: Gilroy

Saint Louise Regional Hospital D/P Snf
(408) 848-2000 — 9400 No Name Uno — Gilroy, CA 95020


Services
How to interpret services information.

Cap.= 21 Type = D/P SNF Medi-Cal: yes Medicare: yes

From CANHR questionnaire returned 1/1/1990:
"Alzheimer's Unit": Unk.Wanderer alert: Unk.
Locked Ward: Unk.
Types of Residents Accepted:
Types of Residents Not Accepted:
Languages spoken by direct-care staff:
Family Council: Not Specified

Violations Record
From Dept. of Public Health as of 4/30/2008;
Citations as of 5/1/2009.
Last DHS Certification Inspection = 4/21/2008.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2003 0 0 0 4 15 0 8.5
2004 0 0 0 3 17.8 0 9.2
2005 0 0 0 7 19.6 0 10.4
2006 0 0 0 0 20.8 0 12.5
2007 0 0 0 4 21.7 0 14.8
2008 0 0 0 4 12.1 1 6.3

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City: Los Altos

Los Altos Sub-Acute And Rehabilitation Center
(650) 941-5255 — 809 Fremont Avenue — Los Altos, Ca 94024


Services
How to interpret services information.

Cap.= 152 Type = SNF Medi-Cal: yes Medicare: yes

From CANHR questionnaire returned 3/8/2001:
"Alzheimer's Unit": NoWanderer alert: No
Locked Ward: No
Types of Residents Accepted: A D E F I L Q R S T U V
Types of Residents Not Accepted: J N O P
Languages spoken by direct-care staff: A B C I Y
Family Council: No Family Council

Violations Record
From Dept. of Public Health as of 4/30/2008;
Citations as of 5/1/2009.
Last DHS Certification Inspection = 7/18/2007.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2003 0 0 0 7 15 6 8.5
2004 0 0 0 20 17.8 13 9.2
2005 0 0 0 18 19.6 22 10.4
2006 0 0 0 24 20.8 23 12.5
2007 0 0 0 24 21.7 14 14.8
2008 0 0 0 0 12.1 17 6.3

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City: Los Altos

Pilgrim Haven Health Facility
(650) 948-8293 — 373 Pine Lane — Los Altos, CA 94022


Services
How to interpret services information.

Cap.= 66 Type = SNF / CCRC Medi-Cal: yes Medicare: yes

From CANHR questionnaire returned 5/28/1991:
"Alzheimer's Unit": NoWanderer alert: Yes
Locked Ward: No
Types of Residents Accepted: A O
Types of Residents Not Accepted: J N
Languages spoken by direct-care staff:
Family Council: Yes

Violations Record
From Dept. of Public Health as of 4/30/2008;
Citations as of 5/1/2009.
Last DHS Certification Inspection = 7/30/2007.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2003 0 0 0 13 15 2 8.5
2004 0 0 0 12 17.8 3 9.2
2005 0 0 0 16 19.6 4 10.4
2006 0 0 0 24 20.8 3 12.5
2007 0 0 0 24 21.7 9 14.8
2008 0 0 0 0 12.1 2 6.3

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City: Los Gatos

Los Gatos Meadows Geriatric Hospital
(408) 354-0211 — 110 Wood Road — Los Gatos, CA 95030


Services
How to interpret services information.

Cap.= 39 Type = SNF / CCRC Medi-Cal: no Medicare: yes

From CANHR questionnaire returned 5/11/2005:
"Alzheimer's Unit": NoWanderer alert: No
Locked Ward: No
Types of Residents Accepted: E F L M U
Types of Residents Not Accepted: A B D I J N O P Q R S T V
Languages spoken by direct-care staff: I
Family Council: No Family Council

Violations Record
From Dept. of Public Health as of 4/30/2008;
Citations as of 5/1/2009.
Last DHS Certification Inspection = 3/27/2008.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2003 0 0 0 3 15 2 8.5
2004 0 0 0 12 17.8 8 9.2
2005 0 0 0 33 19.6 1 10.4
2006 0 0 0 1 20.8 4 12.5
2007 0 0 0 9 21.7 6 14.8
2008 0 2 0 35 12.1 4 6.3

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City: Los Gatos

Los Gatos Oaks Convalescent Hospital
(408) 356-9146 — 16605 Lark Avenue — Los Gatos, CA 95030


Services
How to interpret services information.

Cap.= 28 Type = SNF Medi-Cal: yes Medicare: yes

From CANHR questionnaire returned 5/2/1994:
"Alzheimer's Unit": NoWanderer alert: No
Locked Ward: No
Types of Residents Accepted: A S
Types of Residents Not Accepted: F J M N O
Languages spoken by direct-care staff: D I
Family Council: No Family Council

Violations Record
From Dept. of Public Health as of 4/30/2008;
Citations as of 5/1/2009.
Last DHS Certification Inspection = 7/25/2007.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2003 0 0 0 26 15 3 8.5
2004 0 1 0 14 17.8 2 9.2
2005 0 0 1 22 19.6 3 10.4
2006 0 0 0 17 20.8 0 12.5
2007 0 0 0 25 21.7 2 14.8
2008 0 0 0 0 12.1 1 6.3

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City: Los Gatos

Oak Meadows Extended Care Center
(408) 356-9151 — 350 De Soto Drive — Los Gatos, CA 95030


Services
How to interpret services information.

Cap.= 73 Type = SNF Medi-Cal: yes Medicare: yes

From CANHR questionnaire returned 4/17/1995:
"Alzheimer's Unit": NoWanderer alert: Yes
Locked Ward: No
Types of Residents Accepted: A F I L N O S
Types of Residents Not Accepted: J M
Languages spoken by direct-care staff: B D G I Q Y dd ee ff
Family Council: Yes

Violations Record
From Dept. of Public Health as of 4/30/2008;
Citations as of 5/1/2009.
Last DHS Certification Inspection = 3/25/2008.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2003 0 0 0 33 15 7 8.5
2004 0 0 0 12 17.8 5 9.2
2005 0 0 0 53 19.6 8 10.4
2006 0 0 0 4 20.8 7 12.5
2007 0 0 0 21 21.7 8 14.8
2008 0 1 2 16 12.1 1 6.3

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City: Los Gatos

Terraces of Los Gatos, The
(408) 356-1006 — 800 Blossom Hill Road — Los Gatos, Ca 95032


Services
How to interpret services information.

Cap.= 59 Type = SNF / CCRC Medi-Cal: yes Medicare: yes

From CANHR questionnaire returned 3/10/1998:
"Alzheimer's Unit": NoWanderer alert: Yes
Locked Ward: No
Types of Residents Accepted: A D E F I O
Types of Residents Not Accepted: J L M N
Languages spoken by direct-care staff: A B I J V
Family Council: Yes

Violations Record
From Dept. of Public Health as of 4/30/2008;
Citations as of 5/1/2009.
Last DHS Certification Inspection = 5/16/2007.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2003 0 0 0 5 15 3 8.5
2004 0 0 0 2 17.8 0 9.2
2005 0 0 0 37 19.6 0 10.4
2006 0 0 0 0 20.8 1 12.5
2007 0 0 1 23 21.7 4 14.8
2008 0 0 0 0 12.1 0 6.3

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City: Los Gatos

Terreno Gardens Extended Care Center
(408) 356-8136 — 14966 Terreno De Flores Lane — Los Gatos, CA 95030


Services
How to interpret services information.

Cap.= 65 Type = SNF Medi-Cal: yes Medicare: yes

From CANHR questionnaire returned 1/13/1993:
"Alzheimer's Unit": NoWanderer alert: Yes
Locked Ward: No
Types of Residents Accepted: A F I L O S
Types of Residents Not Accepted: J N
Languages spoken by direct-care staff: A D G I
Family Council: Not Specified

Violations Record
From Dept. of Public Health as of 4/30/2008;
Citations as of 5/1/2009.
Last DHS Certification Inspection = 4/24/2008.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2003 0 0 0 10 15 6 8.5
2004 0 0 0 20 17.8 9 9.2
2005 0 0 0 33 19.6 1 10.4
2006 0 0 0 15 20.8 3 12.5
2007 0 0 0 22 21.7 4 14.8
2008 0 0 0 19 12.1 3 6.3

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City: Los Gatos

Vasona Creek Healthcare Center
(408) 356-2191 — 16412 Los Gatos Boulevard — Los Gatos, Ca 95030


Services
How to interpret services information.

Cap.= 148 Type = SNF Medi-Cal: yes Medicare: yes

From CANHR questionnaire returned 5/1/1991:
"Alzheimer's Unit": NoWanderer alert: No
Locked Ward: No
Types of Residents Accepted: A L N
Types of Residents Not Accepted: J O
Languages spoken by direct-care staff:
Family Council: Yes

Violations Record
From Dept. of Public Health as of 4/30/2008;
Citations as of 5/1/2009.
Last DHS Certification Inspection = 8/27/2007.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2003 0 0 1 28 15 16 8.5
2004 0 0 3 17 17.8 15 9.2
2005 0 0 0 17 19.6 11 10.4
2006 0 0 0 22 20.8 10 12.5
2007 0 0 0 30 21.7 18 14.8
2008 0 0 2 4 12.1 5 6.3

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City: Milpitas

Milpitas Care Center
(408) 262-0217 — 120 Corning Ave. — Milpitas, CA 95035


Services
How to interpret services information.

Cap.= 35 Type = SNF Medi-Cal: yes Medicare: yes

From CANHR questionnaire returned 4/2/2001:
"Alzheimer's Unit": Unk.Wanderer alert: Unk.
Locked Ward: Unk.
Types of Residents Accepted: A D E F I J L N O Q R S T U V
Types of Residents Not Accepted: P
Languages spoken by direct-care staff: A B G I
Family Council: Yes

Violations Record
From Dept. of Public Health as of 4/30/2008;
Citations as of 5/1/2009.
Last DHS Certification Inspection = 7/6/2007.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2003 0 0 0 15 15 1 8.5
2004 0 0 0 10 17.8 0 9.2
2005 0 0 0 17 19.6 1 10.4
2006 0 0 1 26 20.8 0 12.5
2007 0 0 0 23 21.7 0 14.8
2008 0 0 0 0 12.1 0 6.3

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City: Morgan Hill

Hillview Convalescent Hospital
(408) 779-3633 — 530 W. Dunne & La Selva — Morgan Hill, CA 95037


Services
How to interpret services information.

Cap.= 52 Type = SNF Medi-Cal: yes Medicare: yes

From CANHR questionnaire returned 5/30/2001:
"Alzheimer's Unit": NoWanderer alert: Yes
Locked Ward: No
Types of Residents Accepted: A D E I J L O Q R S U V
Types of Residents Not Accepted: F N
Languages spoken by direct-care staff: A B C I
Family Council: Not Specified

Violations Record
From Dept. of Public Health as of 4/30/2008;
Citations as of 5/1/2009.
Last DHS Certification Inspection = 2/25/2008.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2003 0 0 0 17 15 1 8.5
2004 0 0 0 45 17.8 1 9.2
2005 0 0 0 24 19.6 1 10.4
2006 0 0 0 15 20.8 3 12.5
2007 0 0 0 0 21.7 5 14.8
2008 0 0 0 17 12.1 0 6.3

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City: Morgan Hill

Pacific Hills Manor
(408) 779-7346 — 370 Noble Court — Morgan Hill, CA 95037


Services
How to interpret services information.

Cap.= 99 Type = SNF Medi-Cal: yes Medicare: yes

From CANHR questionnaire returned 5/21/2001:
"Alzheimer's Unit": NoWanderer alert: Yes
Locked Ward: No
Types of Residents Accepted: A D E F I L P Q R S T U V
Types of Residents Not Accepted: J N O
Languages spoken by direct-care staff: A I
Family Council: Not Specified

Violations Record
From Dept. of Public Health as of 4/30/2008;
Citations as of 5/1/2009.
Last DHS Certification Inspection = 7/26/2007.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2003 0 0 0 22 15 11 8.5
2004 0 0 0 32 17.8 9 9.2
2005 0 0 0 42 19.6 14 10.4
2006 0 0 0 28 20.8 8 12.5
2007 0 0 1 38 21.7 8 14.8
2008 0 0 6 2 12.1 3 6.3

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City: Mountain View

El Camino Hospital D/P SNF
(650) 940-7300 — 2500 Grant Road — Mountain View, CA 94040


Services
How to interpret services information.

Cap.= 60 Type = D/P SNF Medi-Cal: yes Medicare: yes

From CANHR questionnaire returned 1/31/1996:
"Alzheimer's Unit": NoWanderer alert: No
Locked Ward: No
Types of Residents Accepted: A F I M S
Types of Residents Not Accepted: J N O
Languages spoken by direct-care staff: A D I J hh qq
Family Council: No Family Council

Violations Record
From Dept. of Public Health as of 4/30/2008;
Citations as of 5/1/2009.
Last DHS Certification Inspection = 12/12/2007.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2003 0 0 0 2 15 5 8.5
2004 0 0 0 6 17.8 2 9.2
2005 0 0 0 8 19.6 6 10.4
2006 0 0 0 1 20.8 2 12.5
2007 0 0 0 12 21.7 0 14.8
2008 0 0 0 0 12.1 0 6.3

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City: Mountain View

Grant Cuesta Sub-Acute and Rehabilitation Center
(650) 968-2990 — 1949 Grant Road — Mountain View, CA 94040


Services
How to interpret services information.

Cap.= 102 Type = SNF Medi-Cal: yes Medicare: yes

From CANHR questionnaire returned 6/15/1991:
"Alzheimer's Unit": NoWanderer alert: No
Locked Ward: No
Types of Residents Accepted: A I L S
Types of Residents Not Accepted: F J N O
Languages spoken by direct-care staff: A I
Family Council: Yes

Violations Record
From Dept. of Public Health as of 4/30/2008;
Citations as of 5/1/2009.
Last DHS Certification Inspection = 7/2/2007.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2003 0 0 0 18 15 4 8.5
2004 0 0 0 11 17.8 1 9.2
2005 0 0 0 23 19.6 12 10.4
2006 0 0 0 0 20.8 11 12.5
2007 0 0 0 17 21.7 5 14.8
2008 0 0 0 0 12.1 2 6.3

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City: Mountain View

Mountain View Healthcare Center
(650) 961-6161 — 2530 Solace Place — Mountain View, CA 94040


Services
How to interpret services information.

Cap.= 138 Type = SNF Medi-Cal: yes Medicare: yes

From CANHR questionnaire returned 4/27/2001:
"Alzheimer's Unit": YesWanderer alert: No
Locked Ward: No
Types of Residents Accepted: B D E F I L O U V
Types of Residents Not Accepted:
Languages spoken by direct-care staff: A I L V
Family Council: Yes

Violations Record
From Dept. of Public Health as of 4/30/2008;
Citations as of 5/1/2009.
Last DHS Certification Inspection = 3/4/2008.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2003 0 0 0 16 15 6 8.5
2004 0 0 0 23 17.8 33 9.2
2005 0 0 0 0 19.6 8 10.4
2006 0 0 0 23 20.8 19 12.5
2007 0 0 0 32 21.7 10 14.8
2008 0 0 0 12 12.1 5 6.3

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City: Mountain View

Villa Siena
(650) 961-6484 — 1855 Miramonte Ave. — Mountain View, CA 94040


Services
How to interpret services information.

Cap.= 20 Type = SNF Medi-Cal: yes Medicare: no

From CANHR questionnaire returned 9/5/2001:
"Alzheimer's Unit": Unk.Wanderer alert: Yes
Locked Ward: Unk.
Types of Residents Accepted: D E L O Q R S
Types of Residents Not Accepted:
Languages spoken by direct-care staff: A I
Family Council: Not Specified

Violations Record
From Dept. of Public Health as of 4/30/2008;
Citations as of 5/1/2009.
Last DHS Certification Inspection = 7/2/2007.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2003 0 0 0 1 15 1 8.5
2004 0 0 0 18 17.8 0 9.2
2005 0 0 0 13 19.6 0 10.4
2006 0 0 0 9 20.8 0 12.5
2007 0 0 0 18 21.7 0 14.8
2008 0 0 0 0 12.1 1 6.3

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City: Palo Alto

Casa Olga Intermediate Health Care Facility
(650) 325-7821 — 180 Hamilton Avenue — Palo Alto, CA 94301


Services
How to interpret services information.

Cap.= 103 Type = ICF Medi-Cal: yes Medicare: no

From CANHR questionnaire returned 3/10/1998:
"Alzheimer's Unit": NoWanderer alert: No
Locked Ward: No
Types of Residents Accepted: I
Types of Residents Not Accepted: D E F J L M N O
Languages spoken by direct-care staff: A F G I V Y
Family Council: No Family Council

Violations Record
From Dept. of Public Health as of 4/30/2008;
Citations as of 5/1/2009.
Last DHS Certification Inspection = 3/2/2008.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2003 0 0 0 8 15 27 8.5
2004 0 0 0 8 17.8 13 9.2
2005 0 0 0 14 19.6 27 10.4
2006 0 0 0 0 20.8 16 12.5
2007 0 0 0 20 21.7 29 14.8
2008 0 0 0 17 12.1 12 6.3

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City: Palo Alto

Channing House
(650) 327-0950 — 850 Webster Street — Palo Alto, CA 94301


Services
How to interpret services information.

Cap.= 21 Type = SNF / CCRC Medi-Cal: no Medicare: no

From CANHR questionnaire returned 4/21/2005:
"Alzheimer's Unit": YesWanderer alert: Yes
Locked Ward: No
Types of Residents Accepted: B D E I O U
Types of Residents Not Accepted: A F J L M N P Q R S T V
Languages spoken by direct-care staff: A I
Family Council: No Family Council

Violations Record
From Dept. of Public Health as of 4/30/2008;
Citations as of 5/1/2009.
Last DHS Certification Inspection = 7/9/1996.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2003 0 0 0 0 15 3 8.5
2004 0 0 0 0 17.8 0 9.2
2005 0 0 0 0 19.6 0 10.4
2006 0 0 0 0 20.8 0 12.5
2007 0 0 0 0 21.7 3 14.8
2008 0 0 0 0 12.1 0 6.3

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City: Palo Alto

Classic Residence by Hyatt in Palo Alto
— 600 Sand Hill Road — Palo Alto, CA 94304


Services
How to interpret services information.

Cap.= 44 Type = SNF / CCRC Medi-Cal: no Medicare: yes

Violations Record
From Dept. of Public Health as of 4/30/2008;
Citations as of 5/1/2009.
Last DHS Certification Inspection = 10/25/2007.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2003 0 0 0 0 15 0 8.5
2004 0 0 0 0 17.8 0 9.2
2005 0 0 0 0 19.6 0 10.4
2006 0 0 0 0 20.8 0 12.5
2007 0 0 0 0 21.7 0 14.8
2008 0 1 0 1 12.1 3 6.3

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City: Palo Alto

Lytton Gardens Health Care Center
(650) 328-3300 — 437 Webster Street — Palo Alto, CA 94301


Services
How to interpret services information.

Cap.= 145 Type = SNF Medi-Cal: yes Medicare: yes

From CANHR questionnaire returned 4/18/2002:
"Alzheimer's Unit": YesWanderer alert: Yes
Locked Ward: No
Types of Residents Accepted: A B D E F I L M O P U V
Types of Residents Not Accepted: J N Q R S T
Languages spoken by direct-care staff: A B C I
Family Council: Not Specified

Violations Record
From Dept. of Public Health as of 4/30/2008;
Citations as of 5/1/2009.
Last DHS Certification Inspection = 10/11/2007.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2003 0 0 1 20 15 9 8.5
2004 0 0 0 11 17.8 25 9.2
2005 0 0 0 18 19.6 1 10.4
2006 0 0 0 0 20.8 29 12.5
2007 0 0 0 11 21.7 6 14.8
2008 0 0 0 0 12.1 2 6.3

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City: Palo Alto

Palo Alto Nursing Center
(650) 327-0511 — 911 Bryant Street — Palo Alto, CA 94301


Services
How to interpret services information.

Cap.= 66 Type = SNF Medi-Cal: yes Medicare: yes

From CANHR questionnaire returned 5/23/2001:
"Alzheimer's Unit": NoWanderer alert: Yes
Locked Ward: No
Types of Residents Accepted: A D E F I J L N O Q R S T U V
Types of Residents Not Accepted: P
Languages spoken by direct-care staff: A I
Family Council: Not Specified

Violations Record
From Dept. of Public Health as of 4/30/2008;
Citations as of 5/1/2009.
Last DHS Certification Inspection = 4/24/2008.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2003 0 0 0 27 15 5 8.5
2004 0 0 0 15 17.8 5 9.2
2005 0 0 0 12 19.6 1 10.4
2006 0 0 0 15 20.8 16 12.5
2007 0 0 0 26 21.7 3 14.8
2008 0 0 0 21 12.1 1 6.3

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City: San Jose

A Grace Sub Acute & Skilled Care
(408) 241-3844 — 1250 S. Winchester Boulevard — San Jose, CA 95128


Services
How to interpret services information.

Cap.= 166 Type = SNF Medi-Cal: yes Medicare: yes

From CANHR questionnaire returned 11/6/2003:
"Alzheimer's Unit": NoWanderer alert: Yes
Locked Ward: No
Types of Residents Accepted: A D E F I L M N P Q R S T U V
Types of Residents Not Accepted: B J O
Languages spoken by direct-care staff: A G I J dd jj pp
Family Council: Yes

Violations Record
From Dept. of Public Health as of 4/30/2008;
Citations as of 5/1/2009.
Last DHS Certification Inspection = 12/11/2007.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2003 0 0 0 30 15 41 8.5
2004 0 0 0 27 17.8 19 9.2
2005 0 0 1 37 19.6 31 10.4
2006 0 0 0 36 20.8 55 12.5
2007 0 1 4 44 21.7 46 14.8
2008 0 0 2 6 12.1 9 6.3

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City: San Jose

Almaden Health And Rehabilitation Center
(408) 377-9275 — 2065 Los Gatos-Almaden Road — San Jose, CA 95124


Services
How to interpret services information.

Cap.= 77 Type = SNF Medi-Cal: yes Medicare: yes

From CANHR questionnaire returned 4/6/1995:
"Alzheimer's Unit": NoWanderer alert: Yes
Locked Ward: No
Types of Residents Accepted: A F I L M O S
Types of Residents Not Accepted: J N
Languages spoken by direct-care staff: I L
Family Council: Yes

Violations Record
From Dept. of Public Health as of 4/30/2008;
Citations as of 5/1/2009.
Last DHS Certification Inspection = 4/24/2007.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2003 0 0 0 15 15 3 8.5
2004 0 0 3 5 17.8 5 9.2
2005 0 0 0 19 19.6 9 10.4
2006 0 0 1 24 20.8 6 12.5
2007 0 0 1 52 21.7 30 14.8
2008 0 0 3 13 12.1 16 6.3

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City: San Jose

Amberwood Gardens
(408) 253-7502 — 1601 Petersen Avenue — San Jose, Ca 95129


Services
How to interpret services information.

Cap.= 258 Type = SNF Medi-Cal: yes Medicare: yes

From CANHR questionnaire returned 1/1/1996:
"Alzheimer's Unit": NoWanderer alert: Yes
Locked Ward: No
Types of Residents Accepted: A D E F I L M
Types of Residents Not Accepted: J N O
Languages spoken by direct-care staff: A B C F G
Family Council: Yes

Violations Record
From Dept. of Public Health as of 4/30/2008;
Citations as of 5/1/2009.
Last DHS Certification Inspection = 6/14/2007.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2003 0 0 2 38 15 31 8.5
2004 0 0 0 16 17.8 16 9.2
2005 0 0 1 32 19.6 30 10.4
2006 0 0 2 28 20.8 21 12.5
2007 0 1 3 58 21.7 48 14.8
2008 0 0 6 9 12.1 14 6.3

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City: San Jose

Bellerose Convalescent Hospital
(408) 286-4161 — 100 Bellerose Drive — San Jose, CA 95128


Services
How to interpret services information.

Cap.= 39 Type = SNF Medi-Cal: yes Medicare: yes

From CANHR questionnaire returned 8/26/2003:
"Alzheimer's Unit": NoWanderer alert: No
Locked Ward: No
Types of Residents Accepted: D E I L U
Types of Residents Not Accepted: A B F J M N O P Q R S T V
Languages spoken by direct-care staff: A
Family Council: No Family Council

Violations Record
From Dept. of Public Health as of 4/30/2008;
Citations as of 5/1/2009.
Last DHS Certification Inspection = 5/2/2007.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2003 0 0 0 4 15 5 8.5
2004 0 0 1 13 17.8 13 9.2
2005 0 0 0 11 19.6 0 10.4
2006 0 0 0 20 20.8 3 12.5
2007 0 0 0 38 21.7 2 14.8
2008 0 1 0 0 12.1 0 6.3

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City: San Jose

Courtyard Care Center
(408) 249-0344 — 340 Northlake Drive — San Jose, CA 95117


Services
How to interpret services information.

Cap.= 76 Type = SNF Medi-Cal: yes Medicare: yes

From CANHR questionnaire returned 3/7/2001:
"Alzheimer's Unit": NoWanderer alert: No
Locked Ward: No
Types of Residents Accepted: A D E F I J L N O P R S T U V
Types of Residents Not Accepted:
Languages spoken by direct-care staff: A C I
Family Council: Yes

Violations Record
From Dept. of Public Health as of 4/30/2008;
Citations as of 5/1/2009.
Last DHS Certification Inspection = 1/8/2008.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2003 0 0 0 33 15 12 8.5
2004 0 0 0 8 17.8 10 9.2
2005 0 0 0 22 19.6 26 10.4
2006 0 1 1 34 20.8 30 12.5
2007 0 0 5 28 21.7 15 14.8
2008 0 0 1 3 12.1 1 6.3

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City: San Jose

Empress Care Center, Llc
(408) 287-0616 — 1299 S. Bascom Avenue — San Jose, Ca 95128


Services
How to interpret services information.

Cap.= 67 Type = SNF Medi-Cal: yes Medicare: yes

From CANHR questionnaire returned 3/6/2001:
"Alzheimer's Unit": NoWanderer alert: Yes
Locked Ward: No
Types of Residents Accepted: A D E F I J L N O Q R S T U V
Types of Residents Not Accepted: P
Languages spoken by direct-care staff: A I
Family Council: No Family Council

Violations Record
From Dept. of Public Health as of 4/30/2008;
Citations as of 5/1/2009.
Last DHS Certification Inspection = 1/9/2008.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2003 0 0 0 22 15 15 8.5
2004 0 0 0 18 17.8 10 9.2
2005 0 0 0 45 19.6 9 10.4
2006 0 0 1 16 20.8 10 12.5
2007 0 0 3 2 21.7 8 14.8
2008 0 0 0 27 12.1 1 6.3

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City: San Jose

Golden Livingcenter - San Jose
(408) 923-7232 — 401 Ridge Vista Avenue — San Jose, CA 95127


Services
How to interpret services information.

Cap.= 116 Type = SNF (IMD) Medi-Cal: yes Medicare: no

From CANHR questionnaire returned 4/22/1994:
"Alzheimer's Unit": NoWanderer alert: No
Locked Ward: Yes
Types of Residents Accepted: J O
Types of Residents Not Accepted: A F I M N S
Languages spoken by direct-care staff:
Family Council: Yes

Violations Record
From Dept. of Public Health as of 4/30/2008;
Citations as of 5/1/2009.
Last DHS Certification Inspection = 3/18/2008.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2003 0 0 2 27 15 35 8.5
2004 0 0 0 8 17.8 13 9.2
2005 0 0 0 16 19.6 36 10.4
2006 0 0 0 20 20.8 78 12.5
2007 0 0 1 1 21.7 112 14.8
2008 0 0 3 22 12.1 34 6.3

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City: San Jose

Good Samaritan Hospital D/P Snf
(408) 559-2011 — 2425 Samaritan Drive — San Jose, CA 95124


Services
How to interpret services information.

Cap.= 27 Type = D/P SNF Medi-Cal: yes Medicare: yes

From CANHR questionnaire returned 1/1/1990:
"Alzheimer's Unit": Unk.Wanderer alert: Unk.
Locked Ward: Unk.
Types of Residents Accepted:
Types of Residents Not Accepted:
Languages spoken by direct-care staff:
Family Council: Not Specified

Violations Record
From Dept. of Public Health as of 4/30/2008;
Citations as of 5/1/2009.
Last DHS Certification Inspection = 1/13/2005.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2003 0 0 0 3 15 1 8.5
2004 0 0 0 2 17.8 2 9.2
2005 0 0 0 13 19.6 0 10.4
2006 0 0 0 0 20.8 0 12.5
2007 0 0 0 0 21.7 0 14.8
2008 0 0 0 0 12.1 0 6.3

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City: San Jose

Herman Health Care Center
(408) 269-0701 — 2295 Plummer Avenue — San Jose, CA 95125


Services
How to interpret services information.

Cap.= 99 Type = SNF Medi-Cal: yes Medicare: no

From CANHR questionnaire returned 1/19/1993:
"Alzheimer's Unit": NoWanderer alert: No
Locked Ward: Yes
Types of Residents Accepted: O
Types of Residents Not Accepted: A F I J N S
Languages spoken by direct-care staff: D G I L M hh mm
Family Council: Yes

Violations Record
From Dept. of Public Health as of 4/30/2008;
Citations as of 5/1/2009.
Last DHS Certification Inspection = 1/9/2008.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2003 0 0 0 19 15 2 8.5
2004 0 0 0 27 17.8 4 9.2
2005 0 0 0 26 19.6 0 10.4
2006 0 1 0 25 20.8 6 12.5
2007 0 0 0 2 21.7 6 14.8
2008 0 0 4 34 12.1 7 6.3

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City: San Jose

Homewood Care Center
(408) 295-2665 — 75 N. 13th Street — San Jose, CA 95112


Services
How to interpret services information.

Cap.= 58 Type = SNF Medi-Cal: yes Medicare: yes

From CANHR questionnaire returned 4/22/2005:
"Alzheimer's Unit": NoWanderer alert: Yes
Locked Ward: No
Types of Residents Accepted: A B D E F I J L O P Q R S T U V
Types of Residents Not Accepted: M N
Languages spoken by direct-care staff: A B E I Y
Family Council: No Family Council

Violations Record
From Dept. of Public Health as of 4/30/2008;
Citations as of 5/1/2009.
Last DHS Certification Inspection = 3/26/2008.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2003 0 0 0 13 15 3 8.5
2004 0 0 0 17 17.8 4 9.2
2005 0 0 0 17 19.6 6 10.4
2006 0 0 0 25 20.8 12 12.5
2007 1 0 1 13 21.7 17 14.8
2008 0 0 0 24 12.1 1 6.3

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City: San Jose

Lincoln Glen Skilled Nursing
(408) 265-3222 — 2671 Plummer Avenue — San Jose, CA 95125


Services
How to interpret services information.

Cap.= 59 Type = SNF Medi-Cal: yes Medicare: yes

From CANHR questionnaire returned 9/7/2001:
"Alzheimer's Unit": NoWanderer alert: Yes
Locked Ward: No
Types of Residents Accepted: A D E I J O Q R S T U V
Types of Residents Not Accepted: F L N P
Languages spoken by direct-care staff: A B I
Family Council: Not Specified

Violations Record
From Dept. of Public Health as of 4/30/2008;
Citations as of 5/1/2009.
Last DHS Certification Inspection = 6/20/2007.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2003 0 0 0 3 15 1 8.5
2004 0 0 0 16 17.8 4 9.2
2005 0 0 0 9 19.6 3 10.4
2006 0 0 0 11 20.8 4 12.5
2007 0 0 3 35 21.7 10 14.8
2008 0 0 0 0 12.1 1 6.3

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City: San Jose

Mission De La Casa
(408) 238-9751 — 2501 Alvin Avenue — San Jose, CA 95121


Services
How to interpret services information.

Cap.= 163 Type = SNF Medi-Cal: yes Medicare: yes

From CANHR questionnaire returned 5/4/2005:
"Alzheimer's Unit": YesWanderer alert: Yes
Locked Ward: Yes
Types of Residents Accepted: A B D E F I J O P Q R S T U V
Types of Residents Not Accepted: L M N
Languages spoken by direct-care staff: A B C G I
Family Council: No Family Council

Violations Record
From Dept. of Public Health as of 4/30/2008;
Citations as of 5/1/2009.
Last DHS Certification Inspection = 2/7/2008.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2003 0 0 1 19 15 8 8.5
2004 1 0 1 19 17.8 9 9.2
2005 0 0 1 24 19.6 9 10.4
2006 0 0 0 18 20.8 11 12.5
2007 0 0 1 10 21.7 22 14.8
2008 0 0 3 34 12.1 3 6.3

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City: San Jose

Mt. Pleasant Nursing Center
(408) 251-3070 — 1355 Clayton Road — San Jose, CA 95127


Services
How to interpret services information.

Cap.= 54 Type = SNF Medi-Cal: yes Medicare: yes

From CANHR questionnaire returned 4/23/2002:
"Alzheimer's Unit": NoWanderer alert: Yes
Locked Ward: No
Types of Residents Accepted: A D E I L O R S U V
Types of Residents Not Accepted: B F J M N T
Languages spoken by direct-care staff:
Family Council: Not Specified

Violations Record
From Dept. of Public Health as of 4/30/2008;
Citations as of 5/1/2009.
Last DHS Certification Inspection = 2/20/2008.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2003 0 0 1 21 15 5 8.5
2004 0 0 1 43 17.8 5 9.2
2005 0 0 0 18 19.6 5 10.4
2006 0 0 1 24 20.8 5 12.5
2007 0 0 0 1 21.7 4 14.8
2008 0 0 0 33 12.1 2 6.3

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City: San Jose

O'Connor Hospital D/P SNF
(408) 947-2564 — 2105 Forest Avenue — San Jose, CA 95128


Services
How to interpret services information.

Cap.= 24 Type = D/P SNF Medi-Cal: no Medicare: yes

From CANHR questionnaire returned 1/1/1990:
"Alzheimer's Unit": Unk.Wanderer alert: Unk.
Locked Ward: Unk.
Types of Residents Accepted:
Types of Residents Not Accepted:
Languages spoken by direct-care staff:
Family Council: Not Specified

Violations Record
From Dept. of Public Health as of 4/30/2008;
Citations as of 5/1/2009.
Last DHS Certification Inspection = 8/23/2007.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2003 0 0 0 8 15 0 8.5
2004 0 0 0 5 17.8 3 9.2
2005 0 0 0 11 19.6 0 10.4
2006 0 0 0 4 20.8 0 12.5
2007 0 0 0 9 21.7 0 14.8
2008 0 0 0 0 12.1 0 6.3

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City: San Jose

Plum Tree Care Center
(408) 356-8181 — 2580 Samaritan Drive — San Jose, CA 95124


Services
How to interpret services information.

Cap.= 76 Type = SNF Medi-Cal: Withdrawn Medicare: yes

From CANHR questionnaire returned 5/5/1995:
"Alzheimer's Unit": YesWanderer alert: Yes
Locked Ward: No
Types of Residents Accepted: A B F I J L M N O S
Types of Residents Not Accepted:
Languages spoken by direct-care staff: A B C E G H I J U gg jj qq
Family Council: Yes

Violations Record
From Dept. of Public Health as of 4/30/2008;
Citations as of 5/1/2009.
Last DHS Certification Inspection = 11/15/2007.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2003 0 0 1 14 15 7 8.5
2004 0 0 0 12 17.8 4 9.2
2005 0 0 0 19 19.6 2 10.4
2006 0 0 0 4 20.8 2 12.5
2007 0 0 0 29 21.7 3 14.8
2008 0 0 0 0 12.1 2 6.3

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City: San Jose

San Jose Healthcare Center
(408) 259-8700 — 180 Jackson Avenue — San Jose, CA 95116


Services
How to interpret services information.

Cap.= 199 Type = SNF Medi-Cal: yes Medicare: yes

From CANHR questionnaire returned 4/22/1994:
"Alzheimer's Unit": NoWanderer alert: Yes
Locked Ward: No
Types of Residents Accepted: O S
Types of Residents Not Accepted: A F J M N
Languages spoken by direct-care staff: A I J hh kk
Family Council: No Family Council

Violations Record
From Dept. of Public Health as of 4/30/2008;
Citations as of 5/1/2009.
Last DHS Certification Inspection = 10/22/2007.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2003 0 0 1 5 15 6 8.5
2004 0 0 1 16 17.8 9 9.2
2005 0 0 0 16 19.6 19 10.4
2006 2 1 1 29 20.8 18 12.5
2007 0 0 1 34 21.7 15 14.8
2008 0 0 1 2 12.1 7 6.3

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City: San Jose

San Tomas Convalescent Hospital
(408) 248-7100 — 3580 Payne Avenue — San Jose, CA 95117


Services
How to interpret services information.

Cap.= 130 Type = SNF Medi-Cal: yes Medicare: yes

From CANHR questionnaire returned 5/12/1995:
"Alzheimer's Unit": NoWanderer alert: Yes
Locked Ward: No
Types of Residents Accepted: A I L
Types of Residents Not Accepted: F J M N O S
Languages spoken by direct-care staff: A D E I
Family Council: Yes

Violations Record
From Dept. of Public Health as of 4/30/2008;
Citations as of 5/1/2009.
Last DHS Certification Inspection = 9/26/2007.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2003 0 0 0 8 15 10 8.5
2004 0 0 0 22 17.8 4 9.2
2005 0 0 0 54 19.6 6 10.4
2006 0 0 0 24 20.8 10 12.5
2007 0 0 0 43 21.7 19 14.8
2008 0 0 0 1 12.1 5 6.3

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City: San Jose

Skyline Healthcare Center - San Jose
(408) 280-2500 — 2065 Forest Avenue — San Jose, CA 95128


Services
How to interpret services information.

Cap.= 253 Type = SNF Medi-Cal: yes Medicare: yes

From CANHR questionnaire returned 4/22/2002:
"Alzheimer's Unit": NoWanderer alert: Yes
Locked Ward: No
Types of Residents Accepted: A B D E F I L P Q R S T U V
Types of Residents Not Accepted: J M N O
Languages spoken by direct-care staff: A F G I
Family Council: Not Specified

Violations Record
From Dept. of Public Health as of 4/30/2008;
Citations as of 5/1/2009.
Last DHS Certification Inspection = 7/24/2007.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2003 0 0 0 19 15 17 8.5
2004 0 0 0 0 17.8 10 9.2
2005 0 1 0 25 19.6 15 10.4
2006 0 0 0 21 20.8 33 12.5
2007 0 0 2 52 21.7 38 14.8
2008 0 1 3 1 12.1 7 6.3

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City: San Jose

Vista Manor Nursing Center
(408) 272-1400 — 120 Jose Figueres Avenue — San Jose, CA 95116


Services
How to interpret services information.

Cap.= 99 Type = SNF Medi-Cal: yes Medicare: yes

From CANHR questionnaire returned 5/27/1994:
"Alzheimer's Unit": NoWanderer alert: Yes
Locked Ward: No
Types of Residents Accepted: A I L M S
Types of Residents Not Accepted: F J N O
Languages spoken by direct-care staff: A D G I
Family Council: Yes

Violations Record
From Dept. of Public Health as of 4/30/2008;
Citations as of 5/1/2009.
Last DHS Certification Inspection = 5/29/2007.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2003 0 0 0 12 15 7 8.5
2004 0 0 0 19 17.8 7 9.2
2005 0 0 0 20 19.6 5 10.4
2006 0 0 0 19 20.8 7 12.5
2007 0 0 0 41 21.7 7 14.8
2008 0 0 0 0 12.1 6 6.3

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City: San Jose

White Blossom Care Center
(408) 998-8447 — 1990 Fruitdale Avenue — San Jose, CA 95128


Services
How to interpret services information.

Cap.= 153 Type = SNF Medi-Cal: yes Medicare: yes

From CANHR questionnaire returned 4/26/2005:
"Alzheimer's Unit": Unk.Wanderer alert: Yes
Locked Ward: Unk.
Types of Residents Accepted: A D E F I L R S T U V
Types of Residents Not Accepted:
Languages spoken by direct-care staff: A I
Family Council: No Family Council

Violations Record
From Dept. of Public Health as of 4/30/2008;
Citations as of 5/1/2009.
Last DHS Certification Inspection = 2/5/2008.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2003 0 0 2 17 15 23 8.5
2004 0 0 2 36 17.8 18 9.2
2005 0 0 0 30 19.6 16 10.4
2006 0 1 1 44 20.8 27 12.5
2007 0 0 0 10 21.7 32 14.8
2008 0 0 1 32 12.1 22 6.3

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City: San Jose

Willow Glen Center
(408) 265-4211 — 1267 Meridian Avenue — San Jose, CA 95125


Services
How to interpret services information.

Cap.= 152 Type = SNF Medi-Cal: yes Medicare: yes

From CANHR questionnaire returned 6/14/2005:
"Alzheimer's Unit": NoWanderer alert: No
Locked Ward: No
Types of Residents Accepted: A D E F I J L P Q R S U V
Types of Residents Not Accepted: B M N O T
Languages spoken by direct-care staff: A F G I L V dd
Family Council: Yes

Violations Record
From Dept. of Public Health as of 4/30/2008;
Citations as of 5/1/2009.
Last DHS Certification Inspection = 2/14/2008.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2003 0 0 5 28 15 16 8.5
2004 0 0 1 24 17.8 25 9.2
2005 0 0 1 23 19.6 37 10.4
2006 0 0 1 38 20.8 23 12.5
2007 0 0 1 4 21.7 29 14.8
2008 0 0 6 41 12.1 28 6.3

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City: Santa Clara

Mission Skilled Nursing & Subacute Center
(408) 248-3736 — 410 N. Winchester Boulevard — Santa Clara, CA 95050


Services
How to interpret services information.

Cap.= 134 Type = SNF Medi-Cal: yes Medicare: yes

From CANHR questionnaire returned 9/26/2002:
"Alzheimer's Unit": NoWanderer alert: Yes
Locked Ward: No
Types of Residents Accepted: A D E F L M N O Q R S U V
Types of Residents Not Accepted: B I J P T
Languages spoken by direct-care staff: A I
Family Council: Yes

Violations Record
From Dept. of Public Health as of 4/30/2008;
Citations as of 5/1/2009.
Last DHS Certification Inspection = 6/21/2007.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2003 0 0 0 14 15 7 8.5
2004 0 0 0 27 17.8 23 9.2
2005 0 0 0 38 19.6 22 10.4
2006 0 0 0 23 20.8 16 12.5
2007 0 0 0 43 21.7 29 14.8
2008 0 0 0 0 12.1 5 6.3

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City: Santa Clara

Valley House Rehabilitation Center
(408) 988-7666 — 991 Clyde Avenue — Santa Clara, CA 95054


Services
How to interpret services information.

Cap.= 205 Type = SNF Medi-Cal: yes Medicare: yes

From CANHR questionnaire returned 3/6/2001:
"Alzheimer's Unit": YesWanderer alert: Yes
Locked Ward: Unk.
Types of Residents Accepted: A B D E F I J L O Q R S T U V
Types of Residents Not Accepted: N P
Languages spoken by direct-care staff: A B C I V W
Family Council: No Family Council

Violations Record
From Dept. of Public Health as of 4/30/2008;
Citations as of 5/1/2009.
Last DHS Certification Inspection = 2/7/2008.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2003 0 0 0 13 15 6 8.5
2004 0 0 0 30 17.8 16 9.2
2005 0 0 0 23 19.6 4 10.4
2006 0 0 0 0 20.8 3 12.5
2007 0 0 3 76 21.7 30 14.8
2008 0 1 2 0 12.1 7 6.3

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City: Saratoga

Our Lady of Fatima Villa
(408) 741-5100 — 20400 Saratoga-Los Gatos Road — Saratoga, CA 95070


Services
How to interpret services information.

Cap.= 85 Type = SNF Medi-Cal: yes Medicare: yes

From CANHR questionnaire returned 6/18/2002:
"Alzheimer's Unit": NoWanderer alert: No
Locked Ward: No
Types of Residents Accepted: A D E F I L M Q S U
Types of Residents Not Accepted: B J N O P T V
Languages spoken by direct-care staff: A B C I Y
Family Council: Not Specified

Violations Record
From Dept. of Public Health as of 4/30/2008;
Citations as of 5/1/2009.
Last DHS Certification Inspection = 7/12/2007.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2003 0 0 0 16 15 5 8.5
2004 0 0 0 21 17.8 15 9.2
2005 0 0 0 17 19.6 7 10.4
2006 0 0 0 17 20.8 12 12.5
2007 0 0 0 15 21.7 6 14.8
2008 0 0 0 0 12.1 4 6.3

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City: Saratoga

Saratoga Retirement Community Health Center
(408) 867-1310 — 14500 Fruitvale Avenue — Saratoga, CA 95070


Services
How to interpret services information.

Cap.= 94 Type = SNF / CCRC Medi-Cal: yes Medicare: yes

From CANHR questionnaire returned 10/22/2002:
"Alzheimer's Unit": YesWanderer alert: Yes
Locked Ward: Unk.
Types of Residents Accepted: A B D E F I L M S T U
Types of Residents Not Accepted:
Languages spoken by direct-care staff: A I gg oo
Family Council: Yes

Violations Record
From Dept. of Public Health as of 4/30/2008;
Citations as of 5/1/2009.
Last DHS Certification Inspection = 12/6/2007.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2003 0 0 0 12 15 5 8.5
2004 0 0 0 17 17.8 23 9.2
2005 0 0 0 18 19.6 17 10.4
2006 0 0 0 25 20.8 1 12.5
2007 0 0 0 18 21.7 5 14.8
2008 0 0 0 0 12.1 2 6.3

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City: Saratoga

Subacute/Saratoga
(408) 378-8875 — 13425 Sousa Lane — Saratoga, CA 95070


Services
How to interpret services information.

Cap.= 38 Type = SNF Medi-Cal: yes Medicare: yes

From CANHR questionnaire returned 8/28/2003:
"Alzheimer's Unit": NoWanderer alert: No
Locked Ward: No
Types of Residents Accepted: A D E F I L M N Q R T U V
Types of Residents Not Accepted: B J O P S
Languages spoken by direct-care staff: A B C I V pp
Family Council: No Family Council

Violations Record
From Dept. of Public Health as of 4/30/2008;
Citations as of 5/1/2009.
Last DHS Certification Inspection = 2/19/2008.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2003 0 0 0 11 15 6 8.5
2004 0 0 0 21 17.8 11 9.2
2005 0 0 0 0 19.6 16 10.4
2006 0 0 0 29 20.8 8 12.5
2007 0 0 0 15 21.7 7 14.8
2008 0 0 0 12 12.1 0 6.3

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City: Sunnyvale

Cedar Crest Nursing And Rehabilitation Center
(408) 738-4880 — 797 E. Fremont Avenue — Sunnyvale, CA 94087


Services
How to interpret services information.

Cap.= 99 Type = SNF Medi-Cal: yes Medicare: yes

From CANHR questionnaire returned 8/25/2003:
"Alzheimer's Unit": NoWanderer alert: Yes
Locked Ward: No
Types of Residents Accepted: A D E F I L N Q R S T U V
Types of Residents Not Accepted: B J M O P
Languages spoken by direct-care staff: A B C I
Family Council: No Family Council

Violations Record
From Dept. of Public Health as of 4/30/2008;
Citations as of 5/1/2009.
Last DHS Certification Inspection = 11/7/2007.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2003 0 0 0 10 15 10 8.5
2004 0 0 0 20 17.8 9 9.2
2005 0 0 0 20 19.6 5 10.4
2006 0 0 1 16 20.8 6 12.5
2007 0 0 0 13 21.7 9 14.8
2008 0 0 0 0 12.1 2 6.3

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City: Sunnyvale

Idylwood Care Center
(408) 739-2383 — 1002 W. Fremont Avenue — Sunnyvale, CA 94087


Services
How to interpret services information.

Cap.= 185 Type = SNF Medi-Cal: yes Medicare: yes

From CANHR questionnaire returned 3/2/1998:
"Alzheimer's Unit": YesWanderer alert: Yes
Locked Ward: Yes
Types of Residents Accepted: A B D E F I J L O
Types of Residents Not Accepted: M N
Languages spoken by direct-care staff: A B C F G I J L O V Y
Family Council: No Family Council

Violations Record
From Dept. of Public Health as of 4/30/2008;
Citations as of 5/1/2009.
Last DHS Certification Inspection = 7/19/2007.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2003 0 0 0 13 15 11 8.5
2004 0 0 0 38 17.8 2 9.2
2005 0 0 0 14 19.6 13 10.4
2006 0 0 0 33 20.8 13 12.5
2007 0 0 1 18 21.7 9 14.8
2008 0 0 0 0 12.1 0 6.3

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City: Sunnyvale

Manorcare Health Services (Sunnyvale)
(408) 735-7200 — 1150 Tilton Drive — Sunnyvale, CA 94087


Services
How to interpret services information.

Cap.= 140 Type = SNF Medi-Cal: Withdrawn Medicare: yes

From CANHR questionnaire returned 10/21/2002:
"Alzheimer's Unit": YesWanderer alert: Yes
Locked Ward: No
Types of Residents Accepted: A B D E F I J L M O Q R S T U V
Types of Residents Not Accepted: N P
Languages spoken by direct-care staff: A B C E I V W
Family Council: Yes

Violations Record
From Dept. of Public Health as of 4/30/2008;
Citations as of 5/1/2009.
Last DHS Certification Inspection = 7/31/2007.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2003 0 0 0 6 15 10 8.5
2004 0 0 0 15 17.8 10 9.2
2005 0 0 0 12 19.6 36 10.4
2006 0 0 0 2 20.8 42 12.5
2007 0 0 1 22 21.7 14 14.8
2008 0 1 0 0 12.1 10 6.3

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City: Sunnyvale

Sunnyvale Health Care Center
(408) 245-8070 — 1291 S. Bernardo Avenue — Sunnyvale, CA 94087


Services
How to interpret services information.

Cap.= 99 Type = SNF Medi-Cal: yes Medicare: yes

From CANHR questionnaire returned 8/25/2003:
"Alzheimer's Unit": NoWanderer alert: Yes
Locked Ward: No
Types of Residents Accepted: A D E F I L Q R S U V
Types of Residents Not Accepted: B J M N O T
Languages spoken by direct-care staff: A B C E I ee
Family Council: No Family Council

Violations Record
From Dept. of Public Health as of 4/30/2008;
Citations as of 5/1/2009.
Last DHS Certification Inspection = 8/28/2007.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2003 0 0 0 9 15 5 8.5
2004 0 0 0 10 17.8 18 9.2
2005 0 0 0 16 19.6 2 10.4
2006 0 0 0 23 20.8 20 12.5
2007 0 0 0 18 21.7 8 14.8
2008 0 0 1 1 12.1 3 6.3

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© 2008

California Advocates for Nursing Home Reform
( CANHR )
650 Harrison Street, 2nd Floor
San Francisco, CA 94107
Tel: (800) 474-1116 (consumers only)
Tel: (415) 974-5171