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 2/25/2008;
Citations as of 4/23/2008.
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
2002 0 0 0 9 12.7 2 5.8
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 21.2 6 14.7

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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 2/25/2008;
Citations as of 4/23/2008.
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
2002 0 0 0 11 12.7 3 5.8
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 21.2 6 14.7

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City: Cupertino

Health Care Center 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 2/25/2008;
Citations as of 4/23/2008.
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
2002 0 0 0 0 12.7 8 5.8
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 21.2 1 14.7

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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 2/25/2008;
Citations as of 4/23/2008.
Last DHS Certification Inspection = 12/9/2007.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2002 0 0 0 12 12.7 4 5.8
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 31 21.2 6 14.7

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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 2/25/2008;
Citations as of 4/23/2008.
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
2002 0 0 0 19 12.7 2 5.8
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 21.2 7 14.7

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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 2/25/2008;
Citations as of 4/23/2008.
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
2002 0 0 2 20 12.7 15 5.8
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 21.2 16 14.7

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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 2/25/2008;
Citations as of 4/23/2008.
Last DHS Certification Inspection = 3/28/2007.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2002 0 0 0 3 12.7 1 5.8
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 21.2 0 14.7

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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 2/25/2008;
Citations as of 4/23/2008.
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
2002 0 0 0 0 12.7 1 5.8
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 21.2 14 14.7

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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 2/25/2008;
Citations as of 4/23/2008.
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
2002 0 0 0 3 12.7 4 5.8
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 21.2 9 14.7

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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 2/25/2008;
Citations as of 4/23/2008.
Last DHS Certification Inspection = 3/27/2007.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2002 0 0 0 11 12.7 3 5.8
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 21.2 6 14.7

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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 2/25/2008;
Citations as of 4/23/2008.
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
2002 0 0 0 10 12.7 0 5.8
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 21.2 2 14.7

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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 2/25/2008;
Citations as of 4/23/2008.
Last DHS Certification Inspection = 3/28/2007.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2002 0 0 0 18 12.7 2 5.8
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 21.2 8 14.7

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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 2/25/2008;
Citations as of 4/23/2008.
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
2002 0 0 0 10 12.7 2 5.8
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 21.2 4 14.7

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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 2/25/2008;
Citations as of 4/23/2008.
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
2002 0 0 0 34 12.7 1 5.8
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 21.2 4 14.7

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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 2/25/2008;
Citations as of 4/23/2008.
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
2002 0 0 1 28 12.7 15 5.8
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 21.2 18 14.7

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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 2/25/2008;
Citations as of 4/23/2008.
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
2002 0 0 0 26 12.7 0 5.8
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 21.2 0 14.7

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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 2/25/2008;
Citations as of 4/23/2008.
Last DHS Certification Inspection = 11/22/2006.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2002 0 0 0 0 12.7 0 5.8
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 21.2 5 14.7

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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 2/25/2008;
Citations as of 4/23/2008.
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
2002 0 1 5 18 12.7 15 5.8
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 35 21.2 8 14.7

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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 2/25/2008;
Citations as of 4/23/2008.
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
2002 0 0 0 11 12.7 4 5.8
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 21.2 0 14.7

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City: Mountain View

Grant Cuesta Nursing And Rehabilitation Hospital
(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 2/25/2008;
Citations as of 4/23/2008.
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
2002 0 0 0 7 12.7 0 5.8
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 21.2 5 14.7

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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 2/25/2008;
Citations as of 4/23/2008.
Last DHS Certification Inspection = 5/3/2007.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2002 0 0 1 13 12.7 6 5.8
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 21.2 10 14.7

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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 2/25/2008;
Citations as of 4/23/2008.
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
2002 0 0 0 0 12.7 0 5.8
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 21.2 0 14.7

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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 2/25/2008;
Citations as of 4/23/2008.
Last DHS Certification Inspection = 5/3/2007.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2002 0 0 0 51 12.7 5 5.8
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 19 21.2 29 14.7

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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 2/25/2008;
Citations as of 4/23/2008.
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
2002 0 0 0 0 12.7 2 5.8
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 21.2 3 14.7

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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 2/25/2008;
Citations as of 4/23/2008.
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
2002 0 0 0 0 12.7 0 5.8
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 21.2 0 14.7

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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 2/25/2008;
Citations as of 4/23/2008.
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
2002 0 0 0 20 12.7 5 5.8
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 21.2 6 14.7

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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 2/25/2008;
Citations as of 4/23/2008.
Last DHS Certification Inspection = 5/17/2007.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2002 0 0 0 1 12.7 4 5.8
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 21.2 3 14.7

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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 2/25/2008;
Citations as of 4/23/2008.
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
2002 0 0 0 36 12.7 7 5.8
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 21.2 30 14.7

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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 2/25/2008;
Citations as of 4/23/2008.
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
2002 0 1 5 36 12.7 70 5.8
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 2 57 21.2 48 14.7

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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 2/25/2008;
Citations as of 4/23/2008.
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
2002 0 0 0 6 12.7 8 5.8
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 21.2 2 14.7

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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 2/25/2008;
Citations as of 4/23/2008.
Last DHS Certification Inspection = 9/11/2006.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2002 0 1 1 48 12.7 10 5.8
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 5 21.2 15 14.7

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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 2/25/2008;
Citations as of 4/23/2008.
Last DHS Certification Inspection = 1/5/2006.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2002 0 0 1 48 12.7 20 5.8
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 21.2 8 14.7

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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 2/25/2008;
Citations as of 4/23/2008.
Last DHS Certification Inspection = 12/28/2006.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2002 0 0 2 22 12.7 21 5.8
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 21.2 112 14.7

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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 2/25/2008;
Citations as of 4/23/2008.
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
2002 0 0 0 5 12.7 0 5.8
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 21.2 0 14.7

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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 2/25/2008;
Citations as of 4/23/2008.
Last DHS Certification Inspection = 9/22/2006.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2002 0 0 1 18 12.7 6 5.8
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 21.2 6 14.7

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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 2/25/2008;
Citations as of 4/23/2008.
Last DHS Certification Inspection = 12/22/2006.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2002 0 0 0 30 12.7 10 5.8
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 21.2 17 14.7

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City: San Jose

Lifehouse San Jose
(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 2/25/2008;
Citations as of 4/23/2008.
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
2002 0 0 0 9 12.7 3 5.8
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 21.2 15 14.7

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