Health Care Center at The Forum at Rancho San Antonio is a nursing home located in Cupertino, California with 48 beds and an average of 44 residents per day.
| Continuing care retirement community: | Yes |
| Automatic sprinkler systems: | Yes |
| Council: | Family and resident council |
| Provider type: | Medicare |
| Date first approved to provide Medicare and Medicaid services: | September 1, 1992 |
| Number of beds: | 48 |
| Number of residents per day: | 44 |
| Percent of beds that are filled: | 92% of beds are filled |
Health inspection ratings are based on the number, scope, and severity of deficiencies identified during the three most recent annual inspection surveys, as well as substantiated findings from the most recent 36 months of complaint investigations. All deficiency findings are weighted by scope and severity. This measure also takes into account the number of revisits required to ensure that deficiencies identified during the health inspection survey have been corrected.
A health citation is a finding that a nursing home failed to meet one or more federal health requirements during an annual health inspection or a complaint inspection. Inspectors identify health citations by observing the nursing home's performance, its practices, or the conditions in the facility.
| 2019 | 3 |
| 2018 | 5 |
| 2017 | 2 |
Staff ratings are based on nursing home staffing levels. They are based on two measures: (1) Registered nurse hours per resident per day and (2) Total nurse staffing (registered nurses, licensed practical nurses, and nurse aides) hours per resident per day.
Higher staffing hours per resident per day means that each resident receives more hours of care.
At Health Care Center at The Forum at Rancho San Antonio, residents receive around 4.5 hours of care each day.
| Nurse aid staffing hours per resident per day | 2.7 hours |
| Licensed practical nurse hours per resident per day | 0.6 hours |
| Registered nurse staffing hours per resident per day | 1.4 hours |
| Total nurse staffing hours per resident per day | 4.5 hours |
The quality of care rating is based on a variety of measures including:
| Name | Role | Ownership percentage | Association date |
|---|---|---|---|
| Lois Adams Individual Learn more | Director | Not Applicable | Since 06/01/2013 |
| Lois Adams Individual Learn more | Officer | Not Applicable | Since 01/28/2015 |
| Mehrdad Ayati Individual Learn more | Director | Not Applicable | Since 12/31/2018 |
| Vernon Clifford Individual Learn more | Director | Not Applicable | Since 02/28/2018 |
| Vernon Clifford Individual Learn more | Officer | Not Applicable | Since 02/28/2018 |
| Jerome Fischbein Individual Learn more | Director | Not Applicable | Since 01/01/2014 |
| Nancy Kao Individual Learn more | Operational/Managerial Control | Not Applicable | Since 06/01/2012 |
| Lynda Kaser Individual Learn more | Operational/Managerial Control | Not Applicable | Since 09/04/2012 |
| Life Care Services LLC Organization Learn more | Operational/Managerial Control | Not Applicable | Since 06/01/2012 |
| Rancho San Antonio Retirement Housing Corporation Organization Learn more | 5% Or Greater Direct Ownership Interest | 100% | Since 07/02/1999 |
| Inc. Rancho San Antonio Retirement Services Organization Learn more | Operational/Managerial Control | Not Applicable | Since 06/29/1988 |
| Edith Tousey Individual Learn more | Director | Not Applicable | Since 12/31/2018 |
| Mildred Vasan Individual Learn more | Officer | Not Applicable | Since 01/23/2019 |
| Mildred Vasan Individual Learn more | Director | Not Applicable | Since 01/01/2016 |
| Lily Young Individual Learn more | Officer | Not Applicable | Since 01/01/2016 |
| Lily Young Individual Learn more | Director | Not Applicable | Since 01/28/2015 |
| Number of facility reported incidents | 0 |
| Number of substantiated complaints | 0 |
| Number of fines | 0 |
| Total fines | $0 |
| Number of payment denials | 0 |
| Number of penalties | 0 |
| Federal Provider Number | 555524 |
|---|---|
| Ownership Type | |
| Special Focus Status | |
| Abuse Icon | |
| Most Recent Health Inspection More Than 2 Years Ago | |
| Provider Changed Ownership in Last 12 Months | |
| Overall Rating | 5 |
| Health Inspection Rating | 5 |
| QM Rating | 5 |
| Long-Stay QM Rating | 5 |
| Short-Stay QM Rating | 5 |
| Staffing Rating | 5 |
| RN Staffing Rating | 5 |
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