Nursing homeFAID #1168
A Grace Sub Acute & Skilled Care
★★★★★4/5CMS Five-Star overall3/5 health inspections4/5 staffing5/5 quality measuresSource: CMS Care Compare
Public record summary
What we can show you for free.
Bed capacity
166
CMS facility ID
056376
Care type
Nursing home
County
Santa Clara
Facility name
A Grace Sub Acute & Skilled Care
Street address
1250 S. WINCHESTER BOULEVARD
City / state / ZIP
San Jose, CA 95128
Phone
(408) 241-3844
Website
About this facility — A Grace Sub Acute & Skilled Care
A Grace Sub Acute & Skilled Care is a Medicare/Medicaid-certified skilled nursing facility in San Jose, California. It is licensed for 166 beds — well above the median for skilled nursing facilities in California (98 beds).
It is one of 180 senior care facilities in San Jose and 1,165 skilled nursing facilities across California. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.
Federal inspectors have cited A Grace Sub Acute & Skilled Care 80 times across 11 inspections in the last three years, including 4 food-safety citations; no federal fines are on record. Every citation is listed, dated, and graded in the inspection record below.
This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.
Facility background
What the public record shows.
Ownership & operator
Ownership type
For profit - Corporation
Registered owners & officers
Adelman, Jason
Direct owner — since 2008
Aquino, Victor
Managing employee — since 2014
Javier, Julita
Direct owner — since 2008
Javier, Pepito
Direct owner · Director — since 2008
Rando, James
Direct owner — since 2008
Sanchez, Pelita
Director — since 2008
Regulatory standing
Licensed / certified since
1980-07-01
CMS overall rating
4 of 5 stars
Health deficiencies
14 at the last standard inspection
Federal fines
None on record
Last standard inspection
2024-10-18
Nurse staffing
5.3 hours per resident per day
Cost & payer profile (FY2023 cost report)
Average billed charges
$623 per day (≈ $18,940/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
0% Medicaid · 4% Medicare · 96% private/other
Occupancy
67% (fiscal year 2023)
Vs. state median
21% above the CA median of $514/day — full state cost breakdown
Services & coverage
Licensed beds
166
Medicare
Accepted
Medicaid
Accepted
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-08-31. Facilities can submit a correction.
Inspection record
Every citation, dated and graded.
Kitchen & food safety
Federal surveyors inspect the kitchen at every standard visit. This facility has 4 food-safety citations on its three-year record — flagged below among the inspections.
2025-08-14Health inspectionComplaint-triggered1 citation
F-0755
D · No harm foundFrom a complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-09-04
2024-10-18Health inspection13 citations
F-0558
D · No harm found
Reasonably accommodate the needs and preferences of each resident.
Corrected 2024-11-08
F-0655
D · No harm found
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2024-11-08
F-0658
E · No harm found
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-11-08
F-0700
E · No harm found
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Corrected 2024-11-08
F-0755
E · No harm found
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-11-08
F-0756
D · No harm found
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2024-11-08
F-0757
D · No harm found
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2024-11-08
F-0759
D · No harm found
Ensure medication error rates are not 5 percent or greater.
Corrected 2024-11-08
F-0806
D · No harm foundFood safety
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected 2024-11-08
F-0812
E · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-11-08
F-0880
E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2024-11-08
F-0919
D · No harm found
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2024-11-08
F-0921
D · No harm found
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2024-11-08
9 earlier / fire-safety inspections (66 citations)
2024-07-09Health inspectionComplaint-triggered1 citation
F-0684
D · No harm foundFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-07-10
2024-03-14Health inspectionComplaint-triggered1 citation
F-0689
D · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-04-11
2023-12-28Health inspectionComplaint-triggered1 citation
F-0684
D · No harm foundFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-01-29
2022-05-13Health inspection15 citations
F-0552
D · No harm found
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2022-05-16
F-0558
D · No harm found
Reasonably accommodate the needs and preferences of each resident.
Corrected 2022-05-25
F-0583
D · No harm found
Keep residents' personal and medical records private and confidential.
Corrected 2022-05-25
F-0658
E · No harm found
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2022-05-25
F-0688
D · No harm found
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected 2022-05-27
F-0697
D · No harm found
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2022-05-25
F-0698
D · No harm found
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2022-05-25
F-0755
E · No harm found
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2022-05-27
F-0756
D · No harm found
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2022-05-13
F-0758
D · No harm found
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected 2022-05-13
F-0759
E · No harm found
Ensure medication error rates are not 5 percent or greater.
Corrected 2022-05-27
F-0761
D · No harm found
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected 2022-05-13
F-0790
D · No harm found
Provide routine and 24-hour emergency dental care for each resident.
Corrected 2022-05-27
F-0812
E · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2022-05-26
F-0880
E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2022-06-03
2019-06-07Health inspection15 citations
F-0550
D · No harm found
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2019-06-26
F-0552
D · No harm found
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2019-06-26
F-0609
D · No harm found
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2019-06-26
F-0623
D · No harm found
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2019-06-26
F-0641
D · No harm found
Ensure each resident receives an accurate assessment.
Corrected 2019-06-26
F-0656
D · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2019-06-26
F-0688
D · No harm found
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected 2019-06-26
F-0693
D · No harm found
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected 2019-06-26
F-0740
D · No harm found
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected 2019-06-26
F-0755
D · No harm found
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2019-06-26
F-0758
D · No harm found
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected 2019-06-26
F-0759
D · No harm found
Ensure medication error rates are not 5 percent or greater.
Corrected 2019-06-26
F-0761
D · No harm found
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected 2019-06-26
F-0813
D · No harm foundFood safety
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Corrected 2019-06-26
F-0880
E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2019-06-26
2025-12-10Fire-safety inspectionComplaint-triggered2 citations
K-0712
F · No harm foundFrom a complaint
Have simulated fire drills held at unexpected times.
Corrected 2025-12-24
K-0920
F · No harm foundFrom a complaint
Ensure proper usage of power strips and extension cords.
Corrected 2025-12-24
2024-10-18Fire-safety inspection9 citations
K-0161
D · No harm found
Use approved construction type or materials.
Corrected 2024-10-30
K-0351
E · No harm found
Install an approved automatic sprinkler system.
Corrected 2024-10-30
K-0353
D · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-10-30
K-0363
D · No harm found
Install corridor and hallway doors that block smoke.
Corrected 2024-10-30
K-0500
D · No harm found
Meet other general requirements that are deficient.
Corrected 2024-10-30
K-0511
D · No harm found
Have properly installed electrical wiring and gas equipment.
Corrected 2024-10-30
K-0711
D · No harm found
Provide a written emergency evacuation plan.
Corrected 2024-10-30
K-0712
F · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2024-10-30
K-0920
D · No harm found
Ensure proper usage of power strips and extension cords.
Corrected 2024-10-30
2022-05-13Fire-safety inspection10 citations
K-0161
E · No harm found
Use approved construction type or materials.
Corrected 2022-06-06
K-0293
D · No harm found
Have properly located and lighted "Exit" signs.
Corrected 2022-06-06
K-0321
E · No harm found
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2022-06-06
K-0353
D · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-06-06
K-0355
E · No harm found
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2022-06-06
K-0363
E · No harm found
Install corridor and hallway doors that block smoke.
Corrected 2022-06-06
K-0511
E · No harm found
Have properly installed electrical wiring and gas equipment.
Corrected 2022-06-06
K-0741
D · No harm found
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2022-06-06
K-0920
D · No harm found
Ensure proper usage of power strips and extension cords.
Corrected 2022-06-06
K-0923
D · No harm found
Have proper medical gas storage and administration areas.
Corrected 2022-06-06
2019-06-07Fire-safety inspection12 citations
E-0015
C · No harm found
Address subsistence needs for staff and patients.
Corrected 2019-08-29
E-0024
C · No harm found
Establish policies and procedures for volunteers.
Corrected 2019-08-29
E-0026
C · No harm found
Establish roles under a Waiver declared by secretary.
Corrected 2019-08-29
E-0033
C · No harm found
Establish methods for sharing information.
Corrected 2019-08-29
E-0034
C · No harm found
Provide a means of sharing information on occupancy/needs.
Corrected 2019-08-29
K-0291
D · No harm found
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2019-08-29
K-0293
E · No harm found
Have properly located and lighted "Exit" signs.
Corrected 2019-08-29
K-0347
D · No harm found
Properly provide smoke detection systems in areas open to corridors.
Corrected 2019-08-29
K-0353
D · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2019-08-29
K-0363
E · No harm found
Install corridor and hallway doors that block smoke.
Corrected 2019-08-29
K-0511
D · No harm found
Have properly installed electrical wiring and gas equipment.
Corrected 2019-08-29
K-0920
D · No harm found
Ensure proper usage of power strips and extension cords.
Corrected 2019-08-29
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 056376.
Visitor reviews
What people say on Google.
2.7★★★★★39 ratings on Google
★★★★★Gripstress 451 · 2026-02-22 · via Google“Staff is amazing. Any issues we have had with my father's health have been immediately identified and communicated. The staff is always present in the rooms to monitor their health and needs. We had to use other facilities closer to home before and he left sicker than he came in and had terrible hygiene.”
★★★★★Steve Cho · 2025-11-17 · via Google“This place is much better than I expected. The staff, including nurses, CNAs, respiratory and wound care teams, RNAs, and others, are all helpful, caring, and hardworking. They truly support both patients and their families and create a warm, reassuring environment. I would also like to highlight one especially outstanding CNA, Lourdes Zuniga. From the moment she began for my son, it was clear tha…”
★★★★★Tony Dang · 2025-12-06 · via Google“My Name is Tony Dang and I am a patient here and I would like to give my appreciation on this particular CNA named Edna Agarpao for her excellent work. She is always on time and never calls in sick and when she is working, she is never on her phone, but focusing on doing her job as good as she can. I wish there were more CNAs like her.”
Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google
Inside your report
What unlocks when you order.
Ownership & corporate history
Primary tierPrior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more
Inspection citations — last 5 years
LockedThe 80 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.
Civil & criminal lawsuits
Advanced tier onlyActive civil suits
#
Federal dockets
CDC infection data
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
Original records
Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-08-31
Source
Google Business Profile
Photos, reviews & hours
Displayed with attribution · refreshed on re-run
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered