Nursing HomeInspections

A Grace Sub Acute & Skilled Care

Nursing home in San Jose, CA

Medicare & Medicaid certified4★ overall (CMS)

Call (408) 241-3844Send a messageMap ↗

Public-record details

Address
1250 S. Winchester Boulevard, San Jose, CA 95128
Phone
(408) 241-3844
Listed under
For-profit, 4–5 star overall rating, No fines in 3 years
Medicare CCN
056376
Overall star rating
4 of 5 ★★★★☆
Health inspection rating
3 of 5
Staffing rating
4 of 5
Quality measures rating
5 of 5
Certified beds
166
Average residents per day
126
Ownership
For-profit, corporation
Legal business name
Lita & Ava INC.
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Jul 1, 1980
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 056376. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Oct 18, 2024. CMS lists 47 health citations for this facility across its last three standard inspection cycles and complaint inspections (Jun 7, 2019 to Aug 14, 2025): 4 from complaint inspections, 0 at the “actual harm” level or higher.

InspectionCitationSeverity
Aug 14, 2025Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service · complaint inspection
D
Potential for more than minimal harm, isolated
Oct 18, 2024Reasonably accommodate the needs and preferences of each resident.
Resident Rights
D
Potential for more than minimal harm, isolated
Oct 18, 2024Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning
D
Potential for more than minimal harm, isolated
Oct 18, 2024Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service
D
Potential for more than minimal harm, isolated
Oct 18, 2024Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service
D
Potential for more than minimal harm, isolated
Oct 18, 2024Ensure medication error rates are not 5 percent or greater.
Pharmacy Service
D
Potential for more than minimal harm, isolated
Oct 18, 2024Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Nutrition and Dietary
D
Potential for more than minimal harm, isolated
Oct 18, 2024Make sure that a working call system is available in each resident's bathroom and bathing area.
Environmental
D
Potential for more than minimal harm, isolated
Oct 18, 2024Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental
D
Potential for more than minimal harm, isolated
Oct 18, 2024Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning
E
Potential for more than minimal harm, pattern
Oct 18, 2024Try 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…
Quality of Life and Care
E
Potential for more than minimal harm, pattern
Oct 18, 2024Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service
E
Potential for more than minimal harm, pattern

Showing the 12 most recent of 47. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records no fines or payment denials for this facility in the last three years.

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
5.35 hours
Registered nurse (RN) time per resident per day
1.12 hours
Nurse aide time per resident per day
2.80 hours
Total nurse staffing on weekends
5.07 hours
Nursing staff turnover (yearly)
20%
RN turnover (yearly)
28%
Administrators who left in the past year
1

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

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