Contact Information

HEALTH CARE CTR AT THE FORUM AT RANCHO SAN ANTONIO
RANCHO SAN ANTONIO RETIREMENT SERVICES, INC.
23600 VIA ESPLENDOR
CUPERTINO, CA 95014
(650) 944-0200
Non profit - Other
Medicare certification date2: September 01, 1992
The is the date the nursing home was certified to participate in the Medicare program.

1 Nursing homes can be run by private for-profit corporations, non-profit corporations, religious affiliated organizations or government entities.

2 Agencies that are Medicare Certified are able to participate in Medicare related programs.


Nursing Home Information

  43 residents

  48 certified beds

  Participates in Medicare

  Continuing Care Retirement Community

  In hospital

  Resident and Family Council

  Automatic sprinklers in all required areas

Quality rating
Health inspection rating
Staffing rating
Substantiated complaints None
Facility reported incidents None
Number of fines None
Number of penalties None
Number of payment denials None

Staffing

Staffing for 43 residents California Average National Average
Hours by Registered Nurse (RN) per resident per day 57 minutes 37 minutes 41 minutes
Hours by Licensed Practial Nurse (LPN & LVN) per resident per day 45 minutes 1 hour, 8 minutes 53 minutes
Hours by Certified Nursing Assistant (CNA) per resident per day 2 hours, 59 minutes 2 hours, 29 minutes 2 hours, 20 minutes
Physical therapy (PT) staff hours per resident per day 11 minutes 8 minutes 7 minutes

Staffing hours per resident is the total number of hours worked by the staff divided by the total number of residents. It doesn't necessarily show the number of nursing staff present at any given time or the amount of care given to any one resident.

Ownership

5% OR GREATER DIRECT OWNERSHIP INTEREST

  • RANCHO SAN ANTONIO RETIREMENT HOUSING CORPORATION

DIRECTOR

  • ADAMS, LOIS
  • FISCHBEIN, JEROME
  • GENDZEL, IVAN
  • GLATHE, JOHN
  • VASAN, MILDRED
  • WILMER, MARGARET
  • YOUNG, LILY

OFFICER

  • ADAMS, LOIS
  • FISCHBEIN, JEROME
  • GENDZEL, IVAN
  • YOUNG, LILY

OPERATIONAL/MANAGERIAL CONTROL

  • LIFE CARE SERVICES LLC
  • RANCHO SAN ANTONIO RETIREMENT SERVICES, INC.
  • KAO, NANCY
  • KASER, LYNDA

Nursing Home Report

In 2016, HEALTH CARE CTR AT THE FORUM AT RANCHO SAN ANTONIO charged a total of $4,322,780 for 165 Medicare Beneficiaries. The average age of residents at this skilled nursing facility is about 84.

The report covers only calendar year 2016.

Chronic Condition of Residents
Atrial Fibrillation 32% Alzheimer's 41%
Asthma 26% Cancer 23%
Congestive Heart Failure 45% Kidney Disease 44%
COPD 20% Depression 45%
Diabetes 28% Hyperlipidemia 73%
Hypertension n/a Ischemic Heart Disease 47%
Osteoporosis 26% RA / OA 46%
Schizophrenia 2% Stroke 14%
Demographics
Medicare Beneficiaries 165 Average Age 84
Male 59 Female 106
White 146
Black 0
Asian 11
Hispanic n/a
American Indian 0
Other n/a

Health & Fire Inspection

Most recent health inspection: Mar 28, 2018; fire safety inspection: May 18, 2018

Health Deficiencies as of 03/28/2018
Freedom from Abuse, Neglect, and Exploitation None
Quality of Life and Care None
Resident Assessment and Care Planning 1
Nursing and Physician Services None
Resident Rights None
Nutrition and Dietary Deficiencies 1
Pharmacy Service 1
Environmental Deficiencies 2
Administration Deficiencies None
Fire Deficiencies as of 05/18/2018
Emergency Preparedness None
Automatic Sprinkler Systems None
Construction Deficiencies None
Services Deficiencies None
Corridor Walls and Doors None
Egress Deficiencies None
Electrical Deficiencies None
Emergency Plans and Fire Drills None
Fire Alarm Systems None
Smoke Deficiencies None
Interior Deficiencies None
Gas, Vacuum, and Electrical Systems None
Hazardous Area None
Illumination and Emergency Power None
Laboratories Deficiencies None
Medical Gases and Anesthetizing Areas None
Smoking Regulations None
Miscellaneous Regulations None

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See also