4/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
4/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
A Grace Sub Acute and Skilled Care is nestled in a homey neighborhood on Winchester Boulevard that exudes diversity and positive energy. This facility is constantly improving and growing to meet the highest standards of healthcare. Currently, they provide around-the-clock ventilator and tracheostomy services, as well as a comprehensive range of rehabilitation, dietary, and physician services. Their team is very dedicated to ensuring that their residents receive the best care possible and achieve optimum recovery through the most effective methods.
Seniors can also enjoy a variety of fun activities that keep them engaged and entertained. They can participate in morning exercises, arts and crafts, parties, and even visit the salon and barber for some pampering. The smiles on their faces are a testament to the warm and welcoming environment that the facility provides. If you’re looking for a place that truly cares about its residents and offers top-notch healthcare services, look no further than A Grace Sub Acute and Skilled Care.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 291st out of 327 homes in California for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 1h 11m per day | ▲ 82% State avg: 39m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 1h 32m per day | ▲ 26% State avg: 1h 13m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 52m per day | ▲ 8% State avg: 2h 39m per day · National avg: 2h 21m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 5h 17m per day | ▲ 29% State avg: 4h 5m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 3m per day | ▼ 40% State avg: 5m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 58m per day | ▲ 94% State avg: 30m per day · National avg: 29m per day |
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
Key information about the people who lead and staff this community.
In California, the Department of Social Services (for assisted living facilities) and the Department of Public Health (for nursing homes) conduct inspections to ensure resident safety and regulatory compliance.
California average 12.5
Last Health inspection on Aug 2025
California average 50.2
California average 4.65
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
43 of 48 citations resulted from standard inspections; and 5 of 48 resulted from complaint investigations.
100% better than California averageCalifornia average: 0.4
100% better than California averageCalifornia average: 1
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
15% more staff per resident than California average
0% compared with California average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 36 RN Staff are full-time employees. No contractors work on this role.
36
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hoursAssists with medical care and medications.
All 43 LPN Staff are full-time employees. No contractors work on this role.
43
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hoursHelps with daily care and mobility.
All 82 CNA Staff are full-time employees. No contractors work on this role.
82
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.3 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 82 | 0 | 82 | 29,658 | 92 | 100% | 7.3 |
| Licensed Practical Nurse | 43 | 0 | 43 | 15,568 | 92 | 100% | 7.7 |
| Registered Nurse | 36 | 0 | 36 | 11,752 | 92 | 100% | 7.7 |
| Physical Therapist | 12 | 0 | 12 | 4,858 | 92 | 100% | 7.9 |
| Qualified Activities Professional | 10 | 0 | 10 | 3,777 | 92 | 100% | 9.9 |
| Other Dietary Services Staff | 4 | 0 | 4 | 840 | 91 | 99% | 7.8 |
| Dental Services Staff | 3 | 0 | 3 | 752 | 68 | 74% | 8.2 |
| Occupational Therapy Aide | 1 | 0 | 1 | 520 | 65 | 71% | 8 |
| Physical Therapy Assistant | 2 | 0 | 2 | 520 | 65 | 71% | 8 |
| Respiratory Therapy Technician | 1 | 0 | 1 | 520 | 65 | 71% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 504 | 63 | 68% | 8 |
| Dietitian | 1 | 0 | 1 | 439 | 54 | 59% | 8.1 |
| Administrator | 2 | 0 | 2 | 392 | 49 | 53% | 8 |
| RN Director of Nursing | 1 | 0 | 1 | 328 | 41 | 45% | 8 |
| Mental Health Service Worker | 2 | 0 | 2 | 208 | 27 | 29% | 7.7 |
| Qualified Social Worker | 1 | 0 | 1 | 101 | 24 | 26% | 4.2 |
| Occupational Therapy Assistant | 3 | 0 | 3 | 84 | 15 | 16% | 5.6 |
| Speech Language Pathologist | 1 | 0 | 1 | 48 | 21 | 23% | 2.3 |
| Medical Director | 1 | 0 | 1 | 24 | 12 | 13% | 2 |
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
7.3
10% worse than California averageCalifornia average: 6.6
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
9.0
21% better than California averageCalifornia average: 11.3
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
10.8%
In line with California averageCalifornia average: 11.1%
Percent of long-stay residents whose ability to move independently worsened
13.4%
12% worse than California averageCalifornia average: 12.0%
Percent of low risk long-stay residents who lose control of their bowels or bladder
2.8%
76% better than California averageCalifornia average: 11.3%
Percent of long-stay residents experiencing one or more falls with major injury
1.0%
38% better than California averageCalifornia average: 1.7%
Percent of long-stay high risk residents with pressure ulcers
5.8%
17% worse than California averageCalifornia average: 5.0%
Percent of long-stay residents with a urinary tract infection
0.8%
37% better than California averageCalifornia average: 1.2%
Percent of long-stay residents who lose too much weight
5.3%
27% worse than California averageCalifornia average: 4.2%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than California averageCalifornia average: 6.7%
Percent of long-stay residents who received an antipsychotic medication
4.0%
60% better than California averageCalifornia average: 10.1%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
In line with California averageCalifornia average: 98.5%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
96.2%
In line with California averageCalifornia average: 98.2%
Number of hospitalizations per 1,000 long-stay resident days.
1.40
38% better than California averageCalifornia average: 2.25
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.58
64% better than California averageCalifornia average: 1.59
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
95.4%
In line with California averageCalifornia average: 94.0%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than California averageCalifornia average: 1.5%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
88.6%
5% worse than California averageCalifornia average: 93.2%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
15.8%
32% better than California averageCalifornia average: 23.2%
Percentage of short-stay residents who had an outpatient emergency department visit.
0.0%
100% better than California averageCalifornia average: 11.2%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than California averageCalifornia average: 0.8%
Rate of successful return to home or community from a skilled nursing facility.
29.0%
43% worse than California averageCalifornia average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
22% of new residents, usually for short-term rehab.
78% of new residents, often for short stays.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
99Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for A Grace Subacute & Skilled Care from 2011–2023, based on CMS SNF Cost Reports.
Key figures below are for fiscal year ending in 12/2023.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Rank #93 / 327Payroll — State benchmarkedThis home is ranked 93rd out of 327 homes in California for Payroll. Shows total annual staff payroll benchmarked to the California average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Rankings are based only on facilities in California that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Rank #267 / 327Payroll % — State benchmarkedThis home is ranked 267th out of 327 homes in California for Payroll %. Shows payroll as a percentage of revenue versus the California average. Well-run California facilities typically land around 56–67% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Rankings are based only on facilities in California that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
Most new residents arrive under private pay (78% of admissions), and a typical private pay stay runs around 1 years.
Coverage residents most often arrive under.
Coverage residents most often leave under.
4.2 miles from city center
Estimated distance in miles from San Jose's city center to A Grace Subacute & Skilled Care's address, calculated via Google Maps.
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The information below is reported by the California Department of Social Services and Department of Public Health.
| Vista Manor Nursing Center | NH SNF | San Jose (Alum Rock) | 99 |
87.0%
Facility
87.0%
CA AVG
73.9
Rank
#421 / 1506 | +18% | 4.07
Facility
4.07
CA AVG
4.22
Rank
#152 / 327 | -28% | -4% | $0
Facility
$0
CA AVG
$56.5k
Rank
#1 / 334 | - | 24
Facility
24
CA AVG
50.2
Rank
#65 / 327 | 4.8
Facility
4.8
CA AVG
4.6
Rank
#212 / 327 | - | 86 | A+ | 70 | - | $17.7MFiscal year ending 12/2023
Facility
$17.7MFiscal year ending 12/2023
CA AVG
$17.0M
Rank
#184 / 327 | $8.4MFiscal year ending 12/2023
Facility
$8.4MFiscal year ending 12/2023
CA AVG
$7.0M
Rank
#140 / 327 | 47.6%Fiscal year ending 12/2023
Facility
47.6%Fiscal year ending 12/2023
CA AVG
45.2%
Rank
#88 / 327 | 555483 | ||||
| A Grace Subacute & Skilled Care | NH SNF | San Jose (Castlemont) | 166 | - | - | 3.40
Facility
3.40
CA AVG
4.22
Rank
#291 / 327 | +95% | -20% | $0
Facility
$0
CA AVG
$56.5k
Rank
#1 / 334 | - | 48
Facility
48
CA AVG
50.2
Rank
#199 / 327 | 6.0
Facility
6.0
CA AVG
4.6
Rank
#272 / 327 | - | 22 | A+ | 74 | Jason Adelman | $16.7MFiscal year ending 12/2023
Facility
$16.7MFiscal year ending 12/2023
CA AVG
$17.0M
Rank
#64 / 327 | $11.1MFiscal year ending 12/2023
Facility
$11.1MFiscal year ending 12/2023
CA AVG
$7.0M
Rank
#93 / 327 | 66.6%Fiscal year ending 12/2023
Facility
66.6%Fiscal year ending 12/2023
CA AVG
45.2%
Rank
#267 / 327 | 56376 | ||||
| White Blossom Care Center | NH PC SNF | San Jose (Del Mar) | 153 |
98.7%
Facility
98.7%
CA AVG
73.9
Rank
#155 / 1506 | +34% | 3.52
Facility
3.52
CA AVG
4.22
Rank
#273 / 327 | -12% | -17% | $73.4k
Facility
$73.4k
CA AVG
$56.5k
Rank
#304 / 334 | - | 55
Facility
55
CA AVG
50.2
Rank
#228 / 327 | 3.2
Facility
3.2
CA AVG
4.6
Rank
#75 / 327 | 1 | 151 | - | 63 | Robert Pierce | $30.7MFiscal year ending 12/2023
Facility
$30.7MFiscal year ending 12/2023
CA AVG
$17.0M
Rank
#23 / 327 | $14.3MFiscal year ending 12/2023
Facility
$14.3MFiscal year ending 12/2023
CA AVG
$7.0M
Rank
#30 / 327 | 46.5%Fiscal year ending 12/2023
Facility
46.5%Fiscal year ending 12/2023
CA AVG
45.2%
Rank
#281 / 327 | 555068 | ||||
| Almaden Health & Rehab Center | NH SNF | San Jose (Blossom Crest) | 77 |
89.4%
Facility
89.4%
CA AVG
73.9
Rank
#368 / 1506 | +21% | 4.61
Facility
4.61
CA AVG
4.22
Rank
#76 / 327 | +4% | +9% | $0
Facility
$0
CA AVG
$56.5k
Rank
#1 / 334 | - | 38
Facility
38
CA AVG
50.2
Rank
#146 / 327 | 3.8
Facility
3.8
CA AVG
4.6
Rank
#137 / 327 | - | 69 | - | 68 | Almaden Holding Company Gp LLC | $12.6MFiscal year ending 12/2023
Facility
$12.6MFiscal year ending 12/2023
CA AVG
$17.0M
Rank
#175 / 327 | $5.5MFiscal year ending 12/2023
Facility
$5.5MFiscal year ending 12/2023
CA AVG
$7.0M
Rank
#187 / 327 | 43.2%Fiscal year ending 12/2023
Facility
43.2%Fiscal year ending 12/2023
CA AVG
45.2%
Rank
#179 / 327 | 56058 | ||||
| Empress Care Center | NH HOS RC SNF | San Jose (Willow Glen) | 67 |
75.1%
Facility
75.1%
CA AVG
73.9
Rank
#812 / 1506 | +2% | 4.51
Facility
4.51
CA AVG
4.22
Rank
#88 / 327 | -12% | +7% | $0
Facility
$0
CA AVG
$56.5k
Rank
#1 / 334 | - | 44
Facility
44
CA AVG
50.2
Rank
#178 / 327 | 11.0
Facility
11.0
CA AVG
4.6
Rank
#323 / 327 | - | 50 | A+ | 78 | Cory Diebold | $7.6MFiscal year ending 12/2023
Facility
$7.6MFiscal year ending 12/2023
CA AVG
$17.0M
Rank
#290 / 327 | $3.8MFiscal year ending 12/2023
Facility
$3.8MFiscal year ending 12/2023
CA AVG
$7.0M
Rank
#282 / 327 | 49.6%Fiscal year ending 12/2023
Facility
49.6%Fiscal year ending 12/2023
CA AVG
45.2%
Rank
#55 / 327 | 56026 |
A Grace Subacute & Skilled Care is located in San Jose, California.
Here are the financial assistance programs available to residents in California.
A Grace Subacute & Skilled Care is in the Castlemont neighborhood of San Jose.
A Grace Subacute & Skilled Care has a walk score of 74. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
A Grace Subacute & Skilled Care's occupancy is 66.6%.
A Grace Subacute & Skilled Care is registered as a for-profit in CA.
A Grace Subacute & Skilled Care is located at 1250 S Winchester Blvd, San Jose, CA 95128.
(408) 241-3844 will put you in contact with the team at A Grace Subacute & Skilled Care.
Yes — A Grace Subacute & Skilled Care is a CMS-certified provider of Medicare and Medicaid.
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