Inspection Reports for Atria Willow Glen
1660 Gaton Dr, San Jose, CA 95125, United States, CA, 95125
Back to Facility ProfileInspection Report Summary
Most inspections at this facility were consistently clean, with no deficiencies cited in the majority of visits, including the most recent report on October 22, 2025, which found no deficiencies and determined a verbal and physical abuse allegation to be unsubstantiated. One significant issue occurred on January 2, 2025, when the facility was cited for failure to provide adequate supervision after a resident with wandering behavior eloped, resulting in an immediate civil penalty. Aside from this, other complaint investigations, including those related to resident care and facility conditions, were unsubstantiated or found to lack sufficient evidence. The facility showed improvement over time, with no deficiencies noted in the most recent annual inspection on September 16, 2025, following the earlier citation. Minor or technical violations were isolated and did not indicate ongoing serious problems.
Deficiencies per Year
4
3
2
1
0
Severe
High
Moderate
Low
Unclassified
Census Over Time
Census
Capacity
Inspection Report
Complaint Investigation
Census: 43
Capacity: 63
Deficiencies: 0
Oct 22, 2025
Visit Reason
An unannounced case management incident visit was conducted regarding a self-reported incident of alleged abuse involving staff and a resident.
Findings
The allegation of verbal and physical abuse by staff S1 towards resident R1 was determined to be unsubstantiated. No injuries were noted and no deficiencies were cited during the visit.
Complaint Details
The complaint involved an incident where staff S1 allegedly grabbed resident R1 by the left arm and yelled at them. Interviews with staff yielded mixed observations about S1's behavior. The Licensing Program Analyst assessed the resident and found no marks or bruises. The allegation was found unsubstantiated.
Report Facts
Staff interviewed: 8
Staff reporting observation of yelling: 4
Staff reporting no observation of yelling: 4
Staff reporting rough handling: 3
Staff reporting no rough handling: 5
Facility capacity: 63
Resident census: 43
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Janice Lacambra | Memory Care Director | Met with Licensing Program Analyst during the visit and named in the report |
| Manuel Monter | Licensing Program Analyst | Conducted the unannounced case management incident visit |
| Ugur Gursu | Administrator/Director | Facility Administrator named in the report |
Inspection Report
Annual Inspection
Census: 43
Capacity: 63
Deficiencies: 1
Sep 16, 2025
Visit Reason
An unannounced annual inspection visit was conducted by Licensing Program Analyst Manuel Monter to evaluate compliance with licensing requirements at Atria Willow Glen facility.
Findings
No deficiencies were cited during the visit, though a technical violation was noted. The facility was found to be in compliance with safety and care standards, including proper food storage, medication security, and fire safety equipment maintenance.
Deficiencies (1)
| Description |
|---|
| Technical violation noted during the visit |
Report Facts
Facility capacity: 63
Resident census: 43
Fire extinguisher service date: Sep 2, 2025
Sprinkler system test date: 202503
Last fire/earthquake drill date: Sep 12, 2025
Medication records reviewed: 4
Staff records reviewed: 4
Resident interviews conducted: 3
Staff interviews conducted: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Ugur Gursu | Administrator | Met with Licensing Program Analyst during inspection and reviewed report |
| Manuel Monter | Licensing Program Analyst | Conducted the unannounced annual inspection visit |
| Romeo Manzano | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Plan of Correction
Census: 47
Capacity: 63
Deficiencies: 0
Mar 21, 2025
Visit Reason
The visit was an unannounced Plan of Correction (POC) visit conducted to ensure that the facility was following the plan of corrections related to previously cited type A deficiencies regarding an elopement incident.
Findings
The Licensing Program Analyst observed staff training records including elopement drills, interventions for wandering behaviors, and quarterly safety training. No deficiencies were cited during this visit.
Report Facts
Facility capacity: 63
Census: 47
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Ugur Gursu | Administrator | Met with Licensing Program Analyst during the POC visit |
| Manuel Monter | Licensing Program Analyst | Conducted the unannounced POC visit |
| Romeo Manzano | Licensing Program Manager | Named in the report header |
Inspection Report
Complaint Investigation
Census: 48
Capacity: 63
Deficiencies: 2
Jan 2, 2025
Visit Reason
An unannounced case management visit was conducted in response to an incident report regarding a resident (R1) who eloped from the facility through a secured delayed egress door.
Findings
The investigation found that R1, who has a neurocognitive disorder and wandering behavior, left the facility unassisted by pushing open a delayed egress door. Staff did not immediately locate R1, who was later found on a bus approximately 1.4 miles away. The facility was cited for failure to provide adequate supervision, resulting in an immediate civil penalty.
Complaint Details
The visit was complaint-related due to an incident report of resident elopement. The complaint was substantiated as the facility failed to provide adequate supervision, resulting in the resident leaving unassisted.
Severity Breakdown
Type A: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| 87468.1 Personal Rights: Each resident shall be accorded safe, healthful and comfortable accommodations, furnishings and equipment. This requirement was not met as evidenced by R1 leaving the facility unassisted, posing an immediate health and safety risk. | Type A |
| 87468.2 Additional Personal Rights: To care, supervision, and services that meet individual needs and are delivered by staff sufficient in numbers, qualifications, and competency. This was not met as R1 was unsupervised when leaving the community, posing an immediate health and safety risk. | Type A |
Report Facts
Civil penalty amount: 500
Distance resident traveled: 1.4
Number of care givers on shift: 2
Number of MedTech on shift: 1
Plan of Correction due date: Jan 3, 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kurt Gursu | Administrator | Met with Licensing Program Analysts during the visit and named in findings. |
| Manuel Monter | Licensing Program Analyst | Conducted the inspection and signed the report. |
| Romeo Manzano | Licensing Program Manager | Supervisor overseeing the inspection. |
Inspection Report
Capacity: 63
Deficiencies: 0
Dec 19, 2024
Visit Reason
An unannounced case management-incident visit was conducted to follow up on an incident report regarding a resident elopement.
Findings
The Licensing Program Analyst determined that the incident requires further investigation, but no deficiencies were cited at this time as per California Code of Regulations Title 22.
Report Facts
Facility capacity: 63
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Manuel Monter | Licensing Program Analyst | Conducted the unannounced case management-incident visit and interviews |
| Trever Treadwell | Resident Services Director | Interviewed during the visit and report reviewed with |
Inspection Report
Complaint Investigation
Census: 55
Capacity: 63
Deficiencies: 0
Oct 16, 2024
Visit Reason
The inspection was an unannounced complaint investigation conducted in response to multiple allegations received on 07/30/2024 regarding facility conditions and resident care at Atria Willow Glen.
Findings
The investigation found all allegations to be unfounded or unsubstantiated after interviews, observations, and records review. Issues such as a resident's toilet disrepair, neglect resulting in elopement, door alarm malfunction, failure to notify responsible parties, eviction procedures, and medication administration were examined and found without sufficient evidence of violations.
Complaint Details
The complaint investigation addressed allegations including a resident's toilet in disrepair, neglect/lack of supervision resulting in resident eloping, facility door alarm in disrepair, failure to notify responsible parties about elopement, failure to follow eviction procedures, and staff not following a licensed physician's order. All allegations were found to be unfounded or unsubstantiated based on interviews and evidence.
Report Facts
Capacity: 63
Census: 55
Complaint received date: Jul 30, 2024
Inspection visit date: Oct 16, 2024
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Manuel Monter | Licensing Program Analyst | Conducted the complaint investigation and interviews |
| Romeo Manzano | Licensing Program Manager | Oversaw the complaint investigation report |
| Trever Treadwell | Resident Services Director | Met with during the inspection |
| Ugur Gursu | Administrator | Facility administrator mentioned in the report |
| S1 | Staff member interviewed regarding toilet issues, door alarm, and medication administration | |
| ADM | Facility administrator or management interviewed regarding eviction and resident care | |
| Maintenance Director | Interviewed regarding toilet and door alarm maintenance |
Inspection Report
Complaint Investigation
Census: 55
Capacity: 63
Deficiencies: 0
Oct 16, 2024
Visit Reason
The inspection was an unannounced complaint investigation conducted in response to multiple complaints received on March 16, 2023, alleging staff did not provide housekeeping, assist with grooming, or locked residents inside their living units, among other concerns.
Findings
The investigation included interviews with residents and staff, observations of resident bedrooms, and review of records. The department found all allegations to be unfounded or unsubstantiated, meaning the complaints were either false or lacked sufficient evidence to prove occurrence.
Complaint Details
The complaints investigated included allegations that staff did not provide housekeeping, did not assist residents with grooming, locked residents inside their living units, did not meet residents' incontinence needs, and did not monitor residents for changes in condition. After interviews and observations, all allegations were found to be unfounded or unsubstantiated.
Report Facts
Capacity: 63
Census: 55
Staff interviewed: 8
Residents interviewed: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Manuel Monter | Licensing Program Analyst | Conducted the complaint investigation |
| Romeo Manzano | Licensing Program Manager | Oversaw the complaint investigation |
| Trever Treadwell | Resident Services Director | Met with the Licensing Program Analyst during the investigation |
| Ugur Gursu | Administrator | Facility administrator named in the report |
Inspection Report
Complaint Investigation
Census: 50
Capacity: 63
Deficiencies: 0
Sep 16, 2024
Visit Reason
The inspection was an unannounced case management-incident visit triggered by a resident elopement incident reported on September 11, 2024.
Findings
The Licensing Program Analyst conducted interviews and requested documentation related to the incident. No deficiencies were cited at this time, but the incident requires further investigation.
Complaint Details
The visit was complaint-related due to a resident elopement incident. The incident involved resident R1 exiting through a delayed egress door and being found on a bus. The complaint is under further investigation with no substantiation or deficiencies cited yet.
Report Facts
Facility capacity: 63
Resident census: 50
Incident time: 830
Incident call time: 850
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Ugur Gursu | Administrator | Met with Licensing Program Analyst during the inspection and involved in incident discussion |
| Manuel Monter | Licensing Program Analyst | Conducted the unannounced case management-incident visit |
Inspection Report
Annual Inspection
Census: 49
Capacity: 63
Deficiencies: 0
Sep 10, 2024
Visit Reason
An unannounced annual inspection visit was conducted to evaluate compliance with licensing requirements at the facility.
Findings
The inspection included a tour of the facility, review of food supplies, medication storage, and safety equipment. No deficiencies were cited during the visit.
Report Facts
Staff records reviewed: 4
Resident records reviewed: 5
Resident medications reviewed: 4
Food supply duration: 2
Food supply duration: 7
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Ugur Gursu | Administrator | Facility Administrator present during inspection and report review |
| Trevor Treadwill | Resident Services Director | Met with Licensing Program Analysts during facility tour |
| Marcela Yanez | Licensing Program Analyst | Conducted the inspection |
| Manuel Monter | Licensing Program Analyst | Conducted the inspection |
Inspection Report
Complaint Investigation
Census: 48
Capacity: 63
Deficiencies: 0
Aug 7, 2024
Visit Reason
An unannounced complaint investigation was conducted in response to an allegation that staff inappropriately touched a resident in care.
Findings
After interviews with staff and residents, and review of medical and service records, the allegations were found to be unsubstantiated due to lack of preponderance of evidence.
Complaint Details
The complaint alleged that staff inappropriately touched resident R1 during bathing. Interviews with six staff and six residents, including R1, and review of R1's physician report and Needs and Services Plan indicated no substantiation of the allegation.
Report Facts
Staff interviewed: 6
Residents interviewed: 6
Facility capacity: 63
Facility census: 48
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Manuel Monter | Licensing Program Analyst | Conducted the complaint investigation |
| Kurt Gursu | Administrator | Facility administrator met during investigation |
| Romeo Manzano | Licensing Program Manager | Reviewed the report |
Inspection Report
Annual Inspection
Census: 35
Capacity: 63
Deficiencies: 0
Sep 20, 2023
Visit Reason
An unannounced required annual inspection was conducted at the facility to evaluate compliance with licensing requirements.
Findings
The facility was toured including assisted living and memory care areas, with observations of resident activities and safety measures. The kitchen and medication storage were inspected and found adequate. No deficiencies were cited during the visit.
Report Facts
Days of perishable food supply: 2
Days of nonperishable food supply: 7
Number of staff records reviewed: 3
Number of resident records reviewed: 3
Number of resident medication records reviewed: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kurt Gursu | Executive Director | Met with Licensing Program Analyst during inspection and exit interview |
| Manuel Monter | Licensing Program Analyst | Conducted the inspection |
| Romeo Manzano | Licensing Program Manager | Named in report header |
Inspection Report
Annual Inspection
Census: 39
Capacity: 63
Deficiencies: 0
Sep 22, 2022
Visit Reason
An unannounced annual inspection was conducted as part of the required 1-year visit to evaluate compliance with licensing regulations.
Findings
The facility was found to be clean, well maintained, and compliant with all regulations. No deficiencies were cited. The facility has a 100% COVID-19 vaccination rate for residents and staff, and all safety equipment was observed to be in proper working order.
Report Facts
COVID-19 vaccination rate: 100
Fire extinguisher last inspection date: 202111
Facility water temperature range: Measured between 112.5°F and 119.7°F
Room temperature range: Observed between 71°F and 78°F in resident bedrooms
Food supply duration: 2
Food supply duration: 7
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kurt Gursu | Administrator | Met with Licensing Program Analyst during inspection |
| Ryker Heberle | Licensing Program Analyst | Conducted the unannounced annual inspection |
| Sarah Yip | Licensing Program Manager | Named in report header |
Inspection Report
Annual Inspection
Census: 39
Capacity: 63
Deficiencies: 0
Sep 1, 2021
Visit Reason
An unannounced annual inspection was conducted to evaluate the facility's compliance with licensing requirements.
Findings
The inspection found that COVID-19 safety protocols were in place, exits were unobstructed, emergency contacts were up to date, and medicine cabinets were locked. No citations were issued during this visit.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kurt Gursu | Executive Director | Met with Licensing Program Analyst during the inspection. |
| Steve Nguyen | Licensing Program Analyst | Conducted the unannounced annual inspection. |
| Jackie Jin | Licensing Program Manager | Named in the report header. |
Inspection Report
Complaint Investigation
Census: 43
Capacity: 63
Deficiencies: 0
Apr 23, 2021
Visit Reason
The inspection was conducted in response to a complaint alleging that the facility had an infestation of cockroaches.
Findings
The investigation found no corroborating evidence of a cockroach infestation based on interviews with staff and residents, and a review of pest control records showing no pest activity. The complaint was determined to be unfounded.
Complaint Details
The complaint alleging a cockroach infestation was investigated and found to be unfounded based on interviews with 9 staff and 5 residents denying infestation, and pest control records indicating no pest activity.
Report Facts
Staff interviewed: 9
Residents interviewed: 5
Facility capacity: 63
Facility census: 43
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Steve Nguyen | Licensing Program Analyst | Conducted the complaint investigation and tele-visit |
| Jackie Jin | Licensing Program Manager | Named as Licensing Program Manager on the report |
| Kurt Gursu | Administrator | Facility Administrator met during the investigation |
Inspection Report
Capacity: 63
Deficiencies: 0
Mar 2, 2021
Visit Reason
The visit was a Case Management - Other type conducted as a tele-visit to provide the facility guidance and assistance regarding the COVID-19 positive status of the facility.
Findings
The facility had sufficient COVID-19 signage, maintained restrooms with hand washing supplies, available hand sanitizing for staff and residents, PPE supplies, and staff observed wearing face masks. Housekeepers were observed cleaning with EPA approved disinfectants. Staff encouraged social distancing and designated seating throughout Assisted Living. No recommendations were made at this time.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kurt Gursu | Executive Director | Met with during tele-visit and discussed COVID-19 guidance. |
| Steve Nguyen | LPA, CDPH Health Facilities Evaluator Nurse (HFEN) | Conducted tele-visit and virtual tour of the facility. |
| Janet Hayes | CDPH Health Facilities Evaluator Nurse (HFEN) | Conducted tele-visit and virtual tour of the facility. |
Inspection Report
Census: 39
Capacity: 63
Deficiencies: 0
Jan 28, 2021
Visit Reason
The visit was a tele-visit conducted to provide the facility guidance and assistance regarding COVID-19 positive status of the facility.
Findings
The facility had sufficient COVID-19 signage, maintained restrooms with hand washing supplies, available hand sanitizing, PPE supplies, and staff wearing face masks. Housekeepers were observed cleaning with EPA approved disinfectants. Recommendations were made to increase temperature checks, improve signage visibility, and increase designated seating posters for social distancing.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kurt Gursu | Executive Director | Met with during tele-visit and advised regarding COVID-19 guidance. |
| Steve Nguyen | LPA, CDPH Health Facilities Evaluator Nurse (HFEN) | Conducted tele-visit and provided recommendations. |
| Rebekha Bird-Wolgemuth | CDPH Health Facilities Evaluator Nurse (HFEN) | Conducted tele-visit. |
Inspection Report
Census: 44
Capacity: 63
Deficiencies: 0
Dec 9, 2020
Visit Reason
The visit was a Case Management - Other type, involving a joint conference call with the California Department of Public Health to collaborate with the facility and address concerns regarding COVID-19 Infection Control and Mitigation procedures.
Findings
The facility's Memory Care building completed its isolation period with no active positive COVID-19 cases, allowing removal of the outdoor donning and doffing tent and moving the screening area indoors. Facility staff may use KN95 masks instead of N95 masks as long as no active positive cases are present. Clarification was received that COVID+ residents returning from doctor's visits or hospitalization do not need to complete another 14-day isolation/quarantine period.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kurt Gursu | Executive Director | Attended the conference call and was provided a copy of the report for signature. |
| Gladys Kuizon | Licensing Program Analyst | Attended the conference call and named as Licensing Program Analyst. |
| Rebekah Bird-Wohlgemuth | Health Facilities Evaluator Nurse | Attended the conference call. |
| Sarah Yip | Licensing Program Manager | Named as Licensing Program Manager. |
Inspection Report
Routine
Census: 46
Capacity: 63
Deficiencies: 0
Nov 22, 2020
Visit Reason
The visit was an unannounced office inspection conducted to collaborate with the facility and public health departments to address concerns regarding COVID-19 infection control and mitigation procedures.
Findings
The report documents a joint conference call with public health officials and facility representatives to clarify COVID-19 related protocols including communal dining in the Memory Care Unit, daily line list monitoring, and twice daily symptom checks for residents.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kurt Gursu | Executive Director | Facility representative met during the inspection and recipient of the report. |
| Vivien Helbling | Regional Manager | Community Care Licensing Division official involved in the joint conference call. |
| Krystall Moore | Acting Assistant Program Administrator | Community Care Licensing Division official involved in the joint conference call. |
| Gladys Kuizon | Licensing Program Analyst | Community Care Licensing Division official involved in the joint conference call and report preparation. |
| Rebekah Bird-Wohlgemuth | Health Facilities Evaluator Nurse | California Department of Public Health official involved in the joint conference call. |
| Melissa Schilling | Nurse | Santa Clara County Public Health Department official involved in the joint conference call. |
| Jason Walthour | Regional Vice President | Facility representative met during the inspection. |
| Jen Johnson | National Director of Care Management | Facility representative met during the inspection. |
Inspection Report
Routine
Census: 47
Capacity: 63
Deficiencies: 0
Nov 20, 2020
Visit Reason
The visit was an office evaluation conducted to collaborate with the California Department of Public Health and address concerns regarding COVID-19 Infection Control and Mitigation procedures at the facility.
Findings
The facility demonstrated compliance with strict entrance screening protocols, symptom checking twice daily for residents and staff, and implemented recommendations such as replacing trash bins with covered, foot-pedal bins. Communal dining was initially discontinued but later permitted as a cohort when all residents tested positive. Hand hygiene stations were provided, though hand sanitizers were not accessible in the Memory Care unit due to resident needs and regulations.
Report Facts
Census: 47
Total Capacity: 63
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kurt Gursu | Executive Director | Facility representative providing responses regarding COVID-19 procedures |
Inspection Report
Census: 48
Capacity: 63
Deficiencies: 0
Nov 13, 2020
Visit Reason
The visit was a Case Management - Other type, conducted as a tele-visit to provide the facility guidance and assistance regarding COVID-19 positive status of the facility.
Findings
The facility had sufficient COVID-19 signage, clean restrooms with paper towels, hand sanitizing stations, ample PPE, and staff wearing face masks. Housekeepers were observed cleaning with EPA approved disinfectants. Food was served in disposable containers and social distancing was encouraged. Staffing levels were adequate with no issues reported.
Report Facts
Staffing counts: 4
Staffing counts: 3
Staffing counts: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kurt Gursu | Executive Director | Met during tele-visit and discussed facility COVID-19 status |
| Richard Olsen | Memory Care Director | Met during tele-visit |
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