Inspection Reports for Belmont Village Senior Living San Jose

500 S Winchester Blvd, San Jose, CA 95128, United States, CA, 95128

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Inspection Report Summary

Most inspections found no deficiencies, with routine annual visits and complaint investigations generally showing compliance with regulations and proper care practices. Several complaint investigations were unsubstantiated, including allegations of abuse, medication errors, and inadequate cleaning. However, the most recent report from July 22, 2025, substantiated one complaint where a staff member inappropriately restrained a resident’s wrist, posing a risk to the resident’s safety and rights; the staff member was terminated and the deficiency was cleared during the visit. Other issues noted in the past involved isolated incidents of rough handling by staff, but no fines, license suspensions, or enforcement actions were listed in the available reports. The facility appears to have maintained a mostly positive record with occasional isolated concerns that have been addressed promptly.

Deficiencies per Year

4 3 2 1 0
2020
2021
2022
2023
2024
2025
Severe High Moderate Low Unclassified

Census Over Time

80 100 120 140 160 Dec '20 Jun '23 Sep '23 Jun '24 Feb '25 Jun '25
Census Capacity
Inspection Report Complaint Investigation Capacity: 150 Deficiencies: 1 Jul 22, 2025
Visit Reason
The inspection was conducted as a complaint investigation following a report received on 2025-03-24 alleging that staff inappropriately restrained a resident while in care.
Findings
The investigation substantiated the allegation that a staff member restrained a resident's wrist inappropriately, posing a risk to the resident's health, safety, and personal rights. The staff member was terminated, and the deficiency was cited and cleared during the visit.
Complaint Details
The complaint was substantiated based on interviews and record review. The incident involved a staff member holding down a resident's wrist for about 15 seconds in a manner that was not appropriate. The resident did not sustain injuries and did not recall the event due to a neurological condition. The staff member was terminated and the police were notified.
Severity Breakdown
Type A: 1
Deficiencies (1)
DescriptionSeverity
Failure to ensure that resident was accorded dignity in his/her relationship with staff, as staff was observed to restrain resident's wrist down posing an immediate health, safety, and personal rights risk.Type A
Report Facts
Capacity: 150
Employees Mentioned
NameTitleContext
Rachel BrownExecutive DirectorMet with Licensing Program Analyst during investigation and reviewed report findings
Christine KabaritiLicensing Program AnalystConducted the complaint investigation and delivered findings
Jackie JinLicensing Program ManagerNamed in report as Licensing Program Manager overseeing the investigation
Inspection Report Complaint Investigation Capacity: 150 Deficiencies: 0 Jul 22, 2025
Visit Reason
The inspection was conducted as an unannounced complaint investigation following a complaint received on 2025-03-11 alleging inappropriate behavior by facility staff with a resident.
Findings
The investigation found the allegation unsubstantiated after interviews, record reviews, and observation. No staff matched the description provided, and no inappropriate behavior was observed or confirmed. The resident involved has a neurocognitive disorder and made inconsistent statements.
Complaint Details
The complaint alleged that a staff member had inappropriate behavior with a resident. The allegation was unsubstantiated based on interviews with residents and staff, review of police and facility records, and observation. No evidence was found to prove the allegation occurred.
Report Facts
Facility capacity: 150 Staff interviewed: 7
Employees Mentioned
NameTitleContext
Rachel BrownExecutive DirectorMet with Licensing Program Analyst during investigation and reviewed report findings
Christine KabaritiLicensing Program AnalystConducted the complaint investigation and authored the report
Jackie JinLicensing Program ManagerNamed as Licensing Program Manager on the report
Inspection Report Annual Inspection Census: 117 Capacity: 150 Deficiencies: 0 Jun 25, 2025
Visit Reason
An unannounced annual visit was conducted to evaluate the facility's compliance with licensing requirements.
Findings
The facility was toured and inspected, including resident rooms, common areas, and kitchen. All safety equipment was current and functioning, resident and staff records were complete and up to date, and medication storage and records were properly maintained. No deficiencies were cited.
Report Facts
Food supply duration: 2 Food supply duration: 7 Temperature: 74 Temperature: 110 Resident records reviewed: 5 Staff records reviewed: 5
Employees Mentioned
NameTitleContext
Rachel BrownAdministratorMet with Licensing Program Analyst during inspection
Grace DonatoLicensing Program AnalystConducted the inspection visit
Jackie JinLicensing Program ManagerNamed as Licensing Program Manager on report
Inspection Report Census: 116 Capacity: 150 Deficiencies: 0 Apr 16, 2025
Visit Reason
The visit was a Case Management Incident inspection conducted due to a reported water leak at the facility affecting multiple floors, elevators, and resident apartments.
Findings
The water leak originated from a water holding tank on the roof, flooding laundry rooms on floors 2-7, elevator doors, 11 resident apartments, and the 1st floor lobby. Remediation efforts included water removal, drying, and manual elevator operation. No residents were physically impacted and no deficiencies were cited.
Report Facts
Number of affected resident apartments: 11 Facility capacity: 150 Census: 116
Employees Mentioned
NameTitleContext
Rachel BrownExecutive Director / AdministratorNamed in relation to incident response and remediation efforts
Manuel MonterLicensing Program AnalystConducted the inspection visit and facility tour
Inspection Report Complaint Investigation Census: 116 Capacity: 150 Deficiencies: 0 Mar 12, 2025
Visit Reason
The visit was a case management incident follow-up triggered by a report of a resident who exited the memory care unit through a delayed egress door and was found at the facility's driveway.
Findings
The investigation found that the resident was able to exit due to staff mistakenly not resetting the delayed egress door alarm. No injuries occurred, and the resident was monitored for 72 hours with care plan updates and staff retraining on elopement prevention. No deficiencies were cited.
Complaint Details
The complaint involved a resident (R1) who exited the memory care unit without staff knowledge due to an alarm not being reset. The resident was found by a visitor and escorted back. The facility took corrective actions including monitoring, care plan updates, and staff retraining. No injuries were noted and no deficiencies were cited.
Report Facts
Monitoring duration: 72 Facility capacity: 150 Resident census: 116
Employees Mentioned
NameTitleContext
Rachel BrownExecutive DirectorMet with Licensing Program Analyst during the visit and provided information about the incident.
Christine KabaritiLicensing Program AnalystConducted the unannounced case management incident visit.
Inspection Report Complaint Investigation Census: 117 Capacity: 150 Deficiencies: 0 Feb 5, 2025
Visit Reason
An unannounced complaint investigation visit was conducted to investigate allegations that the facility was not kept clean and that dishes used to serve residents were dirty.
Findings
The investigation found that while some cutlery and mugs had staining, dishwashers and substantial food supply were present, and dishes not meeting standards were usually replaced. The allegations were determined to be unsubstantiated based on observations and interviews.
Complaint Details
The complaint was unsubstantiated as there was not a preponderance of evidence to prove the alleged violations occurred.
Report Facts
Capacity: 150 Census: 117
Employees Mentioned
NameTitleContext
Jaime VadoLicensing Program AnalystConducted the complaint investigation visit
Rachel BrownExecutive DirectorMet with Licensing Program Analyst during investigation
Inspection Report Complaint Investigation Census: 117 Capacity: 150 Deficiencies: 0 Feb 5, 2025
Visit Reason
The visit was an unannounced complaint investigation conducted in response to a complaint received on 2024-03-04 regarding allegations of untimely emergency pull cord response, failure to provide medications, contracted services, and urine bag changes.
Findings
The investigation found that all prescribed medications were given as directed, urine bags were changed, and staff responded based on staffing and business demands. The allegations were determined to be unsubstantiated based on observations, interviews, and document reviews.
Complaint Details
The complaint investigation was unsubstantiated as there was no preponderance of evidence to prove the alleged violations occurred. Allegations included untimely emergency pull cord response, failure to provide medications, contracted services, and urine bag changes.
Report Facts
Capacity: 150 Census: 117
Employees Mentioned
NameTitleContext
Jaime VadoLicensing Program AnalystConducted the complaint investigation
Rachel BrownExecutive DirectorMet with investigator during the visit
Inspection Report Follow-Up Census: 108 Capacity: 150 Deficiencies: 0 Nov 6, 2024
Visit Reason
The visit was an unannounced case management incident follow-up to a SOC341 report received on 10/28/2024 regarding an incident involving resident R1 on 10/27/2024.
Findings
The investigation found that staff member S1 grabbed resident R1's arms from behind for approximately 15 seconds, causing R1 to struggle. R1 showed no signs of injury and was unable to recall the incident. S1 was terminated following the incident, family members were informed, and police were notified. No deficiencies were cited.
Complaint Details
The visit was complaint-related based on a SOC341 report. The complaint was investigated, and no deficiencies were cited. S1 was terminated, family notified, and police involved.
Report Facts
Capacity: 150 Census: 108 Incident date: Oct 27, 2024 Report received date: Oct 28, 2024
Employees Mentioned
NameTitleContext
Rachel BrownExecutive DirectorMet with Licensing Program Analysts and involved in incident follow-up
Christine DoloresLicensing Program AnalystConducted the case management incident visit
Santino FortesLicensing Program AnalystConducted the case management incident visit
Inspection Report Census: 104 Capacity: 150 Deficiencies: 0 Jun 27, 2024
Visit Reason
The visit was conducted to deliver an immediate exclusion letter for a staff member (S1).
Findings
No deficiencies were cited during this unannounced case management visit. The immediate exclusion letter was handed to the Executive Director, who confirmed the staff member was not employed at the facility.
Employees Mentioned
NameTitleContext
Rachel BrownExecutive DirectorMet with Licensing Program Analyst during the visit and confirmed staff member S1 is not an employee.
Christine DoloresLicensing Program AnalystConducted the unannounced case management visit and delivered the immediate exclusion letter.
Sarah YipLicensing Program ManagerNamed as Licensing Program Manager on the report.
Inspection Report Annual Inspection Census: 104 Capacity: 150 Deficiencies: 0 Jun 26, 2024
Visit Reason
An unannounced annual visit was conducted to evaluate the facility's compliance with licensing requirements.
Findings
The facility was found to be in good condition with no deficiencies cited. Resident rooms, common areas, and safety equipment were inspected and found compliant. Records for residents and staff were complete and up to date.
Report Facts
Food supply duration: 2 Food supply duration: 7 Resident records reviewed: 5 Staff records reviewed: 5 Residents interviewed: 4 Staff interviewed: 4
Employees Mentioned
NameTitleContext
Rachel BrownAdministratorMet with Licensing Program Analyst during inspection
Grace DonatoLicensing Program AnalystConducted the inspection visit
Jackie JinLicensing Program ManagerNamed in report header
Inspection Report Complaint Investigation Census: 103 Capacity: 150 Deficiencies: 0 May 31, 2024
Visit Reason
The visit was an unannounced case management - incident inspection triggered by a serious incident involving a resident and staff reported on 05/30/2024.
Findings
The investigation found that a staff member assisted a resident roughly, resulting in redness and scratches on the resident. The staff member was suspended and escorted out of the facility. No deficiencies were cited per California Code of Regulations, Title 22.
Complaint Details
The complaint involved an incident on 05/29/2024 where a staff member was observed assisting a resident roughly. The staff was suspended immediately and did not return to work. The facility notified the resident's family, Ombudsman, and local law enforcement. In-service training was conducted on elder abuse, mandated reporting, and the resident's care plan.
Report Facts
Capacity: 150 Census: 103
Employees Mentioned
NameTitleContext
Rachel BrownExecutive DirectorMet with Licensing Program Analyst during the visit and was involved in the incident review
Christine DoloresLicensing Program AnalystConducted the unannounced case management - incident visit
Inspection Report Complaint Investigation Census: 110 Capacity: 150 Deficiencies: 0 Sep 28, 2023
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by a complaint received on 2021-08-16 regarding allegations including unmet resident hygiene needs, improper medication administration, lack of supervision resulting in resident wandering, and charging for services not provided.
Findings
The investigation found all allegations to be unsubstantiated after reviewing documents and conducting interviews. The facility followed care plans and policies regarding diaper changing and medication administration, implemented an action plan after a resident wandered off the building but remained on campus, and provided activity programs adjusted for COVID-19 guidelines.
Complaint Details
The complaint included allegations that a resident's hygiene needs were not met, medications were not given according to physician's instructions, lack of supervision led to resident wandering, and the facility charged for services not provided. After investigation, these allegations were found unsubstantiated due to insufficient evidence to prove occurrence.
Report Facts
Capacity: 150 Census: 110
Employees Mentioned
NameTitleContext
Steve ChangLicensing Program AnalystConducted the complaint investigation visit and delivered findings
Allyson FujiiMemory Program CoordinatorMet with investigator during visit and involved in activity program discussion
Gilda DeocaresAdministratorFacility administrator named in report header
Romeo ManzanoLicensing Program ManagerNamed as Licensing Program Manager overseeing the investigation
Chihhsien ChangLicensing Program AnalystConducted the complaint investigation
Director of Resident Care ServiceDirector of Resident Care ServiceInterviewed regarding medication administration policies
Inspection Report Complaint Investigation Census: 110 Capacity: 150 Deficiencies: 0 Sep 25, 2023
Visit Reason
An unannounced complaint investigation visit was conducted in response to allegations received on 12/17/2020 regarding a resident injury from a fall, hydration concerns, and failure to follow medical orders.
Findings
The investigation found that although the resident sustained an injury from a fall and was dehydrated, the allegations were unsubstantiated due to lack of preponderance of evidence. Staff ensured hydration was offered, and only one medical order was in place which was followed after discharge.
Complaint Details
The complaint involved allegations that a resident sustained an injury from a fall, staff did not ensure appropriate fluid intake, and staff did not follow medical orders. The investigation concluded the allegations were unsubstantiated.
Report Facts
Capacity: 150 Census: 110
Employees Mentioned
NameTitleContext
Grace DonatoLicensing Program AnalystConducted the complaint investigation visit and authored the report
Gilda DeocaresDirector of Resident Care ServicesMet with Licensing Program Analyst during the investigation
Jackie JinLicensing Program ManagerNamed in the report as Licensing Program Manager
Inspection Report Complaint Investigation Census: 110 Capacity: 150 Deficiencies: 0 Sep 25, 2023
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by an allegation that staff did not protect a resident from physical abuse.
Findings
The allegation that staff did not protect the resident from physical abuse was unsubstantiated. The investigation found that bruising on the resident was likely related to medication making the skin more prone to bruising, and the private caregiver involved was removed from care following the incident.
Complaint Details
The complaint alleged that staff did not protect a resident from physical abuse, specifically bruising that looked like finger marks and unauthorized locking of the resident's room by a private caregiver. The allegation was found unsubstantiated after interviews, record reviews, and monitoring.
Report Facts
Capacity: 150 Census: 110
Employees Mentioned
NameTitleContext
Gilda DeocaresDirector of Resident Care ServicesMet with Licensing Program Analyst during investigation
Grace DonatoLicensing Program AnalystConducted the complaint investigation visit
Jackie JinLicensing Program ManagerNamed in report as Licensing Program Manager
Inspection Report Complaint Investigation Census: 110 Capacity: 150 Deficiencies: 0 Sep 25, 2023
Visit Reason
The visit was an unannounced complaint investigation triggered by allegations received on 2021-08-12 regarding inadequate cleaning, lack of communication with authorized representatives about outings, and residents not wearing masks during outings.
Findings
The investigation found no evidence to substantiate the allegations. The facility's cleaning practices were adequate with weekly housekeeping and prompt response to requests. Residents are allowed to decide on participation in activities without prior family authorization. Masking was encouraged but not strictly required during events, and no COVID cases were reported from the event.
Complaint Details
The complaint was unsubstantiated after investigation. Allegations included inadequate cleaning, failure to communicate with authorized representatives about outings, and residents not wearing masks on outings. Interviews, file reviews, and observations did not support these claims.
Report Facts
Census: 110 Total Capacity: 150
Employees Mentioned
NameTitleContext
Grace DonatoLicensing Program AnalystConducted the complaint investigation and authored the report
Gilda DeocaresDirector of Resident Care ServicesMet with Licensing Program Analyst during investigation
Jackie JinLicensing Program ManagerReviewed the complaint investigation report
Inspection Report Complaint Investigation Census: 110 Capacity: 150 Deficiencies: 0 Sep 19, 2023
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by an allegation that staff caused injury to a resident.
Findings
The investigation found that the resident (R1) with mixed dementia and aggressive behaviors was reported to have a bruise caused by a caregiver grabbing their arm. After interviews, record reviews, and safety plan verification, the allegation was determined to be unsubstantiated due to lack of preponderance of evidence.
Complaint Details
The complaint alleged that staff caused injury to a resident by grabbing the resident's arm and causing a bruise. The allegation was unsubstantiated after investigation, including interviews with staff and review of resident records and safety plans.
Report Facts
Census: 110 Total Capacity: 150
Employees Mentioned
NameTitleContext
Grace DonatoLicensing Program AnalystConducted the complaint investigation and unannounced visit
Jackie JinLicensing Program ManagerNamed in the report as Licensing Program Manager
Rachel BrownExecutive DirectorMet with Licensing Program Analyst during the visit
Allyson FujiiMemory Program CoordinatorMet with Licensing Program Analyst during the visit
Inspection Report Complaint Investigation Census: 110 Capacity: 150 Deficiencies: 0 Sep 19, 2023
Visit Reason
The visit was an unannounced complaint investigation conducted in response to allegations received on 08/12/2021 regarding inadequate food service and facility disrepair.
Findings
The investigation found that the resident (R1) was provided food options consistent with their preferences and the facility menus offer extensive choices. The alleged facility disrepair regarding door locks was found to be corrected with no issues observed. Both allegations were unsubstantiated due to lack of evidence.
Complaint Details
The complaint was unsubstantiated. Allegations included resident not being provided adequate food service and facility being in disrepair. After interviews, observations, and record reviews, no evidence supported the allegations.
Report Facts
Complaint received date: Aug 12, 2021 Facility capacity: 150 Resident census: 110
Employees Mentioned
NameTitleContext
Grace DonatoLicensing Program AnalystConducted the complaint investigation and authored the report
Allyson FujiiMemory Program CoordinatorMet with the Licensing Program Analyst during the investigation
Inspection Report Complaint Investigation Census: 103 Capacity: 150 Deficiencies: 0 Jun 22, 2023
Visit Reason
The visit was an unannounced case management incident investigation following a reported allegation of resident abuse involving a contracted staff member at the facility's fitness center.
Findings
The investigation found no signs or reports of inappropriate behavior between staff and residents. The suspected abuser was temporarily suspended and later returned to provide services. No deficiencies were cited.
Complaint Details
The complaint alleged that a resident was molested by a suspected abuser who is a contracted staff member. The facility conducted an internal investigation, interviewed residents and family members, and provided staff training on mandated reporting. The complaint was not substantiated based on interviews and assessments.
Report Facts
Residents interviewed: 7 Family members interviewed: 1 Residents participating in 1:1 exercises with suspected abuser: 5 Residents participating in same program as alleged victim: 2
Employees Mentioned
NameTitleContext
Gilda DeocaresDirector of Resident Care ServicesMet with Licensing Program Analyst during investigation and interviewed regarding the incident
Christine DoloresLicensing Program AnalystConducted the unannounced case management incident visit
Natalie BarmanAdministratorFacility administrator named in the report header
Inspection Report Complaint Investigation Capacity: 150 Deficiencies: 0 Feb 10, 2023
Visit Reason
The visit was an unannounced case management - incident inspection conducted to obtain additional information regarding an incident report of a resident who eloped from the facility on 02/05/2023.
Findings
The resident was found by police and transported to the hospital with no injuries noted. The facility took appropriate steps including reassessment, evaluation, facility inspection, and staff training on elopement. No deficiencies were cited per California Code of Regulations, Title 22.
Complaint Details
The visit was triggered by an incident report of a resident eloping from the facility. The complaint was investigated and found to be unsubstantiated as no deficiencies were cited.
Report Facts
Facility capacity: 150
Employees Mentioned
NameTitleContext
Gilda DeocaresDirector of Resident Care ServicesMet with Licensing Program Analyst during the visit and discussed the incident
Christine DoloresLicensing Program AnalystConducted the case management - incident visit
Sarah YipLicensing Program ManagerNamed in the report as Licensing Program Manager
Inspection Report Capacity: 150 Deficiencies: 0 Jan 26, 2023
Visit Reason
The visit was conducted to deliver an immediate exclusion letter to exclude an employee associated with the facility.
Findings
No deficiencies were cited per California Code of Regulations, Title 22. The immediate exclusion letter was handed to the Director of Resident Care Services during the visit.
Employees Mentioned
NameTitleContext
Gilda DeocaresDirector of Resident Care ServicesMet with Licensing Program Analyst during the visit and received the immediate exclusion letter.
Inspection Report Complaint Investigation Census: 99 Capacity: 150 Deficiencies: 0 Aug 11, 2022
Visit Reason
An unannounced complaint investigation visit was conducted in response to an allegation that facility staff failed to seek timely medical attention for a resident, resulting in the resident's untimely death.
Findings
The investigation found that the resident was taken to the hospital for treatment of right foot cellulitis and later passed away from the same condition. Interviews and record reviews indicated that the allegation was unsubstantiated as there was insufficient evidence to prove neglect by the facility.
Complaint Details
The complaint alleged failure by facility staff to seek timely medical attention resulting in a resident's untimely death. The allegation was investigated through record review and staff interviews and was found to be unsubstantiated.
Report Facts
Facility capacity: 150 Resident census: 99 Staff interviewed: 10 AM shift staff interviewed: 3 Resident checks: 3
Employees Mentioned
NameTitleContext
Ryker HeberleLicensing Program AnalystConducted the complaint investigation visit and authored the report
Natalie BarmanAdministratorMet with Licensing Program Analyst during investigation and signed report
Gilda DeocaresAdministratorNamed as facility administrator in report header
Sarah YipLicensing Program ManagerNamed as Licensing Program Manager overseeing the investigation
Inspection Report Annual Inspection Census: 97 Capacity: 150 Deficiencies: 0 Jun 28, 2022
Visit Reason
The inspection was an unannounced annual inspection focusing on infection control conducted by the Licensing Program Analyst.
Findings
No deficiencies were cited during the inspection. The facility demonstrated compliance with infection control regulations, including symptom screening, PPE availability, and staff training.
Employees Mentioned
NameTitleContext
Natalie BarmanExecutive DirectorMet with Licensing Program Analyst during the inspection.
Christine DoloresLicensing Program AnalystConducted the annual inspection focusing on infection control.
Jackie JinLicensing Program ManagerNamed in the report as Licensing Program Manager.
Inspection Report Annual Inspection Census: 94 Capacity: 150 Deficiencies: 0 Jun 29, 2021
Visit Reason
An unannounced Infection Control site visit was conducted as part of the required 1-year inspection.
Findings
The facility was found to be in compliance with infection control protocols, including universal symptom screening, PPE use, and COVID-19 prevention measures. No deficiencies were cited during the visit.
Employees Mentioned
NameTitleContext
Natalie BarmanExecutive DirectorMet with Licensing Program Analyst during the infection control site visit.
Karen TakuLicensing Program AnalystConducted the unannounced Infection Control site visit.
Gilda DeocaresAdministratorNamed as facility administrator.
Inspection Report Census: 98 Capacity: 150 Deficiencies: 0 Dec 9, 2020
Visit Reason
The visit was a virtual tele-visit conducted to provide technical assistance to prevent and mitigate the spread of COVID-19 within the facility.
Findings
Recommendations were made to post hand washing signs in each resident's room and to include demonstration of donning and doffing PPE in staff PPE training.
Employees Mentioned
NameTitleContext
Natalie BarmanExecutive DirectorMet with Licensing Program Analyst and Clinical Consultant during the tele-visit.
Gilda DeocaresAdministratorMet with Licensing Program Analyst and Clinical Consultant during the tele-visit.

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