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The Overall CMS Rating is scored from 1 to 5 stars and 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.
The Overall CMS Rating is scored from 1 to 5 stars and 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.
Uncover a world of extraordinary living at The Forum at Rancho San Antonio, where breathtaking Northern California landscapes meet exceptional assisted living and unparalleled memory care services for seniors. With a prestigious five-star Medicare rating for skilled nursing care, you can trust that seniors in need of assistance will receive the highest level of support and attention. The community’s dedication extends to specialized memory care living, where compassionate caregivers and top-notch technology come together in a beautiful and nurturing setting.
Rejuvenate your body and mind in the state-of-the-art fitness center, escape into a world of imagination in the art studio, engage in friendly competition in the game room, and immerse yourself in the wisdom of literature in the inviting library. Your furry companions will find joy in the dedicated dog park, while the salon services ensure you always look and feel your best. Every facet of life in this community has been thoughtfully designed to enrich and elevate your experience. With spacious layouts and luxurious touches, each residence becomes a sanctuary of comfort and style. Whether you seek relaxation or entertainment, the living spaces cater to your every need, creating an environment that is both inviting and sophisticated.
Nancy Kao serves as the Executive Director at The Forum at Rancho San Antonio. She leads the community with exceptional compassion and dedication, ensuring the highest level of service and care for residents. Nancy is part of a team that brings extensive experience and leadership to the community.
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 19th out of 275 homes in California.| Staff type | Hours / day | 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 14m per day | ▲ 90% 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.
| 58m per day | ▼ 21% 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.
| 3h 3m per day | ▲ 16% State avg: 2h 38m per day · National avg: 2h 20m per day |
|
Total Nursing (Weekend)
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.
| 4h 32m per day | ▲ 11% 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.
| 21m per day | ▲ 320% State avg: 5m per day · National avg: 4m per day |
|
RN (Weekend)
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.
| 53m per day | ▲ 77% State avg: 30m per day · National avg: 28m per day |
Most residents typically stay for a few weeks or months before returning home or moving on.
76% of new residents, usually for short-term rehab.
24% of new residents, often for short stays.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #60 / 279Payroll — state benchmarkedThis home is ranked 60th out of 279 homes in California.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.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Lower than the California average: 72.8%The Forum at Rancho San Antonio is legally operated by Rsarhc, Rsars Inc. & Life Care Services Llc, and administrated by Rosalie B Zbasnik-Hulog.
Minimum Age: 55 Years Old
Pets Allowed
Housing Options: 1 Bed / 2 Bed
Building Type: Apartments
Transportation Services
Fitness and Recreation
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.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the California state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Citations are formal regulatory issues recorded during state inspections.
| Metric | This Facility | CA Average | vs. CA Avg |
|---|---|---|---|
|
Total citations
Formal regulatory issues recorded by inspectors across all inspection types.
| 1 | 10 | This facility has 90% fewer total citations than a typical California nursing home (1 vs. CA avg 10).↓ 90% better |
|
Serious citations (Type A)
Violations that pose an immediate risk to resident health or safety. Type A citations are the most serious and typically require prompt corrective action.
| 0 | — | — |
|
Moderate citations (Type B)
Violations that do not pose an immediate risk but still represent a departure from required care or operational standards.
| 1 | — | — |
|
Citations per year
Average citations per year since 2019.
| 0.1 | 1.4 | This facility has 93% fewer citations per year than a typical California nursing home (0.1 vs. CA avg 1.4).↓ 93% better |
|
Citations per inspection
Average citations per inspection.
| 0.1 | 3.3 | This facility has 97% fewer citations per inspection than a typical California nursing home (0.1 vs. CA avg 3.3).↓ 97% better |
State inspections evaluate whether the facility meets health and safety standards.
| Metric | This Facility | CA Average | vs. CA Avg |
|---|---|---|---|
|
Total visits
Combined count of complaint visits, other regulatory visits, and official scheduled inspections.
| 8 | 16 | This facility has 50% fewer total visits than a typical California nursing home (8 vs. CA avg 16).↓ 50% better |
|
Complaint visits
On-site visits triggered by formal complaints filed by residents, families, or staff.
| 2 | 13 | This facility has 85% fewer complaint visits than a typical California nursing home (2 vs. CA avg 13).↓ 85% better |
|
Other visits
Regulatory visits that are neither routine inspections nor complaint investigations — administrative check-ins, follow-up reviews, licensing-related visits.
| 2 | 7 | This facility has 71% fewer other visits than a typical California nursing home (2 vs. CA avg 7).↓ 71% better |
|
Official inspections
Routine, scheduled inspections conducted by state regulators to evaluate whether the facility meets federal and state standards.
| 4 | 4 | This facility has official inspections in line with the California average (4 vs. CA avg 4).— At avg |
|
Complaint investigations
On-site investigations triggered by complaints filed with California regulators.
| 2 | 10 | This facility has 80% fewer complaint investigations than a typical California nursing home (2 vs. CA avg 10).↓ 80% better |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
This facility’s inspection record is mostly clean, with no deficiencies cited in the last two inspections on March 5, 2026, and December 23, 2025, both complaint investigations. The only recent deficiency was from July 23, 2024, when inspectors flagged missing signatures on 6 of 11 resident service plans, posing potential health and safety risks. Multiple complaint investigations between 2024 and 2026 found allegations unfounded, and no enforcement actions or fines were reported.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsCalifornia average 12.5
Last Health inspection on Sep 2024
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.
21 of 22 citations resulted from standard inspections; and 1 of 22 resulted from complaint investigations.
100% better than California averageCalifornia average: 0.4
0
100% better than California averageCalifornia average: 1
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Sep 06, 2024
Corrected
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Jul 19, 2024
Corrected
Issues related to the availability and quality of nursing staff and the care they provide.
Jul 19, 2024
Corrected
Issues related to food quality, meal service, and resident's nutritional needs.
Jul 19, 2024
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
The Forum at Rancho San Antonio is located in Cupertino, California.
Here are the financial assistance programs available to residents in California.
4.3 miles from city center
Estimated distance in miles from Cupertino's city center to The Forum at Rancho San Antonio's address, calculated via Google Maps.
— 2.22 miles to nearest hospital (El Camino Health - Mountain View Hospital)
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This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
4499900% better than California averageCalifornia average ratio: 0.00:1
9% worse than California averageCalifornia average: 7.7 hours
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.2 hoursNo contractors work on this role.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.9 hoursThis role is partially covered by contractors.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7 hoursNo contractors work on this role.
Total hours from contractors
3,057 contractor hours this quarter
| Certified Nursing Assistant | 37 | 0 | 37 | 10,286 | 91 | 100% | 7 |
| Licensed Practical Nurse | 12 | 11 | 23 | 3,187 | 91 | 100% | 7.9 |
| Registered Nurse | 7 | 0 | 7 | 2,716 | 91 | 100% | 7.2 |
| Physical Therapy Assistant | 0 | 8 | 8 | 1,020 | 66 | 73% | 6.5 |
| RN Director of Nursing | 2 | 0 | 2 | 988 | 67 | 74% | 8.2 |
| Other Dietary Services Staff | 2 | 0 | 2 | 771 | 66 | 73% | 6.6 |
| Speech Language Pathologist | 0 | 3 | 3 | 751 | 67 | 74% | 6.2 |
| Respiratory Therapy Technician | 0 | 5 | 5 | 659 | 81 | 89% | 4.7 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 595 | 55 | 60% | 8.4 |
| Nurse Practitioner | 1 | 0 | 1 | 585 | 65 | 71% | 9 |
| Administrator | 1 | 0 | 1 | 520 | 65 | 71% | 8 |
| Occupational Therapy Aide | 1 | 0 | 1 | 393 | 49 | 54% | 8 |
| Dental Services Staff | 1 | 0 | 1 | 165 | 22 | 24% | 7.5 |
| Medical Director | 0 | 1 | 1 | 49 | 34 | 37% | 1.5 |
| Qualified Social Worker | 0 | 1 | 1 | 43 | 39 | 43% | 1.1 |
| Occupational Therapy Assistant | 0 | 2 | 2 | 34 | 36 | 40% | 0.9 |
| Other Physician | 0 | 1 | 1 | 26 | 13 | 14% | 2 |
| Physical Therapy Aide | 0 | 1 | 1 | 7 | 2 | 2% | 3.7 |
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
22Residents meet regularly to discuss policies, care quality, and activities
Family members meet regularly to discuss policies, care quality, and activities
Part of a Continuing Care Retirement Community offering multiple care levels
Organized group of family members that meets regularly to discuss facility policies, resident care, 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.
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.
9.5
43% worse than California averageCalifornia average: 6.6
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
23.3
105% worse 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
17.8%
61% worse than California averageCalifornia average: 11.1%
Percent of low risk long-stay residents who lose control of their bowels or bladder
28.7%
155% worse than California averageCalifornia average: 11.3%
Percent of long-stay residents experiencing one or more falls with major injury
5.1%
204% worse than California averageCalifornia average: 1.7%
Percent of long-stay high risk residents with pressure ulcers
8.7%
75% worse than California averageCalifornia average: 5.0%
Percent of long-stay residents with a urinary tract infection
6.4%
417% worse than California averageCalifornia average: 1.2%
Percent of long-stay residents who lose too much weight
6.5%
53% 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
1.3%
87% better than California averageCalifornia average: 10.1%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
97.5%
In line with California averageCalifornia average: 98.5%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with California averageCalifornia average: 98.2%
Number of hospitalizations per 1,000 long-stay resident days.
1.05
53% better than California averageCalifornia average: 2.25
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.81
49% 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
88.4%
6% worse than 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
83.7%
10% worse than California averageCalifornia average: 93.2%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
23.2%
In line with California averageCalifornia average: 23.2%
Percentage of short-stay residents who had an outpatient emergency department visit.
3.4%
70% better than California averageCalifornia average: 11.2%
Percentage of SNF residents who experience falls with major injury during their stay.
12.8%
1557% worse than California averageCalifornia average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
46.3%
14% worse than California averageCalifornia average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
62.7%
24% better 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.
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.
Historical financial and operational data for The Forum at Rancho San Antonio based on CMS SNF Cost Reports.
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The legal owner and operator of The Forum at Rancho San Antonio is Rsarhc, Rsars Inc. & Life Care Services Llc.
The Forum at Rancho San Antonio has a walk score of 5. Car-dependent. Most errands require a car, with limited nearby walkable options.
The Forum at Rancho San Antonio's occupancy is 64%.
Rosalie B Zbasnik-Hulog is the administrator of The Forum at Rancho San Antonio.
The Forum at Rancho San Antonio has 817 beds.
The Forum at Rancho San Antonio has had 1 recently reported deficiency.
Yes — there are 17 photos of The Forum at Rancho San Antonio in the photo gallery on this page.
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