CHILDRENS HC ORG NO CA -PEDIATRIC HOSPITAL D/P SNF
3777 SOUTH BASCOM AVENUE, CAMPBELL, CA 95008 · CCN 555734
Ratings
- Overall
- ★★★★★ 5
- Health inspection
- ★★★★★ 5
- Quality measures
- ★★★★★ 5
- Staffing
- — —
Facility
- Ownership type
- For profit - Limited Liability company
- Certified beds
- 27
- Avg residents/day
- 24.4
- Phone
- 4085583640
Inspection history vs California & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | California avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2024-07-26 | 5 | 15.6 | 9.5 | -10.6 better |
| 2 | 2022-07-08 | 4 | 17.4 | 9.8 | -13.4 better |
| 3 | 2019-10-31 | 7 | 17.1 | 9.3 | -10.1 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Resident assessment and care planning | 1 |
| Nutrition and dietary | 1 |
| Pharmacy service | 1 |
| Environmental | 1 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | — | — |
| RN staffing (reported) | — | — |
| Total nurse staffing (adjusted) | — | — |
Fines & penalties
- Total fines
- $3,145
- Number of fines
- 1
- Number of penalties
- 1
- Payment denials
- 0
Inspection citations (16)
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-10-10 · Health · corrected 2024-10-17
Potential for more than minimal harm
- EF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-07-26 · Health · corrected 2024-08-31
Potential for more than minimal harm
- DF0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.2024-07-26 · Health · corrected 2024-08-31
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-07-26 · Health · corrected 2024-08-31
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2024-07-26 · Health · corrected 2024-08-31
Potential for more than minimal harm
- DF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2024-07-26 · Health · corrected 2024-08-31
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2022-07-08 · Health · corrected 2022-07-30
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2022-07-08 · Health · corrected 2022-07-22
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2022-07-08 · Health · corrected 2022-08-05
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2019-10-31 · Health · corrected 2019-11-22
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2019-10-31 · Health · corrected 2019-11-22
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2019-10-31 · Health · corrected 2019-11-22
Potential for more than minimal harm
- DF0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.2019-10-31 · Health · corrected 2019-11-22
Potential for more than minimal harm
- DF0759Ensure medication error rates are not 5 percent or greater.2019-10-31 · Health · corrected 2019-11-22
Potential for more than minimal harm
- DF0802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.2019-10-31 · Health · corrected 2019-11-22
Potential for more than minimal harm
- EF0908Keep all essential equipment working safely.2019-10-31 · Health · corrected 2019-11-22
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| NICCUM, DAN | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 50% | 2016-12-16 |
| MCGUIRE, KENNETH | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 50% | 2016-12-16 |
| NICCUM, DAN | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | — | 2017-01-01 |
| STUKOV, SAMEUL | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-04-03 |
| MCGUIRE, KENNETH | Individual | CORPORATE DIRECTOR | — | 2017-01-01 |
| NICCUM, DAN | Individual | CORPORATE DIRECTOR | — | 2016-01-01 |
| MCGUIRE, KENNETH | Individual | CORPORATE OFFICER | — | 2017-01-01 |
| INNOVATIONS HEALTH SYSTEMS LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | — | 2016-12-16 |
| NICCUM, DAN | Individual | CORPORATE OFFICER | — | 2016-01-01 |
| MCGUIRE, KENNETH | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | — | 2017-01-01 |
Other facilities in CAMPBELL
| Name | Overall | Beds |
|---|---|---|
| BAYWOOD POST ACUTE | ★★★★☆ | 45 |
| CAMDEN POSTACUTE CARE, INC | ★★★☆☆ | 60 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.