WHITE BLOSSOM CARE CENTER
1990 FRUITDALE AVENUE, SAN JOSE, CA 95128 · CCN 555068
Ratings
- Overall
- ★★★★☆ 4
- Health inspection
- ★★★☆☆ 3
- Quality measures
- ★★★★★ 5
- Staffing
- ★★☆☆☆ 2
Facility
- Ownership type
- For profit - Limited Liability company
- Certified beds
- 153
- Avg residents/day
- 148.1
- Phone
- 4089988447
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 | 2024-11-21 | 4 | 15.6 | 9.5 | -11.6 better |
| 2 | 2022-02-15 | 24 | 17.4 | 9.8 | +6.6 worse |
| 3 | 2019-10-10 | 23 | 17.1 | 9.3 | +5.9 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 1 |
| Resident assessment and care planning | 3 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 4.06 | 46.1% |
| RN staffing (reported) | 0.61 | 66.7% |
| Total nurse staffing (adjusted) | 3.53 | — |
Fines & penalties
- Total fines
- $73,427
- Number of fines
- 1
- Number of penalties
- 1
- Payment denials
- 0
Chain
- Chain
- PACS GROUP
- Facilities in chain
- 264
- Chain avg overall
- 2.90 / 5
Inspection citations (51)1 immediate jeopardy
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-06-10 · Health · corrected 2025-06-27
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-05-15 · Health · corrected 2025-05-22
Potential for more than minimal harm
- DF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2024-11-21 · Health · corrected 2024-12-14
Potential for more than minimal harm
- DF0645PASARR screening for Mental disorders or Intellectual Disabilities2024-11-21 · Health · corrected 2024-12-14
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2024-10-11 · Health · corrected 2024-11-04
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.2024-08-29 · Health · corrected 2024-09-19
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2024-08-29 · Health · corrected 2024-09-19
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2024-08-19 · Health · corrected 2024-09-05
Potential for more than minimal harm
- DF0610Respond appropriately to all alleged violations.2024-06-25 · Health · corrected 2024-07-19
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-06-25 · Health · corrected 2024-07-19
Potential for more than minimal harm
- DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2024-06-12 · Health · corrected 2024-07-03
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.2024-06-07 · Health · corrected 2024-06-28
Potential for more than minimal harm
- KF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-02-08 · Health · corrected 2024-03-01
Immediate jeopardy
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-01-02 · Health · corrected 2024-01-23
Potential for more than minimal harm
- DF0559Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.2023-12-05 · Health · corrected 2023-12-21
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.2023-06-23 · Health · corrected 2023-07-20
Potential for more than minimal harm
- DF0638Assure that each resident’s assessment is updated at least once every 3 months.2023-05-25 · Health · corrected 2023-06-22
Potential for more than minimal harm
- DF0745Provide medically-related social services to help each resident achieve the highest possible quality of life.2023-05-25 · Health · corrected 2023-06-22
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2023-05-25 · Health · corrected 2023-06-22
Potential for more than minimal harm
- DF0554Allow residents to self-administer drugs if determined clinically appropriate.2022-02-15 · Health · corrected 2022-04-15
Potential for more than minimal harm
- DF0558Reasonably accommodate the needs and preferences of each resident.2022-02-15 · Health · corrected 2022-04-15
Potential for more than minimal harm
- EF0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.2022-02-15 · Health · corrected 2022-04-15
Potential for more than minimal harm
- DF0645PASARR screening for Mental disorders or Intellectual Disabilities2022-02-15 · Health · corrected 2022-04-15
Potential for more than minimal harm
- EF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2022-02-15 · Health · corrected 2022-04-15
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2022-02-15 · Health · corrected 2022-04-15
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2022-02-15 · Health · corrected 2022-04-15
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2022-02-15 · Health · corrected 2022-04-15
Potential for more than minimal harm
- DF0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.2022-02-15 · Health · corrected 2022-04-08
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2022-02-15 · Health · corrected 2022-04-15
Potential for more than minimal harm
- DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2022-02-15 · Health · corrected 2022-04-15
Potential for more than minimal harm
- EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2022-02-15 · Health · corrected 2022-04-15
Potential for more than minimal harm
- EF0758Implement 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.2022-02-15 · Health · corrected 2022-04-15
Potential for more than minimal harm
- EF0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.2022-02-15 · Health · corrected 2022-04-15
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.2022-02-15 · Health · corrected 2022-04-15
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2022-02-15 · Health · corrected 2022-04-15
Potential for more than minimal harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2019-10-10 · Health · corrected 2019-11-05
Potential for more than minimal harm
- DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2019-10-10 · Health · corrected 2019-11-05
Potential for more than minimal harm
- DF0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.2019-10-10 · Health · corrected 2019-11-05
Potential for more than minimal harm
- DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2019-10-10 · Health · corrected 2019-11-05
Potential for more than minimal harm
- DF0645PASARR screening for Mental disorders or Intellectual Disabilities2019-10-10 · Health · corrected 2019-11-05
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.2019-10-10 · Health · corrected 2019-11-05
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2019-10-10 · Health · corrected 2019-11-05
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2019-10-10 · Health · corrected 2019-11-05
Potential for more than minimal harm
- DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2019-10-10 · Health · corrected 2019-11-05
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2019-10-10 · Health · corrected 2019-11-05
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.2019-10-10 · Health · corrected 2019-11-05
Potential for more than minimal harm
- DF0759Ensure medication error rates are not 5 percent or greater.2019-10-10 · Health · corrected 2019-11-05
Potential for more than minimal harm
- DF0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.2019-10-10 · Health · corrected 2019-11-05
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.2019-10-10 · Health · corrected 2019-11-05
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2019-10-10 · Health · corrected 2019-11-05
Potential for more than minimal harm
- EF0908Keep all essential equipment working safely.2019-10-10 · Health · corrected 2019-11-05
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| HUDSON RIVER OPCO LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2019-10-01 |
| BAY BRIDGE CAPITAL PARTNERS, LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2014-08-15 |
| PACS GROUP, INC. | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2023-06-30 |
| PACS HOLDINGS, LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2023-06-30 |
| PROVIDENCE GROUP INC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2021-11-05 |
| HANCOCK, MARK | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2024-04-15 |
| MURRAY, JASON | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2024-04-15 |
| PIERCE, ROBERT | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-09-01 |
| APT, FREDERICK | Individual | CORPORATE OFFICER | — | 2024-01-01 |
| JERGENSEN, JOSHUA | Individual | CORPORATE OFFICER | — | 2024-01-01 |
| MITCHELL, JOHN | Individual | CORPORATE OFFICER | — | 2024-01-01 |
| AWERBUCK, MATTHEW | Individual | CONTRACTED MANAGING EMPLOYEE | — | 2022-10-01 |
| PIERCE, ROBERT | Individual | W-2 MANAGING EMPLOYEE | — | 2023-09-01 |
Other facilities in SAN JOSE
| Name | Overall | Beds |
|---|---|---|
| VISTA MANOR NURSING CENTER | ★★★★★ | 99 |
| O'CONNOR HOSPITAL D/P SNF | ★★★★★ | 24 |
| PLUM TREE CARE CENTER | ★★★★★ | 76 |
| LINCOLN GLEN SKILLED NURSING | ★★★★★ | 59 |
| A GRACE SUB ACUTE & SKILLED CARE | ★★★★☆ | 166 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.