Starfile

Starfile / California

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.

CycleInspection dateThis facilityCalifornia avgNational avgvs state
12024-11-21415.69.5-11.6 better
22022-02-152417.49.8+6.6 worse
32019-10-102317.19.3+5.9 worse

Cycle 1 deficiencies by category

CategoryDeficiencies
Quality of life and care1
Resident assessment and care planning3

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)4.0646.1%
RN staffing (reported)0.6166.7%
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

  1. 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

  2. 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

  3. 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

  4. DF0645PASARR screening for Mental disorders or Intellectual Disabilities2024-11-21 · Health · corrected 2024-12-14

    Potential for more than minimal harm

  5. EF0880Provide and implement an infection prevention and control program.2024-10-11 · Health · corrected 2024-11-04

    Potential for more than minimal harm

  6. 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

  7. DF0880Provide and implement an infection prevention and control program.2024-08-29 · Health · corrected 2024-09-19

    Potential for more than minimal harm

  8. DF0880Provide and implement an infection prevention and control program.2024-08-19 · Health · corrected 2024-09-05

    Potential for more than minimal harm

  9. DF0610Respond appropriately to all alleged violations.2024-06-25 · Health · corrected 2024-07-19

    Potential for more than minimal harm

  10. 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

  11. 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

  12. 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

  13. 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

  14. 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

  15. 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

  16. 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

  17. 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

  18. 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

  19. DF0880Provide and implement an infection prevention and control program.2023-05-25 · Health · corrected 2023-06-22

    Potential for more than minimal harm

  20. DF0554Allow residents to self-administer drugs if determined clinically appropriate.2022-02-15 · Health · corrected 2022-04-15

    Potential for more than minimal harm

  21. DF0558Reasonably accommodate the needs and preferences of each resident.2022-02-15 · Health · corrected 2022-04-15

    Potential for more than minimal harm

  22. 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

  23. DF0645PASARR screening for Mental disorders or Intellectual Disabilities2022-02-15 · Health · corrected 2022-04-15

    Potential for more than minimal harm

  24. 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

  25. 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

  26. 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

  27. 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

  28. 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

  29. 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

  30. 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

  31. 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

  32. 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

  33. 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

  34. 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

  35. EF0880Provide and implement an infection prevention and control program.2022-02-15 · Health · corrected 2022-04-15

    Potential for more than minimal harm

  36. 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

  37. 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

  38. 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

  39. 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

  40. DF0645PASARR screening for Mental disorders or Intellectual Disabilities2019-10-10 · Health · corrected 2019-11-05

    Potential for more than minimal harm

  41. 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

  42. 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

  43. 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

  44. 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

  45. 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

  46. 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

  47. DF0759Ensure medication error rates are not 5 percent or greater.2019-10-10 · Health · corrected 2019-11-05

    Potential for more than minimal harm

  48. 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

  49. 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

  50. DF0880Provide and implement an infection prevention and control program.2019-10-10 · Health · corrected 2019-11-05

    Potential for more than minimal harm

  51. EF0908Keep all essential equipment working safely.2019-10-10 · Health · corrected 2019-11-05

    Potential for more than minimal harm

Ownership

OwnerTypeRolePercentSince
HUDSON RIVER OPCO LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100%2019-10-01
BAY BRIDGE CAPITAL PARTNERS, LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST2014-08-15
PACS GROUP, INC.Organization5% OR GREATER INDIRECT OWNERSHIP INTEREST2023-06-30
PACS HOLDINGS, LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST2023-06-30
PROVIDENCE GROUP INCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST2021-11-05
HANCOCK, MARKIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST2024-04-15
MURRAY, JASONIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST2024-04-15
PIERCE, ROBERTIndividualOPERATIONAL/MANAGERIAL CONTROL2023-09-01
APT, FREDERICKIndividualCORPORATE OFFICER2024-01-01
JERGENSEN, JOSHUAIndividualCORPORATE OFFICER2024-01-01
MITCHELL, JOHNIndividualCORPORATE OFFICER2024-01-01
AWERBUCK, MATTHEWIndividualCONTRACTED MANAGING EMPLOYEE2022-10-01
PIERCE, ROBERTIndividualW-2 MANAGING EMPLOYEE2023-09-01

Other facilities in SAN JOSE

NameOverallBeds
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.