Nursing homes › California › Health Care Ctr at the Forum at Rancho San Antonio
23600 Via Esplendor, Cupertino, CA 95014 · 6509440200 · 48 certified beds
Per CMS filings, this facility is affiliated with Life Care Services, a group operating 44 facilities in 18 states. Group record: average rating 4.0/5, 0 abuse citation icons, 0 facilities on the Special Focus list, $727,857 in federal fines. This facility rates below its group average (4.0/5).
Total nurse staffing: 5.75 (California median: 4.24). RN hours: 1.07. Weekend total: 5.28. Nursing staff turnover: 29%.
All-time on record: 36 deficiency citations. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-05-14 | Give the resident's representative the ability to exercise the resident's rights. | D | complaint | corrected 2026-05-26 |
| 2026-04-09 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | complaint | corrected 2026-04-17 |
| 2026-01-30 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Health | corrected 2026-02-28 |
| 2026-01-30 | Honor 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. | E | Health | corrected 2026-02-28 |
| 2026-01-30 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | E | Health | corrected 2026-02-28 |
| 2026-01-30 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Health | corrected 2026-02-28 |
| 2026-01-30 | Provide safe, appropriate pain management for a resident who requires such services. | E | Health | corrected 2026-02-28 |
| 2026-01-30 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Health | corrected 2026-02-28 |
| 2026-01-30 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | Health | corrected 2026-02-28 |
| 2026-01-30 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | E | Health | corrected 2026-02-28 |
| 2026-01-30 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Health | corrected 2026-02-28 |
| 2026-01-30 | Provide and implement an infection prevention and control program. | E | Health | corrected 2026-02-28 |
| 2026-01-30 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Health | corrected 2026-02-28 |
| 2026-01-30 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Health | corrected 2026-02-28 |
| 2026-01-30 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Health | corrected 2026-02-28 |
| 2026-01-30 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Health | corrected 2026-02-28 |
| 2026-01-30 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | D | Health | corrected 2026-02-28 |
| 2024-09-06 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | complaint | corrected 2024-09-20 |
| 2024-07-19 | Honor 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. | E | Health | corrected 2024-08-18 |
| 2024-07-19 | Ensure 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. | E | Health | corrected 2024-08-18 |
| 2024-07-19 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Health | corrected 2024-08-18 |
| 2024-07-19 | Provide and implement an infection prevention and control program. | E | Health | corrected 2024-08-18 |
| 2024-07-19 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Health | corrected 2024-08-18 |
| 2024-07-19 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Health | corrected 2024-08-18 |
| 2024-07-19 | Ensure each resident receives an accurate assessment. | D | Health | corrected 2024-08-18 |
| 2024-07-19 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Health | corrected 2024-08-18 |
| 2024-07-19 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Health | corrected 2024-08-18 |
| 2024-07-19 | Provide safe and appropriate respiratory care for a resident when needed. | D | Health | corrected 2024-08-18 |
| 2024-07-19 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | D | Health | corrected 2024-08-18 |
| 2024-07-19 | Post nurse staffing information every day. | D | Health | corrected 2024-08-18 |
| 2024-07-19 | Implement 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. | D | Health | corrected 2024-08-18 |
| 2023-06-09 | Ensure 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. | E | Health | corrected 2023-07-09 |
| 2023-06-09 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Health | corrected 2023-07-09 |
| 2023-06-09 | Provide and implement an infection prevention and control program. | E | Health | corrected 2023-07-09 |
| 2023-06-09 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Health | corrected 2023-07-09 |
| 2023-06-09 | Implement 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. | D | Health | corrected 2023-07-09 |
No federal fines or payment denials on record.
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| RANCHO SAN ANTONIO RETIREMENT HOUSING CORPORATION | 5% Or Greater Direct Ownership Interest | Organization | 100% | since 07/02/1999 |
| EXLINE, RICK | Corporate Director | Individual | NOT APPLICABLE | since 01/01/2025 |
| JOHNSON, EIKO | Corporate Director | Individual | NOT APPLICABLE | since 01/01/2023 |
| BRAUMAN, SHARON | Corporate Officer | Individual | NOT APPLICABLE | since 01/01/2020 |
| BROWN, KATHY | Corporate Officer | Individual | NOT APPLICABLE | since 01/01/2024 |
| BUSH, ELLYN | Corporate Officer | Individual | NOT APPLICABLE | since 01/01/2023 |
| FISHBEIN, MARGERY | Corporate Officer | Individual | NOT APPLICABLE | since 01/01/2024 |
| LIFE CARE SERVICES LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 06/01/2012 |
| JO, DANIEL | Operational/Managerial Control | Individual | NOT APPLICABLE | since 02/01/2025 |
| KAO, NANCY | Operational/Managerial Control | Individual | NOT APPLICABLE | since 05/01/2000 |
| NELSON, MARK | Operational/Managerial Control | Individual | NOT APPLICABLE | since 11/04/2024 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 555524. Corrections: data@carerecords.org.