Nursing homes › California › Mission De La Casa
2501 Alvin Avenue, San Jose, CA 95121 · 4082389751 · 163 certified beds
CMS lists no chain affiliation for this facility. Ownership type on record: For profit - Individual.
Total nurse staffing: 3.95 (California median: 4.24). RN hours: 0.68. Weekend total: 3.65. Nursing staff turnover: 17%.
All-time on record: 35 deficiency citations, including 1 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2025-08-21 | Provide and implement an infection prevention and control program. | K | Health | corrected 2025-09-16 |
| 2025-08-21 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | F | Health | corrected 2025-09-16 |
| 2025-08-21 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | F | Health | corrected 2025-09-16 |
| 2025-08-21 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Health | corrected 2025-09-16 |
| 2025-08-21 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | F | Health | corrected 2025-09-16 |
| 2025-08-21 | Dispose of garbage and refuse properly. | F | Health | corrected 2025-09-16 |
| 2025-08-21 | 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 2025-09-16 |
| 2025-08-21 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Health | corrected 2025-09-16 |
| 2025-08-21 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Health | corrected 2025-09-16 |
| 2025-08-21 | 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. | E | Health | corrected 2025-09-16 |
| 2025-08-21 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Health | corrected 2025-09-16 |
| 2025-08-21 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | Health | corrected 2025-09-16 |
| 2025-08-21 | Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | D | Health | corrected 2025-09-16 |
| 2025-08-21 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | D | Health | corrected 2025-09-16 |
| 2025-08-21 | Keep all essential equipment working safely. | D | Health | corrected 2025-09-16 |
| 2025-08-21 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | D | Health | corrected 2025-09-16 |
| 2024-06-27 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Health | corrected 2024-07-26 |
| 2024-06-27 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Health | corrected 2024-07-26 |
| 2024-06-27 | Ensure medication error rates are not 5 percent or greater. | D | Health | corrected 2024-07-26 |
| 2024-04-18 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | complaint | corrected 2024-05-13 |
| 2024-03-28 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2024-04-22 |
| Date | Type | Amount |
|---|---|---|
| 2025-08-21 | Fine | $51,753 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| NGUYEN, NGAI | 5% Or Greater Direct Ownership Interest | Individual | 100% | since 10/27/1999 |
| NGUYEN, NGAI | Corporate Director | Individual | NOT APPLICABLE | since 10/27/1999 |
| NGUYEN, NGAI | Corporate Officer | Individual | NOT APPLICABLE | since 10/27/1999 |
| AOAY, NORIE | Operational/Managerial Control | Individual | NOT APPLICABLE | since 06/03/2024 |
| EIETA, JULIE | Operational/Managerial Control | Individual | NOT APPLICABLE | since 06/01/2017 |
| EVANS, JOY | Operational/Managerial Control | Individual | NOT APPLICABLE | since 01/14/2025 |
| GUPTA, ATIN | Operational/Managerial Control | Individual | NOT APPLICABLE | since 09/30/2024 |
| HEDGER, JOSH | Operational/Managerial Control | Individual | NOT APPLICABLE | since 04/17/2017 |
| LUC, HA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 08/16/2020 |
| LUCAS, ALETHEA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 02/08/2023 |
| NGUYEN, ANH | Operational/Managerial Control | Individual | NOT APPLICABLE | since 01/01/2007 |
| NGUYEN, KYM | Operational/Managerial Control | Individual | NOT APPLICABLE | since 10/01/2018 |
| NGUYEN, NGAI | Operational/Managerial Control | Individual | NOT APPLICABLE | since 10/27/1999 |
| PEREZ, ANGELICA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 06/16/2025 |
| RABARA, ROSANA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 05/01/2018 |
| TSE, DANIEL | Operational/Managerial Control | Individual | NOT APPLICABLE | since 08/01/2002 |
| VETSA, SUREKHA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 06/01/2020 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 555487. Corrections: data@carerecords.org.