Quick answers
- Where is A Grace Sub Acute & Skilled Care?
- 1250 S. Winchester Boulevard, San Jose, CA 95128, in Santa Clara County, California.
- What is the phone number of A Grace Sub Acute & Skilled Care?
- (408) 241-3844, as listed by Medicare (CMS).
- What is the Medicare star rating of A Grace Sub Acute & Skilled Care?
- Medicare overall rating: 3 out of 5 stars (CMS data updated 2026-10-01).
- Has A Grace Sub Acute & Skilled Care been fined?
- Medicare lists no fines for A Grace Sub Acute & Skilled Care.
- What did inspectors find at A Grace Sub Acute & Skilled Care?
- In its last three inspection cycles (June 7, 2019 to August 14, 2025), Medicare lists 47 health citations; the most serious was level E. See the list below (CMS data updated 2026-10-01).
Medicare ratings, explained
Star ratings are one piece of information. Visit, ask questions and talk with your doctor about what matters for your care.
Inspections, fines and staffing
In its last three inspection cycles (June 7, 2019 to August 14, 2025), A Grace Sub Acute & Skilled Care had 47 health citations; the most serious was level E (no actual harm, potential for more than minimal harm). Medicare lists no fines or payment denials for it in the last three years. Nurse staffing is 5.65 hours per resident per day; the California average is 4.54 and the national average is 3.90.
Source: Medicare (CMS) Provider Data Catalog, data updated October 1, 2026, retrieved November 13, 2026.
Inspection history: last three cycles
State inspectors visit about once a year and also investigate complaints. Each citation (deficiency) has a tag number and a letter, A to L. The letter shows how serious the problem was and how many residents it affected.
What the letters A to L mean
| Seriousness | Isolated (a few residents) | Pattern (some) | Widespread (many) |
|---|---|---|---|
| No actual harm, potential for minimal harm | A | B | C |
| No actual harm, potential for more than minimal harm | D | E | F |
| Actual harm to residents | G | H | I |
| Immediate jeopardy to resident health or safety | J | K | L |
Source: the scope and severity grid Medicare (CMS) uses for nursing home citations.
Most recent cycle: October 18, 2024 — 13 health citations
Inspections in this cycle: October 18, 2024 (standard health inspection).
Show 13 citations (levels A to F, no actual harm)
F0658 Level E
“Ensure services provided by the nursing facility meet professional standards of quality.”
F0700 Level E
“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.”
F0755 Level E
“Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.”
F0812 Level E
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0880 Level E
“Provide and implement an infection prevention and control program.”
F0558 Level D
“Reasonably accommodate the needs and preferences of each resident.”
F0655 Level D
“Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted”
F0756 Level D
“Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.”
F0757 Level D
“Ensure each resident’s drug regimen must be free from unnecessary drugs.”
F0759 Level D
“Ensure medication error rates are not 5 percent or greater.”
F0806 Level D
“Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.”
F0919 Level D
“Make sure that a working call system is available in each resident's bathroom and bathing area.”
F0921 Level D
“Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.”
Previous cycle: May 13, 2022 — 16 health citations
Inspections in this cycle: May 13, 2022 (standard health inspection); August 14, 2025 (complaint investigation).
Show 16 citations (levels A to F, no actual harm)
F0658 Level E
“Ensure services provided by the nursing facility meet professional standards of quality.”
F0755 Level E
“Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.”
F0759 Level E
“Ensure medication error rates are not 5 percent or greater.”
F0812 Level E
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0880 Level E
“Provide and implement an infection prevention and control program.”
F0755 Level D
“Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.”
F0552 Level D
“Ensure that residents are fully informed and understand their health status, care and treatments.”
F0558 Level D
“Reasonably accommodate the needs and preferences of each resident.”
F0583 Level D
“Keep residents' personal and medical records private and confidential.”
F0688 Level D
“Provide 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.”
F0697 Level D
“Provide safe, appropriate pain management for a resident who requires such services.”
F0698 Level D
“Provide safe, appropriate dialysis care/services for a resident who requires such services.”
F0756 Level D
“Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.”
F0758 Level D
“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.”
F0761 Level D
“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.”
F0790 Level D
“Provide routine and 24-hour emergency dental care for each resident.”
Earlier cycle: June 7, 2019 — 18 health citations
Inspections in this cycle: June 7, 2019 (standard health inspection); December 28, 2023 (complaint investigation); March 14, 2024 (complaint investigation); July 9, 2024 (complaint investigation).
Show 18 citations (levels A to F, no actual harm)
F0880 Level E
“Provide and implement an infection prevention and control program.”
F0684 Level D
“Provide appropriate treatment and care according to orders, resident’s preferences and goals.”
F0689 Level D
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
F0684 Level D
“Provide appropriate treatment and care according to orders, resident’s preferences and goals.”
F0550 Level D
“Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.”
F0552 Level D
“Ensure that residents are fully informed and understand their health status, care and treatments.”
F0609 Level D
“Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.”
F0623 Level D
“Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.”
F0641 Level D
“Ensure each resident receives an accurate assessment.”
F0656 Level D
“Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”
F0688 Level D
“Provide 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.”
F0693 Level D
“Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.”
F0740 Level D
“Ensure each resident must receive and the facility must provide necessary behavioral health care and services.”
F0755 Level D
“Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.”
F0758 Level D
“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.”
F0759 Level D
“Ensure medication error rates are not 5 percent or greater.”
F0761 Level D
“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.”
F0813 Level D
“Have a policy regarding use and storage of foods brought to residents by family and other visitors.”
Citation descriptions are Medicare’s official wording. “From a complaint” means the citation came from a complaint investigation instead of the regular yearly inspection.
Full inspection reports on Medicare Care Compare →
Fire safety citations (33)
K0712 Level F
“Have simulated fire drills held at unexpected times.”
K0712 Level F
“Have simulated fire drills held at unexpected times.”
K0920 Level F
“Ensure proper usage of power strips and extension cords.”
K0351 Level E
“Install an approved automatic sprinkler system.”
K0161 Level D
“Use approved construction type or materials.”
K0353 Level D
“Inspect, test, and maintain automatic sprinkler systems.”
K0363 Level D
“Install corridor and hallway doors that block smoke.”
K0500 Level D
“Meet other general requirements that are deficient.”
K0511 Level D
“Have properly installed electrical wiring and gas equipment.”
K0711 Level D
“Provide a written emergency evacuation plan.”
K0920 Level D
“Ensure proper usage of power strips and extension cords.”
K0161 Level E
“Use approved construction type or materials.”
K0321 Level E
“Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.”
K0355 Level E
“Properly select, install, inspect, or maintain portable fire extinguishes.”
K0363 Level E
“Install corridor and hallway doors that block smoke.”
K0511 Level E
“Have properly installed electrical wiring and gas equipment.”
K0293 Level D
“Have properly located and lighted "Exit" signs.”
K0353 Level D
“Inspect, test, and maintain automatic sprinkler systems.”
K0741 Level D
“Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.”
K0920 Level D
“Ensure proper usage of power strips and extension cords.”
K0923 Level D
“Have proper medical gas storage and administration areas.”
K0293 Level E
“Have properly located and lighted "Exit" signs.”
K0363 Level E
“Install corridor and hallway doors that block smoke.”
K0291 Level D
“Install emergency lighting that can last at least 1 1/2 hours.”
K0347 Level D
“Properly provide smoke detection systems in areas open to corridors.”
K0353 Level D
“Inspect, test, and maintain automatic sprinkler systems.”
K0511 Level D
“Have properly installed electrical wiring and gas equipment.”
K0920 Level D
“Ensure proper usage of power strips and extension cords.”
E0015 Level C
“Address subsistence needs for staff and patients.”
E0024 Level C
“Establish policies and procedures for volunteers.”
E0026 Level C
“Establish roles under a Waiver declared by secretary.”
E0033 Level C
“Establish methods for sharing information.”
E0034 Level C
“Provide a means of sharing information on occupancy/needs.”
Staffing
Hours of nursing care per resident per day, from the payroll records nursing homes send to Medicare, next to the state and national averages.
| Measure | This home | California | National |
|---|---|---|---|
| Registered nurse (RN) hours per resident per day | 1.19 | 0.68 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 1.60 | 1.20 | 0.86 |
| Nurse aide hours per resident per day | 2.85 | 2.66 | 2.35 |
| Total nurse staff hours per resident per day | 5.65 | 4.54 | 3.90 |
| Total nurse staff hours per resident per day on the weekend | 5.10 | 4.10 | 3.43 |
| RN hours per resident per day on the weekend | 0.99 | 0.52 | 0.48 |
| Nursing staff turnover (per year) | 24.5% | 36.6% | 45.3% |
| RN turnover (per year) | 39.4% | 37.8% | 42.5% |
| Administrators who left in the last year | 1.0 | 0.4 | 0.5 |
Source: Medicare (CMS) Provider Information and State US Averages, data updated October 1, 2026.
Owners and operator
Legal business name: Lita & Ava Inc..
Owners and managers Medicare lists (4)
| Name | Role | Share | Since |
|---|---|---|---|
| Adelman, Jason | Direct owner | — | December 15, 2008 |
| Javier, Julita | Direct owner | — | December 15, 2008 |
| Javier, Pepito | Direct owner | — | December 15, 2008 |
| Rando, James | Direct owner | — | December 15, 2008 |
Source: Medicare (CMS) Ownership file, data updated October 1, 2026. Only owners with an ownership interest and management companies are shown.
Compare with other nursing homes
Key facts
| Type | Nursing home |
|---|---|
| Certified beds | 166 |
| Average residents per day | 125.8 |
| Takes part in | Medicare and Medicaid |
| Ownership | For profit – corporation |
| Legal business name | Lita & Ava Inc. |
| First approved by Medicare/Medicaid | 1980-07-01 |
| Resident and family councils | Resident council |
| Sprinklers in all required areas | Yes |
| Changed ownership in the last 12 months | No |
| Address | 1250 S. Winchester Boulevard, San Jose, CA 95128 |
| County | Santa Clara County |
| State | California |
| Phone | (408) 241‑3844 |
| CMS Certification Number | 056376 |
| Name in Medicare records | A GRACE SUB ACUTE & SKILLED CARE |
| Corrections | Report an error or suggest an update → |
What to ask when you call or visit
A general checklist for any nursing home, not advice about this one. Medicare also publishes guides on medicare.gov.
- Is the home certified by Medicare and/or Medicaid, and does it have a bed for the care you need (short-term rehab or long-term care)?
- Can you see the latest state inspection report? Ask how any problems found were fixed.
- How many nurses and aides work on each shift, at night and on weekends? Is there a registered nurse on site at all times?
- Which doctors see residents, and how often? What happens in a medical emergency, and which hospital is used?
- What therapy (physical, occupational, speech) is offered, and how many days a week?
- Are residents clean, dressed and taking part in activities? Do staff speak to them kindly and answer call lights quickly?
- What do the daily rate and extra services cost, and what do Medicare, Medicaid or your insurance pay? Ask for it in writing.
- Is there a resident council and a family council? How are complaints handled? Ask for the long-term care ombudsman’s contact.
- Are meals appetizing, and can the home meet special diets, language needs and religious or cultural preferences?
- Visit more than once, including at a mealtime or in the evening, without an appointment.
Other nursing homes nearby
By straight-line distance (not driving distance).
- Creekside Post-Acute0.6 mi · San Jose, CA · 3 of 5 stars
- Empress Care Center, LLC1.1 mi · San Jose, CA · 4 of 5 stars
- White Blossom Care Center1.2 mi · San Jose, CA · 2 of 5 stars
- Baywood Post Acute1.5 mi · Campbell, CA · 4 of 5 stars
- Courtyard Care Center1.7 mi · San Jose, CA · 3 of 5 stars
Nearest hospital emergency rooms
- Santa Clara Valley Medical Center1.4 mi · San Jose, CA · Acute Care Hospital
- Good Samaritan Hospital3.6 mi · San Jose, CA · Acute Care Hospital
- Kaiser Foundation Hospital-Santa Clara3.7 mi · Santa Clara, CA · Acute Care Hospital
Sources
- Provider Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-01, retrieved 2026-11-13
- Medicare Care Compare — official Medicare profile of this provider
- Health Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Fire Safety Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Penalties — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Ownership — CMS, data updated 2026-10-01, retrieved 2026-11-13
- State US Averages — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Survey Summary — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Citation Code Look-up — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Inspection Dates — CMS, data updated 2026-10-01, retrieved 2026-11-13