Public Record
Health Care Ctr at the Forum at Rancho San Antonio
Operated by Life Care Services
From CMS
Facility profile
- CMS overall rating
- 4 / 5
- Certified beds
- 48
- Avg. residents per day
- 41.8
*CMS Five-Star
*CMS
*CMS
California cost report
Food cost per resident day
Raw food costs divided by total patient days from the same HCAI filing. Each year is compared with the median across California HCAI filers that carry a Medicare provider number for that report year; the roughly 18 percent of filers without one are not in the comparison.
2024 raw food costs per resident day
$62.61
Filing period: to
California median $8.96 across 825 filers. This facility: 97.9th percentile of those filers.
RN, LVN, and CNA staffing mix
Census context: 12,727 total patient days in this filing.
| Role | Productive hours | Productive salaries | Hourly rate |
|---|---|---|---|
| RN | 11,324 | $716,417 | $63.27/hour |
| LVN | 16,523 | $777,149 | $47.03/hour |
| CNA | 42,758 | $1,262,339 | $29.52/hour |
2023 raw food costs per resident day
$82.04
Filing period: to
California median $8.51 across 892 filers. This facility: 98.2th percentile of those filers.
RN, LVN, and CNA staffing mix
Census context: 9,536 total patient days in this filing.
| Role | Productive hours | Productive salaries | Hourly rate |
|---|---|---|---|
| RN | 6,193 | $384,388 | $62.07/hour |
| LVN | 19,874 | $956,488 | $48.13/hour |
| CNA | 34,561 | $1,010,802 | $29.25/hour |
2022 raw food costs per resident day
$81.82
Filing period: to
California median $8.23 across 896 filers. This facility: 98.2th percentile of those filers.
RN, LVN, and CNA staffing mix
Census context: 7,675 total patient days in this filing.
| Role | Productive hours | Productive salaries | Hourly rate |
|---|---|---|---|
| RN | 9,471 | $513,091 | $54.17/hour |
| LVN | 11,193 | $492,639 | $44.01/hour |
| CNA | 32,480 | $882,189 | $27.16/hour |
*HCAI Long-Term Care Integrated Disclosure
Inspection record
On record from CMS
- Health citations
- 39
- Fire safety findings
- 13
- Inspections on file
- 9
- Last inspection
- 2026-01-30
*CMS
*CMS
*CMS
*CMS
Citations
39 citations on record
Each deficiency cited on a CMS health inspection of this facility, sourced from the federal record. Open a report for the raw CMS Scope and Severity grade on each finding.
What do CMS severity letters mean?
Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.
General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.
Each letter combines severity with scope: how many residents the deficiency affected.
- 0551Generalpotential for harm
Give the resident's representative the ability to exercise the resident's rights.
- 0550Generalpotential for harm
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- 0697Generalpotential for harm
Provide safe, appropriate pain management for a resident who requires such services.
- 0689Generalpotential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- 0550Generalpotential for harm
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- 0578Generalpotential for harm
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.
- 0605Generalpotential for harm
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
- 0656Generalpotential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- 0657Generalpotential for harm
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- 0684Generalpotential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- 0756Generalpotential for harm
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- 0700Generalpotential for harm
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.
- 0755Generalpotential for harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- 0880Generalpotential for harm
Provide and implement an infection prevention and control program.
- 0812Generalpotential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- 0804Generalpotential for harm
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- 0757Generalpotential for harm
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- 0684Generalpotential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- 0880Generalpotential for harm
Provide and implement an infection prevention and control program.
- 0578Generalpotential for harm
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.
- 0582Generalpotential for harm
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- 0641Generalpotential for harm
Ensure each resident receives an accurate assessment.
- 0656Generalpotential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- 0658Generalpotential for harm
Ensure services provided by the nursing facility meet professional standards of quality.
- 0695Generalpotential for harm
Provide safe and appropriate respiratory care for a resident when needed.
- 0700Generalpotential for harm
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.
- 0732Generalpotential for harm
Post nurse staffing information every day.
- 0758Generalpotential for harm
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.
- 0761Generalpotential for harm
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.
- 0812Generalpotential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- 0550Generalpotential for harm
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- 0880Generalpotential for harm
Provide and implement an infection prevention and control program.
- 0812Generalpotential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- 0761Generalpotential for harm
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.
- 0758Generalpotential for harm
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.
- 0658Generalpotential for harm
Ensure services provided by the nursing facility meet professional standards of quality.
- 0880Generalpotential for harm
Provide and implement an infection prevention and control program.
- 0812Generalpotential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- 0658Generalpotential for harm
Ensure services provided by the nursing facility meet professional standards of quality.
Inspection history
Every health inspection on record
Each CMS health inspection of this facility, and the deficiencies the surveyors cited. Where the verbatim Form 2567 statement of deficiencies is on file, it links to the full report.
- View inspection reportInspection1 deficiency
- View inspection reportInspection1 deficiency
- View inspection reportInspectionFire Safety6 deficiencies
- View inspection reportInspection15 deficiencies
- Inspection1 deficiency
555524 09/06/2024 Health Care Ctr at the Forum at Rancho San Antonio 23600 via Esplendor Cupertino, CA 95014 F 0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN…
Read full statement of deficiencies - View inspection reportInspectionFire Safety3 deficiencies
- Inspection13 deficiencies
555524 07/19/2024 Health Care Ctr at the Forum at Rancho San Antonio 23600 via Esplendor Cupertino, CA 95014 F 0550 Level of Harm - Minimal harm or potential for actual harm Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her…
Read full statement of deficiencies - Inspection5 deficiencies
555524 06/09/2023 Health Care Ctr at the Forum at Rancho San Antonio 23600 via Esplendor Cupertino, CA 95014 F 0658 Ensure services provided by the nursing facility meet professional standards of quality. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS…
Read full statement of deficiencies - View inspection reportInspectionFire Safety3 deficiencies
- Inspection3 deficiencies
555524 05/03/2019 Health Care Ctr at the Forum at Rancho San Antonio 23600 via Esplendor Cupertino, CA 95014 F 0658 Ensure services provided by the nursing facility meet professional standards of quality. Level of Harm - Minimal harm or potential for actual harm Based on observation…
Read full statement of deficiencies
Showing the 10 most recent inspections. 1 earlier inspection is also on record.
Ownership
Life Care Services
45nursing homes nationwide, in CMS records
2 in California, 43 in other states.
Counted from the chain CMS itself discloses for this home, which matches CMS Care Compare. ReadyRule's own common-control analysis is a separate and broader lens, and the two can differ.
FAQ
Questions and answers
- What is Health Care Ctr at the Forum at Rancho San Antonio?
- Health Care Ctr at the Forum at Rancho San Antonio is a Medicare- and Medicaid-certified nursing home in Cupertino, CA, tracked by the Centers for Medicare & Medicaid Services (CMS). Its CMS Certification Number (CCN) is 555524.
- What is the CMS rating for Health Care Ctr at the Forum at Rancho San Antonio?
- Health Care Ctr at the Forum at Rancho San Antonio has a CMS overall rating of 4 out of 5 stars. CMS rates nursing homes on health inspections, staffing, and quality measures.
- How many beds does Health Care Ctr at the Forum at Rancho San Antonio have?
- Health Care Ctr at the Forum at Rancho San Antonio is certified for 48 beds. It serves an average of 41.8 residents per day.
- How many citations does Health Care Ctr at the Forum at Rancho San Antonio have?
- Health Care Ctr at the Forum at Rancho San Antonio has 39 citations on record from CMS health inspections, each tied to a federal deficiency tag.
- When was Health Care Ctr at the Forum at Rancho San Antonio last inspected?
- Health Care Ctr at the Forum at Rancho San Antonio was last inspected on January 30, 2026. CMS surveys nursing homes about once a year and after complaints.
- What can I do if I have concerns about care at this facility?
- Start by raising the concern with the facility administrator or director of nursing. Every state also runs a free long-term care ombudsman program that advocates for residents and families; the federal Eldercare Locator at eldercare.acl.gov can connect you with yours. Complaints about quality of care can also be filed with your state survey agency.
*Sourced from the Centers for Medicare & Medicaid Services (CMS). See the official record on CMS Care Compare. If you believe any information is inaccurate, report it here.
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