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Nursing HomeMedicaid

A Grace Sub Acute & Skilled Care

Strong Medicare quality ratings; families often praise attentive and professional nursing/cna staff. Still worth an in-person visit.

1250 S. Winchester Boulevard, Monroe · San Jose, CA 95128166 bedsLicensed & Active
4/5
Medicare
Inspection
Quality
Staffing
Google rating
2.7/5

based on 39 Google reviews

5
4
3
2
1
A Grace Sub Acute & Skilled Care Nursing Home in San Jose, CA — Street View
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What this means for your family

Recent reviews suggest a significant improvement in clinical care and communication, particularly regarding wound care and rehabilitation. However, the facility has a documented history of serious neglect and staff rudeness, so you should specifically ask about their current protocols for hygiene monitoring and staff training.

Google Reviews

Google Reviews

39 reviews on Google
Families should approach this facility with significant caution due to serious allegations of neglect, staff rudeness, and hygiene issues. While many recent reviews from 2025 and 2026 praise the nursing and rehab teams for being attentive and professional, a persistent pattern of older reviews describes severe medical errors and poor patient care.

Quality Themes

Tap a score for details
FoodN/AStaff4.0Clean3.0Activities5.0Meds1.0MemoryN/AComms7.0ValueN/A

Strengths

  • Attentive and professional nursing/CNA staff
  • Effective rehabilitation and wound care teams
  • Strong communication from administration and social services
  • Cleanliness in recent visits

Concerns

  • Staff rudeness and disrespectful behavior (mentioned by 4 reviewers)
  • Neglect regarding hygiene and incontinence care (mentioned by 2 reviewers)
  • Facility maintenance and outdated appearance (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

234'13(1)'16(1)'19(1)'22(3)'24(6)'26(5)

Distribution · 41 analyzed

5
13
4
5
3
0
2
1
1
22

How They Respond to Reviews

23%response rate
Good

The owner provides a mix of personalized, empathetic responses to positive reviews and a professional, direct approach to serious allegations. They frequently use specific names and acknowledge individual staff members or family members mentioned in the reviews.

Questions for Your Tour

  • 1I noticed some positive feedback regarding the professionalism of your nursing and CNA staff; how do you ensure this high level of care is maintained during shift changes?
  • 2Can you tell me more about the specific protocols your team uses for wound care and rehabilitation for residents?
  • 3How does the administration ensure that medication management is handled accurately and consistently for every resident?
  • 4What steps are being taken to address any recent facility maintenance needs or updates to the building's appearance?
  • 5What is your process for ensuring that personal hygiene and incontinence care are handled with dignity and attention to detail?
  • 6How does the social services team help residents engage in daily activities and stay connected with their families?

Personalized based on this facility's data


Key Review Excerpts

The staff, including nurses, CNAs, respiratory and wound care teams, RNAs, and others, are all helpful, caring, and hardworking. They truly support both patients and their families and create a warm, reassuring environment.

Rehab patient's family · 2025★★★★★

The bedsores were treated and gone in a week. With good care, he was off the ventilator in a couple months and they were able to remove the tracheostomy tube not long after that.

Long-term resident's family · 2025★★★★★

Staff is amazing. Any issues we have had with my father's health have been immediately identified and communicated. The staff is always present in the rooms to monitor their health and needs.

Long-term resident's family · 2026★★★★★
Source: 39 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
1.18hrs
OK
Registered nurses for medical care
Total Nursing
5.58hrs
OK
All nurses + aides combined
Staff Turnover
14%
Lower is better (< 30% = good)
RN Turnover
29%
Lower is better (< 30% = good)

This facility meets the national staffing benchmarks. Higher staffing is linked to fewer falls and better day-to-day care.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
5/ 5
Better Than Avg

9

measures

Worse Than Avg

3

measures

Mixed Results

5

measures

Long-Stay Residents
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility3.4%
Better than Avg
Here
3.4%
US
19.4%
CA
10.7%
Santa clara
13.9%
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
12.1%
CA
7.0%
Santa clara
4.9%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💊

Residents on antipsychotic medication

↓ Lower is better
This Facility5.1%
Better than Avg
Here
5.1%
US
15.4%
CA
11.6%
Santa clara
10.7%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility11.5%
Mixed vs Avgs
Here
11.5%
US
19.5%
CA
13.7%
Santa clara
9.1%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
CA
98.6%
Santa clara
99.3%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility10.3%
Better than Avg
Here
10.3%
US
15.3%
CA
10.5%
Santa clara
11.5%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility92.9%
Mixed vs Avgs
Here
92.9%
US
81.8%
CA
94.2%
Santa clara
97.1%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility88.6%
Mixed vs Avgs
Here
88.6%
US
79.7%
CA
93.2%
Santa clara
97.2%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
CA
1.5%
Santa clara
0.7%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

14deficiencies
Near state avg (15.4)
7 complaint-triggered

This facility has a concerning pattern of 81 deficiencies with families filing 7 complaints about care issues. The most persistent problems involve medication management (including dangerous error rates), fire safety violations, and infection control failures that repeat across multiple surveys. Recent complaints in 2024-2025 focused on medication services and resident safety, indicating ongoing issues despite the facility's corrections. While all deficiencies show correction dates, the recurring nature of core safety problems suggests systemic challenges.

Dec 10, 2025Complaint
2
0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0920Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

Aug 14, 2025Complaint
1
0755Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Oct 18, 2024Routine
22
0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0351Potential for harm · PatternCorrected

Smoke Deficiencies

Install an approved automatic sprinkler system.

0658Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

0700Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

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.

0755Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0161Potential for harm · IsolatedCorrected

Construction Deficiencies

Use approved construction type or materials.

0353Potential for harm · IsolatedCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0363Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0500Potential for harm · IsolatedCorrected

Services Deficiencies

Meet other general requirements that are deficient.

0511Potential for harm · IsolatedCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0711Potential for harm · IsolatedCorrected

Miscellaneous Deficiencies

Provide a written emergency evacuation plan.

0920Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0558Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

0655Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

0756Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

0757Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure each resident’s drug regimen must be free from unnecessary drugs.

0759Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

0806Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

0919Potential for harm · IsolatedCorrected

Environmental Deficiencies

Make sure that a working call system is available in each resident's bathroom and bathing area.

0921Potential for harm · IsolatedCorrected

Environmental Deficiencies

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Jul 9, 2024Complaint
1
0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Mar 14, 2024Complaint
1
0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Dec 28, 2023Complaint
1
0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Ownership & Operations

Who Operates This Facility

Owner / Operator

A Grace Sub Acute & Skilled Care

Organization Type

for profit

Ownership & Management

Owners

Adelman, Jason

Owner

Javier, Julita

Owner

Javier, Pepito

Owner

Rando, James

Owner

Key personnel

Aquino, VictorW-2 Managing EmployeeJavier, PepitoOfficer / DirectorSanchez, PelitaOfficer / Director
Source: Medicare provider data

Contact

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References & Resources

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