Mission De La Casa

Nursing Home · San Jose, CA

CMS overall rating 2/5 For profit - Individual

CMS certification number555487

Contact & location

2501 Alvin Avenue
San Jose, CA 95121
Santa Clara County
Phone
(408) 238-9751
ZIP code
95121 – all care providers

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Facility details

Certified beds
163
Residents per day
153.8 (94% occupied)
Ownership
For profit - Individual
Legal name
Casavina Foundation Corp
Medicare certified since
December 17, 1991
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 2/5
State avg 3.2
Health inspections★★★★★ 1/5
State avg 2.8
Staffing★★★★★ 5/5
State avg 3.3
Quality measures★★★★★ 5/5
State avg 4.1
Long-stay quality★★★★★ 5/5
Short-stay quality★★★★★ 5/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
3.95 (state 4.52 · U.S. 3.86)
Registered nurses (RN)
0.68 (state 0.67 · U.S. 0.69)
Licensed practical nurses
0.65 (state 1.20 · U.S. 0.86)
Nurse aides
2.63 (state 2.65 · U.S. 2.32)
Weekend total
3.65 (state 4.09 · U.S. 3.42)
Nursing staff turnover
16.7 (state 36.7 · U.S. 45.8)%
RN turnover
24.0 (state 38.1 · U.S. 42.9)%
Administrators who left
0 in the last year

Inspections

Last standard inspection
August 21, 2025
Health deficiencies (last cycle)
16.0 (state 15.7 · U.S. 9.3)
From complaints
0
Citations on record (3 years)
35 health · 13 fire safety · includes immediate jeopardy
DateCitationSeverityStatus
2025-08-21 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 K
Immediate jeopardy to resident health or safety		 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.
F0801 · Nutrition and Dietary Deficiencies		 F
No actual harm, potential for more than minimal harm		 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.
F0802 · Nutrition and Dietary Deficiencies		 F
No actual harm, potential for more than minimal harm		 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.
F0812 · Nutrition and Dietary Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2025-09-16
2025-08-21 Have a policy regarding use and storage of foods brought to residents by family and other visitors.
F0813 · Nutrition and Dietary Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2025-09-16
2025-08-21 Dispose of garbage and refuse properly.
F0814 · Nutrition and Dietary Deficiencies		 F
No actual harm, potential for more than minimal harm		 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.
F0656 · Resident Assessment and Care Planning Deficiencies		 E
No actual harm, potential for more than minimal harm		 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.
F0657 · Resident Assessment and Care Planning Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-09-16
2025-08-21 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies		 E
No actual harm, potential for more than minimal harm		 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.
F0700 · Quality of Life and Care Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-09-16
2025-08-21 PASARR screening for Mental disorders or Intellectual Disabilities
F0645 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-09-16
2025-08-21 Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
F0740 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 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.
F0800 · Nutrition and Dietary Deficiencies		 D
No actual harm, potential for more than minimal harm		 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.
F0803 · Nutrition and Dietary Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-09-16
2025-08-21 Keep all essential equipment working safely.
F0908 · Environmental Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-09-16
2025-08-21 Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
F0925 · Environmental Deficiencies		 D
No actual harm, potential for more than minimal harm		 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.
F0812 · Nutrition and Dietary Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2024-07-26
2024-06-27 PASARR screening for Mental disorders or Intellectual Disabilities
F0645 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-07-26
2024-06-27 Ensure medication error rates are not 5 percent or greater.
F0759 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 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.
F0689 · Quality of Life and Care Deficiencies · complaint inspection		 G
Actual harm		 Corrected 2024-05-13
2024-03-28 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-04-22
2021-07-12 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2021-08-12
2021-07-12 Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
F0557 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2021-08-12
2021-07-12 Reasonably accommodate the needs and preferences of each resident.
F0558 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2021-08-12
2021-07-12 Assess the resident when there is a significant change in condition
F0637 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2021-08-12
2021-07-12 Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
F0644 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2021-08-12
2021-07-12 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2021-08-12
2021-07-12 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2021-08-12
2021-07-12 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2021-08-12
2021-07-12 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
F0690 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2021-08-12
2021-07-12 Provide safe, appropriate dialysis care/services for a resident who requires such services.
F0698 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2021-08-12
2021-07-12 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.
F0761 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2021-08-12
2021-07-12 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.
F0801 · Nutrition and Dietary Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2021-08-12
2021-07-12 Have a policy regarding use and storage of foods brought to residents by family and other visitors.
F0813 · Nutrition and Dietary Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2021-08-12
2021-07-12 Implement a program that monitors antibiotic use.
F0881 · Infection Control Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2021-08-12

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

1 penalty in the last three years, including $51,753 in fines.

DateTypeAmount
2025-08-21Fine$51,753

Ownership & management

NameRoleSince
Nguyen, Ngai (individual)5%+ Direct Ownership Interest · 100%
Aoay, Norie (individual)Administrator · NOT APPLICABLE
Eieta, Julie (individual)Administrator · NOT APPLICABLE
Evans, Joy (individual)Administrator · NOT APPLICABLE
Gupta, Atin (individual)Administrator · NOT APPLICABLE
Hedger, Josh (individual)Administrator · NOT APPLICABLE
Luc, Ha (individual)Administrator · NOT APPLICABLE
Lucas, Alethea (individual)Administrator · NOT APPLICABLE
Nguyen, Anh (individual)Administrator · NOT APPLICABLE
Nguyen, Kym (individual)Administrator · NOT APPLICABLE
Nguyen, Ngai (individual)Administrator · NOT APPLICABLE
Perez, Angelica (individual)Administrator · NOT APPLICABLE
Rabara, Rosana (individual)Administrator · NOT APPLICABLE
Tse, Daniel (individual)Administrator · NOT APPLICABLE
Vetsa, Surekha (individual)Administrator · NOT APPLICABLE
Nguyen, Ngai (individual)Corporate Director · NOT APPLICABLE
Nguyen, Ngai (individual)Corporate Officer · NOT APPLICABLE
Aoay, Norie (individual)Operational/managerial Control · NOT APPLICABLE
Eieta, Julie (individual)Operational/managerial Control · NOT APPLICABLE
Evans, Joy (individual)Operational/managerial Control · NOT APPLICABLE
Gupta, Atin (individual)Operational/managerial Control · NOT APPLICABLE
Hedger, Josh (individual)Operational/managerial Control · NOT APPLICABLE
Luc, Ha (individual)Operational/managerial Control · NOT APPLICABLE
Lucas, Alethea (individual)Operational/managerial Control · NOT APPLICABLE
Nguyen, Anh (individual)Operational/managerial Control · NOT APPLICABLE
Nguyen, Kym (individual)Operational/managerial Control · NOT APPLICABLE
Nguyen, Ngai (individual)Operational/managerial Control · NOT APPLICABLE
Perez, Angelica (individual)Operational/managerial Control · NOT APPLICABLE
Rabara, Rosana (individual)Operational/managerial Control · NOT APPLICABLE
Tse, Daniel (individual)Operational/managerial Control · NOT APPLICABLE
Vetsa, Surekha (individual)Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of Mission De La Casa?

Mission De La Casa has a 2-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.2-star average in California.

How many beds does Mission De La Casa have?

It has 163 certified beds and cares for about 154 residents per day.

Has Mission De La Casa been fined?

Yes. CMS lists 1 penalty totaling $51,753 in the last three years.

What is the phone number of Mission De La Casa?

(408) 238-9751. The facility is located at 2501 Alvin Avenue, San Jose, CA 95121.

Other nursing homes in San Jose

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Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.