Health Care CTR at the Forum at Rancho San Antonio
Nursing Home · Cupertino, CA
CMS certification number555524
Contact & location
23600 Via EsplendorCupertino, CA 95014
Santa Clara County
- Phone
- (650) 944-0200
- ZIP code
- 95014 – all care providers
Facility details
- Certified beds
- 48
- Residents per day
- 45.5 (95% occupied)
- Ownership
- Non profit - Other
- Legal name
- Rancho San Antonio Retirement Services, INC.
- Chain
- Life Care Services (43 facilities, avg 4.1★)
- Medicare certified since
- September 1, 1992
- Participates in
- Medicare
- Continuing care
- Part of a continuing care retirement community
- Council
- Both council
CMS star ratings
Staffing
Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.
- Total nurse staffing
- 5.75 (state 4.52 · U.S. 3.86)
- Registered nurses (RN)
- 1.07 (state 0.67 · U.S. 0.69)
- Licensed practical nurses
- 1.36 (state 1.20 · U.S. 0.86)
- Nurse aides
- 3.32 (state 2.65 · U.S. 2.32)
- Weekend total
- 5.28 (state 4.09 · U.S. 3.42)
- Nursing staff turnover
- 28.8 (state 36.7 · U.S. 45.8)%
- RN turnover
- 27.3 (state 38.1 · U.S. 42.9)%
- Administrators who left
- 0 in the last year
Inspections
- Last standard inspection
- January 30, 2026
- Health deficiencies (last cycle)
- 17.0 (state 15.7 · U.S. 9.3)
- From complaints
- 2
- Citations on record (3 years)
- 36 health · 12 fire safety
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2026-05-14 | Give the resident's representative the ability to exercise the resident's rights. F0551 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-05-26 |
| 2026-04-09 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-04-17 |
| 2026-01-30 | 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 2026-02-28 |
| 2026-01-30 | 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. F0578 · Resident Rights Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-02-28 |
| 2026-01-30 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. F0605 · Freedom from Abuse, Neglect, and Exploitation Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-02-28 |
| 2026-01-30 | 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 2026-02-28 |
| 2026-01-30 | Provide safe, appropriate pain management for a resident who requires such services. F0697 · Quality of Life and Care Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-02-28 |
| 2026-01-30 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755 · Pharmacy Service Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-02-28 |
| 2026-01-30 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. F0756 · Pharmacy Service Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-02-28 |
| 2026-01-30 | Ensure each resident’s drug regimen must be free from unnecessary drugs. F0757 · Pharmacy Service Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-02-28 |
| 2026-01-30 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. F0804 · Nutrition and Dietary Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-02-28 |
| 2026-01-30 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-02-28 |
| 2026-01-30 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-02-28 |
| 2026-01-30 | 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 |
D No actual harm, potential for more than minimal harm |
Corrected 2026-02-28 |
| 2026-01-30 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-02-28 |
| 2026-01-30 | 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 2026-02-28 |
| 2026-01-30 | 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 |
D No actual harm, potential for more than minimal harm |
Corrected 2026-02-28 |
| 2024-09-06 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-09-20 |
| 2024-07-19 | 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. F0578 · Resident Rights Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-08-18 |
| 2024-07-19 | 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 |
E No actual harm, potential for more than minimal harm |
Corrected 2024-08-18 |
| 2024-07-19 | 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 |
E No actual harm, potential for more than minimal harm |
Corrected 2024-08-18 |
| 2024-07-19 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-08-18 |
| 2024-07-19 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-08-18 |
| 2024-07-19 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. F0582 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-08-18 |
| 2024-07-19 | Ensure each resident receives an accurate assessment. F0641 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-08-18 |
| 2024-07-19 | 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 |
D No actual harm, potential for more than minimal harm |
Corrected 2024-08-18 |
| 2024-07-19 | 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 2024-08-18 |
| 2024-07-19 | Provide safe and appropriate respiratory care for a resident when needed. F0695 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-08-18 |
| 2024-07-19 | 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 |
D No actual harm, potential for more than minimal harm |
Corrected 2024-08-18 |
| 2024-07-19 | Post nurse staffing information every day. F0732 · Nursing and Physician Services Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-08-18 |
| 2024-07-19 | 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. F0758 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-08-18 |
| 2023-06-09 | 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 |
E No actual harm, potential for more than minimal harm |
Corrected 2023-07-09 |
| 2023-06-09 | 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 |
E No actual harm, potential for more than minimal harm |
Corrected 2023-07-09 |
| 2023-06-09 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-07-09 |
| 2023-06-09 | 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 2023-07-09 |
| 2023-06-09 | 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. F0758 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-07-09 |
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
No federal fines or payment denials in the last three years.
Ownership & management
| Name | Role | Since |
|---|---|---|
| Rancho San Antonio Retirement Housing Corporation (organization) | 5%+ Direct Ownership Interest · 100% | |
| Jo, Daniel (individual) | Administrator · NOT APPLICABLE | |
| Life Care Services LLC (organization) | Administrator · NOT APPLICABLE | |
| Nelson, Mark (individual) | Administrator · NOT APPLICABLE | |
| Rancho San Antonio Retirement Housing Corporation (organization) | Administrator · NOT APPLICABLE | |
| Exline, Rick (individual) | Corporate Director · NOT APPLICABLE | |
| Johnson, Eiko (individual) | Corporate Director · NOT APPLICABLE | |
| Brauman, Sharon (individual) | Corporate Officer · NOT APPLICABLE | |
| Brown, Kathy (individual) | Corporate Officer · NOT APPLICABLE | |
| Bush, Ellyn (individual) | Corporate Officer · NOT APPLICABLE | |
| Fishbein, Margery (individual) | Corporate Officer · NOT APPLICABLE | |
| Jo, Daniel (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Kao, Nancy (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Life Care Services LLC (organization) | Operational/managerial Control · NOT APPLICABLE | |
| Nelson, Mark (individual) | Operational/managerial Control · NOT APPLICABLE |
Frequently asked questions
What is the rating of Health Care CTR at the Forum at Rancho San Antonio?
Health Care CTR at the Forum at Rancho San Antonio has a 4-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 Health Care CTR at the Forum at Rancho San Antonio have?
It has 48 certified beds and cares for about 46 residents per day.
Has Health Care CTR at the Forum at Rancho San Antonio been fined?
CMS lists no federal fines or payment denials in the last three years.
Who owns Health Care CTR at the Forum at Rancho San Antonio?
It is part of Life Care Services and is classified as non profit - other. See the ownership table above for all owners and managers reported to CMS.
What is the phone number of Health Care CTR at the Forum at Rancho San Antonio?
(650) 944-0200. The facility is located at 23600 Via Esplendor, Cupertino, CA 95014.
Other nursing homes in Cupertino
-
Sunny View Manor
Nursing Home · Cupertino, CA · 48 beds
★★★★★ -
Cupertino Healthcare & Wellness Center
Nursing Home · Cupertino, CA · 170 beds
★★★
Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.