Skilled nursing · San Jose, CA

A Grace Sub Acute & Skilled Care

1250 S. WINCHESTER BOULEVARD, San Jose, CA 95128

4 / 5CMS 166 bedsCapacity Apr 2026Inspected
PALMELLE

95

Top 5%

Federal · State

Strong

The Palmelle read

Legit. A Grace Sub Acute & Skilled Care in San Jose is playing a high-stakes game of consistency that actually seems to be paying off for the residents. You’re looking at a 14% LOW_TURNOVER rate, which is basically the unicorn of the industry; it means the staff isn't constantly checking the exits, so they actually know if your mom prefers tea over coffee or how she likes her pillows. That continuity pairs well with their HIGH_RN_COVERAGE, where having a registered nurse around for over an hour per resident daily means medical tweaks happen at the bedside instead of in the back of an ambulance. They’ve also managed a LOW_FALLS_MAJOR_INJURY flag, a data point that usually suggests the call lights aren't just decorative and someone is actually there to help with a bathroom trip at 3:00 AM. Even more impressive is the LOW_ANTIPSYCHOTIC signal, proving they’d rather use human interaction to manage dementia than just reach for a heavy sedative to keep the room quiet. There are zero federal fines on the books right now, though we can’t tell if that’s a lifetime achievement award or just a clean run for the last few years. When you walk through the front door, look past the lobby furniture and ask the administrator exactly how they’ve managed to keep their staff from quitting in a market where everyone else is bleeding talent.

Generated by Palmelle · updated monthly · sources: federal CMS Care Compare, California DPH

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In their own words

No operator description yet.

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Services

What they offer.

Levels of care

Skilled nursing

Amenities

Operator has not yet shared amenities

What the data shows

The safety record, by the numbers.

Going right

No federal fines

Zero fines on record in the last 36 months.

Low antipsychotic prescribing

This
6.0%
National
14%

Below national median. Suggests staff manages behaviors with non-medication approaches.

Low rate of falls with major injury

This
0.8%
National
1.6%

Below national median. Suggests careful fall-risk assessment and active monitoring.

High registered-nurse coverage

This
1.18
National
0.78

More RN time per resident than national average. Earlier catch on medical issues.

Stable nursing staff

This
14.0%
National
53%

Lower turnover than national median — residents see the same caregivers more consistently.

Worth asking about

Tour-day questions

Ask about staff-to-resident ratio by shift, weekend coverage, and how recent inspections went.

Federal CMS + California state data

The full inspection record.

Federal CMS ratings

Overall★★★★4 / 5
Health inspection★★★★★3 / 5
Staffing★★★★4 / 5
Quality measures★★★★★5 / 5

Staffing

RN hours per resident, daily

This
1.18
Nat
0.78

Total nurse hours / resident, daily

This
5.58
Nat
3.62

Annual nurse turnover

This
14%
Nat
53%

Annual RN turnover

This
28%
Nat
47%

Quality measures · long-stay residents

Antipsychotic

This
6.0%
Nat
14%

Sedative / sleep med

This
10.9%
Nat
15%

Physical restraint

This
0.0%
Nat
1.1%

Falls with major injury

This
0.8%
Nat
1.6%

Penalties & status

No abuse iconNot special focusInspection currentZero federal fines (36mo)

Identity & licensing

CMS ID056376
OwnershipFor profit - Corporation
ChainIndependent
Beds166
Avg residents113
CA licenseOn file · #70000051

Citations · last 36 months

  • Flagged by CMS data

    Long-stay antipsychotic rate is just 6% — well below the national median of about 14%. This facility is treating behavior and dementia symptoms with engagement, environmental design, and personalized routines instead of prescriptions. That's hard to do and rare to find.

    From the latest CMS Care Compare reconcile

  • Flagged by CMS data

    Falls with major injury rate is 0.8% — well below the national median. Call lights are getting answered fast and aides are present during transfer-heavy hours. This is a hard number to keep low.

    From the latest CMS Care Compare reconcile

  • Flagged by CMS data

    Registered nurse coverage is 1.18 hours per resident per day — well above the recommended minimum of 0.75 and on par with high-end facilities. More RN time means complex medical changes get caught before they become emergency room trips.

    From the latest CMS Care Compare reconcile

  • Flagged by CMS data

    Annual nursing staff turnover is 14% — well below the industry average of 50-60%. The same caregivers are coming back week after week, which means residents see familiar faces who know their preferences and history. Continuity of care is one of the biggest invisible quality signals.

    From the latest CMS Care Compare reconcile

Sources: federal CMS Care Compare, California DPH · Last reconciled May 15, 2026

State record

California licensing.

License number

70000051

County

Santa Clara

Source: California Department of Health · last scraped 2026-05-05

Questions families ask

Common questions.

What is the CMS rating for A Grace Sub Acute & Skilled Care?

A Grace Sub Acute & Skilled Care has an overall CMS Care Compare rating of 4 out of 5 stars. It scores 3 of 5 on health inspection, 4 of 5 on staffing, and 5 of 5 on quality measures. The overall rating averages these subscores with health inspection weighted more heavily.

Has A Grace Sub Acute & Skilled Care been cited for resident harm?

CMS data flagged 4 concerns on the latest reconcile. The full record for A Grace Sub Acute & Skilled Care appears in the record section above.

Does A Grace Sub Acute & Skilled Care use antipsychotic medications?

6.0 percent of long-stay residents at A Grace Sub Acute & Skilled Care are on antipsychotic medications, below the 14 percent national median (CMS measure 481). Sedative and sleep-medication use is near the national median at 10.9 percent. Medications can be appropriate, but they are also commonly used to manage dementia-related behaviors instead of staffing or non-medication approaches. Worth asking on a tour: what behaviors the medication targets and what non-medication options were tried first.

What is A Grace Sub Acute & Skilled Care's Palmelle Clarity Score?

A Grace Sub Acute & Skilled Care has a Palmelle Clarity Score of 95 out of 100, placing it among the top-scoring facilities nationwide. The score is a composite of federal CMS and California state inspection data. Higher is better.

How can I tour or contact A Grace Sub Acute & Skilled Care?

A Grace Sub Acute & Skilled Care is located at 1250 S. WINCHESTER BOULEVARD, San Jose, CA 95128. Phone: (408) 241-3844. Tour hours: contact facility for current schedule. If you would like a Palmelle senior placement advisor to compare this facility with two others on your shortlist and call them on your behalf, use Help Me Choose.

Is A Grace Sub Acute & Skilled Care a special focus facility?

A Grace Sub Acute & Skilled Care is not currently on the federal Special Focus Facility list, has no abuse icon on file, and no federal fines in the last 36 months.

What does F-689 mean on A Grace Sub Acute & Skilled Care's record?

F-689 is a federal CMS deficiency code for inadequate supervision resulting in actual resident harm. If A Grace Sub Acute & Skilled Care has any active citations or CMS conflict flags, they appear with their details in the record section above, along with any operator response.

How does A Grace Sub Acute & Skilled Care compare to other San Jose skilled nursing facilities?

A Grace Sub Acute & Skilled Care holds a Palmelle Clarity Score of 95. Browse the full San Jose directory to compare more facilities by score, staffing, and inspection record.

Can Palmelle help with hospital discharge to skilled nursing at A Grace Sub Acute & Skilled Care?

Yes. Palmelle handles hospital discharge placement and emergency senior placement with a single Placement Specialist owning the case from intake to recommendation. Typical timeline: intake Monday, written recommendation Thursday, follow-up Friday. Call (888) 282-7256 to start, or use Help Me Choose for a comparison report on A Grace Sub Acute & Skilled Care and two other facilities on your shortlist.

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