nursing home in Campbell, CA
Childrens Hc Org No Ca -Pediatric Hospital D/P SNF
3777 South Bascom Avenue, Campbell, CA 95008 · (408) 558-3640
CMS overall star rating
- Health inspections★★★★★5
- StaffingNot rated
- Quality measures★★★★★5
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Childrens Hc Org No Ca -Pediatric Hospital D/P SNF at a glance
Childrens Hc Org No Ca -Pediatric Hospital D/P SNF is a 27-bed for-profit nursing home in Campbell, California (Santa Clara County).
CMS gives it 5 out of 5 stars on its overall star rating, better than the California average of 3.2.
Its most recent standard health inspection (July 26, 2024) found 5 health citations. The California average is 15.5.
Federal regulators fined it 1 time in the past three years, totaling $3,145.
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 27
- Certified for
- Medicare and Medicaid
- Medicare-certified since
- March 3, 1999
- Resident/family council
- Resident
- County
- Santa Clara County
- CMS Certification Number
- 555734
Ratings
| Measure | This facility | California avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 5 / 5 | 3.2 / 5 | 3 / 5 | Better |
| Health inspection rating ⓘ (higher is better) | 5 / 5 | 2.8 / 5 | 2.8 / 5 | Better |
| Quality measures rating ⓘ (higher is better) | 5 / 5 | 4.1 / 5 | 3.6 / 5 | Better |
| Long-stay quality rating (higher is better) | 5 / 5 | 4.4 / 5 | 3.8 / 5 | Better |
Inspections
| Measure | This facility | California avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 5 | 16 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 0 | 4 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 30 | 105.8 | 80.6 | Better |
Penalties
| Measure | This facility | California avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 1 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $3,145 | $23,986 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 1 | 1 | 1 | Average |
Size
| Measure | This facility | California avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 27 | 99 | 107 | |
| Average residents per day | 27 | 88 | 86 | |
| Occupancy | 99.3% | 88.4% | 80.9% |
Long-stay residents
| Measure | This facility | California avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 0% | 1.6% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 0% | 4.3% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 0% | 12% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 0% | 1.2% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0% | 0.8% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 2.9% | 10.2% | 13.9% | Better |
| Long-stay residents who lose too much weight (lower is better) | 1% | 4% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 0% | 7.3% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.4% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 24.8% | 13.7% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 3.8% | 10.2% | 19% | Better |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 98.2% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 98% | 98.6% | 93.6% | Average |
Inspection citations
State inspectors cited this home for 16 health deficiencies and 18 fire safety deficiencies in the inspection records CMS currently publishes. None were rated as causing actual harm to residents.
| Date | Citation | Severity | Status |
|---|---|---|---|
| October 10, 2024 Complaint | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected October 17, 2024 |
| July 26, 2024 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | F Potential harm, widespread | Corrected August 6, 2024 |
| July 26, 2024 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected August 6, 2024 |
| July 26, 2024 Fire safety | Follow proper procedures when the fire alarm was out of service for more than 4 hours. Smoke Deficiencies · Tag K0346 | F Potential harm, widespread | Corrected August 6, 2024 |
| July 26, 2024 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | E Potential harm, pattern | Corrected August 6, 2024 |
| July 26, 2024 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | E Potential harm, pattern | Corrected August 6, 2024 |
| July 26, 2024 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | D Potential harm, isolated | Corrected August 6, 2024 |
| July 26, 2024 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | D Potential harm, isolated | Corrected August 6, 2024 |
| July 26, 2024 Fire safety | Meet requirements for the use of electrical equipment. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0919 | D Potential harm, isolated | Corrected August 6, 2024 |
| July 26, 2024 Standard | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | E Potential harm, pattern | Corrected August 31, 2024 |
| July 26, 2024 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected August 31, 2024 |
| July 26, 2024 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected August 31, 2024 |
| July 26, 2024 Standard | 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. Pharmacy Service Deficiencies · Tag F0758 | D Potential harm, isolated | Corrected August 31, 2024 |
| July 26, 2024 Standard | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Tag F0921 | D Potential harm, isolated | Corrected August 31, 2024 |
| July 8, 2022 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | D Potential harm, isolated | Corrected July 26, 2022 |
| July 8, 2022 Fire safety | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Tag E0039 | D Potential harm, isolated | Corrected July 26, 2022 |
| July 8, 2022 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | D Potential harm, isolated | Corrected July 26, 2022 |
| July 8, 2022 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected August 5, 2022 |
| July 8, 2022 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected July 22, 2022 |
| July 8, 2022 Standard | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected July 30, 2022 |
| October 31, 2019 Fire safety | Establish policies and procedures for volunteers. Emergency Preparedness Deficiencies · Tag E0024 | E Potential harm, pattern | Corrected December 24, 2019 |
| October 31, 2019 Fire safety | Provide a means of sharing information on occupancy/needs. Emergency Preparedness Deficiencies · Tag E0034 | E Potential harm, pattern | Corrected December 24, 2019 |
| October 31, 2019 Fire safety | Provide family notifications of emergency plan. Emergency Preparedness Deficiencies · Tag E0035 | E Potential harm, pattern | Corrected December 24, 2019 |
| October 31, 2019 Fire safety | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Tag E0039 | E Potential harm, pattern | Corrected December 24, 2019 |
| October 31, 2019 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | E Potential harm, pattern | Corrected December 24, 2019 |
| October 31, 2019 Fire safety | Establish roles under a Waiver declared by secretary. Emergency Preparedness Deficiencies · Tag E0026 | E Potential harm, pattern | Corrected December 24, 2019 |
| October 31, 2019 Fire safety | Establish procedures for tracking staff and patients during an emergency. Emergency Preparedness Deficiencies · Tag E0018 | E Potential harm, pattern | Corrected December 24, 2019 |
| October 31, 2019 Standard | Keep all essential equipment working safely. Environmental Deficiencies · Tag F0908 | E Potential harm, pattern | Corrected November 22, 2019 |
| October 31, 2019 Standard | 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. Pharmacy Service Deficiencies · Tag F0758 | D Potential harm, isolated | Corrected November 22, 2019 |
| October 31, 2019 Standard | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Tag F0759 | D Potential harm, isolated | Corrected November 22, 2019 |
| October 31, 2019 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected November 22, 2019 |
| October 31, 2019 Standard | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected November 22, 2019 |
| October 31, 2019 Standard | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | D Potential harm, isolated | Corrected November 22, 2019 |
| October 31, 2019 Standard | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. Nutrition and Dietary Deficiencies · Tag F0802 | D Potential harm, isolated | Corrected November 22, 2019 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 1 federal penalty in the past three years, including $3,145 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| October 2, 2023 | Fine | $3,145 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| INNOVATIONS HEALTH SYSTEMS LLC Organization | 5% or greater direct ownership interest | — | 01/01/2017 |
| MCGUIRE, KENNETH Individual | 5% or greater direct ownership interest | — | 01/01/2017 |
| NICCUM, DAN Individual | 5% or greater direct ownership interest | — | 01/01/2017 |
| MCGUIRE, KENNETH Individual | corporate director | NOT APPLICABLE | 01/01/2017 |
| NICCUM, DAN Individual | corporate director | NOT APPLICABLE | 01/01/2016 |
| MCGUIRE, KENNETH Individual | corporate officer | NOT APPLICABLE | 01/01/2017 |
| NICCUM, DAN Individual | corporate officer | NOT APPLICABLE | 01/01/2016 |
| INNOVATIONS HEALTH SYSTEMS LLC Organization | operational/managerial control | NOT APPLICABLE | 01/01/2017 |
| MCGUIRE, KENNETH Individual | operational/managerial control | NOT APPLICABLE | 01/01/2017 |
| NICCUM, DAN Individual | operational/managerial control | NOT APPLICABLE | 01/01/2017 |
| MCGUIRE, KENNETH Individual | w-2 managing employee | NOT APPLICABLE | 01/01/2017 |
| NICCUM, DAN Individual | w-2 managing employee | NOT APPLICABLE | 01/01/2017 |
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- CMS high performer
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Frequently asked questions
What is Childrens Hc Org No Ca -Pediatric Hospital D/P SNF's rating?
Childrens Hc Org No Ca -Pediatric Hospital D/P SNF has 5 out of 5 stars on the CMS overall star rating. The average for California nursing homes is 3.2 stars.
How many inspection citations did Childrens Hc Org No Ca -Pediatric Hospital D/P SNF receive?
Its most recent standard health inspection found 5 citations, compared with a California average of 15.5. Every citation is listed on this page with its severity.
Does Childrens Hc Org No Ca -Pediatric Hospital D/P SNF accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Childrens Hc Org No Ca -Pediatric Hospital D/P SNF?
It is for profit - limited liability company. The ownership section on this page lists the owners and managers reported to CMS.
Where is Childrens Hc Org No Ca -Pediatric Hospital D/P SNF and how do I contact it?
Childrens Hc Org No Ca -Pediatric Hospital D/P SNF is at 3777 South Bascom Avenue, Campbell, CA 95008. Phone: (408) 558-3640.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.