Overview

Address
2065 FOREST AVENUE, SAN JOSE, CA 95128
Phone
4082802500
Certified beds
253
Avg daily residents
241 (95% of beds filled)
Ownership
For-profit partnership
Provider type
Medicare and Medicaid
Medicare/Medicaid since
1974-03-31
Setting
Urban
1 /5
CMS Overall Rating

CMS 5-Star Ratings

CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.

Overall Rating
Composite of Health Inspection, Staffing, and Quality Measures.
1/5
Health Inspection
Based on the three most recent standard surveys, with more weight on recent results.
1/5
Staffing
Weighted combination of RN and total nurse staffing hours per resident per day, case-mix adjusted.
4/5
Quality Measures
15 resident-level quality measures split between long-stay and short-stay (post-acute) residents.
4/5
Quality Measures breakdown
Long-Stay Quality Measures 5/5
Short-Stay Quality Measures 4/5

Staffing & Workforce

Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.

Role Reported Case-mix expected Adjusted Federal floor
Total nurse
All nursing staff combined: RN + LPN + Aide
3.86 3.28 4.54 ≥ 3.48
Registered Nurse (RN)
Licensed RN hours. Strongest driver of clinical outcomes.
0.32 0.57 0.37 ≥ 0.55 Below floor
Licensed Practical Nurse (LPN)
LPN/LVN hours. Often handles medication administration.
0.89 0.73 1.05
Nurse aide
CNA hours. Bulk of direct resident care — bathing, feeding, mobility.
2.65 1.98 3.12
Licensed (RN + LPN)
Combined licensed nurse coverage.
1.21
Physical therapist
Rehabilitation therapist hours — important for post-acute / rehab admissions.
0.09

Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.

Weekend staffing

Total nurse (weekend)
3.68
hrs / resident / day
RN (weekend)
0.25
hrs / resident / day
Total nurse (adjusted, weekend)
4.33
hrs / resident / day

Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.

Staff turnover

Total nursing staff turnover
39.7%
annual
RN turnover
45.5%
annual
Administrators departed
0
last 12 months

Resident acuity

Nursing Case-Mix Index
1.16
higher acuity than avg
Case-Mix Index Ratio
0.84
facility / state ratio

Health Inspections

CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.

Cycle Date Total defs. Standard Complaint Deficiency score Revisits Total score
Cycle 1 (most recent) 2025-06-27 18 18 0 128 1 128
Cycle 2/3 (prior) 2024-01-31 53 23 30 478 1 478
Total weighted health score
215.5
lower is better

Deficiencies (95)

Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).

1 A/B/C No actual harm — minor
91 D/E/F Actual harm — potential for minor
1 G/H/I Actual harm
2 J/K/L Immediate jeopardy
Tag Description Scope/Severity Survey date Corrected
0550 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. E 2025-06-27 2025-07-24
0558 Reasonably accommodate the needs and preferences of each resident. D 2025-06-27 2025-07-24
0577 Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. E 2025-06-27 2025-07-24
0582 Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. D 2025-06-27 2025-07-24
0636 Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. D 2025-06-27 2025-07-24
0641 Ensure each resident receives an accurate assessment. D 2025-06-27 2025-07-24
0655 Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted D 2025-06-27 2025-07-24
0657 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. D 2025-06-27 2025-07-24
0658 Ensure services provided by the nursing facility meet professional standards of quality. E 2025-06-27 2025-07-24
0700 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. D 2025-06-27 2025-07-24
0755 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. E 2025-06-27 2025-07-24
0761 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. E 2025-06-27 2025-07-24
0804 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. D 2025-06-27 2025-07-24
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F 2025-06-27 2025-07-24
0814 Dispose of garbage and refuse properly. F 2025-06-27 2025-07-24
0880 Provide and implement an infection prevention and control program. E 2025-06-27 2025-07-24
0921 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. E 2025-06-27 2025-07-24
0945 Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. E 2025-06-27 2025-07-24
0658 Ensure services provided by the nursing facility meet professional standards of quality. D 2025-01-17 2025-02-06
0761 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. D 2024-12-11 2024-12-25
0740 Ensure each resident must receive and the facility must provide necessary behavioral health care and services. D 2024-07-26 2024-08-16
0925 Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. D 2024-06-25 2024-07-18
0814 Dispose of garbage and refuse properly. E 2024-06-06 2024-07-05
0925 Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. E 2024-06-06 2024-07-05
0697 Provide safe, appropriate pain management for a resident who requires such services. E 2024-04-08 2024-05-07
0554 Allow residents to self-administer drugs if determined clinically appropriate. D 2024-01-31 2024-02-29
0558 Reasonably accommodate the needs and preferences of each resident. D 2024-01-31 2024-02-29
0583 Keep residents' personal and medical records private and confidential. D 2024-01-31 2024-02-29
0584 Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. E 2024-01-31 2024-02-29
0641 Ensure each resident receives an accurate assessment. D 2024-01-31 2024-02-29
0644 Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. D 2024-01-31 2024-02-29
0645 PASARR screening for Mental disorders or Intellectual Disabilities D 2024-01-31 2024-02-29
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. D 2024-01-31 2024-02-29
0687 Provide appropriate foot care. D 2024-01-31 2024-02-29
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. E 2024-01-31 2024-02-29
0692 Provide enough food/fluids to maintain a resident's health. D 2024-01-31 2024-02-29
0695 Provide safe and appropriate respiratory care for a resident when needed. D 2024-01-31 2024-02-29
0700 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. F 2024-01-31 2024-02-29
0755 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. D 2024-01-31 2024-02-29
0759 Ensure medication error rates are not 5 percent or greater. D 2024-01-31 2024-02-29
0802 Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. F 2024-01-31 2024-02-29
0803 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. F 2024-01-31 2024-02-29
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. L 2024-01-31 2024-01-31
0813 Have a policy regarding use and storage of foods brought to residents by family and other visitors. F 2024-01-31 2024-02-29
0880 Provide and implement an infection prevention and control program. E 2024-01-31 2024-02-29
0908 Keep all essential equipment working safely. E 2024-01-31 2024-02-29
0912 Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. E 2024-01-31 2024-02-29
0921 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. E 2024-01-31 2024-02-29
0925 Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. K 2024-01-31 2024-02-29
0550 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. E 2024-01-31 2024-02-29

Showing 50 most recent of 95. See the All Data CSV for the full list.

Penalties (1)

Fines issued
1
last 3 years
Total fines
$105,089
Date Type Fine amount
2023-12-11 Fine $105,089

Source: CMS Nursing Home Penalties.

Financial Health (FY 2023)

Payer mix (share of resident days)

Medicare 9.5% Medicaid 82.8% Other 7.8%

Operating performance

Operating Margin
-4.5%
Total Margin
1.7%
Occupancy Rate
94.8%
Cost per Resident Day
$40

Revenue & costs

Net Patient Revenue
$34.4M
Total Costs
$3.5M
Net Income
$618K

Balance sheet

Total Assets
$12.3M
Total Liabilities
-$11.3M
Fund Balance
$23.5M
Current Ratio
0.96

Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.

Ownership & Corporate Structure

Chain: MARINER HEALTH CARE

Chain ID
334
Facilities in chain
18
Legal business name
SKYLINE SAN JOSE OPERATING COMPANY LP
Chain-average star ratings (for peer context)
Overall
2.9
Health
2.7
Staffing
3.7
QM
4.0

Owner / manager organizations (9)

Organization Role Association
GC OPERATING COMPANY LLC 5% OR GREATER DIRECT OWNERSHIP INTEREST since 12/06/2011
GRANCARE LLC 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 11/17/2010
MARINER HEALTH CARE, INC. 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 11/17/2010
MHC HOLDING COMPANY 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 11/17/2010
MHC WEST HOLDING COMPANY 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 11/17/2010
NATIONAL SENIOR CARE, INC. 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 11/17/2010
SKYLINE SAN JOSE OPERATING COMPANY GP LLC GENERAL PARTNERSHIP INTEREST since 08/27/2014
GC OPERATING COMPANY LLC LIMITED PARTNERSHIP INTEREST since 08/27/2014
CAPITAL FUNDING LLC 5% OR GREATER SECURITY INTEREST since 06/01/2015

Owner / manager individuals (5)

Name Role Association
GRUNSTEIN, EMILY 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 02/06/2019
SARCAUGA, DENNIS OPERATIONAL/MANAGERIAL CONTROL since 02/06/2025
SABOUNCHI, SAMAN CONTRACTED MANAGING EMPLOYEE since 08/08/2021
CABRERA, CORAZON W-2 MANAGING EMPLOYEE since 07/15/2021
DEE, RIC W-2 MANAGING EMPLOYEE since 09/05/2017

Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.

Facility Features

CCRC
No
Hospital-based
No
Resident / family council
Resident
Sprinkler systems
Yes
Abuse citation flag
No
Methodology & sources

Full methodology →

All Data

Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.

Download CSV

Show 113 rows
Source Metric Value Raw key
Cost Report Cost per Resident Day ($) $40 metrics.cost_per_resident_day
Cost Report Current Ratio 0.96 metrics.current_ratio
Cost Report fiscal_year 2,023 fiscal_year
Cost Report Medicaid Day Share (%) 82.8% metrics.medicaid_day_share
Cost Report Medicare Day Share (%) 9.5% metrics.medicare_day_share
Cost Report Net Income ($) $618,289 metrics.net_income
Cost Report Net Patient Revenue ($) $34,386,335 metrics.net_patient_revenue
Cost Report Occupancy Rate (%) 94.8% metrics.occupancy_rate
Cost Report Operating Margin (%) -4.5% metrics.operating_margin
Cost Report Total Assets ($) $12,261,331 metrics.total_assets
Cost Report Total Costs ($) $3,540,776 metrics.total_costs
Cost Report Total Fund Balances ($) $23,525,761 metrics.fund_balance
Cost Report Total Liabilities ($) $-11,264,430 metrics.total_liabilities
Cost Report Total Margin (%) 1.7% metrics.total_margin
Provider Information Abuse Icon N Abuse Icon
Provider Information Adjusted LPN Staffing Hours per Resident per Day 1.04758 Adjusted LPN Staffing Hours per Resident per Day
Provider Information Adjusted Nurse Aide Staffing Hours per Resident per Day 3.11820 Adjusted Nurse Aide Staffing Hours per Resident per Day
Provider Information Adjusted RN Staffing Hours per Resident per Day 0.37221 Adjusted RN Staffing Hours per Resident per Day
Provider Information Adjusted Total Nurse Staffing Hours per Resident per Day 4.53799 Adjusted Total Nurse Staffing Hours per Resident per Day
Provider Information Adjusted Weekend Total Nurse Staffing Hours per Resident per Day 4.32523 Adjusted Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Administrator turnover footnote Administrator turnover footnote
Provider Information Automatic Sprinkler Systems in All Required Areas Yes Automatic Sprinkler Systems in All Required Areas
Provider Information Average Number of Residents per Day 240.6 Average Number of Residents per Day
Provider Information Average Number of Residents per Day Footnote Average Number of Residents per Day Footnote
Provider Information Case-Mix LPN Staffing Hours per Resident per Day 0.72851 Case-Mix LPN Staffing Hours per Resident per Day
Provider Information Case-Mix Nurse Aide Staffing Hours per Resident per Day 1.97993 Case-Mix Nurse Aide Staffing Hours per Resident per Day
Provider Information Case-Mix RN Staffing Hours per Resident per Day 0.57423 Case-Mix RN Staffing Hours per Resident per Day
Provider Information Case-Mix Total Nurse Staffing Hours per Resident per Day 3.28267 Case-Mix Total Nurse Staffing Hours per Resident per Day
Provider Information Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day 2.89333 Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Chain Average Health Inspection Rating 2.7 Chain Average Health Inspection Rating
Provider Information Chain Average Overall 5-star Rating 2.9 Chain Average Overall 5-star Rating
Provider Information Chain Average QM Rating 4.0 Chain Average QM Rating
Provider Information Chain Average Staffing Rating 3.7 Chain Average Staffing Rating
Provider Information Chain ID 334 Chain ID
Provider Information Chain Name MARINER HEALTH CARE Chain Name
Provider Information City/Town SAN JOSE City/Town
Provider Information CMS Certification Number (CCN) 055318 CMS Certification Number (CCN)
Provider Information Continuing Care Retirement Community N Continuing Care Retirement Community
Provider Information County/Parish Santa Clara County/Parish
Provider Information Date First Approved to Provide Medicare and Medicaid Services 1974-03-31 Date First Approved to Provide Medicare and Medicaid Services
Provider Information Geocoding Footnote Geocoding Footnote
Provider Information Health Inspection Rating 1 Health Inspection Rating
Provider Information Health Inspection Rating Footnote Health Inspection Rating Footnote
Provider Information Latitude 37.3271 Latitude
Provider Information Legal Business Name SKYLINE SAN JOSE OPERATING COMPANY LP Legal Business Name
Provider Information Location 2065 FOREST AVENUE,SAN JOSE,CA,95128 Location
Provider Information Long-Stay QM Rating 5 Long-Stay QM Rating
Provider Information Long-Stay QM Rating Footnote Long-Stay QM Rating Footnote
Provider Information Longitude -121.94 Longitude
Provider Information Most Recent Health Inspection More Than 2 Years Ago N Most Recent Health Inspection More Than 2 Years Ago
Provider Information Number of administrators who have left the nursing home 0 Number of administrators who have left the nursing home
Provider Information Number of Certified Beds 253 Number of Certified Beds
Provider Information Number of Citations from Infection Control Inspections Number of Citations from Infection Control Inspections
Provider Information Number of Facilities in Chain 18 Number of Facilities in Chain
Provider Information Number of Fines 1 Number of Fines
Provider Information Number of Payment Denials 0 Number of Payment Denials
Provider Information Nursing Case-Mix Index 1.16290 Nursing Case-Mix Index
Provider Information Nursing Case-Mix Index Ratio 0.84412 Nursing Case-Mix Index Ratio
Provider Information Overall Rating 1 Overall Rating
Provider Information Overall Rating Footnote Overall Rating Footnote
Provider Information Ownership Type For profit - Partnership Ownership Type
Provider Information Physical Therapist Staffing Footnote Physical Therapist Staffing Footnote
Provider Information Processing Date 2026-03-01 Processing Date
Provider Information Provider Address 2065 FOREST AVENUE Provider Address
Provider Information Provider Changed Ownership in Last 12 Months N Provider Changed Ownership in Last 12 Months
Provider Information Provider Name SKYLINE HEALTHCARE CENTER - SAN JOSE Provider Name
Provider Information Provider Resides in Hospital N Provider Resides in Hospital
Provider Information Provider SSA County Code 530 Provider SSA County Code
Provider Information Provider Type Medicare and Medicaid Provider Type
Provider Information QM Rating 4 QM Rating
Provider Information QM Rating Footnote QM Rating Footnote
Provider Information Rating Cycle 1 Health Deficiency Score 128 Rating Cycle 1 Health Deficiency Score
Provider Information Rating Cycle 1 Health Revisit Score 0 Rating Cycle 1 Health Revisit Score
Provider Information Rating Cycle 1 Number of Complaint Health Deficiencies 0 Rating Cycle 1 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 1 Number of Health Revisits 1 Rating Cycle 1 Number of Health Revisits
Provider Information Rating Cycle 1 Number of Standard Health Deficiencies 18 Rating Cycle 1 Number of Standard Health Deficiencies
Provider Information Rating Cycle 1 Standard Survey Health Date 2025-06-27 Rating Cycle 1 Standard Survey Health Date
Provider Information Rating Cycle 1 Total Health Score 128 Rating Cycle 1 Total Health Score
Provider Information Rating Cycle 1 Total Number of Health Deficiencies 18 Rating Cycle 1 Total Number of Health Deficiencies
Provider Information Rating Cycle 2 Number of Standard Health Deficiencies 23 Rating Cycle 2 Number of Standard Health Deficiencies
Provider Information Rating Cycle 2 Standard Health Survey Date 2024-01-31 Rating Cycle 2 Standard Health Survey Date
Provider Information Rating Cycle 2/3 Health Deficiency Score 478 Rating Cycle 2/3 Health Deficiency Score
Provider Information Rating Cycle 2/3 Health Revisit Score 0 Rating Cycle 2/3 Health Revisit Score
Provider Information Rating Cycle 2/3 Number of Complaint Health Deficiencies 30 Rating Cycle 2/3 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 2/3 Number of Health Revisits 1 Rating Cycle 2/3 Number of Health Revisits
Provider Information Rating Cycle 2/3 Total Health Score 478 Rating Cycle 2/3 Total Health Score
Provider Information Rating Cycle 2/3 Total Number of Health Deficiencies 53 Rating Cycle 2/3 Total Number of Health Deficiencies
Provider Information Registered Nurse hours per resident per day on the weekend 0.25034 Registered Nurse hours per resident per day on the weekend
Provider Information Registered Nurse turnover 45.5 Registered Nurse turnover
Provider Information Registered Nurse turnover footnote Registered Nurse turnover footnote
Provider Information Reported Licensed Staffing Hours per Resident per Day 1.20714 Reported Licensed Staffing Hours per Resident per Day
Provider Information Reported LPN Staffing Hours per Resident per Day 0.89068 Reported LPN Staffing Hours per Resident per Day
Provider Information Reported Nurse Aide Staffing Hours per Resident per Day 2.65118 Reported Nurse Aide Staffing Hours per Resident per Day
Provider Information Reported Physical Therapist Staffing Hours per Resident Per Day 0.08877 Reported Physical Therapist Staffing Hours per Resident Per Day
Provider Information Reported RN Staffing Hours per Resident per Day 0.31646 Reported RN Staffing Hours per Resident per Day
Provider Information Reported Staffing Footnote Reported Staffing Footnote
Provider Information Reported Total Nurse Staffing Hours per Resident per Day 3.85832 Reported Total Nurse Staffing Hours per Resident per Day
Provider Information Short-Stay QM Rating 4 Short-Stay QM Rating
Provider Information Short-Stay QM Rating Footnote Short-Stay QM Rating Footnote
Provider Information Special Focus Status Special Focus Status
Provider Information Staffing Rating 4 Staffing Rating
Provider Information Staffing Rating Footnote Staffing Rating Footnote
Provider Information State CA State
Provider Information Telephone Number 4082802500 Telephone Number
Provider Information Total Amount of Fines in Dollars 105089.00 Total Amount of Fines in Dollars
Provider Information Total number of nurse staff hours per resident per day on the weekend 3.67743 Total number of nurse staff hours per resident per day on the weekend
Provider Information Total Number of Penalties 1 Total Number of Penalties
Provider Information Total nursing staff turnover 39.7 Total nursing staff turnover
Provider Information Total nursing staff turnover footnote Total nursing staff turnover footnote
Provider Information Total Weighted Health Survey Score 215.500 Total Weighted Health Survey Score
Provider Information Urban Y Urban
Provider Information With a Resident and Family Council Resident With a Resident and Family Council
Provider Information ZIP Code 95128 ZIP Code