SNF

WEBSTER HOUSE

CCN: 555156 · PALO ALTO, CA 94301 · Santa Clara County

ℹ CCRC

Overview

Address
437 WEBSTER STREET, PALO ALTO, CA 94301
Phone
6503283300
Certified beds
145
Avg daily residents
62 (43% of beds filled)
Ownership
Non-profit corporation
Provider type
Medicare and Medicaid
Medicare/Medicaid since
1983-06-08
Setting
Urban
5 /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.
★★★★★ 5/5
Health Inspection
Based on the three most recent standard surveys, with more weight on recent results.
★★★★★ 5/5
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 ★★★★★ 3/5
Short-Stay Quality Measures ★★★★★ 5/5

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
 4.44 3.34 5.13 ≥ 3.48
Registered Nurse (RN)
Licensed RN hours. Strongest driver of clinical outcomes.
 0.69 0.58 0.80 ≥ 0.55
Licensed Practical Nurse (LPN)
LPN/LVN hours. Often handles medication administration.
 1.30 0.74 1.50 —
Nurse aide
CNA hours. Bulk of direct resident care — bathing, feeding, mobility.
 2.45 2.02 2.83 —
Licensed (RN + LPN)
Combined licensed nurse coverage.
 1.99 — — —
Physical therapist
Rehabilitation therapist hours — important for post-acute / rehab admissions.
 0.07 — — —

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)
3.36
hrs / resident / day
RN (weekend)
0.53
hrs / resident / day
Total nurse (adjusted, weekend)
3.88
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
29.3%
annual
RN turnover
50.0%
annual
Administrators departed
2
last 12 months

Resident acuity

Nursing Case-Mix Index
1.18
higher acuity than avg
Case-Mix Index Ratio
0.86
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) 2025-01-30 2 2 0 8 1 8
Cycle 2/3 (prior) 2023-02-27 16 15 1 84 1 84
Total weighted health score
27.0
lower is better

Deficiencies (23)

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).

23 D/E/F Actual harm — potential for minor
Tag Description Scope/Severity Survey date Corrected
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 2025-01-30 2025-02-20
0880 Provide and implement an infection prevention and control program. D 2025-01-30 2025-02-18
0585 Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. D 2023-07-20 2023-08-15
0637 Assess the resident when there is a significant change in condition D 2023-02-27 2023-03-29
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. D 2023-02-27 2023-03-29
0686 Provide appropriate pressure ulcer care and prevent new ulcers from developing. D 2023-02-27 2023-03-29
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. D 2023-02-27 2023-03-29
0693 Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. D 2023-02-27 2023-03-29
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. E 2023-02-27 2023-03-29
0755 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. D 2023-02-27 2023-03-29
0758 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. D 2023-02-27 2023-03-29
0759 Ensure medication error rates are not 5 percent or greater. E 2023-02-27 2023-03-29
0760 Ensure that residents are free from significant medication errors. D 2023-02-27 2023-03-29
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 2023-02-27 2023-03-29
0804 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. E 2023-02-27 2023-03-29
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. E 2023-02-27 2023-03-29
0851 Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. D 2023-02-27 2023-03-29
0880 Provide and implement an infection prevention and control program. D 2023-02-27 2023-03-25
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 2019-11-15 2019-12-03
0790 Provide routine and 24-hour emergency dental care for each resident. D 2019-11-15 2019-12-03
0804 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. E 2019-11-15 2019-12-03
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. E 2019-11-15 2019-12-03
0880 Provide and implement an infection prevention and control program. D 2019-11-15 2019-12-03

Financial Health (FY 2024)

Payer mix (share of resident days)

Medicare 13.3% Medicaid 70.8% Other 15.9%

Operating performance

Operating Margin
-74.8%
Total Margin
-19.1%
Occupancy Rate
40.0%
Cost per Resident Day
$45

Revenue & costs

Net Patient Revenue
$10.2M
Total Costs
$966K
Net Income
-$2.9M

Balance sheet

Total Assets
$55.0M
Total Liabilities
$58.9M
Fund Balance
-$3.8M
Current Ratio
0.42

Source: CMS SNF Cost Report (FY 2024). Cost report data lags by ~2 years.

Ownership & Corporate Structure

Chain: FRONT PORCH

Chain ID
229
Facilities in chain
9
Legal business name
FRONT PORCH COMMUNITIES AND SERVICES
Chain-average star ratings (for peer context)
Overall
4.6
Health
3.9
Staffing
4.3
QM
4.7

Owner / manager organizations (1)

Organization Role Association
FRONT PORCH COMMUNITIES AND SERVICES 5% OR GREATER DIRECT OWNERSHIP INTEREST since 04/01/2022

Owner / manager individuals (24)

Name Role Association
AKOPYAN, GEVORK OPERATIONAL/MANAGERIAL CONTROL since 10/12/2022
CAIRNS, DAWN OPERATIONAL/MANAGERIAL CONTROL since 04/01/2021
FREDERICK, MELISSA OPERATIONAL/MANAGERIAL CONTROL since 12/30/2017
ICHIEN, CHRISTOPHER OPERATIONAL/MANAGERIAL CONTROL since 06/04/2018
JORDAN, MARIA OPERATIONAL/MANAGERIAL CONTROL since 12/19/2024
KELLY, SEAN OPERATIONAL/MANAGERIAL CONTROL since 03/06/2023
MCMULLIN, MARY OPERATIONAL/MANAGERIAL CONTROL since 04/01/2025
OLSON, KARI OPERATIONAL/MANAGERIAL CONTROL since 04/01/2021
SALVADOR, EDUARDO OPERATIONAL/MANAGERIAL CONTROL since 04/01/2021
SELLECK, TIMOTHY OPERATIONAL/MANAGERIAL CONTROL since 02/21/2025
DURANTEAU, NANCY CORPORATE DIRECTOR since 04/01/2021
FORTE, VINCENT CORPORATE DIRECTOR since 04/01/2021
HANDY, JOANNE CORPORATE DIRECTOR since 04/01/2021
JACOBS, LAURA CORPORATE DIRECTOR since 01/01/2019
KROEKER, KEVIN CORPORATE DIRECTOR since 01/01/2018
MCGOVERN, MARION CORPORATE DIRECTOR since 01/01/2017
PROCTOR, DEBORAH CORPORATE DIRECTOR since 01/01/2017
SPENCER, PETER CORPORATE DIRECTOR since 01/01/2026
TONNU, DIEMLAN CORPORATE DIRECTOR since 01/01/2018
WESSON, OLIVER CORPORATE DIRECTOR since 01/01/2017
WHITTAKER, SUSAN CORPORATE DIRECTOR since 01/23/2018
KELLY, SEAN CORPORATE OFFICER since 03/06/2023
SALVADOR, EDUARDO CORPORATE OFFICER since 10/03/2017
VRANICH, RACHEL CORPORATE OFFICER since 06/17/2022

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

Facility Features

CCRC
Yes
Hospital-based
No
Resident / family council
Both
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 ($) $45 metrics.cost_per_resident_day
Cost Report Current Ratio 0.42 metrics.current_ratio
Cost Report fiscal_year 2,024 fiscal_year
Cost Report Medicaid Day Share (%) 70.8% metrics.medicaid_day_share
Cost Report Medicare Day Share (%) 13.3% metrics.medicare_day_share
Cost Report Net Income ($) $-2,850,353 metrics.net_income
Cost Report Net Patient Revenue ($) $10,166,385 metrics.net_patient_revenue
Cost Report Occupancy Rate (%) 40.0% metrics.occupancy_rate
Cost Report Operating Margin (%) -74.8% metrics.operating_margin
Cost Report Total Assets ($) $55,030,200 metrics.total_assets
Cost Report Total Costs ($) $965,546 metrics.total_costs
Cost Report Total Fund Balances ($) $-3,842,688 metrics.fund_balance
Cost Report Total Liabilities ($) $58,872,888 metrics.total_liabilities
Cost Report Total Margin (%) -19.1% metrics.total_margin
Provider Information Abuse Icon N Abuse Icon
Provider Information Adjusted LPN Staffing Hours per Resident per Day 1.49855 Adjusted LPN Staffing Hours per Resident per Day
Provider Information Adjusted Nurse Aide Staffing Hours per Resident per Day 2.83164 Adjusted Nurse Aide Staffing Hours per Resident per Day
Provider Information Adjusted RN Staffing Hours per Resident per Day 0.79555 Adjusted RN Staffing Hours per Resident per Day
Provider Information Adjusted Total Nurse Staffing Hours per Resident per Day 5.12574 Adjusted Total Nurse Staffing Hours per Resident per Day
Provider Information Adjusted Weekend Total Nurse Staffing Hours per Resident per Day 3.88028 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 62.4 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 0.74142 Case-Mix LPN Staffing Hours per Resident per Day
Provider Information Case-Mix Nurse Aide Staffing Hours per Resident per Day 2.01502 Case-Mix Nurse Aide Staffing Hours per Resident per Day
Provider Information Case-Mix RN Staffing Hours per Resident per Day 0.58440 Case-Mix RN Staffing Hours per Resident per Day
Provider Information Case-Mix Total Nurse Staffing Hours per Resident per Day 3.34085 Case-Mix Total Nurse Staffing Hours per Resident per Day
Provider Information Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day 2.94460 Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Chain Average Health Inspection Rating 3.9 Chain Average Health Inspection Rating
Provider Information Chain Average Overall 5-star Rating 4.6 Chain Average Overall 5-star Rating
Provider Information Chain Average QM Rating 4.7 Chain Average QM Rating
Provider Information Chain Average Staffing Rating 4.3 Chain Average Staffing Rating
Provider Information Chain ID 229 Chain ID
Provider Information Chain Name FRONT PORCH Chain Name
Provider Information City/Town PALO ALTO City/Town
Provider Information CMS Certification Number (CCN) 555156 CMS Certification Number (CCN)
Provider Information Continuing Care Retirement Community Y Continuing Care Retirement Community
Provider Information County/Parish Santa Clara County/Parish
Provider Information Date First Approved to Provide Medicare and Medicaid Services 1983-06-08 Date First Approved to Provide Medicare and Medicaid Services
Provider Information Geocoding Footnote — Geocoding Footnote
Provider Information Health Inspection Rating 5 Health Inspection Rating
Provider Information Health Inspection Rating Footnote — Health Inspection Rating Footnote
Provider Information Latitude 37.45 Latitude
Provider Information Legal Business Name FRONT PORCH COMMUNITIES AND SERVICES Legal Business Name
Provider Information Location 437 WEBSTER STREET,PALO ALTO,CA,94301 Location
Provider Information Long-Stay QM Rating 3 Long-Stay QM Rating
Provider Information Long-Stay QM Rating Footnote — Long-Stay QM Rating Footnote
Provider Information Longitude -122.16 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 2 Number of administrators who have left the nursing home
Provider Information Number of Certified Beds 145 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 9 Number of Facilities in Chain
Provider Information Number of Fines 0 Number of Fines
Provider Information Number of Payment Denials 0 Number of Payment Denials
Provider Information Nursing Case-Mix Index 1.18351 Nursing Case-Mix Index
Provider Information Nursing Case-Mix Index Ratio 0.85908 Nursing Case-Mix Index Ratio
Provider Information Overall Rating 5 Overall Rating
Provider Information Overall Rating Footnote — Overall Rating Footnote
Provider Information Ownership Type Non profit - Corporation 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 437 WEBSTER STREET Provider Address
Provider Information Provider Changed Ownership in Last 12 Months N Provider Changed Ownership in Last 12 Months
Provider Information Provider Name WEBSTER HOUSE 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 8 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 2 Rating Cycle 1 Number of Standard Health Deficiencies
Provider Information Rating Cycle 1 Standard Survey Health Date 2025-01-30 Rating Cycle 1 Standard Survey Health Date
Provider Information Rating Cycle 1 Total Health Score 8 Rating Cycle 1 Total Health Score
Provider Information Rating Cycle 1 Total Number of Health Deficiencies 2 Rating Cycle 1 Total Number of Health Deficiencies
Provider Information Rating Cycle 2 Number of Standard Health Deficiencies 15 Rating Cycle 2 Number of Standard Health Deficiencies
Provider Information Rating Cycle 2 Standard Health Survey Date 2023-02-27 Rating Cycle 2 Standard Health Survey Date
Provider Information Rating Cycle 2/3 Health Deficiency Score 84 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 1 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 84 Rating Cycle 2/3 Total Health Score
Provider Information Rating Cycle 2/3 Total Number of Health Deficiencies 16 Rating Cycle 2/3 Total Number of Health Deficiencies
Provider Information Registered Nurse hours per resident per day on the weekend 0.53157 Registered Nurse hours per resident per day on the weekend
Provider Information Registered Nurse turnover 50.0 Registered Nurse turnover
Provider Information Registered Nurse turnover footnote — Registered Nurse turnover footnote
Provider Information Reported Licensed Staffing Hours per Resident per Day 1.98508 Reported Licensed Staffing Hours per Resident per Day
Provider Information Reported LPN Staffing Hours per Resident per Day 1.29669 Reported LPN Staffing Hours per Resident per Day
Provider Information Reported Nurse Aide Staffing Hours per Resident per Day 2.45021 Reported Nurse Aide Staffing Hours per Resident per Day
Provider Information Reported Physical Therapist Staffing Hours per Resident Per Day 0.07201 Reported Physical Therapist Staffing Hours per Resident Per Day
Provider Information Reported RN Staffing Hours per Resident per Day 0.68838 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 4.43528 Reported Total Nurse Staffing Hours per Resident per Day
Provider Information Short-Stay QM Rating 5 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 6503283300 Telephone Number
Provider Information Total Amount of Fines in Dollars 0.00 Total Amount of Fines in Dollars
Provider Information Total number of nurse staff hours per resident per day on the weekend 3.35759 Total number of nurse staff hours per resident per day on the weekend
Provider Information Total Number of Penalties 0 Total Number of Penalties
Provider Information Total nursing staff turnover 29.3 Total nursing staff turnover
Provider Information Total nursing staff turnover footnote — Total nursing staff turnover footnote
Provider Information Total Weighted Health Survey Score 27.000 Total Weighted Health Survey Score
Provider Information Urban Y Urban
Provider Information With a Resident and Family Council Both With a Resident and Family Council
Provider Information ZIP Code 94301 ZIP Code