Overview

Address
1355 CLAYTON ROAD, SAN JOSE, CA 95127
Phone
4082513070
Certified beds
54
Avg daily residents
47 (88% of beds filled)
Ownership
For-profit LLC
Provider type
Medicare and Medicaid
Medicare/Medicaid since
2002-09-05
Setting
Urban
3 /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.
3/5
Health Inspection
Based on the three most recent standard surveys, with more weight on recent results.
3/5
Staffing
Weighted combination of RN and total nurse staffing hours per resident per day, case-mix adjusted.
1/5
Quality Measures
15 resident-level quality measures split between long-stay and short-stay (post-acute) residents.
5/5
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
4.00 4.25 3.63 ≥ 3.48
Registered Nurse (RN)
Licensed RN hours. Strongest driver of clinical outcomes.
0.43 0.74 0.39 ≥ 0.55 Below floor
Licensed Practical Nurse (LPN)
LPN/LVN hours. Often handles medication administration.
0.99 0.94 0.90
Nurse aide
CNA hours. Bulk of direct resident care — bathing, feeding, mobility.
2.58 2.57 2.34
Licensed (RN + LPN)
Combined licensed nurse coverage.
1.42
Physical therapist
Rehabilitation therapist hours — important for post-acute / rehab admissions.
0.20

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)
3.61
hrs / resident / day
RN (weekend)
0.23
hrs / resident / day
Total nurse (adjusted, weekend)
3.28
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
New facility — insufficient data.
RN turnover
Staffing penalized (missing PBJ submission).
Administrators departed
2
last 12 months

Resident acuity

Nursing Case-Mix Index
1.51
higher acuity than avg
Case-Mix Index Ratio
1.09
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) 2024-10-25 8 7 1 68 1 68
Cycle 2/3 (prior) 2023-04-21 23 19 4 124 1 124
Total weighted health score
82.0
lower is better

Deficiencies (40)

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).

3 A/B/C No actual harm — minor
37 D/E/F Actual harm — potential for minor
Tag Description Scope/Severity Survey date Corrected
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. E 2026-01-12 2026-01-30
0658 Ensure services provided by the nursing facility meet professional standards of quality. D 2024-10-25 2024-11-13
0676 Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. D 2024-10-25 2024-11-13
0759 Ensure medication error rates are not 5 percent or greater. E 2024-10-25 2024-11-13
0804 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. E 2024-10-25 2024-11-13
0880 Provide and implement an infection prevention and control program. F 2024-10-25 2024-11-13
0908 Keep all essential equipment working safely. D 2024-10-25 2024-11-13
0912 Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. B 2024-10-25 2024-11-13
0925 Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. F 2024-10-25 2024-11-13
0610 Respond appropriately to all alleged violations. D 2024-05-22 2024-06-21
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. E 2024-05-22 2024-06-21
0745 Provide medically-related social services to help each resident achieve the highest possible quality of life. E 2024-05-22 2024-06-21
0550 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. E 2023-04-21 2023-05-18
0582 Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. D 2023-04-21 2023-05-10
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. D 2023-04-21 2023-05-11
0679 Provide activities to meet all resident's needs. E 2023-04-21 2023-05-11
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. E 2023-04-21 2023-05-11
0687 Provide appropriate foot care. D 2023-04-21 2023-05-11
0688 Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. D 2023-04-21 2023-05-11
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. D 2023-04-21 2023-05-11
0755 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. D 2023-04-21 2023-05-11
0757 Ensure each resident’s drug regimen must be free from unnecessary drugs. D 2023-04-21 2023-05-11
0759 Ensure medication error rates are not 5 percent or greater. D 2023-04-21 2023-05-11
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 2023-04-21 2023-05-11
0801 Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. E 2023-04-21 2023-05-19
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. D 2023-04-21 2023-05-19
0804 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. D 2023-04-21 2023-05-19
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. E 2023-04-21 2023-05-19
0880 Provide and implement an infection prevention and control program. E 2023-04-21 2023-05-11
0883 Develop and implement policies and procedures for flu and pneumonia vaccinations. D 2023-04-21 2023-05-11
0888 Ensure staff are vaccinated for COVID-19 D 2023-04-21 2023-05-11
0912 Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. B 2023-04-21 2023-04-21
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. D 2023-03-30 2023-04-06
0686 Provide appropriate pressure ulcer care and prevent new ulcers from developing. D 2020-02-05 2020-02-24
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. D 2020-02-05 2020-02-24
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 2020-02-05 2020-02-24
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. D 2020-02-05 2020-02-24
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. E 2020-02-05 2020-02-24
0814 Dispose of garbage and refuse properly. E 2020-02-05 2020-02-24
0912 Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. B 2020-02-05 2020-02-24

Financial Health (FY 2023)

Payer mix (share of resident days)

Medicare 16.8% Medicaid 59.2% Other 24.0%

Operating performance

Operating Margin
13.2%
Total Margin
13.3%
Occupancy Rate
85.0%
Cost per Resident Day
$69

Revenue & costs

Net Patient Revenue
$9.1M
Total Costs
$1.1M
Net Income
$1.2M

Balance sheet

Total Assets
$5.4M
Total Liabilities
$3.5M
Fund Balance
$1.9M
Current Ratio
0.89

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

Ownership & Corporate Structure

Chain: LINKS HEALTHCARE GROUP

Chain ID
318
Facilities in chain
31
Legal business name
FLETCHER COVE HOLDINGS LLC
Chain-average star ratings (for peer context)
Overall
2.8
Health
2.5
Staffing
2.5
QM
3.9

Owner / manager organizations (1)

Organization Role Association
LINKS HEALTHCARE GROUP LLC 5% OR GREATER DIRECT OWNERSHIP INTEREST since 10/07/2019

Owner / manager individuals (10)

Name Role Association
MORALES, JAMES 5% OR GREATER DIRECT OWNERSHIP INTEREST since 10/07/2019
MORALES, JUDITH 5% OR GREATER DIRECT OWNERSHIP INTEREST since 10/07/2019
RODRIGUEZ, CURTIS 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 10/07/2019
TILFORD, TOBY 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 10/07/2019
EARL, STEVEN OPERATIONAL/MANAGERIAL CONTROL since 10/07/2019
RODRIGUEZ, CURTIS OPERATIONAL/MANAGERIAL CONTROL since 10/07/2019
TILFORD, TOBY OPERATIONAL/MANAGERIAL CONTROL since 10/07/2019
ANDERSON, CHAD CORPORATE OFFICER since 10/07/2019
RODRIGUEZ, CURTIS CORPORATE OFFICER since 10/07/2019
TILFORD, TOBY CORPORATE OFFICER since 10/07/2019

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 ($) $69 metrics.cost_per_resident_day
Cost Report Current Ratio 0.89 metrics.current_ratio
Cost Report fiscal_year 2,023 fiscal_year
Cost Report Medicaid Day Share (%) 59.2% metrics.medicaid_day_share
Cost Report Medicare Day Share (%) 16.8% metrics.medicare_day_share
Cost Report Net Income ($) $1,216,269 metrics.net_income
Cost Report Net Patient Revenue ($) $9,147,373 metrics.net_patient_revenue
Cost Report Occupancy Rate (%) 85.0% metrics.occupancy_rate
Cost Report Operating Margin (%) 13.2% metrics.operating_margin
Cost Report Total Assets ($) $5,357,238 metrics.total_assets
Cost Report Total Costs ($) $1,148,874 metrics.total_costs
Cost Report Total Fund Balances ($) $1,856,097 metrics.fund_balance
Cost Report Total Liabilities ($) $3,501,141 metrics.total_liabilities
Cost Report Total Margin (%) 13.3% metrics.total_margin
Provider Information Abuse Icon N Abuse Icon
Provider Information Adjusted LPN Staffing Hours per Resident per Day 0.90221 Adjusted LPN Staffing Hours per Resident per Day
Provider Information Adjusted Nurse Aide Staffing Hours per Resident per Day 2.34097 Adjusted Nurse Aide Staffing Hours per Resident per Day
Provider Information Adjusted RN Staffing Hours per Resident per Day 0.39077 Adjusted RN Staffing Hours per Resident per Day
Provider Information Adjusted Total Nurse Staffing Hours per Resident per Day 3.63395 Adjusted Total Nurse Staffing Hours per Resident per Day
Provider Information Adjusted Weekend Total Nurse Staffing Hours per Resident per Day 3.27669 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 47.4 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 0.94405 Case-Mix LPN Staffing Hours per Resident per Day
Provider Information Case-Mix Nurse Aide Staffing Hours per Resident per Day 2.56573 Case-Mix Nurse Aide Staffing Hours per Resident per Day
Provider Information Case-Mix RN Staffing Hours per Resident per Day 0.74412 Case-Mix RN Staffing Hours per Resident per Day
Provider Information Case-Mix Total Nurse Staffing Hours per Resident per Day 4.25390 Case-Mix Total Nurse Staffing Hours per Resident per Day
Provider Information Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day 3.74936 Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Chain Average Health Inspection Rating 2.5 Chain Average Health Inspection Rating
Provider Information Chain Average Overall 5-star Rating 2.8 Chain Average Overall 5-star Rating
Provider Information Chain Average QM Rating 3.9 Chain Average QM Rating
Provider Information Chain Average Staffing Rating 2.5 Chain Average Staffing Rating
Provider Information Chain ID 318 Chain ID
Provider Information Chain Name LINKS HEALTHCARE GROUP Chain Name
Provider Information City/Town SAN JOSE City/Town
Provider Information CMS Certification Number (CCN) 555799 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 2002-09-05 Date First Approved to Provide Medicare and Medicaid Services
Provider Information Geocoding Footnote Geocoding Footnote
Provider Information Health Inspection Rating 3 Health Inspection Rating
Provider Information Health Inspection Rating Footnote Health Inspection Rating Footnote
Provider Information Latitude 37.357 Latitude
Provider Information Legal Business Name FLETCHER COVE HOLDINGS LLC Legal Business Name
Provider Information Location 1355 CLAYTON ROAD,SAN JOSE,CA,95127 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 -121.81 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 54 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 31 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 1.50697 Nursing Case-Mix Index
Provider Information Nursing Case-Mix Index Ratio 1.09387 Nursing Case-Mix Index Ratio
Provider Information Overall Rating 3 Overall Rating
Provider Information Overall Rating Footnote Overall Rating Footnote
Provider Information Ownership Type For profit - Limited Liability company 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 1355 CLAYTON ROAD Provider Address
Provider Information Provider Changed Ownership in Last 12 Months N Provider Changed Ownership in Last 12 Months
Provider Information Provider Name THE RIDGE POST ACUTE 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 5 QM Rating
Provider Information QM Rating Footnote QM Rating Footnote
Provider Information Rating Cycle 1 Health Deficiency Score 68 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 1 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 7 Rating Cycle 1 Number of Standard Health Deficiencies
Provider Information Rating Cycle 1 Standard Survey Health Date 2024-10-25 Rating Cycle 1 Standard Survey Health Date
Provider Information Rating Cycle 1 Total Health Score 68 Rating Cycle 1 Total Health Score
Provider Information Rating Cycle 1 Total Number of Health Deficiencies 8 Rating Cycle 1 Total Number of Health Deficiencies
Provider Information Rating Cycle 2 Number of Standard Health Deficiencies 19 Rating Cycle 2 Number of Standard Health Deficiencies
Provider Information Rating Cycle 2 Standard Health Survey Date 2023-04-21 Rating Cycle 2 Standard Health Survey Date
Provider Information Rating Cycle 2/3 Health Deficiency Score 124 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 4 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 124 Rating Cycle 2/3 Total Health Score
Provider Information Rating Cycle 2/3 Total Number of Health Deficiencies 23 Rating Cycle 2/3 Total Number of Health Deficiencies
Provider Information Registered Nurse hours per resident per day on the weekend 0.22955 Registered Nurse hours per resident per day on the weekend
Provider Information Registered Nurse turnover Registered Nurse turnover
Provider Information Registered Nurse turnover footnote 27 Registered Nurse turnover footnote
Provider Information Reported Licensed Staffing Hours per Resident per Day 1.42458 Reported Licensed Staffing Hours per Resident per Day
Provider Information Reported LPN Staffing Hours per Resident per Day 0.99404 Reported LPN Staffing Hours per Resident per Day
Provider Information Reported Nurse Aide Staffing Hours per Resident per Day 2.57924 Reported Nurse Aide Staffing Hours per Resident per Day
Provider Information Reported Physical Therapist Staffing Hours per Resident Per Day 0.20174 Reported Physical Therapist Staffing Hours per Resident Per Day
Provider Information Reported RN Staffing Hours per Resident per Day 0.43054 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 4.00382 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 1 Staffing Rating
Provider Information Staffing Rating Footnote Staffing Rating Footnote
Provider Information State CA State
Provider Information Telephone Number 4082513070 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 3.61019 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 Total nursing staff turnover
Provider Information Total nursing staff turnover footnote 26 Total nursing staff turnover footnote
Provider Information Total Weighted Health Survey Score 82.000 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 95127 ZIP Code