Childrens Hc Org No Ca -Pediatric Hospital D/P SNF
3777 South Bascom Avenue, Campbell, CA 95008
Childrens Hc Org No Ca -Pediatric Hospital D/P SNF is a nursing home in Campbell, California. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.
At a glance
- CMS overall star rating5 of 5
- Last standard health inspectionJuly 26, 2024 (2 years ago)
- Health citations since October 31, 201916 (California average 50)
- Fines in the past three yearsNone listed by CMS
- CMS flagsNone listed by CMS
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One email per CMS update, only when something changed: a new citation, a fine, a star rating change, a new owner. Early access follows one home per address.
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CMS flags
CMS does not list this home as a Special Focus Facility or a candidate. CMS does not show an abuse icon for it. CMS lists no change of ownership in the past 12 months.
Inspections, fines and changes
This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.
CMS update of December 15, 2025
Star rating
The CMS health inspection star rating changed from 4 of 5 to 5 of 5.
CMS update of July 30, 2025
Star rating
The CMS health inspection star rating changed from 5 of 5 to 4 of 5. CMS changed how it scores this rating for many homes at once.
Star rating
The CMS quality measures star rating changed from 4 of 5 to 5 of 5.
CMS update of February 26, 2025
Star rating
The CMS quality measures star rating changed from 5 of 5 to 4 of 5. CMS changed how it scores this rating for many homes at once.
CMS update of October 30, 2024
Star rating
The CMS quality measures star rating changed from 4 of 5 to 5 of 5.
Health inspection on October 10, 2024
1 citationCMS lists this as a complaint inspection.
Show the 1 citation
Citation F0658. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure services provided by the nursing facility meet professional standards of quality.
CMS lists it as corrected on October 17, 2024.
CMS has cited this home for F0658 4 times since 2019.
Health inspection on July 26, 2024
5 citationsCMS lists this as a standard inspection.
Show the 5 citations
Citation F0658. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure services provided by the nursing facility meet professional standards of quality.
CMS lists it as corrected on August 31, 2024.
Citation F0812. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS lists it as corrected on August 31, 2024.
CMS has cited this home for F0812 2 times since 2022.
Citation F0880. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on August 31, 2024.
CMS has cited this home for F0880 2 times since 2022.
Citation F0758. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on August 31, 2024.
CMS has cited this home for F0758 2 times since 2019.
Citation F0921. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
CMS lists it as corrected on August 31, 2024.
Fire safety inspection on July 26, 2024
8 citationsCMS lists this as a standard inspection.
Show the 8 citations
Citation K0345. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have approved installation, maintenance and testing program for fire alarm systems.
CMS lists it as corrected on August 6, 2024.
Citation K0346. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
CMS lists it as corrected on August 6, 2024.
Citation K0353. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Inspect, test, and maintain automatic sprinkler systems.
CMS lists it as corrected on August 6, 2024.
Citation K0712. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Have simulated fire drills held at unexpected times.
CMS lists it as corrected on August 6, 2024.
Citation K0918. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Have generator or other power source capable of supplying service within 10 seconds.
CMS lists it as corrected on August 6, 2024.
CMS has cited this home for K0918 2 times since 2022.
Citation K0363. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Install corridor and hallway doors that block smoke.
CMS lists it as corrected on August 6, 2024.
CMS has cited this home for K0363 2 times since 2019.
Citation K0919. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Meet requirements for the use of electrical equipment.
CMS lists it as corrected on August 6, 2024.
Citation K0920. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure proper usage of power strips and extension cords.
CMS lists it as corrected on August 6, 2024.
CMS update of January 31, 2024
Star rating
The CMS quality measures star rating changed from 5 of 5 to 4 of 5.
Health inspection on July 8, 2022
3 citationsCMS lists this as a standard inspection.
Show the 3 citations
Citation F0812. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS lists it as corrected on July 22, 2022.
Citation F0880. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on August 5, 2022.
Citation F0658. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure services provided by the nursing facility meet professional standards of quality.
CMS lists it as corrected on July 30, 2022.
Fire safety inspection on July 8, 2022
3 citationsCMS lists this as a standard inspection.
Show the 3 citations
Citation E0039. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Conduct testing and exercise requirements.
CMS lists it as corrected on July 26, 2022.
CMS has cited this home for E0039 2 times since 2019.
Citation K0324. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide properly protected cooking facilities.
CMS lists it as corrected on July 26, 2022.
Citation K0918. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have generator or other power source capable of supplying service within 10 seconds.
CMS lists it as corrected on July 26, 2022.
Health inspection on October 31, 2019
7 citationsCMS lists this as a standard inspection.
Show the 7 citations
Citation F0908. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Keep all essential equipment working safely.
CMS lists it as corrected on November 22, 2019.
Citation F0656. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS lists it as corrected on November 22, 2019.
Citation F0657. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
CMS lists it as corrected on November 22, 2019.
Citation F0658. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure services provided by the nursing facility meet professional standards of quality.
CMS lists it as corrected on November 22, 2019.
Citation F0758. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on November 22, 2019.
Citation F0759. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure medication error rates are not 5 percent or greater.
CMS lists it as corrected on November 22, 2019.
Citation F0802. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
CMS lists it as corrected on November 22, 2019.
Fire safety inspection on October 31, 2019
7 citationsCMS lists this as a standard inspection.
Show the 7 citations
Citation E0018. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Establish procedures for tracking staff and patients during an emergency.
CMS lists it as corrected on December 24, 2019.
Citation E0024. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Establish policies and procedures for volunteers.
CMS lists it as corrected on December 24, 2019.
Citation E0026. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Establish roles under a Waiver declared by secretary.
CMS lists it as corrected on December 24, 2019.
Citation E0034. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide a means of sharing information on occupancy/needs.
CMS lists it as corrected on December 24, 2019.
Citation E0035. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide family notifications of emergency plan.
CMS lists it as corrected on December 24, 2019.
Citation E0039. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Conduct testing and exercise requirements.
CMS lists it as corrected on December 24, 2019.
Citation K0363. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Install corridor and hallway doors that block smoke.
CMS lists it as corrected on December 24, 2019.
CMS star ratings
- 5 of 5CMS overall star rating
- 5 of 5CMS health inspection star rating
- not rated by CMS CMS staffing star rating
- 5 of 5CMS quality measures star rating
Facts from CMS
- Phone
- (408) 558-3640
- Last standard health inspection
- July 26, 2024 (2 years ago)
- Certified beds
- 27
- Residents per day, on average
- 24.6
- Ownership type
- For profit - Limited Liability company
- Legal business name
- Childrens Recovery Center 1 LLC
- Chain
- Not listed by CMS
- Takes part in
- Medicare and Medicaid
Fewer health citations than the California average (16 vs 50).
Owners and managers
CMS lists these owners and managers for this home. Names are as CMS writes them.
- INNOVATIONS HEALTH SYSTEMS LLC5% or greater direct ownership interest · no percentage provided · since 01/01/2017
- MCGUIRE, KENNETH5% or greater direct ownership interest · no percentage provided · since 01/01/2017
- NICCUM, DAN5% or greater direct ownership interest · no percentage provided · since 01/01/2017
- INNOVATIONS HEALTH SYSTEMS LLCOperational/managerial control · not applicable · since 01/01/2017
- MCGUIRE, KENNETHOperational/managerial control · not applicable · since 01/01/2017
Show 1 more
- NICCUM, DANOperational/managerial control · not applicable · since 01/01/2017
Questions
When was Childrens Hc Org No Ca -Pediatric Hospital D/P SNF last inspected?
CMS lists July 26, 2024 as the date of its most recent standard health inspection.
How many citations (violations) does Childrens Hc Org No Ca -Pediatric Hospital D/P SNF have?
CMS lists 16 health citations since October 31, 2019. CMS also calls these deficiencies.
Has Childrens Hc Org No Ca -Pediatric Hospital D/P SNF been fined?
CMS lists no fines for this home in the past three years.
What is the CMS star rating of Childrens Hc Org No Ca -Pediatric Hospital D/P SNF?
Its CMS overall star rating is 5 of 5.
Is Childrens Hc Org No Ca -Pediatric Hospital D/P SNF a Special Focus Facility?
No. CMS does not list it as a Special Focus Facility or a candidate.