Cupertino Healthcare & Wellness Center

In the surveyor’s words

From the most serious findings on record at Cupertino Healthcare & Wellness Center, in the surveyor’s own words.

• Actual harm, isolatedF600Feb 12, 2026

  Based on interview and record review, the facility failed to ensure one (Resident 1) out of 6 sampled residents was free from physical abuse when a staff physically hit Resident 1 on the face.This failure resulted in a slap on the right side of the face of Resident 1 by CNA A which was witnessed by CNA B. This failure had the potential to put Resident 1 in psychosocial distress. FINDINGS: A review of Resident 1's medical record indicated an admission date of 10/30/25. Resident 1's diagnoses included but were not limited to muscle weakness, bipolar disorder (a mental health condition that causes extreme mood swings) and fracture of one rib, right side, sequela (residual effect that persists after the acute phase of an illness has resolved). […]

• Actual harm, isolatedF684Feb 21, 2023

  Based on interview and record review, the facility failed to ensure finger stick blood sugar (FSBS, a blood sugar test performed by piercing the skin via fingerstick to draw blood onto a chemically active disposable test-strip) levels were checked for one of three residents (Resident 1) when the order from the General Acute Care Hospital (GACH) for Resident 1 to have FSBS two times a day was not carried out after Resident 1 was transferred to the facility. This failure resulted in Resident 1 to experience severe low blood sugar (below 54 mg/dL (milligrams per deciliter, a unit of measure for concentration of substance in a specific amount of fluid)), which led to his admission to an intensive care unit (ICU, a GACH unit for patients with life-threatening injuries and illnesses) for… […]

• Actual harm, isolatedF689Jul 26, 2021

  Based on observation, interview and record review, the facility failed to ensure the environment was free of accident hazards for seven of 26 sampled residents (Residents 98, 50, 59, 117, 125, 33 and 74) when: 1. Certified nursing assistant S (CNA S) transferred Resident 98 from bed to wheelchair without assistance from another staff member; 2. Staff did not implement a landing pad (soft mat placed on the floor next to the bed to prevent injury from falls) for Resident 98 as indicated in the care plan; 3. For Residents 98, 50 and 59, the facility did not complete a Morse Fall Risk Assessment after the residents fell ; 4. CNA X did not provide extensive (staff provide weight-bearing support) toileting assistance for Resident 117; 5. […]

• Actual harm, isolatedF755Jul 26, 2021

  Based on observation, interview, and record review, the facility failed to ensure pharmaceutical services were provided as ordered, timely, accurately, and safely for three of 26 sampled residents (Residents 29, 75, and 82) and four residents (Residents 26, 69, 123 and 327) as evidenced by: 1. Medications ordered by the physician were not available in the medication cart for administration to Residents 29, 82, 123, and 327. The nursing staff did not re-order and receive pain medication from the pharmacy timely for Residents 123 and 327, resulting in the residents suffering from the pain. […]

• No harm, potential for more than minimal, widespreadF812May 31, 2024

  Based on observation, interview, and facility policy review, the facility failed to date open food items and properly store dry food in sealed containers. These deficient practices affected all residents who received food from the kitchen. Findings included: A policy titled Food Storage, revised on 07/25/2019, revealed, Purpose To establish guidelines for storing, thawing, and preparing food. Policy Food items will be stored thawed, and prepared in accordance with good sanitary practice. All items will be correctly labeled and dated. Per the policy, D. Label and date all food items. The policy specified, G. […]