Skyline Healthcare Center - San Jose

In the surveyor’s words

From the most serious findings on record at Skyline Healthcare Center - San Jose, in the surveyor’s own words.

• Immediate jeopardy, widespreadF812Jan 31, 2024

  Based on observation, interview and record review, the facility failed to ensure a sanitary environment and safe food handling practices were maintained within the food service operation for 240 of 244 residents, which led to a cockroach infestation at the facility. This was evidenced by: 1. a) Live and dead cockroaches found in the kitchen under the meal tray line station and in food cooking preparation areas, confirmed by dietary staff, who reported the kitchen had a cockroach problem; Walls in the kitchen had uncovered holes with peeling baseboards, shelves had openings, and there were multiple broken kitchen appliances, which prevented adequate cleaning and sanitizing, and harbored pests; b) One of two ice machines managed by the Dietary Department had a dead baby cockroach inside on… […]

• Immediate jeopardy, patternF925Jan 31, 2024

  Based on observations, interviews, and record reviews the facility failed to ensure the Food and Nutrition Services Department, the kitchen, and resident rooms were free from cockroaches, with an effective pest control program maintained. This failure caused 244 residents to be exposed to potential food contaminants that could cause food-borne illness (illness caused by food contaminated with bacteria, viruses, parasites, or toxins). Cross reference 812, 908 Findings: 1) Cockroaches in Dietary Department According to a manufacturer (name of company), A single cockroach sighted during the day can indicate that there is a significant infestation. Cockroaches, also known as 'roaches,' are nocturnal and prefer to live and breed in dark shelters near food and moisture. […]

• Actual harm, isolatedF689Jul 18, 2022

  Based on observation, interview and record review, the facility failed to provide supervision to prevent one of 14 residents (Resident 27) who were at risk for elopement from leaving the facility without staff's knowledge and permission when: 1. Staff did not provide Resident 27 with supervision and one staff physical assistance for locomotion on unit (how resident moves between locations in her room and adjacent corridor in the same floor), and locomotion off unit (how resident moves to and returns from off-unit locations [i.e., hallways, dining, or how resident moves to and from distant areas on the floor]). 2. […]

• No harm, potential for more than minimal, widespreadF812Jun 27, 2025

  3. During an observation and concurrent interview with nurse supervisor H (NS H) on 6/23/25, at 8:55 a.m., one of the facility's medication rooms was inspected. There was a refrigerator inside this medication room, which was designated to store the residents' food. There was one pitcher of pinkish-red fluid and one unopened container of applesauce in this refrigerator. The thermometer inside this refrigerator had a temperature reading of 60 degrees Fahrenheit (F, unit of temperature measurement). NS H confirmed this observation and confirmed the temperature of the food refrigerator should be maintained between 35 and 41 degrees F. During a follow-up observation and concurrent interview with NS H on 6/23/25, at 9:03 a.m., the thermometer inside the refrigerator was checked again. […]

• No harm, potential for more than minimal, widespreadF814Jun 27, 2025

  Based on observation, interview and record review, the facility failed to ensure that garbage was stored properly when two out of four outside dumpsters were overfilled of garbage, with their lids, not fully closed and plastic bags with trash were not placed in the covered dumpsters. These failures had the potential to attract insects, rodents, and other pests to the facility that could affect the two hundred thirty-eight residents residing in the facility. Findings: During the concurrent observation of the dumpster area and interview with maintenance assistant E (MA E) on 6/25/25 at 2:30 p.m., two out four dumpsters were overfilled with garbage and their lids were not completely closed. There were also plastic bags with trash that were not put in the covered dumpsters. […]