Deficiency Index

The Terraces at los Altos Health Facility

Los Altos, California · CCN 055210

21 surveys since 2011. The first finding at harm level was recorded in 2019.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
94
Surveys
21
Harm or worse
1
Immediate jeopardy
0
The record, 2011–2025
’11’15’20’25
No harm recordedHarm or worseNot surveyed
Harm or worse1

Findings where a surveyor recorded actual harm to a resident.

Beyond CMS’s monthly file14/21

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
30
Ownership
Non profit - Corporation
Chain
HUMANGOOD
County
Santa Clara
Medicare-certified since
1967

CMS ratings

Overall
4
Health inspection
3
Staffing
5
Quality measures
4

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded somewhat more weighted findings than its peer group.

Weighted by harm level, against 71 not-for-profit facilities with fewer than 66 beds in California.

Last survey on record

Aug 1, 2025

465 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day5.454.85
Registered-nurse hours per resident day1.55—
Annual nurse turnover47.1%28.6%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

No fines, payment denials or special-focus designation on the current CMS record.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD2873.7%E821.1%F25.3%
No harm, potential for minimalA—B—C—
CMS’s current file: 38 of the 94 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F7553×

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

  • F7613×

    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.

  • F8123×

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  • F8803×

    Provide and implement an infection prevention and control program.

  • F6552×

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

In the surveyor’s words

From the most serious findings on record at The Terraces at los Altos Health Facility, in the surveyor’s own words.

  • No harm, potential for more than minimal, widespreadF812Aug 1, 2025

    Based on observation, interview, and record review, the facility failed to maintain sanitary conditions in the kitchen when:There were whitish substances below the steamer and on a metal cart in front of the steamer; 2. There were whitish-grayish substances on a black cart in the dry storage area that was used to store utensils and food containers; 3. There were whitish substances on the edges of the food warmer cart in the dry storage area; 4. There were two open packs of brown grapes and one pack of raw broccoli that were unlabeled and undated in the walk-in refrigerator; 5. There were whitish substances on the outside surface of the ice machine; and, 6. […]

  • No harm, potential for more than minimal, widespreadF700Apr 9, 2024

    Based on observation, interview, and record review, the facility failed to offer and/or attempt alternatives, explain risks and benefits, or obtain informed consent prior to the use of side rails in accordance with their bed rails (side rails, safety rails, and grab/assist bars) policy for 25 of 25 residents (137, 80, 16, 23, 179, 180, 181, 182, 14, 4, 138, 10, 18, 130, 11, 2, 12, 7, 6, 129, 131, 133, 136, 132, 30). These failures had the potential to place the residents at risk of entrapment and serious injury. […]

  • No harm, potential for more than minimal, patternF640Aug 1, 2025

    Based on interview and record review, the facility failed to complete and transmit the discharge Minimum Data Set (MDS, an assessment tool) for four of seven residents (Residents 46, 76, 105, and 2) . Failure to complete and transmit MDS assessments had the potential to compromise the accuracy of the facility's quality measures (reports that reflect the facility's performance in certain care areas). This could negatively affect the facility's ability to identify areas for improvement and implement interventions accordingly.Findings: 1. Review of Resident 46's medical record indicated he was admitted on [DATE] and discharged on 4/26/25. […]

  • No harm, potential for more than minimal, patternF880Aug 1, 2025

    Based on observation, interview, and record review, the facility failed to ensure infection control practices were implemented when:1. A nebulizer machine (device used to deliver medication in the form of a mist for inhalation) mask, chamber (part of the mask that holds the liquid medication), and tubing were stored inside the bedside drawer of resident 127 and the mask was touching the drawer surface;2. An inhaler chamber attachment (device that attaches to an inhaler to make it easier to breath the medication in) had a yellowish substance around the mouthpiece and was stored on top of resident 2's bedside table;3. Garbage and recycle bins were open and exposed while three Residents were eating lunch; 4. […]

  • No harm, potential for more than minimal, patternF812Apr 9, 2024

    Based on observation, interview, and record review, the facilty failed to ensure sanitary conditions were maintained in the kitchen when: 1. Kitchen staff did not wear hair restraints while in the kitchen; 2. A red bucket was stored on the floor 3. A dietary aide picked up an item from floor and did not perform proper hand hygiene 4. Three of three ice machines had white residue or scale (the buildup of a white, chalk-like substance that forms where water collects or where water is dispensed) . These failures had the potential to cause food contamination and spread food-borne illness to residents who received their food from the kitchen. Findings: 1. […]

Read 21 findings in full →The most serious and the most recent: 21 of 94 on record.

Every survey on record

FindingsAt actual harm or above

  • Aug 1, 2025Standard11 findings
  • Nov 20, 2024Complaint1 finding
  • Sep 25, 2024Complaint1 finding
  • May 21, 2024Complaint1 finding
  • Apr 9, 2024Standard and complaint9 findings
  • Jan 26, 2024Complaint3 findings
  • Mar 10, 2023Standard and complaint13 findings
  • Oct 12, 2020Complaint2 findings
Show the 13 earlier surveys
  • Dec 18, 2019Complaint1 finding
  • Sep 12, 2019Standard2 findings
  • Aug 7, 2019Complaint1 finding · 1 harm
  • Feb 26, 2019Complaint1 finding
  • Sep 7, 2018Standard4 findings
  • Sep 7, 2017Standard5 findings
  • Oct 7, 2016Standard9 findings
  • Oct 16, 2015Standard4 findings
  • Aug 21, 2014Standard7 findings
  • Aug 13, 2013—11 findings
  • Aug 27, 2012—3 findings
  • Sep 20, 2011—1 finding
  • Jun 24, 2011—4 findings

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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