Sunnyvale Gardens Post Acute
1150 Tilton Drive · Sunnyvale, CA · 94087 · 4087357200
140 certified beds For profit - Limited Liability company Chain: Pacs Group
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $43,176 in fines in the last 24 months.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 2 of 5 Staffing: 3 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.93 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.55 | 0.55–0.75 |
| Weekend hours / resident-day | 3.64 | ≈ weekday level |
| Nursing turnover / year | 48% | median 45% |
| Fines (3-yr window) | 1 · $43,176 |
Inspection citations (54 in the current record)
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Potential for harm · D March 19, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 4, 2025 · Quality of Life and Care
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Immediate jeopardy · K November 27, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected December 16, 2024 · Quality of Life and Care
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Potential for harm · E November 18, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected December 14, 2024 · Resident Rights
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Potential for harm · D November 18, 2024
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected December 14, 2024 · Resident Rights
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Potential for harm · D November 18, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected December 14, 2024 · Resident Assessment and Care Planning
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Potential for harm · E November 18, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected December 14, 2024 · Quality of Life and Care
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Potential for harm · D November 18, 2024
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected December 14, 2024 · Quality of Life and Care
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Potential for harm · D November 18, 2024
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Corrected December 14, 2024 · Quality of Life and Care
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Potential for harm · D November 18, 2024
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected December 14, 2024 · Nursing and Physician Services
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Potential for harm · D November 18, 2024
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Corrected December 14, 2024 · Quality of Life and Care
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Potential for harm · E November 18, 2024
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected December 14, 2024 · Pharmacy Service
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Potential for harm · D November 18, 2024
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected December 14, 2024 · Pharmacy Service
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Potential for harm · D November 18, 2024
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.
Corrected December 14, 2024 · Pharmacy Service
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Potential for harm · E November 18, 2024
Ensure medication error rates are not 5 percent or greater.
Corrected December 14, 2024 · Pharmacy Service
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Potential for harm · E November 18, 2024
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.
Corrected December 14, 2024 · Pharmacy Service
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Potential for harm · F November 18, 2024
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Corrected December 14, 2024 · Nutrition and Dietary
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Potential for harm · E November 18, 2024
Provide and implement an infection prevention and control program.
Corrected December 14, 2024 · Infection Control
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Potential for harm · D November 18, 2024
Implement a program that monitors antibiotic use.
Corrected December 14, 2024 · Infection Control
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Potential for harm · D November 18, 2024
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected December 14, 2024 · Environmental
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Potential for harm · D November 18, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected December 14, 2024 · Quality of Life and Care
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Actual harm · G August 15, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected September 25, 2024 · Quality of Life and Care
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Potential for harm · D August 15, 2024 · found via complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected September 25, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D August 15, 2024 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected September 25, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E June 13, 2024 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected July 5, 2024 · Resident Assessment and Care Planning
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Potential for harm · E November 18, 2022
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected December 16, 2022 · Resident Rights
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| November 18, 2024 | Fine | $43,176 |
| June 13, 2024 | Payment Denial | 25 days |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 555444 · certified since January 3, 1991. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.