The Villas at Saratoga Skilled Nsg & Assisted Lvg

20400 Saratoga-Los Gatos Rd · Saratoga, CA · 95070 · 4087412950

86 certified beds For profit - Limited Liability company Chain: Kalesta Healthcare Group

Why this verdict

  • Inspection record is far worse than the national median (deficiency count and severity).
  • Inspection results are getting worse cycle over cycle, not better.

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.

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Red flags

No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.

Score breakdown

Inspection record 30% of score 30
Serious harm & abuse 20% 88
Staffing 20% 79
Federal penalties 15% 55
Trend 10% 36
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 2 of 5 Inspections: 1 of 5 Staffing: 3 of 5 Quality measures: 5 of 5

Total nurse hours / resident-day4.463.48 min · 4.1 strong
RN hours / resident-day0.440.55–0.75
Weekend hours / resident-day4.04≈ weekday level
Nursing turnover / year25%median 45%
Fines (3-yr window)2 · $40,323

Inspection citations (59 in the current record)

  • Potential for harm · D March 16, 2026 · found via complaint

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected April 10, 2026 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D March 3, 2026 · found via complaint

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected March 19, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D March 3, 2026 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected March 19, 2026 · Quality of Life and Care

  • Potential for harm · E March 3, 2026 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected March 19, 2026 · Infection Control

  • Potential for harm · D March 3, 2026 · found via complaint

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

    Corrected March 19, 2026 · Infection Control

  • Potential for harm · D December 11, 2025 · found via complaint

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected December 15, 2025 · Resident Assessment and Care Planning

  • Actual harm · G November 25, 2025 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected December 9, 2025 · Quality of Life and Care

  • Potential for harm · D November 25, 2025 · found via complaint

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    Corrected December 9, 2025 · Resident Rights

  • Potential for harm · D November 25, 2025 · found via complaint

    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 9, 2025 · Pharmacy Service

  • Potential for harm · D August 20, 2025 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected September 10, 2025 · Quality of Life and Care

  • Potential for harm · D August 12, 2025 · found via complaint

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Corrected August 20, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D August 12, 2025 · found via complaint

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected August 20, 2025 · Quality of Life and Care

  • Potential for harm · D December 20, 2024

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected January 10, 2025 · Resident Rights

  • Potential for harm · E December 20, 2024

    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

    Corrected January 10, 2025 · Resident Rights

  • Potential for harm · D December 20, 2024

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected January 10, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D December 20, 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 January 10, 2025 · Quality of Life and Care

  • Potential for harm · D December 20, 2024

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    Corrected January 10, 2025 · Quality of Life and Care

  • Potential for harm · E December 20, 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 January 10, 2025 · Quality of Life and Care

  • Potential for harm · D December 20, 2024

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

    Corrected January 10, 2025 · Pharmacy Service

  • Potential for harm · D December 20, 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 January 10, 2025 · Pharmacy Service

  • Potential for harm · D December 20, 2024

    Ensure medication error rates are not 5 percent or greater.

    Corrected January 10, 2025 · Pharmacy Service

  • Potential for harm · F December 20, 2024

    Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.

    Corrected December 30, 2024 · Nutrition and Dietary

  • Potential for harm · F December 20, 2024

    Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

    Corrected December 30, 2024 · Nutrition and Dietary

  • Potential for harm · E December 20, 2024

    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

    Corrected December 30, 2024 · Nutrition and Dietary

  • Potential for harm · E December 20, 2024

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Corrected December 30, 2024 · Nutrition and Dietary

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
November 25, 2025Fine$32,292
August 22, 2024Fine$8,031

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 055435 · certified since January 1, 1967. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.