The Win Post-Acute

410 North Winchester Boulevard · Santa Clara, CA · 95050 · 4082483736

133 certified beds For profit - Corporation Chain: Covenant Care

Why this verdict

  • Inspection results are getting worse cycle over cycle, not better.
  • Staffing hours comfortably above national benchmarks.
  • No federal fines or payment denials in CMS’s 3-year window.

The composite number cleared 70 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.

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Red flags

2 abuse-related citations at the actual-harm level

Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.

Score breakdown

Inspection record 30% of score 53
Serious harm & abuse 20% 68
Staffing 20% 83
Federal penalties 15% 100
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: 5 of 5 Inspections: 4 of 5 Staffing: 4 of 5 Quality measures: 5 of 5

Total nurse hours / resident-day4.003.48 min · 4.1 strong
RN hours / resident-day1.130.55–0.75
Weekend hours / resident-day3.75≈ weekday level
Nursing turnover / year45%median 45%
Fines (3-yr window)none

Inspection citations (35 in the current record)

  • Potential for harm · D March 24, 2026 · found via complaint

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

    Corrected April 5, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D July 28, 2025 · found via complaint

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

    Corrected August 9, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D May 9, 2025

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected May 27, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D May 9, 2025

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected June 8, 2025 · Quality of Life and Care

  • Potential for harm · E May 9, 2025

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected June 8, 2025 · Quality of Life and Care

  • Potential for harm · E May 9, 2025

    Observe each nurse aide's job performance and give regular training.

    Corrected June 8, 2025 · Nursing and Physician Services

  • Potential for harm · E May 9, 2025

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

    Corrected June 8, 2025 · Pharmacy Service

  • Potential for harm · E May 9, 2025

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    Corrected June 8, 2025 · Pharmacy Service

  • Potential for harm · D May 9, 2025

    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 June 8, 2025 · Pharmacy Service

  • Potential for harm · E May 9, 2025

    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

    Corrected June 8, 2025 · Administration

  • Potential for harm · E May 9, 2025

    Provide and implement an infection prevention and control program.

    Corrected June 8, 2025 · Infection Control

  • Potential for harm · D May 9, 2025 · 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 June 8, 2025 · Resident Assessment and Care Planning

  • No harm found · B May 9, 2025

    Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

    Corrected June 8, 2025 · Environmental

  • Actual harm · G May 30, 2024 · found via complaint

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected June 24, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D February 8, 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 March 8, 2024 · Pharmacy Service

  • No harm found · B February 8, 2024

    Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

    Corrected March 8, 2024 · Environmental

  • Potential for harm · D September 26, 2023 · found via complaint

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

    Corrected October 26, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D September 26, 2023 · found via complaint

    Provide medically-related social services to help each resident achieve the highest possible quality of life.

    Corrected October 26, 2023 · Quality of Life and Care

  • Actual harm · G June 11, 2021

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

    Deficient, Provider has no plan of correction · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D June 11, 2021

    Reasonably accommodate the needs and preferences of each resident.

    Corrected July 23, 2021 · Resident Rights

  • Potential for harm · D June 11, 2021

    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 July 23, 2021 · Resident Rights

  • Potential for harm · E June 11, 2021

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

    Corrected July 23, 2021 · Resident Assessment and Care Planning

  • Potential for harm · D June 11, 2021

    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

    Corrected July 23, 2021 · Quality of Life and Care

  • Potential for harm · D June 11, 2021

    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 July 23, 2021 · Quality of Life and Care

  • Potential for harm · E June 11, 2021

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

    Corrected July 23, 2021 · Pharmacy Service

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

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 055645 · certified since October 1, 1969. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.