MISSION DE LA CASA

CCN 555487 · CASAVINA FOUNDATION CORP · For profit - Individual · 163 certified beds · Santa Clara · CA


MISSION DE LA CASA is a 163-bed nursing home in SAN JOSE, California. CMS has certified it for Medicare and Medicaid since 1991-12-17. It averages 153.8 residents a day.

What harm was found in the violations cited at MISSION DE LA CASA?

CMS lists 35 health-inspection deficiencies for MISSION DE LA CASA since 2021-07-12, 21 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is K; the most recent health inspection was 2025-08-21.

Survey dateTagDeficiencySeverity
2025-08-21F0880Provide and implement an infection prevention and control program.K
2025-08-21F0801, F0802, F0812, F0813, F0814Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. / Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Have a policy regarding use and storage of foods brought to residents by family and other visitors. / Dispose of garbage and refuse properly.F
2025-08-21F0656, F0657, F0684, F0700Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / 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.E
2025-08-21F0645, F0740, F0800, F0803, F0908, F0925PASARR screening for Mental disorders or Intellectual Disabilities / Ensure each resident must receive and the facility must provide necessary behavioral health care and services. / Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. / 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. / Keep all essential equipment working safely. / Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.D
2024-06-27F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F
2024-06-27F0645, F0759PASARR screening for Mental disorders or Intellectual Disabilities / Ensure medication error rates are not 5 percent or greater.D
2024-04-18F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G
2024-03-28F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D
2021-07-12F0880Provide and implement an infection prevention and control program.E
2021-07-12F0557, F0558, F0637, F0644, F0658, F0677, F0689, F0690, F0698, F0761, F0801, F0813, F0881Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. / Reasonably accommodate the needs and preferences of each resident. / Assess the resident when there is a significant change in condition / Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. / Ensure services provided by the nursing facility meet professional standards of quality. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / 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. / Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. / Have a policy regarding use and storage of foods brought to residents by family and other visitors. / Implement a program that monitors antibiotic use.D

Why was MISSION DE LA CASA fined?

DateTypeAmount
2025-08-21Fine$51,753

How is MISSION DE LA CASA staffed relative to the CA average?

MeasureThis facilityCA average
Total nurse staffing hours per resident per day3.952164.51570
Total nursing staff turnover (%)16.736.7
Average number of residents per day153.887.9

Who owns MISSION DE LA CASA?

MISSION DE LA CASA is registered with CMS as For profit - Individual, operates under the legal business name CASAVINA FOUNDATION CORP.

RoleOwnerAssociation date
5% OR GREATER DIRECT OWNERSHIP INTERESTNGUYEN, NGAIsince 10/27/1999
CORPORATE DIRECTORNGUYEN, NGAIsince 10/27/1999
CORPORATE OFFICERNGUYEN, NGAIsince 10/27/1999
OPERATIONAL/MANAGERIAL CONTROLAOAY, NORIE, EIETA, JULIE, EVANS, JOY, GUPTA, ATIN, HEDGER, JOSH, LUC, HA, LUCAS, ALETHEA, NGUYEN, ANH, NGUYEN, KYM, NGUYEN, NGAI, PEREZ, ANGELICA, RABARA, ROSANA, TSE, DANIEL, VETSA, SUREKHAsince 01/01/2007
ADP OF THE SNFAOAY, NORIE, EIETA, JULIE, EVANS, JOY, GUPTA, ATIN, HEDGER, JOSH, LUC, HA, LUCAS, ALETHEA, NGUYEN, ANH, NGUYEN, KYM, NGUYEN, NGAI, PEREZ, ANGELICA, RABARA, ROSANA, TSE, DANIEL, VETSA, SUREKHAsince 01/01/2007

Were you or a family member harmed at MISSION DE LA CASA?