White Blossom Care Center

CCN 555068 · HAWTHORNE HOLDINGS, LLC · For profit - Limited Liability company · PACS GROUP chain · 153 certified beds · Santa Clara · CA


White Blossom Care Center is a 153-bed nursing home in SAN JOSE, California. CMS has certified it for Medicare and Medicaid since 1977-05-01. It averages 151.1 residents a day.

What harm was found in the violations cited at White Blossom Care Center?

CMS lists 49 health-inspection deficiencies for White Blossom Care Center since 2022-02-15, 33 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 2026-05-12.

Survey dateTagDeficiencySeverity
2026-05-12F0627Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.G
2026-05-12F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D
2026-03-13F0812, F0813, F0921Procure 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. / Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.F
2026-03-13F0698, F0725, F0802, F0880Provide safe, appropriate dialysis care/services for a resident who requires such services. / Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. / Provide and implement an infection prevention and control program.E
2026-03-13F0550, F0552, F0554, F0656, F0684, F0757, F0761, F0806Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Ensure that residents are fully informed and understand their health status, care and treatments. / Allow residents to self-administer drugs if determined clinically appropriate. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / 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. / Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.D
2026-03-11F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D
2025-06-10F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D
2025-05-15F0658Ensure services provided by the nursing facility meet professional standards of quality.D
2024-11-21F0644, F0645Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. / PASARR screening for Mental disorders or Intellectual DisabilitiesD
2024-10-11F0880Provide and implement an infection prevention and control program.E
2024-08-29F0758, F0880Implement 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. / Provide and implement an infection prevention and control program.D
2024-08-19F0880Provide and implement an infection prevention and control program.D
2024-06-25F0610, F0658Respond appropriately to all alleged violations. / Ensure services provided by the nursing facility meet professional standards of quality.D
2024-06-12F0552Ensure that residents are fully informed and understand their health status, care and treatments.D
2024-06-07F0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.D
2024-02-08F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.K
2024-01-02F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D
2023-12-05F0559Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.D
2022-02-15F0578, F0655, F0755, F0758, F0761, F0812, F0880Honor 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. / Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / 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. / 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. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Provide and implement an infection prevention and control program.E
2022-02-15F0554, F0558, F0645, F0658, F0684, F0686, F0688, F0689, F0698Allow residents to self-administer drugs if determined clinically appropriate. / Reasonably accommodate the needs and preferences of each resident. / PASARR screening for Mental disorders or Intellectual Disabilities / Ensure services provided by the nursing facility meet professional standards of quality. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / 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. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide safe, appropriate dialysis care/services for a resident who requires such services.D

Why was White Blossom Care Center fined 2 times?

DateTypeAmount
2026-05-12Fine$23,625
2024-02-08Fine$73,427

How is White Blossom Care Center staffed relative to the CA average?

MeasureThis facilityCA average
Total nurse staffing hours per resident per day4.030854.51570
Total nursing staff turnover (%)54.336.7
Average number of residents per day151.187.9

Who owns White Blossom Care Center, and what chain is it in?

White Blossom Care Center is registered with CMS as For profit - Limited Liability company, operates under the legal business name HAWTHORNE HOLDINGS, LLC and belongs to the PACS GROUP chain.

RoleOwnerAssociation date
5% OR GREATER DIRECT OWNERSHIP INTERESTHUDSON RIVER OPCO LLCsince 10/01/2019
5% OR GREATER INDIRECT OWNERSHIP INTERESTBAY BRIDGE CAPITAL PARTNERS, LLCsince 08/15/2014
CONTRACTED MANAGING EMPLOYEEAWERBUCK, MATTHEWsince 10/01/2022
W-2 MANAGING EMPLOYEEPIERCE, ROBERTsince 09/01/2023
CORPORATE OFFICERAPT, FREDERICK, JERGENSEN, JOSHUA, MITCHELL, JOHNsince 01/01/2024
OPERATIONAL/MANAGERIAL CONTROLPIERCE, ROBERTsince 09/01/2023

Were you or a family member harmed at White Blossom Care Center?