Elliott Home III
Campbell · 0.1 mi · 6 beds
CitationsNoneSubstantiated0
Childrens HC Org No Ca -Pediatric Hospital D/P SNF
3777 SOUTH BASCOM AVENUE, Campbell, CA, 95008
Nursing home27 licensed beds0 citations on record
6 more within 6 milesOpen in Maps
Has this facility been cited?
Yes. Federal inspectors cited 5 deficiencies against Childrens HC Org No Ca -Pediatric Hospital D/P SNF in Campbell, California at its most recent standard inspection on 2024-07-26. Medicare has fined it 1 time, totalling $3,145. Medicare rates it 5 out of 5 overall.
5 / 5Medicare overall rating
27certified beds
5deficiencies at the last inspection
0immediate-jeopardy findings on record
0actual-harm findings on record
1federal fines, $3,145
What the inspectors found
Every deficiency on record, by how serious CMS judged it
CMS grades each finding from A to L on two axes: how badly residents were affected, and how many. These are its bands, not ours. The figures cover every standard and complaint survey on record, which is a longer window than the rating cycle above.
Immediate jeopardyA resident was placed in immediate danger. The most serious band CMS uses.0
Actual harmA resident was harmed, but not placed in immediate danger.0
Potential for more than minimal harmNo resident was harmed, but the failing could have caused it.16
Potential for minimal harmThe least serious band.0
Most recentDEEEDDEEDEDDDDDD
The last 16 findings, newest first
Each is the federal requirement the home was found not to meet, in CMS’s own wording, with the tag number so it can be looked up against the inspection report.
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · F0658 · 2024-10-10 · from a complaint · No actual harm, potential for more than minimal harm
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · F0658 · 2024-07-26 · standard survey · No actual harm, potential for more than minimal harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · F0812 · 2024-07-26 · standard survey · No actual harm, potential for more than minimal harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · F0880 · 2024-07-26 · standard survey · No actual harm, potential for more than minimal harm
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.
Pharmacy Service Deficiencies · F0758 · 2024-07-26 · standard survey · No actual harm, potential for more than minimal harm
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental Deficiencies · F0921 · 2024-07-26 · standard survey · No actual harm, potential for more than minimal harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · F0812 · 2022-07-08 · standard survey · No actual harm, potential for more than minimal harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · F0880 · 2022-07-08 · standard survey · No actual harm, potential for more than minimal harm
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · F0658 · 2022-07-08 · standard survey · No actual harm, potential for more than minimal harm
Keep all essential equipment working safely.
Environmental Deficiencies · F0908 · 2019-10-31 · standard survey · No actual harm, potential for more than minimal harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · F0656 · 2019-10-31 · standard survey · No actual harm, potential for more than minimal harm
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · F0657 · 2019-10-31 · standard survey · No actual harm, potential for more than minimal harm
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · F0658 · 2019-10-31 · standard survey · No actual harm, potential for more than minimal harm
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.
Pharmacy Service Deficiencies · F0758 · 2019-10-31 · standard survey · No actual harm, potential for more than minimal harm
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · F0759 · 2019-10-31 · standard survey · No actual harm, potential for more than minimal harm
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Nutrition and Dietary Deficiencies · F0802 · 2019-10-31 · standard survey · No actual harm, potential for more than minimal harm
Medicare’s own rating
How CMS scores this home
These stars are Medicare’s, not ours — we publish no rating of our own. They are reproduced here because they are part of the public record.
OverallCombines the three below5 of 5
Health inspectionBased on the last three inspection cycles5 of 5
StaffingNurse hours per resident, adjusted for how sick residents are—
Quality measuresResident outcomes reported by the home5 of 5
Penalties
What Medicare has fined this home
FinesCivil money penalties imposed by CMS1
Total fined$3,145
Payment denials and other penaltiesMedicare refusing to pay for new admissions is the usual one1
Ownership
Who owns Childrens HC Org No Ca -Pediatric Hospital D/P SNF
Nursing homes are frequently owned through layers of companies, and the name over the door is rarely the one that holds the licence. This is the ownership CMS has on file.
| Owner | Role | Share | Since |
|---|---|---|---|
| INNOVATIONS HEALTH SYSTEMS LLC | Organization | NO PERCENTAGE PROVIDED | since 01/01/2017 |
| MCGUIRE, KENNETH | Individual | NO PERCENTAGE PROVIDED | since 01/01/2017 |
| NICCUM, DAN | Individual | NO PERCENTAGE PROVIDED | since 01/01/2017 |
| MCGUIRE, KENNETH | Individual | NOT APPLICABLE | since 01/01/2017 |
| NICCUM, DAN | Individual | NOT APPLICABLE | since 01/01/2017 |
| MCGUIRE, KENNETH | Individual | NOT APPLICABLE | since 01/01/2017 |
| NICCUM, DAN | Individual | NOT APPLICABLE | since 01/01/2016 |
| MCGUIRE, KENNETH | Individual | NOT APPLICABLE | since 01/01/2017 |
| NICCUM, DAN | Individual | NOT APPLICABLE | since 01/01/2016 |
| INNOVATIONS HEALTH SYSTEMS LLC | Organization | NOT APPLICABLE | since 01/01/2017 |
| MCGUIRE, KENNETH | Individual | NOT APPLICABLE | since 01/01/2017 |
| NICCUM, DAN | Individual | NOT APPLICABLE | since 01/01/2017 |
Nearby
Other licensed providers within six miles
Listed by distance. Nobody paid to appear here and the order is not for sale.
Bed of Roses Residential Care Home
Campbell · 0.2 mi · 6 beds
CitationsNoneSubstantiated0
White Oaks Senior Living
Campbell · 0.3 mi · 6 beds
Citations2Substantiated2
Palm Villas, Campbell
Campbell · 0.4 mi · 48 beds
Citations1Substantiated1
Plum Tree Care Center
San Jose · 0.5 mi · 76 beds
Citations0Substantiated0
Cambrian Senior Living
San Jose · 0.5 mi · 6 beds
CitationsNoneSubstantiated0
Contact
Ask Childrens HC Org No Ca -Pediatric Hospital D/P SNF a question
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Source: Centers for Medicare & Medicaid Services, Nursing Home Care Compare. Retrieved 2026-07-29. Facility number 555734.
Figures reproduce the state’s own totals and are not re-aggregated. Methodology · Report a correction