Senior Care Records.

Plum Tree Care Center

2580 SAMARITAN DRIVE, San Jose, CA, 95124

Nursing home76 licensed beds0 citations on record
6 more within 6 milesOpen in Maps
Has this facility been cited?

Yes. Federal inspectors cited 11 deficiencies against Plum Tree Care Center in San Jose, California at its most recent standard inspection on 2025-03-28, 3 of them arising from complaints. 1 finding has been recorded at the actual-harm level. Medicare has fined it 1 time, totalling $8,018. Medicare rates it 5 out of 5 overall.

5 / 5Medicare overall rating
76certified beds
11deficiencies at the last inspection
0immediate-jeopardy findings on record
1actual-harm findings on record
1federal fines, $8,018
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.1
Potential for more than minimal harmNo resident was harmed, but the failing could have caused it.32
Potential for minimal harmThe least serious band.0
Most recent

The last 20 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.

Let each resident or the resident's legal representative access or purchase copies of all the resident's records.

Resident Rights Deficiencies · F0573 · 2025-08-07 · from a complaint · No actual harm, potential for more than minimal harm

D

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

Resident Assessment and Care Planning Deficiencies · F0658 · 2025-07-16 · from a complaint · No actual harm, potential for more than minimal harm

D

Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.

Administration Deficiencies · F0773 · 2025-07-16 · from a complaint · No actual harm, potential for more than minimal harm

D

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

Resident Assessment and Care Planning Deficiencies · F0658 · 2025-03-28 · standard survey · No actual harm, potential for more than minimal harm

E

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

Quality of Life and Care Deficiencies · F0695 · 2025-03-28 · standard survey · No actual harm, potential for more than minimal harm

E

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.

Pharmacy Service Deficiencies · F0761 · 2025-03-28 · standard survey · No actual harm, potential for more than minimal harm

E

Provide and implement an infection prevention and control program.

Infection Control Deficiencies · F0880 · 2025-03-28 · standard survey · No actual harm, potential for more than minimal harm

E

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

Resident Rights Deficiencies · F0550 · 2025-03-28 · standard survey · No actual harm, potential for more than minimal harm

D

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0604 · 2025-03-28 · standard survey · No actual harm, potential for more than minimal harm

D

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Resident Assessment and Care Planning Deficiencies · F0644 · 2025-03-28 · standard survey · No actual harm, potential for more than minimal harm

D

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 · 2025-03-28 · standard survey · No actual harm, potential for more than minimal harm

D

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

Quality of Life and Care Deficiencies · F0689 · 2024-09-24 · from a complaint · Actual harm to a resident

G

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

Resident Assessment and Care Planning Deficiencies · F0658 · 2024-05-31 · from a complaint · No actual harm, potential for more than minimal harm

D

Provide and implement an infection prevention and control program.

Infection Control Deficiencies · F0880 · 2024-05-31 · from a complaint · No actual harm, potential for more than minimal harm

D

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

Quality of Life and Care Deficiencies · F0684 · 2023-12-01 · standard survey · No actual harm, potential for more than minimal harm

E

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.

Pharmacy Service Deficiencies · F0761 · 2023-12-01 · standard survey · No actual harm, potential for more than minimal harm

E

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 · 2023-12-01 · standard survey · No actual harm, potential for more than minimal harm

E

Provide and implement an infection prevention and control program.

Infection Control Deficiencies · F0880 · 2023-12-01 · standard survey · No actual harm, potential for more than minimal harm

E

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Resident Rights Deficiencies · F0582 · 2023-12-01 · standard survey · No actual harm, potential for more than minimal harm

D

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

Resident Assessment and Care Planning Deficiencies · F0658 · 2023-12-01 · standard survey · No actual harm, potential for more than minimal harm

D
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 cycles4 of 5
StaffingNurse hours per resident, adjusted for how sick residents are3 of 5
Quality measuresResident outcomes reported by the home5 of 5
Nurse hours per resident per dayReported by the home to CMS4.52908
Nursing staff turnoverShare of nursing staff who left in a year42.6%
Penalties

What Medicare has fined this home

FinesCivil money penalties imposed by CMS1
Total fined$8,018
Payment denials and other penaltiesMedicare refusing to pay for new admissions is the usual one1
Ownership

Who owns Plum Tree Care Center

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.

OwnerRoleShareSince
BMO BANK NATIONAL ASSOCIATIONOrganizationNOT APPLICABLEsince 09/20/2023
MASTROCOLA, LOISIndividualNOT APPLICABLEsince 09/20/2023
MASTROCOLA, LOISIndividualNOT APPLICABLEsince 02/01/1998
OLDS, THOMASIndividualNOT APPLICABLEsince 02/01/1998
MASTROCOLA, LOISIndividualNOT APPLICABLEsince 02/01/1998
OLDS, THOMASIndividualNOT APPLICABLEsince 02/01/1998

Part of the GENERATIONS HEALTHCARE group.

Nearby

Other licensed providers within six miles

Listed by distance. Nobody paid to appear here and the order is not for sale.

Contact

Ask Plum Tree Care Center a question

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What is needed

Plum Tree Care Center has not claimed this page, so there is nobody here to deliver a message to. We will not take your details and sit on them. Call them on 4083568181 — the number is from their licence record.

Source: Centers for Medicare & Medicaid Services, Nursing Home Care Compare. Retrieved 2026-07-29. Facility number 055866.
Figures reproduce the state’s own totals and are not re-aggregated. Methodology · Report a correction