Medication handling and storage
Cited in 3 reports, with 4 deficiencies in total.
MERRILL GARDENS AT WILLOW GLEN
1420 CURCI DRIVE, San Jose CA 95126
150 bedsLatest official report Apr 9, 2026Licensed
Additional info
- Telephone
- (408) 283-0941
- Licensee
- MG AT WILLOW GLEN, LP ;SHI-IV MERRILL GP,LLC;ET AL
- Administrator
- GEMIGNANI, IDA
- Contact
- GEMIGNANI, IDA
- License first date
- Nov 3, 2021
- License effective date
- Nov 3, 2021
- District office
- SAN JOSE RO · (408) 324-2112
- Regional office
- 26
- Clients served
- 983 - RCFE / DEMENTIA
Summary
The available records show 3 Type A and 10 Type B deficiencies for this facility.
- Most recent inspection
- Mar 24, 2026
- Most recent deficiency
- Mar 10, 2026
2 later reports, from Mar 24, 2026 through Apr 9, 2026, recorded no deficiencies, though the records do not say whether they were follow-ups.
What Type A and Type B mean
- Type A
- Violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
- Type B
- Violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care.
Both classifications are published by California CDSS and are shown as published. SeniorLivingFacts does not rename them or add a severity level of its own.
At a glance
Counts cover the five-year public record. Typical figures are the median for the 41 Santa Clara County facilities licensed for 50 or more beds.
In the available public five-year record, CCLD published 44 reports for this facility: 15 inspections, 28 complaint investigations, and 1 licensing or administrative record.
Those records contain 3 Type A and 10 Type B deficiencies.
2 deficiencies have explicit official correction or clearance evidence in the loaded records.
- Official inspections
- 15
- Recorded deficiencies
- 13
- Type A deficiencies
- 3
- Type B deficiencies
- 10
- Substantiated complaints
- 9
- Repeated topics
- 3
More than the typical 10
5 in the last 12 months
Well above the typical 4
2 in the last 12 months
More than the typical 2
0 in the last 12 months
Well above the typical 1
2 in the last 12 months
Most this size have none
3 in the last 12 months
Last 36 months
Repeated topics
Topics cited in more than one report during the last 36 months. A repeat may show a pattern worth asking about. Each date opens its report below.
Facility condition and maintenance
Cited in 2 reports, with 2 deficiencies in total.
Medical and dental care
Cited in 2 reports, with 2 deficiencies in total.
Official report history
All preserved reports from the most recent to the oldest, sortable by report type.
Complaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportInspection
No deficiencies recorded in this report
Complaint
Allegations1 substantiated · 0 unsubstantiated · 1 unfounded · 1 cited
Staffing, personnel, and trainingType B
- Official classification
- Type B
- Official code
- 87411
- Regulation authority
- CCR
What the official deficiency says
87411 Personnel Requirements General -Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs. This was not met as evidence by: Based upon review of staff emergency call button system it was found that month of July 2025, the average wait time was within 20 minutes, from when the call button/pendant was pressed to when the call button/pendant was cleared which poses/posed a potential health, safety or personal rights risk to
Official plan of correction
Administrator stated to provide a written plan of action understanding regulation and will ensure call button system is reviewed in a timely manner and all active call button/pendant are addressed in timely manner. Administrator will submit staff training once completed directly to LPA. (cont') persons in care.
Deadline recorded: Mar 17, 2026. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Mar 17, 2026
Correction not verified in available records
Complaint
Allegations0 substantiated · 4 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 2 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportInspection
No deficiencies recorded in this report
Complaint
Allegations1 substantiated · 5 unsubstantiated · 0 unfounded · 1 cited · investigated over 2 visits
Not classified in the sourceType B
- Official classification
- Type B
- Official code
- 87632(d)(2)
- Regulation authority
- CCR
What the official deficiency says
87632 Hospice Care Waiver (d)(2) The licensee shall notify the Department... initiation of hospice care services... five working days of admitting a resident already receiving hospice care services... This requirement was not met as evidenced by; Based on record review and interview, facility ADM stated she did not notifiy the deparment of the initiation of hospice care services for R1. This poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
ADM stated she will send a letter of understanding regarding the hospice waiver stipualtions, such as notify the Department in writing within five working days of the initiation of hospice care services for any terminally ill resident in the facility or within five working days... admitting a resident already receiving hospice care services. The notice shall include the resident's name and date of admission to the facility and the name and address of the hospice agency. ADM stated she will send the plan of correction by POC date 12/12/25
Deadline recorded: Dec 12, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Dec 12, 2025
Correction not verified in available records
Complaint
Part of the complaint whose outcome is recorded on Dec 1, 2025 · Control 26-AS-20241011112030
No deficiencies recorded in this reportInspection
No deficiencies recorded in this report
Inspection
No deficiencies recorded in this report
Inspection
No deficiencies recorded in this report
Complaint
Allegations1 substantiated · 0 unsubstantiated · 0 unfounded · 1 cited
Medication handling and storageType A
- Official classification
- Type A
- Official code
- 87465(h)(2)
- Regulation authority
- CCR
What the official deficiency says
87465 Incidental Medical and Dental Care (h) The following requirements shall apply to medications which are centrally stored: (2) Centrally stored medicines shall be kept in a safe and locked place that is not accessible to persons other than employees responsible for the supervision of the centrally stored medication. This was not met as evidenced by: Based on interviews, S2 mentioned an insulin pen, medication for R1 was found in R2s room, which poses an immediate Health, Safety, or Personal Rights risk to persons in care.
Official plan of correction
Licensee shall conduct training with med-techs to ensure all prescribed medications are locked in place. Licensee to submit proof of in-service training to LPA by POC deadline.
Deadline recorded: Aug 7, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Aug 7, 2025
Correction not verified in available records
Inspection
No deficiencies recorded in this report
Complaint
Allegations1 substantiated · 4 unsubstantiated · 2 unfounded · investigated over 2 visits
No deficiencies recorded in this reportInspection
No deficiencies recorded in this report
Inspection
No deficiencies recorded in this report
Complaint
Part of the complaint whose outcome is recorded on Aug 4, 2025 · Control 26-AS-20240213143445
No deficiencies recorded in this reportComplaint
Allegations1 substantiated · 3 unsubstantiated · 2 unfounded · 1 cited
Facility condition and maintenanceType A
- Official classification
- Type A
- Official code
- 87303(a)
- Regulation authority
- CCR
What the official deficiency says
87303 Maintenance and Operation (a) The facility shall be clean, safe, sanitary and in good repair at all times… for the safety and well-being of residents, employees and visitors. This requirement was not met as evidenced by; Based on record review and interview the licensee did not ensure the facility was free of cockroaches. This poses an immediate health, safety and personal rights risk to residents in care.
Official plan of correction
ADM stated she will submit a letter of understanding regarding the regulation. ADM stated she will also submit a plan of action on how to address future pest outbreaks.
Deadline recorded: Jul 15, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jul 15, 2025
Correction not verified in available records
Complaint
Allegations1 substantiated · 0 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 2 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 5 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportInspection
No deficiencies recorded in this report
Complaint
Allegations0 substantiated · 0 unsubstantiated · 4 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 0 unsubstantiated · 1 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 1 unsubstantiated · 2 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 2 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations2 substantiated · 4 unsubstantiated · 1 unfounded · 2 cited · investigated over 2 visits
Medical and dental careType A
- Official classification
- Type A
- Official code
- 87465(a)(4)
- Regulation authority
- CCR
What the official deficiency says
87465 Incidental Medical and Dental Care (a)(4) The licensee shall assist residents with self administered medications as needed. This requirement was not met as evidence by:
Official plan of correction
Licensee to submit a written plan to address administration of medication and to provide staff training such as but not limited documentation of medications records and administration of medication for person in care. Written plan to be submitted by POC date 5/8/2025.
Deadline recorded: May 8, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline May 8, 2025
Correction not verified in available records
Licensing and administrationType B
- Official classification
- Type B
- Official code
- 1569.655(a)
- Regulation authority
- HSC
What the official deficiency says
1569.655 Increase in fee rates for elderly residents (a) If a licensee of a residential care facility for the elderly increases the rates of fees for residents or makes increases in any of its rate structures for services, the licensee shall provide no less than 90 days’ prior written notice...**This was not met as evidence by**
Official plan of correction
Licensee to submit written plan to ensure compliance with proper notification of rate increases for all persons in care. Written plan to be submitted by POC date 5/14/2025.
Deadline recorded: May 14, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline May 14, 2025
Correction not verified in available records
Complaint
Part of the complaint whose outcome is recorded on May 7, 2025 · Control 26-AS-20231031135900
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 0 unsubstantiated · 1 unfounded
No deficiencies recorded in this reportInspection
Medication handling and storageType B
- Official classification
- Type B
- Official code
- 87465(h)(6)(E)
- Regulation authority
- CCR
What the official deficiency says
87465(h)(6)(E) Incidental Medical and Dental Care (h) The following requirements shall apply to medications which are centrally stored: (6) The licensee shall be responsible for assuring that a record of centrally stored prescription medications for each resident is maintained for at least one year and includes: (E) The prescription number and the name of the issuing pharmacy. This requirement was not met as evidenced by: Licensee did not ensure that 5 out of 8 reviewed Centrally Stored Medication Logs had correct presciption numbers, which poses a potential health risk for residents in care.
Official plan of correction
Licensee agrees to conduct in-service training with staff to ensure that staff correctly record the prescription numbers of resident medications in the Centrally Stored Medication Logs by POC Due Date. The Licensee agrees to submit copies of staff training records that include names of staff trained, dates of training, and names and qualifications of trainers to CCL by POC due date.
Deadline recorded: Dec 11, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Dec 11, 2024
Correction not verified in available records
Inspection
No deficiencies recorded in this report
Inspection
No deficiencies recorded in this report
Complaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations4 substantiated · 2 unsubstantiated · 0 unfounded · 5 cited
Medication handling and storageType B
- Official classification
- Type B
- Official code
- 87465(h)(5)
- Regulation authority
- CCR
What the official deficiency says
87465 Incidental Medical and Dental Care: (h) The following requirements shall apply to medications which are centrally stored: (5) Each resident's medication shall be stored in its originally received container. No medications shall be transferred between containers. This requirement has not been met as evidenced by: Based on observations made during the visit conducted on 4/20/2022, LPA observed facility to be pre-pouring medication in plastic organizers or small cups labeled for morning and with bedroom numbers. The medication observed were being dispensed in small cups for 24 to 48 hours in advance. Nevertheless, the facility is transferring residents' medications from the originally received container to small cups.
Official plan of correction
Deficiency is cleared and corrected the time of the visit. LPA observed medication room and did not observe any pre-poured medication.
Deadline recorded: Nov 14, 2024. A deadline is not proof that correction was completed.
Official record says corrected or clearedOn or before Nov 7, 2024
Correction deadline recordedDeadline Nov 14, 2024
Medication handling and storageType B
- Official classification
- Type B
- Official code
- 87465(h)(6)
- Regulation authority
- CCR
What the official deficiency says
87465 Incidental Medical and Dental Care: (h) The following requirements shall apply to medications which are centrally stored: (6) The licensee shall be responsible for assuring that a record of centrally stored prescription medications for each resident is maintained for at least one year and includes... This requirement is not met as evidenced by: Based on observations and record review, LPA and Med-tech observed 8 packs of Acetaminophen in the overstock cabinet to not be logged on the Centrally Stored Medication Record (CSMR). In addtion, LPA observed R1's eye drop not logged on the CSMR.
Official plan of correction
Licensee/administrator shall conduct training with med-techs to ensure all prescribed medications are logged on the CSMR and a record is maintained for each centrally stored medication.
Deadline recorded: Nov 14, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Nov 14, 2024
Correction not verified in available records
Medical and dental careType B
- Official classification
- Type B
- Official code
- 87465(i)
- Regulation authority
- CCR
What the official deficiency says
87465 Incidental Medical and Dental Care: (i) Prescription medications which are not taken with the resident upon termination of services, not returned to the issuing pharmacy, nor retained in the facility as ordered by the resident’s physician and documented in the resident’s record nor disposed of according to the hospice’s established procedures or which are otherwise to be disposed of shall be destroyed in the facility by the facility administrator and one other adult who is not a resident... Based on observations, on 4/20/22, LPA observed a bin full of medication that needed to be destructed. In addition, on 11/7/24, LPA observed a full box of medications that needed to be destructed.
Official plan of correction
Licensee/administrator shall submit a plan on how to ensure medications that require destruction is destructed so the destruction box isn't full or overfilling. Plan shall include company being used for destruction (if any), protocols, process, and how often.
Deadline recorded: Nov 14, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Nov 14, 2024
Correction not verified in available records
Facility condition and maintenanceType B
- Official classification
- Type B
- Official code
- 87303(a)
- Regulation authority
- CCR
What the official deficiency says
87303 Maintenance and Operation: (a) The facility shall be clean, safe, sanitary and in good repair at all times... This requirement is not met as evidenced by: Based on observations LPA observed the top door hinge to be loose, a sign on the door stating disrepair and a nail in a ziplock bag from the missing nail on the door hinge. In addition, based on interviews conducted, it was indicatd that the door has been in disrepair for more than 2 months.
Official plan of correction
Deficiency is cleared and corrected during the visit. LPA observed med-tech room to be in good repair.
Deadline recorded: Nov 14, 2024. A deadline is not proof that correction was completed.
Official record says corrected or clearedOn or before Nov 7, 2024
Correction deadline recordedDeadline Nov 14, 2024
Incident reportingType B
- Official classification
- Type B
- Official code
- 87211(a)(1)
- Regulation authority
- CCR
What the official deficiency says
87211 Reporting Requirements: (a) Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to, the following: (1) A written report shall be submitted to the licensing agency...within seven days of the occurrence of any of the events specified in (A) through (D) below... This requirement is not met as evidenced by: Based on interview conducted with the General Manager at the time, there was an incident that occurred on 4/6/22 where R2 complained of a facility caregiver being abusive. The General Manager at the time admitted to not filing an incident report to CCLD for unknown reasons which poses a potential health and safety risk for residents in care.
Official plan of correction
Licensee/administrator shall submit a plan in writing on how the facility will ensure all incidents that occur at the facility will be submitted to CCL within regulatory requirements.
Deadline recorded: Nov 15, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Nov 15, 2024
Correction not verified in available records
Complaint
Allegations0 substantiated · 2 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportInspection
No deficiencies recorded in this report
Complaint
Allegations0 substantiated · 2 unsubstantiated · 3 unfounded · investigated over 2 visits
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 2 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Part of the complaint whose outcome is recorded on Sep 17, 2024 · Control 26-AS-20220113142014
No deficiencies recorded in this reportComplaint
Allegations1 substantiated · 0 unsubstantiated · 0 unfounded · 1 cited
Staffing, personnel, and trainingType B
- Official classification
- Type B
- Official code
- 87411(a)
- Regulation authority
- CCR
What the official deficiency says
87411 - Personnel Requirements - (a) Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs. This requirement was not met as evidenced by: Based on records review and interviews, facility staffing levels were not high enough to meet the needs of residents between 05/22 and 06/02. This presented a potential risk to the health and safety of residents in care.
Official plan of correction
Facility to conduct a mandatory inservice all-staff training regarding response to calls in a timely manner and interfacing with call buttorns. Facility continues the process of hiring new staff. Facility to provide POC and weekly call logs by due date.
Deadline recorded: Jun 16, 2023. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jun 16, 2023
Correction not verified in available records
Inspection
No deficiencies recorded in this report
Inspection
No deficiencies recorded in this report
Licensing recordNot an inspection of the operating facility
No deficiencies recorded in this report
Source and limits
California Department of Social Services, Community Care Licensing Division. Public facility history is described by the source as a five-year window. Older records and previous-licensee history may require a regional-office request. Type 741 RCFE-CCRCs, nursing homes, and other care settings are excluded from this page.
Read the data methodology