Health conditions and treatments
Cited in 2 reports, with 2 deficiencies in total.
BRISTOLWOOD HOME
2194 BRISTOLWOOD LANE, San Jose CA 95132
6 bedsLatest official report Aug 7, 2026Licensed
Additional info
- Telephone
- (408) 946-4454
- Licensee
- ACTOCARE, INC.
- Administrator
- EDWARD TAN
- Contact
- EDWARD TAN
- License first date
- Sep 17, 2014
- License effective date
- Sep 17, 2014
- District office
- SAN JOSE RO · (408) 324-2112
- Regional office
- 26
- Clients served
- 935 - ELDERLY
Summary
The available records show 12 Type A and 2 Type B deficiencies for this facility.
- Most recent inspection
- Aug 7, 2026
- Most recent deficiency
- Sep 19, 2024
8 later reports, from Dec 27, 2024 through Aug 7, 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 185 Santa Clara County facilities licensed for 6 or fewer beds.
In the available public five-year record, CCLD published 15 reports for this facility: 14 inspections, 0 complaint investigations, and 1 licensing or administrative record.
Those records contain 12 Type A and 2 Type B deficiencies.
0 deficiencies have explicit official correction or clearance evidence in the loaded records.
- Official inspections
- 14
- Recorded deficiencies
- 14
- Type A deficiencies
- 12
- Type B deficiencies
- 2
- Substantiated complaints
- 0
- Repeated topics
- 3
More than the typical 5
6 in the last 12 months
Well above the typical 3
0 in the last 12 months
Well above the typical 1
0 in the last 12 months
About the same as most this size
0 in the last 12 months
Most this size also have none
0 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.
Medical and dental care
Cited in 2 reports, with 2 deficiencies in total.
Staffing, personnel, and training
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.
Inspection
No deficiencies recorded in this report
Inspection
No deficiencies recorded in this report
Inspection
No deficiencies recorded in this report
Inspection
No deficiencies recorded in this report
Inspection
No deficiencies recorded in this report
Inspection
No deficiencies recorded in this report
Inspection
No deficiencies recorded in this report
Inspection
No deficiencies recorded in this report
Inspection
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 is not met as evidenced by: Based on record review and interview, the facility staff did not have R1's medication #1 refill at the facility during the time of inspection and medication was to be administered at bedtime which poses/posed an immediate Health, Safety, or Personal Rights risk to persons in care.
Official plan of correction
Administrator stated to submit a written plan of action understanding regulation and will ensure medication refills are obtained in a timely manner by POC due date. Administrator agreed and understood.
Deadline recorded: Jul 26, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jul 26, 2024
Correction not verified in available records
Dementia careType A
- Official classification
- Type A
- Official code
- 87705(f)(2)
- Regulation authority
- CCR
What the official deficiency says
87705 Care of Persons with Dementia (f) The following shall be stored inaccessible to residents with dementia:(2) ...toxic substances such as certain plants, gardening supplies, cleaning supplies and disinfectants. This requirement is not met as evidenced by: Based on observation and interview, 2 laundry detergent containers and 5 containters of paint were located near the laundry mahcine in the backyard accessible to residents which poses/posed an immediate Health, Safety, or Personal Rights risk to persons in care.
Official plan of correction
Administrator stated to submit a written plan of action understanding regulation and will ensure toxic substanced are inaccessible to resident by POC due date. Administrator agreed and understood.
Deadline recorded: Jul 26, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jul 26, 2024
Correction not verified in available records
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. This requirement is not met as evidenced by: Based on observation and record review, bathroom in resident room #5 had yellow stains on the toliet seat/bowel and dark brown/black stains on the floor near the base of the toliet which poses/posed an immediate Health, Safety, or Personal Rights risk to persons in care.
Official plan of correction
Administrator stated to submit a written plan of action understanding regulation and will ensure resident's room and bathroom are clean and sanitary and in good repair by POC due date. Administrator agreed and understood.
Deadline recorded: Jul 26, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jul 26, 2024
Correction not verified in available records
Medication handling and storageType A
- Official classification
- Type A
- Official code
- 87465(h)(6)
- Regulation authority
- CCR
What the official deficiency says
87465 Incidental Medical and Dental Care (h)(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... This requirement is not met as evidenced by: Based on record review, observation and interview, 4 out of 4 resident files did not contain Centrally Stored Medication Log/Record which poses/posed an immediate Health, Safety, or Personal Rights risk to persons in care.
Official plan of correction
Administrator stated to submit a written plan of action understanding regulation and will ensure in-service training is provided for medication administrator and accurate record keeping by POC due date. Administrator agreed and understood.
Deadline recorded: Jul 26, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jul 26, 2024
Correction not verified in available records
Not classified in the sourceType A
- Official classification
- Type A
- Official code
- 15655
- Regulation authority
- HSC
What the official deficiency says
W & IC 15655 (a)(1) long-term care facilities, ... shall provide to all staff being trained a written copy of the reporting requirements and a written notification of the staff's confidentiality rights as specified in Section 15633. This requirement is not met as evidenced by: Based on record review and interview, 2 out of 2 staff files reviewed did not contain signed copy of the SOC341 and ADM was not aware of regulation which poses/posed an immediate Health, Safety, or Personal Rights risk to persons in care.
Official plan of correction
Administrator stated to submit a written plan of action understanding regulation and will ensure staff review and sign SOC 341A by POC due date. Administrator agreed and understood. During visit on 7/12/2024, ADM provided SOC341A to S1 and S2 and obtained signed copies for staff file.
Deadline recorded: Jul 26, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jul 26, 2024
Correction not verified in available records
Staffing, personnel, and trainingType A
- Official classification
- Type A
- Official code
- 87411(a)
- Regulation authority
- CCR
What the official deficiency says
87411 Personnel Requirements - General (a) Facility personnel shall at all times be... competent to provide the services necessary to meet resident needs... This requirement is not met as evidenced by: Based on record review and interview, R1's medication #1 was not refilled and not located at the facility and R1's medication #1 order is to be administered at bedtime which poses/posed an immediate Health, Safety, or Personal Rights risk to persons in care.
Official plan of correction
Administrator stated to submit a written plan of action understanding regulation and will ensure staff receive in-service training on medication managment and administration where staff will ensure recordkeeping is accurate by POC due date. Administrator agreed and understood.
Deadline recorded: Jul 26, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jul 26, 2024
Correction not verified in available records
Administrator qualificationsType A
- Official classification
- Type A
- Official code
- 87405(d)(1-7)
- Regulation authority
- CCR
What the official deficiency says
87405 Administrator - Qualifications and Duties (d) The administrator shall have the qualifications specified in Sections 87405(d)(1) through (7). If the licensee is also the administrator, all requirements for an administrator shall apply. This requirement is not met as evidenced by: Based on record review, interview, and observation, ADM did not ensure resident medication was available to administer and medicaton log was not completed, chemicals were accessible to residents with Dementia, resident room/bedrooms are not in sanitary conditions, fire drills are not conducted every
Official plan of correction
Administrator stated to follow up with Licensee and submit a written plan of action understanding regulation and and a plan on obtaining training on Title 22 regulations by POC due date. Administrator agreed and understood. (con't) quarter, residents using half bed rails for mobility, without signed written physician's order, staff are not coptentent to provide medication administration to residents, which poses/posed an immediate Health, Safety, or Personal Rights risk to persons in care.
Deadline recorded: Jul 26, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jul 26, 2024
Correction not verified in available records
Health conditions and treatmentsType B
- Official classification
- Type B
- Official code
- 87608(a)(3)
- Regulation authority
- CCR
What the official deficiency says
87608 Postural Supports (a)(3) A written order from a physician indicating the need for the postural support shall be maintained in the resident’s record. The licensing agency shall be authorized to require other additional documentation if needed to verify the order. This requirement is not met as evidenced by: Based on record review, obserbation and interview, 2 out of 4 residents using half-bed rails for mobility did not have signed written physician's order in resident's file which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
Administrator stated to submit a written plan of action understanding regulation and will ensure signed written order from physician is obtained when half-bed rails is used for mobility by POC due date. Administrator agreed and understood.
Deadline recorded: Aug 1, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Aug 1, 2024
Correction not verified in available records
Fire safety and emergency preparednessType B
- Official classification
- Type B
- Official code
- 1569.695(c)
- Regulation authority
- HSC
What the official deficiency says
1569.695 Emergency Plans (c) A facility shall conduct a drill at least quarterly for each shift. The type of emergency covered in a drill shall vary from quarter to quarter, taking into account different emergency scenarios. This requirement is not met as evidenced by: Based on record review and interview, the ADM conducted last disaster drill on 1/2/2024 which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
Administrator stated to submit a written plan of action understanding regulation and will ensure disaster drill is conducted at least quartely by POC due date. Administrator agreed and understood.
Deadline recorded: Aug 1, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Aug 1, 2024
Correction not verified in available records
Inspection
No deficiencies recorded in this report
Inspection
Medical and dental careType A
- Official classification
- Type A
- Official code
- 87465(a)(1)
- Regulation authority
- CCR
What the official deficiency says
87465 Incidental Medical and Dental Care (a)(1) The licensee shall arrange, or assist in arranging, for medical and dental care appropriate to the conditions and needs of residents. This requirement is not met as evidenced by: Based on interview and record review, facility staff delayed seeking medical attention for R1 after having a fall at 3am and was in pain & was transported to the hospital at 9:05am which poses/posed an immediate Health, Safety, or Personal Rights risk to persons in care.
Official plan of correction
Administrator stated to submit a written plan of action understanding regulation and will ensure staff are trained to seek timely medical attention by POC due date. Administrator agreed and understood.
Deadline recorded: Apr 12, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Apr 12, 2024
Correction not verified in available records
Resident rightsType A
- Official classification
- Type A
- Official code
- 87468.2(a)(4)
- Regulation authority
- CCR
What the official deficiency says
87468.2(a)(4) To care, supervision, and services that meet their individual needs and are delivered by staff that are sufficient in numbers, qualifications, and competency to meet their needs. This requirement is not met as evidenced by: Based on interview,on-call night staff did not respond to R1's call for help; off-duty staff heard and prompted to assist R1 which poses/posed an immediate Health, Safety, or Personal Rights risk to persons in care.
Official plan of correction
Administrator stated to submit a written plan of action understanding regulation and schedule in-service staff training by POC due date. Administrator agreed and understood.
Deadline recorded: Apr 12, 2024. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Apr 12, 2024
Correction not verified in available records
Inspection
No deficiencies recorded in this report
Inspection
No deficiencies recorded in this report
Inspection
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