Gilroy Healthcare Center
8170 Murray Avenue · Gilroy, CA · 95020 · 4088429311
134 certified beds For profit - Limited Liability company Chain: Covenant Care
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results are getting worse cycle over cycle, not better.
- Staffing hours comfortably above national benchmarks.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
$69,735 in federal fines in the last 24 months
1 fine — CMS fines are reserved for verified, serious non-compliance.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 1 of 5 Staffing: 4 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 4.20 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.78 | 0.55–0.75 |
| Weekend hours / resident-day | 3.79 | ≈ weekday level |
| Nursing turnover / year | 45% | median 45% |
| Fines (3-yr window) | 1 · $69,735 |
Inspection citations (33 in the current record)
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Potential for harm · D December 3, 2025 · found via complaint
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected December 20, 2025 · Resident Rights
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Potential for harm · D December 3, 2025 · found via complaint
Ensure each resident receives an accurate assessment.
Corrected December 22, 2025 · Resident Assessment and Care Planning
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Immediate jeopardy · K June 23, 2025
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected July 14, 2025 · Pharmacy Service
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Potential for harm · D June 23, 2025
Reasonably accommodate the needs and preferences of each resident.
Corrected July 14, 2025 · Resident Rights
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Potential for harm · D June 23, 2025
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Corrected July 14, 2025 · Resident Rights
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Potential for harm · E June 23, 2025
Honor 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.
Corrected July 14, 2025 · Resident Rights
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Potential for harm · D June 23, 2025
Keep residents' personal and medical records private and confidential.
Corrected July 14, 2025 · Resident Rights
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Potential for harm · D June 23, 2025
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected July 14, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D June 23, 2025
Ensure each resident receives an accurate assessment.
Corrected July 14, 2025 · Resident Assessment and Care Planning
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Potential for harm · E June 23, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected July 14, 2025 · Resident Assessment and Care Planning
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Potential for harm · D June 23, 2025
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected July 14, 2025 · Quality of Life and Care
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Potential for harm · D June 23, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected July 14, 2025 · Pharmacy Service
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Potential for harm · D June 23, 2025
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected July 14, 2025 · Pharmacy Service
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Potential for harm · E June 23, 2025
Ensure medication error rates are not 5 percent or greater.
Corrected July 14, 2025 · Pharmacy Service
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Potential for harm · E June 23, 2025
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected July 14, 2025 · Nutrition and Dietary
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Potential for harm · E June 23, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected July 14, 2025 · Nutrition and Dietary
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Potential for harm · E June 23, 2025
Provide and implement an infection prevention and control program.
Corrected July 14, 2025 · Infection Control
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Potential for harm · E June 23, 2025
Implement a program that monitors antibiotic use.
Corrected July 14, 2025 · Infection Control
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Potential for harm · D March 20, 2024 · found via complaint
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected March 28, 2024 · Resident Rights
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Potential for harm · D December 1, 2023
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected December 31, 2023 · Resident Assessment and Care Planning
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Potential for harm · D October 27, 2023 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected October 27, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D April 23, 2021
Reasonably accommodate the needs and preferences of each resident.
Corrected May 23, 2021 · Resident Rights
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Potential for harm · D April 23, 2021
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected May 23, 2021 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E April 23, 2021
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected May 23, 2021 · Resident Rights
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Potential for harm · D April 23, 2021
Ensure each resident receives an accurate assessment.
Corrected May 23, 2021 · Resident Assessment and Care Planning
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| June 17, 2025 | Fine | $69,735 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 055797 · certified since June 1, 1969. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.