ST JOHN KRONSTADT CONVALESCENT CENTER

4432 JAMES AVENUE
CASTRO VALLEY, CA, 94546
5108897000
CCN: 555016
3
Overall
2
Health
5
Staffing
3
Quality
Special FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
Ownership
NameRole%
ST JOHN KRONSTADT HOME FOR AGED RUSSIAN AMERICANS5% OR GREATER DIRECT OWNERSHIP INTEREST100%
KOLOBOFF, CONSTANTINECORPORATE DIRECTORNOT APPLICABLE
LOUKIANOFF, ALEXANDERCORPORATE DIRECTORNOT APPLICABLE
MAXIMOW, ANDREWCORPORATE DIRECTORNOT APPLICABLE
PAVLENKO, STEFANCORPORATE DIRECTORNOT APPLICABLE
KOLOBOFF, CONSTANTINECORPORATE OFFICERNOT APPLICABLE
PAVLENKO, STEFANCORPORATE OFFICERNOT APPLICABLE
GONZALEZ, EDWARDOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
GRIMES, JEREMYOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
DANBY, CRAIGOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
GARCIA, FABIOLAOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
SERENITY 4 MANAGEMENT SERVICES LLCOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Health Deficiencies (23)
2025-04-16 · Health
D
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
2024-12-10 · Health
D
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2024-06-07 · Health
B
F912 · Environmental Deficiencies
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
E
F761 · Pharmacy Service Deficiencies
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.
D
F755 · Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
E
F677 · Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
E
F550 · Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
2023-02-17 · Health
D
F912 · Environmental Deficiencies
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
F
F908 · Environmental Deficiencies
Keep all essential equipment working safely.
F
F882 · Infection Control Deficiencies
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
F
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
F
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
F805 · Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
F
F804 · Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
F
F803 · Nutrition and Dietary Deficiencies
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
E
F802 · Nutrition and Dietary Deficiencies
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
K
F801 · Nutrition and Dietary Deficiencies
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
E
F760 · Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
E
F759 · Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
E
F730 · Nursing and Physician Services Deficiencies
Observe each nurse aide's job performance and give regular training.
E
F558 · Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
E
F550 · Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
2019-12-05 · Health
B
F912 · Environmental Deficiencies
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day
4.16
3.68
RN Hrs/Resident/Day
0.67
0.54
LPN Hrs/Resident/Day
0.89
0.81
CNA Hrs/Resident/Day
2.60
2.33
PT Hrs/Resident/Day
0.11
0.12
Data as of 2026-03-01