Skyline Health Care Center

    2063 Forest Ave, San Jose, CA, 95128
    2.2 · 67 reviews
    • Assisted living
    • Memory care
    • Skilled nursing
    AnonymousLoved one of resident
    2.0

    Safety, staffing, cleanliness, largely negative

    I had a mixed, mostly negative experience. The nurses, CNAs and some caregivers were hardworking, caring and knowledgeable, PT and management could be good, and the common areas (skylights, piano, aviary) are pleasant. But the facility is large, noisy and aging, and I witnessed serious problems: understaffing (especially nights), language barriers, ignored call lights, missed meds/insulin, poor wound care, falls and safety lapses, and reports of rough handling and abuse. Cleanliness was inconsistent - I saw cockroaches, missing linens and packages - and food was adequate but uninspired. Given the safety and staffing issues I would not recommend it unless major improvements are made.

    Pricing

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    2.19 · 67 reviews

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      2.3
    • Staff

      2.4
    • Meals

      2.5
    • Amenities

      2.4
    • Value

      1.7

    Pros

    • Hardworking caregivers/CNAs
    • Many nurses and CNAs described as caring and compassionate
    • Engaged management and attentive case managers (mentions of manager Jay)
    • Some knowledgeable and thorough RNs (PICC line care noted)
    • Good or effective physical/occupational therapy in some cases
    • Friendly, welcoming staff and prompt nurse introductions
    • Daily room cleaning and some reports of very clean facility areas
    • Flexible visiting hours and family-friendly access at times
    • Open, spacious community rooms with skylights, piano, aviary
    • Regular group and individual activities offered
    • Adequate staffing visible during some shifts (abundant staff reported)
    • Infection-control or COVID symptom checks reported by some reviewers
    • Some residents reported quick recoveries and life-saving care
    • Newly designed areas praised (pharmacy, entry flow, seating, parking)

    Cons

    • Poor and inconsistent wound care (undressed/dirty wounds reported)
    • Inconsistent nurse coverage and frequent staffing shortages
    • Conflicting or unclear care instructions between shifts
    • Mattress and bedding problems (improper/nonfunctional mattresses, denied personal mattress)
    • Missed or delayed medications including insulin and IVs
    • Communication barriers due to staff with limited English
    • Call button/room buzzer failures and long response times
    • Overcrowded rooms (three-person rooms, small shared spaces)
    • Second-hand smoke exposure reported
    • Residents placed in wrong units (dementia unit misplacement)
    • Frequent maintenance delays and unresolved hazards
    • Lack of towels, linens, and basic supplies
    • Safety and hygiene problems including cockroach infestation
    • Unstaffed or non-functional staff badges and poor accountability
    • Perceived lack of accountability and blame shifting between shifts
    • Allegations of abuse, rough handling, or antagonistic night staff
    • Registry/agency staff discrimination and suspected corruption
    • Poor infection control in some instances and COVID outbreaks
    • Unsanitary diaper changes, urine on wounds, and hygiene lapses
    • Inadequate involvement/communication with primary physicians
    • Medical director or leadership not responsive after incidents
    • Diabetes mismanagement (insulin withheld, high blood sugars)
    • No showers or delayed bathing and burned with hot water reported
    • Falls from bed and other patient safety incidents
    • Missing personal items and clothing theft allegations
    • Therapy not delivered as promised or insufficient rehab
    • Food quality and dietary concerns (limited choices, diabetic diets not followed)
    • Phone and communication responsiveness poor (long holds, missed calls)
    • Perceived money-focused administration and poor resource support
    • Visitors restricted or communication barriers during COVID
    • Patients left unsupervised or wandering outdoors
    • Reused or inadequate cleaning supplies reported
    • Allegations of negligence leading to hospital transfers or death
    • Mixed reports on cleanliness with some areas reported dirty or hazardous
    • High variability in care quality creating polarized experiences

    Summary review

    Overall sentiment in the reviews for Skyline Health Care Center is deeply mixed and polarized: a sizeable number of reviewers praise compassionate, hardworking CNAs and nurses, effective therapy in some cases, engaged management, and pleasant communal spaces; simultaneously many reviewers report serious care, safety, hygiene, and staffing failures. The most consistent positive themes are human-centered: specific staff members and teams are repeatedly described as friendly, respectful, and knowledgeable. Several reviewers cited strong RNs, prompt nurse introductions, thorough PICC-line checks, a caring manager named Jay, and occasions of life-saving interventions. Physical spaces have pleasing features—open community rooms, skylights, a piano and an aviary—and certain operational areas (new pharmacy, parking/entry) were appreciated. Some families also reported regular cleaning, helpful activities, and adequate daily meals during parts of their stay.

    However, the negative reports are frequent, specific, and often severe. Clinical care problems appear repeatedly: poor wound care (dressings left off, wounds dirty), missed or delayed medications including insulin and IVs, and inconsistent nursing coverage are common complaints. Multiple reviewers described diabetes mismanagement (insulin withheld or stopped, resulting hyperglycemia), delayed IVs, and inadequate involvement of primary physicians. Patient safety issues include falls from bed, call-button failures, beds rolled into hallways without buzzers, and residents left unsupervised or wandering outside. There are also many allegations of neglectful or abusive behavior—rough handling, antagonistic night staff, and calls to police or elder abuse hotlines in extreme cases. These are serious red flags that appear in multiple, independent accounts.

    Staffing, communication, and accountability are central recurring themes. Many reviews highlight understaffing, unpredictable shift coverage, and blame shifting between shifts. Night staffing and registry/agency staff are singled out as particularly problematic by several reviewers, who reported antagonism, discrimination, or rough care. Language barriers with CNAs who speak limited English contribute to miscommunication with residents and family members. Families also describe poor responsiveness to calls, long delays for bathroom or repositioning assistance, and nonfunctional call systems. Conversely, other reviewers say staff were abundant and responsive—this contrast suggests high variability between shifts, units, or time periods rather than uniform performance.

    Facility condition and infection control are also mixed. Some reviewers praise a clean, bright environment and infection-control checks, while others report cockroach infestation, dirty gloves, leaking toilets, reused soap, and unmet maintenance requests. Several accounts implicate the facility in COVID outbreaks and other infection events. Laundry, linens, towels, and basic supplies are noted as missing in multiple reviews, and rooms are sometimes overcrowded (three-person rooms) or too small for family visits. Maintenance delays appear as a systemic frustration: broken TVs, nonfunctional mattresses or air mattresses, and unresolved hazards persisted for days or weeks in some reports.

    Nutrition, therapy, and activities receive varied feedback. Multiple reviewers praised physical therapy staff and the availability of group and individual activities; others said therapy was promised but not delivered, or residents were left in chairs without standing or gait work. Food quality and diet management are inconsistent: some called the food adequate or better than hospital food, while others said choices were limited, diabetic diets were not followed, or meal delivery was missed. This again points to uneven care delivery across the facility.

    Family communication and administrative responsiveness are problematic in many accounts. Families reported poor phone responsiveness, social work runarounds, and having to escalate to management to get answers. A few reviewers say management and clinical leadership were engaged and responsive, while other serious incidents (lack of a call from the medical director after a death, failure to respond to reported abuse) indicate gaps in leadership follow-through. Several reviewers explicitly advised others not to send loved ones here, while others strongly recommended the facility—indicating that experience is highly dependent on unit, shift, or individual staff members.

    Patterns and practical takeaways: reviewers consistently point to two major patterns. First, staffing variability—especially during nights or with registry staff—directly correlates with worse outcomes (missed meds, delayed responses, hygiene lapses). Second, where unit-level leadership and experienced RNs are present, families report good to excellent care. Prospective families should verify staffing ratios, ask about wound care protocols, infection-control measures, and diabetes management practices, and seek specific names of regular nursing leadership and therapists. Insist on seeing a current care plan, how medications and insulin are handled, maintenance response times, pest-control records, and call-button testing. Visit multiple times, including nights and weekends, and ask for references from recent families with similar care needs.

    In summary, Skyline Health Care Center presents a split picture: it can deliver attentive, skilled, and compassionate care under certain teams and shifts, but there are numerous, recurring reports of serious lapses—wound care neglect, medication errors, hygiene/pest issues, safety incidents, and poor night staffing—that have led some families to describe nightmarish experiences and even pursue complaints or legal action. Decisions about placement should weigh the facility’s positive human resources and communal amenities against the documented variability and the severity of the negative incidents; careful, specific due diligence and ongoing family involvement are strongly advised.

    Location

    Map showing location of Skyline Health Care Center

    About Skyline Health Care Center

    Skyline Health Care Center sits at 2063 Forest Ave in San Jose, offering licensed senior care with a focus on comfort, safety, and individual needs, and it's open every day from 10 in the morning until 8 at night which makes it easier for residents and their families to plan visits, though they're currently following strict COVID-19 policies, limiting visitors mainly to healthcare providers and using a self-contained COVID unit with special staff for anyone sick or suspected to have the virus. The center provides many types of care, including assisted living, skilled nursing available around the clock, and memory care for people living with Alzheimer's and other types of dementia, all within buildings like Stonebrook Health and Rehabilitation, Vista Manor Nursing Center, and Canyon Springs Post-Acute, plus it's got smaller board and care homes set up in regular neighborhoods where a small number of folks can get help with daily tasks like bathing, dressing, eating, and moving around. Seniors who want a more independent life can join areas with independent living suites and enjoy resort-style amenities, social activities, and optional support services, while those with health needs get skilled nursing, regular rehabilitation like physical, occupational, and speech therapies, wound care, IV therapy, pain management, enteral therapy, and even support with feeding and nutrition with a registered dietitian on hand who'll make sure meals match doctor's orders. The community gives short-term rehabilitation and long-term care, tries to foster healing and wellness in a safe, comfortable place, keeps infection control front and center with things like regular cleaning, staff screening, and personal protective equipment, and provides social services that look at not just medical but also recreational, emotional, and spiritual needs, offering tailored activities and support. The Rose Garden clinic in Ludhiana brings in clinic services every day for several health needs, with various specialist doctors in fields like general medicine, surgery, orthopedics, dentistry, dietetics, gynecology, ophthalmology, psychiatry, physiotherapy, urology, and more, and they treat a list of conditions including arthritis, pneumonia, colds, osteoporosis, and even fibromyalgia or color blindness, along with services like laser and cosmetic skin therapy, so with all of this, seniors at Skyline Health Care Center get choices for care, housing, and wellness resources all in one place.

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