Nursing home · Top rated by CMS
Vi at Palo Alto (Skilled Nursing and Continuing Care)
600 Sand Hill Road, Palo Alto, CA 94304 · Map
For profit - Limited Liability company · Part of Vi Living (10 facilities) · 44 certified beds
Vi at Palo Alto (Skilled Nursing and Continuing Care) is a Medicare-certified nursing home in Palo Alto, California. CMS rates it 5 out of 5 stars overall (5/5 for staffing, 4/5 for health inspections). Nurse staffing is 5.81 hours per resident per day, above the California average of 4.51. Its most recent inspection on Aug 23, 2024 cited 6 deficiencies.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Vi at Palo Alto (Skilled Nursing and Continuing Care) compares
This facility vs. the California and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | California avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 5.81 | 4.51 | 3.89 | above avg |
| RN staffing (hrs/resident/day) | 1.34 | 0.65 | 0.68 | above avg |
| Aide staffing (hrs/resident/day) | 3.33 | 2.64 | 2.34 | above avg |
| Nursing staff turnover | 20.7% | 38.1% | 46.4% | below avg |
| Deficiencies cited, last inspection | 6.0 | 15.4 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
- Every deficiency from the January 26, 2026 inspection was corrected by February 16, 2026
What inspectors found at Vi at Palo Alto (Skilled Nursing and Continuing Care)
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Nutrition and Dietary Deficiencies · Jan 26, 2026 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Jan 26, 2026 · Full report (PDF) - Potential for harm
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.
Pharmacy Service Deficiencies · Jan 26, 2026 · Full report (PDF) - Potential for harm
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service Deficiencies · Jan 26, 2026 · Full report (PDF) - Potential for harm
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · Jan 26, 2026 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Aug 23, 2024 · Full report (PDF) - Potential for harm
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Quality of Life and Care Deficiencies · Aug 23, 2024 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Aug 23, 2024 · Full report (PDF) - Potential for harm
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · Aug 23, 2024 · Full report (PDF) - Potential for harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Aug 23, 2024 · Full report (PDF) - Potential for harm
Keep residents' personal and medical records private and confidential.
Resident Rights Deficiencies · Aug 23, 2024 · Full report (PDF) - Actual harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Mar 22, 2024 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 600 Sand Hill Road
Palo Alto, CA 94304 - CMS certification #
- 555835
- Ownership
- For profit - Limited Liability company
- Certified beds
- 44
- Avg residents/day
- 37.5
- Provider type
- Medicare
- First certified
- 2006-09-07
- Chain
- Vi Living (10 facilities)
- Setting
- Urban
Part of Vi Living
Vi Living operates 10 nursing facilities across the United States. View all Vi Living facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Vi at Palo Alto (Skilled Nursing and Continuing Care) using Google Maps.
Other public records
- Kitchen 4 inspections by County of Santa Clara Department of Environmental Health since 2025; latest Green (pass) (May 2026)
Full public records, with dates and sources
Kitchen inspections
The local health department inspects the kitchen that serves residents. Results are in the agency's own words.
County of Santa Clara Department of Environmental Health: Lhcf-vi at Palo Alto
- May 13, 2026 (routine inspection): Green (pass).
1 violation
- Hot and cold water available (Minor). Inspector’s note: Measured hot water at 3 comp sink at 112-116F. [CA] Maintain a minimum of 120F water at the faucet. Measured warm water at hand sink next to ice machine at 117F. [CA] Maintain warm water between 100-108F for automatic combination faucets.
- Jan 7, 2025 (routine inspection): Green (pass).
2 violations
- Proper cooling methods (Major). Inspector’s note: Measured chicken sauce in a full covered container prepared yesterday at 55F. [CA] When cooling food, use shallow containers, using no more than 2 inches for solid foods and no more than 4 inches for liquids. Keep food uncovered or loosely covered to allow rapid cooling. [COS] Food was discarded in ...
- Proper reheating procedures for hot holding (Minor). Inspector’s note: Measured black rice at 90F in warmer unit that was just prepared. [CA] Reheating for hot holding shall be done rapidly, and the time the food is between 41°F and 165°F shall not exceed two hour.[COS]
Source: the agency's records, inspections since Oct 16, 2023, as of Oct 15, 2026. G (Green): Pass. Y (Yellow): Conditional pass; major violations found, follow-up inspection required. R (Red): Closed; an imminent health hazard was found. Major violation: The county's critical (major) violation flag.
County of Santa Clara Department of Environmental Health: Vi at Palo Alto-Bar
- May 13, 2026 (routine inspection): Green (pass).
1 violation
- Hot and cold water available (Minor). Inspector’s note: Hot water at 3 comp sink measured at 109F. [CA] Maintain a minimum of 120F water temperature at the faucet.
- Jan 7, 2025 (routine inspection): Green (pass). No violations listed.
Source: the agency's records, inspections since Oct 16, 2023, as of Oct 15, 2026. G (Green): Pass. Y (Yellow): Conditional pass; major violations found, follow-up inspection required. R (Red): Closed; an imminent health hazard was found. Major violation: The county's critical (major) violation flag.
Location and nearby care
- Nearest hospital with an emergency room
- Stanford Health Care, Stanford. 1.6 miles away, straight line. CMS overall hospital rating: 5 of 5 stars. Location approximate.
- Nearest Medicare nursing home
- Atherton Park Post-acute, Menlo Park. 1.0 mile away, straight line.
- Nearest home health agency office
- Universal Home Health, LLC, Menlo Park. 0.7 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Hoover Pharmacy. 0.6 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 94304 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Lucile Packard Stanford Pediatric Dialysis, Palo Alto, 0.4 miles away, straight line (CMS rating 1 of 5 stars)
Satellite Healthcare Menlo Park, Menlo Park, 3.2 miles away, straight line (CMS rating 5 of 5 stars)
Davita Redwood City Dialysis, Redwood City, 4.1 miles away, straight line (has a shift starting after 5 pm; CMS rating 4 of 5 stars) - Hospice
- 11 Medicare hospices tell CMS they serve ZIP code 94304.
Pathways Home Health And Hospice, office in Sunnyvale, 8.5 miles away, straight line (CMS family survey rating 3 of 5 stars)
Sutter Care At Home, office in San Mateo, 10.6 miles away, straight line (CMS family survey rating 3 of 5 stars)
Mission Hospice & Home Care, Inc., office in San Mateo, 10.7 miles away, straight line (CMS family survey rating 3 of 5 stars) - Nearest geriatric medicine practice
- Sutter Bay Medical Foundation, Palo Alto. 1.0 mile away, straight line. 6 geriatric medicine doctors listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively moderate. By hazard: inland flooding relatively moderate, wildfire very low, tornado very low, heat wave very low, earthquake relatively high. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| County of Santa Clara Department of Environmental Health kitchen inspections | Oct 15, 2026 | See above |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here very low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
Looking for assisted living or memory care instead?
Frequently asked questions
Is Vi at Palo Alto (Skilled Nursing and Continuing Care) a good nursing home?
CMS gives Vi at Palo Alto (Skilled Nursing and Continuing Care) an overall rating of 5 out of 5 stars, including 5/5 for staffing and 4/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Vi at Palo Alto (Skilled Nursing and Continuing Care) staffed?
Vi at Palo Alto (Skilled Nursing and Continuing Care) reports 5.81 total nurse hours per resident per day, compared with the California average of 4.51.
Has Vi at Palo Alto (Skilled Nursing and Continuing Care) had inspection problems?
Its most recent CMS inspection cited 6 deficiencies.
How many beds does Vi at Palo Alto (Skilled Nursing and Continuing Care) have?
Vi at Palo Alto (Skilled Nursing and Continuing Care) is certified for 44 beds.