Skilled nursing facility · CMS certification number 555734
CHILDRENS HC ORG NO CA -PEDIATRIC HOSPITAL D/P SNF
CAMPBELL, California · Medicare and Medicaid · 27 certified beds in Care Compare
In Care Compare’s provider information: Penalties: 0 · Fines: 0 · Fines, total amount: $0.00 · Payment denials: 0. The most recent penalty on file: October 2, 2023, Fine, $3,145. Every penalty on file ↓
CHILDRENS HC ORG NO CA -PEDIATRIC HOSPITAL D/P SNF: its citable report, full history — $295 · an email when it changes — $99/month
What stands out
- Its latest cost report on file is for fiscal year 2024, covering January 1, 2024 to December 31, 2024 (365 days), and CMS processed it on September 11, 2025.
- Its cost reports on file run from fiscal year 2017 to fiscal year 2024.
- Since its cost report for fiscal year 2024 was filed on September 11, 2025, no other change appears in the CMS files.
CHILDRENS HC ORG NO CA -PEDIATRIC HOSPITAL D/P SNF: Medicare cost reports
Form CMS-2540-10: each report covers January 1 to December 31 of its year; every report is settled.
| Form CMS-2540-10 | 2024 · report 1439412 | 2023 · report 1394570 | 2022 · report 1364652 | 2021 · report 1333471 | 2020 · report 1289835 | 2019 · report 1264277 | 2018 · report 1253533 | 2017 · report 1219841 |
|---|---|---|---|---|---|---|---|---|
| Processed by CMS | September 11, 2025 | September 11, 2024 | September 13, 2023 | September 21, 2022 | July 20, 2021 | August 19, 2020 | April 15, 2020 | February 15, 2019 |
None of these figures is carried on the report for fiscal years 2024, 2023, 2022, 2021, 2020, 2019, 2018, 2017.
CHILDRENS HC ORG NO CA -PEDIATRIC HOSPITAL D/P SNF: nurse staffing hours by quarter →
Who owns CHILDRENS HC ORG NO CA -PEDIATRIC HOSPITAL D/P SNF, as filed with CMS
Care Compare
- 5% OR GREATER DIRECT OWNERSHIP INTEREST: INNOVATIONS HEALTH SYSTEMS LLC (organization), NO PERCENTAGE PROVIDED, since 01/01/2017; MCGUIRE, KENNETH (individual), NO PERCENTAGE PROVIDED, since 01/01/2017; NICCUM, DAN (individual), NO PERCENTAGE PROVIDED, since 01/01/2017
- CORPORATE DIRECTOR: MCGUIRE, KENNETH (individual), NOT APPLICABLE, since 01/01/2017; NICCUM, DAN (individual), NOT APPLICABLE, since 01/01/2016
- CORPORATE OFFICER: MCGUIRE, KENNETH (individual), NOT APPLICABLE, since 01/01/2017; NICCUM, DAN (individual), NOT APPLICABLE, since 01/01/2016
- OPERATIONAL/MANAGERIAL CONTROL: INNOVATIONS HEALTH SYSTEMS LLC (organization), NOT APPLICABLE, since 01/01/2017; MCGUIRE, KENNETH (individual), NOT APPLICABLE, since 01/01/2017; NICCUM, DAN (individual), NOT APPLICABLE, since 01/01/2017
- W-2 MANAGING EMPLOYEE: MCGUIRE, KENNETH (individual), NOT APPLICABLE, since 01/01/2017; NICCUM, DAN (individual), NOT APPLICABLE, since 01/01/2017
Medicare enrollment
As filed in the CMS file dated October 1, 2026 (Medicare enrollment ownership), under the enrollment of CHILDRENS RECOVERY CENTER 1 LLC (enrollment ID O20180928001733).
- 5% OR GREATER DIRECT OWNERSHIP INTEREST: DAN T NICCUM (individual), 50.00%, since 01/01/2017; INNOVATIONS HEALTH SYSTEMS LLC (organization), 100.00%, since 01/01/2017; KENNETH S MCGUIRE (individual), 50.00%, since 01/01/2017
- CORPORATE DIRECTOR: DAN T NICCUM (individual), 50.00%, since 01/01/2016; KENNETH S MCGUIRE (individual), 50.00%, since 01/01/2017
- CORPORATE OFFICER: DAN T NICCUM (individual), 50.00%, since 01/01/2016; KENNETH S MCGUIRE (individual), 50.00%, since 01/01/2017
- OPERATIONAL/MANAGERIAL CONTROL: DAN T NICCUM (individual), 50.00%, since 01/01/2017; INNOVATIONS HEALTH SYSTEMS LLC (organization), 100.00%, since 01/01/2017; KENNETH S MCGUIRE (individual), 100.00%, since 01/01/2017
- W-2 MANAGING EMPLOYEE: DAN T NICCUM (individual), 50.00%, since 01/01/2017; KENNETH S MCGUIRE (individual), 100.00%, since 01/01/2017
Paused by CMS: Form CMS-855A, December 11, 2025.
Private equity company, real estate investment trust and holding company: Paused by CMS: DAN T NICCUM; KENNETH S MCGUIRE; DAN T NICCUM; KENNETH S MCGUIRE; DAN T NICCUM; KENNETH S MCGUIRE; DAN T NICCUM; KENNETH S MCGUIRE; DAN T NICCUM; KENNETH S MCGUIRE.
Private equity company, real estate investment trust and holding company: No: INNOVATIONS HEALTH SYSTEMS LLC; INNOVATIONS HEALTH SYSTEMS LLC.
Inspections of CHILDRENS HC ORG NO CA -PEDIATRIC HOSPITAL D/P SNF
- Cycle 1: health July 26, 2024 (5 deficiencies), fire safety July 26, 2024 (8)
- Cycle 2: health July 8, 2022 (4 deficiencies), fire safety July 8, 2022 (3)
- Cycle 3: health October 31, 2019 (7 deficiencies), fire safety October 31, 2019 (7)
Deficiencies cited at CHILDRENS HC ORG NO CA -PEDIATRIC HOSPITAL D/P SNF
16 deficiencies on file, by tag, newest citation first
every one from a health inspection; every one marked “Deficient, Provider has date of correction”; 1 cited from a complaint, marked below. Letter after a date: scope and severity grade.
- F 0658, resident assessment and care planning: October 10, 2024 (D, from a complaint, corrected October 17, 2024); July 26, 2024 (E, corrected August 31, 2024); July 8, 2022 (D, corrected July 30, 2022); October 31, 2019 (D, corrected November 22, 2019).
- F 0758, pharmacy service: July 26, 2024 (D, corrected August 31, 2024); October 31, 2019 (D, corrected November 22, 2019).
- F 0812, nutrition and dietary: July 26, 2024 (E, corrected August 31, 2024); July 8, 2022 (E, corrected July 22, 2022).
- F 0880, infection control: July 26, 2024 (E, corrected August 31, 2024); July 8, 2022 (E, corrected August 5, 2022).
- F 0921, environmental: July 26, 2024 (D, corrected August 31, 2024).
- F 0656, resident assessment and care planning: October 31, 2019 (D, corrected November 22, 2019).
- F 0657, resident assessment and care planning: October 31, 2019 (D, corrected November 22, 2019).
- F 0759, pharmacy service: October 31, 2019 (D, corrected November 22, 2019).
- F 0802, nutrition and dietary: October 31, 2019 (D, corrected November 22, 2019).
- F 0908, environmental: October 31, 2019 (E, corrected November 22, 2019).
Penalties
| Penalty date | Type | Fine amount | Payment denial began | Payment denial, days | Fine ID |
|---|---|---|---|---|---|
| October 2, 2023 | Fine | $3,145 | 128953 |
From the Care Compare penalties file NH_Penalties_Sep2026_2.csv, processed on September 1, 2026.
CHILDRENS HC ORG NO CA -PEDIATRIC HOSPITAL D/P SNF in Care Compare
- Ownership Type: For profit - Limited Liability company
- Legal Business Name: CHILDRENS RECOVERY CENTER 1 LLC
- Date First Approved to Provide Medicare and Medicaid Services: 1999-03-03
- Provider Resides in Hospital: N
- Continuing Care Retirement Community: N
- Urban: Y
- County/Parish: Santa Clara
- Telephone Number: 4085583640
- Provider Changed Ownership in Last 12 Months: N
- With a Resident and Family Council: Resident
- Automatic Sprinkler Systems in All Required Areas: Yes
- Average Number of Residents per Day: 24.6
- Overall Rating: 5
- Health Inspection Rating: 5
- QM Rating: 5
- Long-Stay QM Rating: 5
Care Compare: provider information NH_ProviderInfo_Oct2026.csv, October 1, 2026 · inspections NH_SurveySummary_Oct2026.csv, October 1, 2026 · citations NH_HealthCitations_Oct2026.csv, October 1, 2026 · penalties NH_Penalties_Sep2026_2.csv, September 1, 2026 · ownership NH_Ownership_Oct2026.csv, October 1, 2026.
Nothing on file for CHILDRENS HC ORG NO CA -PEDIATRIC HOSPITAL D/P SNF: no change in ownership since September 20, 2022.
Other nursing facilities in CAMPBELL and California
- BAYWOOD POST ACUTE
- CAMDEN POSTACUTE CARE, INC
- RICHMOND POST ACUTE CARE RICHMOND
- GOLDEN SONORA CARE CENTER SONORA
- BAYSHIRE SAN DIMAS POST-ACUTE SAN DIMAS
- Terrace Post Acute VAN NUYS
- THE SPRINGS AT PACIFIC REGENT SAN DIEGO
- VISTA REAL POST ACUTE BEAUMONT
Report a figure on CHILDRENS HC ORG NO CA -PEDIATRIC HOSPITAL D/P SNF’s record that differs from its CMS file, quoting 555734.