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ICF/DD-N (Nursing)License activeMedi-Cal certified

SHINRAI - CAMINO VERDE

ICF/DD-N (Nursing) · 6 licensed beds · San Jose, CA

Homes of 4–15 beds for medically fragile people with developmental disabilities who need intermittent skilled nursing.

Address

SHINRAI - CAMINO VERDE6335 CAMINO VERDE DRSan Jose, CA 95119 · Santa Clara County

Phone: (408) 363-8812

Last 3 years: 13 federal inspections (10 found problems), 0 State citations or penalties. Last federal inspection: Jul 10, 2026.

  • Complaints aren't shown here; see this home on CalHealthFind ↗, CDPH's own site.
  • Federal inspections after March 19, 2026 may be missing: CMS says its data since then may be incomplete.

Facility details

CDPH listing, data as of Oct 16, 2026
Facility type
ICF/DD-N (Nursing)
Licensed beds
6
Licensee
MOURI MANAGEMENT GROUP INCORPORATED · For-profit company (state label: Profit Corp)
Administrator
PANALIGAN, ROSALYN L
IDs
CDPH facility ID 070001028 · License #070000440 · Federal ID (CCN) 55G145
First licensed
March 26, 1997
Current license
Mar 26, 2026 to Mar 25, 2027
CDPH district office
San Jose

Federal certification (CMS)

CMS Provider of Services file
Status in CDPH's listing
Licensed And Certified
Program
Medi-Cal (state label: T19)
Participating since
November 26, 1997
Last certification inspection
December 10, 2025From CMS's Provider of Services file, which can lag behind the inspections listed below.
CMS certification status
Certified
In compliance (CMS)
Yes
Last certification action
Recertification
Ownership type (CMS)
Private (proprietary)
Certified beds (CMS)
6
Staffing reported to CMS (full-time equivalents)
RN 1 · LVN/LPN 2 · direct care 9 · all employees 12Staff hours counted as full-time jobs: 1 is one full-time job; 0.25 is about 10 hours a week.

State citations and penalties (CDPH)

6 penalties since 1998, newest first

CDPH's citations come in three classes: AA (a substantial factor in a resident's death), A (imminent danger or a substantial probability of death or serious harm) and B (a direct relationship to residents' health, safety or security). Care homes licensed by Social Services use Type A/B instead: a different agency and scale. State citations explained

  • Class BOther

    Citation - B · Rules cited: 483.470(l)(1) · Violation Nov 18, 2020 · Penalty #070016208 · Inspection ID 7TB911

    Case closed · Not appealed

  • Class BPatient Care

    Citation B (HSC 1424) · Violation Aug 2, 2017 · Penalty #070013420 · Inspection ID OPY411

    Case closed · Not appealed

    $1,000

  • Class BMedication

    Citation B (HSC 1424) · Violation May 4, 2010 · Penalty #070007231 · Inspection ID 206811

    Case closed · Appealed (received Jun 7, 2010)

    $400

    reduced from $800

  • Class BPatient Care

    Citation B (HSC 1424) · Violation May 3, 2010 · Penalty #070007233 · Inspection ID 206811

    Case closed · Appealed (received Jun 9, 2010)

    $400

    reduced from $800

  • Class BPatient Care

    Citation B (HSC 1424) · Violation Dec 21, 2008 · Penalty #070005794 · Inspection ID DGHN11

    Case closed · Not appealed

    $600

  • Class APatient Rights

    Citation A (HSC 1424) · Violation Jun 29, 2002 · Penalty #070002465

    Case closed · Appealed (received Jul 23, 2002)

    $8,000

Federal inspections

36 inspections since 2018 · CMS data through Oct 12, 2026

CDPH inspects Medi-Cal certified ICFs for CMS (the federal agency calls these "surveys"). Each finding has a code: W for a care or rights rule, E for emergency preparedness, K for fire safety. A "condition-level" finding is the most serious kind: a whole area of care failed. How to read an ICF inspection

Content note: these federal findings describe residents' care and can include abuse, neglect, injuries and medical details. They're shown as CMS published them; residents are identified only by number (such as "Client 1").

  1. · Complaint inspection

    no problems found · Inspection ID 25D6A3-H1

    Official federal report ↗
  2. · Complaint inspection

    no problems found · Inspection ID 23601A-H1

    Official federal report ↗
  3. · Complaint inspection

    no problems found · Inspection ID RCBQ11

    Official federal report ↗
  4. · Complaint inspection

    1 problem found · Inspection ID 9BQX11

  5. · Complaint inspection

    1 problem found · Inspection ID Q05411

  6. · Complaint inspection

    1 problem found · Inspection ID O5LD11

  7. · Complaint inspection

    2 problems found · Inspection ID 3B3M11

From CMS's inspection data, saved Oct 26, 2026; data after March 19, 2026 may be incomplete while CMS's systems migrate. Plans of correction and State-only (licensing) findings aren't in CMS's file; the official federal reports (form CMS-2567) on CalHealthFind have them.

Complaints and reported incidents

CDPH doesn't publish complaints or facility-reported incidents as a bulk file, so they aren't on ICFLookup. Its CalHealthFind page for this facility lists them (intake date, allegation category and whether each was substantiated), along with state licensing findings and ownership details.

Federal inspections that came from a complaint or an incident report do appear above, marked "Complaint inspection".

Open this facility on CalHealthFind ↗How to file a complaint with CDPH

Change history

43 events (42 reports, 1 other change), newest first

Dates are the agencies' own (license, federal inspection and citation dates), except changes marked "detected": those we spotted in CDPH's monthly list ourselves, tracked since Oct 26, 2026.

  1. ReportFederal complaint inspection: no problems found

    See this inspection →
  2. ReportFederal complaint inspection: no problems found

    See this inspection →
  3. ReportRoutine federal inspection: 5 problems found

    See this inspection →
  4. ReportFederal inspection (complaint, recertification): 8 problems found

    See this inspection →
  5. ReportFederal complaint inspection: no problems found

    See this inspection →
  6. ReportFederal complaint inspection: 1 problem found

    See this inspection →
  7. ReportFederal complaint inspection: 1 problem found

    See this inspection →
  8. ReportRoutine federal inspection: 8 problems found

    See this inspection →
  9. ReportFederal inspection (complaint, recertification): 11 problems found

    See this inspection →
  10. ReportFederal complaint inspection: 1 problem found

    See this inspection →

Sources: CDPH Licensed and Certified Healthcare Facility Listing (data as of Oct 16, 2026), CDPH State Enforcement Actions, and CMS's ICF/IID inspection (CMS-2567) and Provider of Services files. Always confirm with CDPH's CalHealthFind ↗ before making a decision. See How our data works.