Harbor Villa Care Center, Anaheim, CA: Nursing home

Overall3★★★☆☆

Inspections2★★☆☆☆

Staffing3★★★☆☆

Quality5★★★★★

Federal finesNoneon record

Inspection citations

18’22

2’23

4’24

35’25

22’26

Year

81 shown

Date	Severity	What inspectors found	Visit
Apr 10, 2026	D · potential	Ensure that residents are fully informed and understand their health status, care and treatments.	Routine
Apr 10, 2026	D · potential	Allow residents to self-administer drugs if determined clinically appropriate.	Routine
Apr 10, 2026	D · potential	Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.	Routine
Apr 10, 2026	D · potential	Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.	Routine
Apr 10, 2026	D · potential	Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.	Routine
Apr 10, 2026	B · minimal	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	Routine
Apr 10, 2026	D · potential	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	Routine
Apr 10, 2026	E · potential	Provide appropriate pressure ulcer care and prevent new ulcers from developing.	Routine
Apr 10, 2026	D · potential	Provide enough food/fluids to maintain a resident's health.	Routine
Apr 10, 2026	D · potential	Provide for the safe, appropriate administration of IV fluids for a resident when needed.	Routine
Apr 10, 2026	D · potential	Provide safe and appropriate respiratory care for a resident when needed.	Routine
Apr 10, 2026	D · potential	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.	Routine
Apr 10, 2026	E · potential	Ensure that residents are free from significant medication errors.	Routine
Apr 10, 2026	D · potential	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.	Routine
Apr 10, 2026	D · potential	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.	Routine
Apr 10, 2026	E · potential	Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.	Routine
Apr 10, 2026	E · potential	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	Routine
Apr 10, 2026	D · potential	Provide and implement an infection prevention and control program.	Routine
Apr 10, 2026	D · potential	Develop and implement policies and procedures for flu and pneumonia vaccinations.	Routine
Apr 10, 2026	D · potential	Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.	Routine
Apr 10, 2026	D · potential	Keep all essential equipment working safely.	Routine
Jan 23, 2026	D · potential	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	Complaint
Aug 1, 2025	D · potential	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	Complaint
Jun 12, 2025	D · potential	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.	Complaint
Jun 12, 2025	D · potential	Respond appropriately to all alleged violations.	Complaint
Jun 12, 2025	B · minimal	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	Complaint
Apr 10, 2025	D · potential	Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.	Complaint
Mar 27, 2025	D · potential	Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.	Complaint
Mar 27, 2025	D · potential	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	Complaint
Mar 4, 2025	D · potential	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	Complaint
Mar 4, 2025	D · potential	Provide appropriate pressure ulcer care and prevent new ulcers from developing.	Complaint
Jan 10, 2025	D · potential	Allow residents to self-administer drugs if determined clinically appropriate.	Routine
Jan 10, 2025	D · potential	Reasonably accommodate the needs and preferences of each resident.	Routine
Jan 10, 2025	D · potential	Honor the resident's right to organize and participate in resident/family groups in the facility.	Routine
Jan 10, 2025	B · minimal	Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.	Routine
Jan 10, 2025	B · minimal	Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.	Routine
Jan 10, 2025	B · minimal	PASARR screening for Mental disorders or Intellectual Disabilities	Routine
Jan 10, 2025	B · minimal	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	Routine
Jan 10, 2025	D · potential	Provide activities to meet all resident's needs.	Routine
Jan 10, 2025	D · potential	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	Routine
Jan 10, 2025	D · potential	Provide safe and appropriate respiratory care for a resident when needed.	Routine
Jan 10, 2025	D · potential	Provide safe, appropriate dialysis care/services for a resident who requires such services.	Routine
Jan 10, 2025	D · potential	Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.	Routine
Jan 10, 2025	B · minimal	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.	Routine
Jan 10, 2025	B · minimal	Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.	Routine
Jan 10, 2025	D · potential	Ensure each resident’s drug regimen must be free from unnecessary drugs.	Routine
Jan 10, 2025	E · potential	Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.	Routine
Jan 10, 2025	D · potential	Ensure medication error rates are not 5 percent or greater.	Routine
Jan 10, 2025	D · potential	Ensure that residents are free from significant medication errors.	Routine
Jan 10, 2025	D · potential	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.	Routine
Jan 10, 2025	B · minimal	Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.	Routine
Jan 10, 2025	D · potential	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	Routine
Jan 10, 2025	B · minimal	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.	Routine
Jan 10, 2025	D · potential	Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.	Routine
Jan 10, 2025	E · potential	Provide and implement an infection prevention and control program.	Routine
Jan 10, 2025	D · potential	Implement a program that monitors antibiotic use.	Routine
Jan 10, 2025	B · minimal	Keep all essential equipment working safely.	Routine
Jul 17, 2024	D · potential	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.	Complaint
Jun 5, 2024	D · potential	Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.	Complaint
Jun 5, 2024	D · potential	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	Complaint
Feb 12, 2024	D · potential	Provide medically-related social services to help each resident achieve the highest possible quality of life.	Complaint
Oct 30, 2023	D · potential	Reasonably accommodate the needs and preferences of each resident.	Complaint
Oct 30, 2023	D · potential	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	Complaint
Aug 23, 2022	D · potential	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.	Routine
Aug 23, 2022	D · potential	Allow residents to self-administer drugs if determined clinically appropriate.	Routine
Aug 23, 2022	D · potential	Reasonably accommodate the needs and preferences of each resident.	Routine
Aug 23, 2022	D · potential	Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.	Routine
Aug 23, 2022	D · potential	Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.	Routine
Aug 23, 2022	D · potential	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	Routine
Aug 23, 2022	D · potential	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	Routine
Aug 23, 2022	D · potential	Provide appropriate pressure ulcer care and prevent new ulcers from developing.	Routine
Aug 23, 2022	L · harm	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	Routine
Aug 23, 2022	D · potential	Provide safe, appropriate pain management for a resident who requires such services.	Routine
Aug 23, 2022	D · potential	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.	Routine
Aug 23, 2022	D · potential	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.	Routine
Aug 23, 2022	D · potential	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.	Routine
Aug 23, 2022	E · potential	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	Routine
Aug 23, 2022	B · minimal	Dispose of garbage and refuse properly.	Routine
Aug 23, 2022	D · potential	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.	Routine
Aug 23, 2022	E · potential	Provide and implement an infection prevention and control program.	Routine
Aug 23, 2022	D · potential	Keep all essential equipment working safely.	Routine

Medicare's severity letters: A–C minimal harm, D–F potential for more than minimal harm, G–L actual harm or immediate danger. Source: CMS health deficiencies file, processed October 1, 2026.

Questions to ask on a visit

Harbor Villa Care Center
861 S. Harbor Blvd, Anaheim, CA 92805 · (714) 635-8131

Visit date: ____________ Spoke with: ______________________

How many nurses and aides work each shift, including nights and weekends?
How do you handle the most recent citations on your record?
Do you accept Medi-Cal if private funds run out?
Who will be the main contact for the family?
How do you prevent falls, pressure sores and infections?

Record on file

Certification: Medicare and Medi-Cal certified skilled nursing facility
Medicare number (CCN): 055742
Certified beds: 99
Legal owner: Casa Pacifica Nursing Center LLC
Part of: Cambridge Healthcare Services

Full profile on Medicare's Care Compare. Source: CMS, processed October 1, 2026.

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