Trabuco Hills Post Acute, Lake Forest, CA: Nursing home

Overall2★★☆☆☆

Inspections1★☆☆☆☆

Staffing2★★☆☆☆

Quality5★★★★★

Federal finesNoneon record

Inspection citations

14’22

37’24

9’25

47’26

Year

107 shown

Date	Severity	What inspectors found	Visit
Jun 24, 2026	D · potential	Allow residents to self-administer drugs if determined clinically appropriate.	Complaint
May 27, 2026	D · potential	Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.	Complaint
May 27, 2026	D · potential	Develop and implement policies and procedures to prevent abuse, neglect, and theft.	Complaint
Mar 4, 2026	D · potential	Allow residents to self-administer drugs if determined clinically appropriate.	Routine
Mar 4, 2026	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
Mar 4, 2026	D · potential	Keep residents' personal and medical records private and confidential.	Routine
Mar 4, 2026	D · potential	Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.	Routine
Mar 4, 2026	D · potential	Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.	Routine
Mar 4, 2026	D · potential	Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.	Routine
Mar 4, 2026	B · minimal	Ensure each resident receives an accurate assessment.	Routine
Mar 4, 2026	D · potential	Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.	Routine
Mar 4, 2026	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
Mar 4, 2026	D · potential	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	Routine
Mar 4, 2026	D · potential	Assist a resident in gaining access to vision and hearing services.	Routine
Mar 4, 2026	D · potential	Provide appropriate pressure ulcer care and prevent new ulcers from developing.	Routine
Mar 4, 2026	D · potential	Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.	Routine
Mar 4, 2026	D · potential	Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.	Routine
Mar 4, 2026	D · potential	Provide for the safe, appropriate administration of IV fluids for a resident when needed.	Routine
Mar 4, 2026	D · potential	Provide safe and appropriate respiratory care for a resident when needed.	Routine
Mar 4, 2026	D · potential	Provide safe, appropriate pain management for a resident who requires such services.	Routine
Mar 4, 2026	D · potential	Provide safe, appropriate dialysis care/services for a resident who requires such services.	Routine
Mar 4, 2026	D · potential	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.	Routine
Mar 4, 2026	D · potential	Ensure medication error rates are not 5 percent or greater.	Routine
Mar 4, 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
Mar 4, 2026	D · potential	Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.	Routine
Mar 4, 2026	E · 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
Mar 4, 2026	D · potential	Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.	Routine
Mar 4, 2026	E · potential	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	Routine
Mar 4, 2026	D · potential	Have a policy regarding use and storage of foods brought to residents by family and other visitors.	Routine
Mar 4, 2026	B · minimal	Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.	Routine
Mar 4, 2026	D · potential	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.	Routine
Mar 4, 2026	E · 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
Mar 4, 2026	D · potential	Have a plan that describes the process for conducting QAPI and QAA activities.	Routine
Mar 4, 2026	E · potential	Provide and implement an infection prevention and control program.	Routine
Mar 4, 2026	D · potential	Implement a program that monitors antibiotic use.	Routine
Mar 4, 2026	D · potential	Develop and implement policies and procedures for flu and pneumonia vaccinations.	Routine
Mar 4, 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
Mar 4, 2026	E · potential	Keep all essential equipment working safely.	Routine
Mar 4, 2026	D · potential	Make sure that a working call system is available in each resident's bathroom and bathing area.	Routine
Mar 4, 2026	E · potential	Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.	Routine
Mar 4, 2026	D · potential	Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.	Routine
Jan 23, 2026	B · minimal	Keep residents' personal and medical records private and confidential.	Complaint
Jan 23, 2026	B · minimal	Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.	Complaint
Jan 23, 2026	B · minimal	Provide appropriate pressure ulcer care and prevent new ulcers from developing.	Complaint
Jan 23, 2026	B · minimal	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.	Complaint
Jan 23, 2026	D · potential	Ensure each resident’s drug regimen must be free from unnecessary drugs.	Complaint
Jan 23, 2026	B · minimal	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.	Complaint
Sep 9, 2025	D · potential	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	Complaint
Sep 9, 2025	D · potential	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.	Complaint
Aug 21, 2025	B · minimal	Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.	Complaint
Aug 21, 2025	D · potential	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	Complaint
Aug 21, 2025	B · minimal	Provide timely, quality laboratory services/tests to meet the needs of residents.	Complaint
Aug 8, 2025	B · minimal	Allow residents to self-administer drugs if determined clinically appropriate.	Complaint
Aug 8, 2025	D · potential	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	Complaint
Apr 24, 2025	D · potential	Provide or get specialized rehabilitative services as required for a resident.	Complaint
Feb 19, 2025	D · potential	Provide or get specialized rehabilitative services as required for a resident.	Complaint
Nov 15, 2024	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.	Complaint
Oct 11, 2024	B · minimal	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.	Routine
Oct 11, 2024	D · potential	Allow residents to self-administer drugs if determined clinically appropriate.	Routine
Oct 11, 2024	D · potential	Reasonably accommodate the needs and preferences of each resident.	Routine
Oct 11, 2024	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
Oct 11, 2024	D · potential	Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.	Routine
Oct 11, 2024	D · potential	Keep residents' personal and medical records private and confidential.	Routine
Oct 11, 2024	D · potential	Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.	Routine
Oct 11, 2024	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
Oct 11, 2024	D · potential	Provide activities to meet all resident's needs.	Routine
Oct 11, 2024	D · potential	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	Complaint
Oct 11, 2024	B · minimal	Assist a resident in gaining access to vision and hearing services.	Routine
Oct 11, 2024	D · potential	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	Routine
Oct 11, 2024	D · potential	Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.	Routine
Oct 11, 2024	D · potential	Provide safe and appropriate respiratory care for a resident when needed.	Routine
Oct 11, 2024	D · potential	Provide safe, appropriate dialysis care/services for a resident who requires such services.	Routine
Oct 11, 2024	E · 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.	Complaint
Oct 11, 2024	D · potential	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.	Routine
Oct 11, 2024	D · potential	Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.	Routine
Oct 11, 2024	B · minimal	Ensure each resident’s drug regimen must be free from unnecessary drugs.	Complaint
Oct 11, 2024	D · 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
Oct 11, 2024	D · potential	Ensure medication error rates are not 5 percent or greater.	Routine
Oct 11, 2024	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
Oct 11, 2024	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
Oct 11, 2024	E · potential	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	Routine
Oct 11, 2024	B · minimal	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.	Complaint
Oct 11, 2024	E · potential	Provide and implement an infection prevention and control program.	Routine
Oct 11, 2024	D · potential	Implement a program that monitors antibiotic use.	Routine
Oct 11, 2024	D · potential	Keep all essential equipment working safely.	Routine
Oct 11, 2024	E · potential	Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.	Routine
Oct 11, 2024	B · minimal	Provide bedrooms that don't allow residents to see each other when privacy is needed.	Routine
Aug 1, 2024	B · minimal	Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.	Complaint
Jun 20, 2024	D · potential	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	Complaint
May 16, 2024	B · minimal	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	Complaint
Apr 30, 2024	B · minimal	Allow resident to participate in the development and implementation of his or her person-centered plan of care.	Complaint
Mar 20, 2024	B · minimal	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.	Complaint
Mar 7, 2024	B · minimal	Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.	Complaint
Apr 8, 2022	D · potential	Reasonably accommodate the needs and preferences of each resident.	Routine
Apr 8, 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
Apr 8, 2022	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
Apr 8, 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
Apr 8, 2022	D · potential	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	Routine
Apr 8, 2022	D · potential	Provide safe and appropriate respiratory care for a resident when needed.	Routine
Apr 8, 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
Apr 8, 2022	B · minimal	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 8, 2022	B · minimal	Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.	Routine
Apr 8, 2022	E · potential	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	Routine
Apr 8, 2022	D · potential	Have a policy regarding use and storage of foods brought to residents by family and other visitors.	Routine
Apr 8, 2022	B · minimal	Dispose of garbage and refuse properly.	Routine
Apr 8, 2022	B · minimal	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.	Routine
Apr 8, 2022	D · potential	Provide and implement an infection prevention and control program.	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

Trabuco Hills Post Acute
25652 Old Trabuco Road, Lake Forest, CA 92630 · (949) 380-9380

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): 555308
Certified beds: 175
Legal owner: Lake Forest Post Acute LLC
Part of: David Johnson

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

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Inspection citations

Questions to ask on a visit

Record on file

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