New Orange Hills, Orange, CA: Nursing home

Overall1★☆☆☆☆

Inspections2★★☆☆☆

Staffing1★☆☆☆☆

Quality3★★★☆☆

Federal fines$8,4251 fine

Inspection citations

13’22

4’23

29’24

13’25

22’26

Year

81 shown

Date	Severity	What inspectors found	Visit
Jul 29, 2026	D · potential	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.	Complaint
Jul 8, 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.	Complaint
Feb 18, 2026	D · potential	Allow residents to self-administer drugs if determined clinically appropriate.	Routine
Feb 18, 2026	D · potential	Keep residents' personal and medical records private and confidential.	Routine
Feb 18, 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
Feb 18, 2026	D · potential	Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.	Routine
Feb 18, 2026	E · potential	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	Routine
Feb 18, 2026	B · minimal	Provide appropriate pressure ulcer care and prevent new ulcers from developing.	Routine
Feb 18, 2026	D · potential	Provide appropriate foot care.	Routine
Feb 18, 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
Feb 18, 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
Feb 18, 2026	E · potential	Provide safe and appropriate respiratory care for a resident when needed.	Routine
Feb 18, 2026	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
Feb 18, 2026	B · minimal	Observe each nurse aide's job performance and give regular training.	Routine
Feb 18, 2026	D · potential	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.	Routine
Feb 18, 2026	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
Feb 18, 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
Feb 18, 2026	D · potential	Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.	Routine
Feb 18, 2026	E · potential	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	Routine
Feb 18, 2026	B · minimal	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.	Routine
Feb 18, 2026	E · potential	Provide and implement an infection prevention and control program.	Routine
Feb 18, 2026	D · potential	Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.	Routine
Nov 26, 2025	D · potential	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	Complaint
Nov 26, 2025	B · minimal	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.	Complaint
Nov 10, 2025	G · harm	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	Complaint
Sep 18, 2025	D · potential	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	Complaint
Aug 6, 2025	D · potential	Provide and implement an infection prevention and control program.	Complaint
Jul 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.	Complaint
May 14, 2025	D · potential	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	Complaint
May 14, 2025	D · potential	Provide appropriate pressure ulcer care and prevent new ulcers from developing.	Complaint
May 14, 2025	B · minimal	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.	Complaint
May 14, 2025	D · potential	Provide and implement an infection prevention and control program.	Complaint
Feb 28, 2025	D · potential	Provide appropriate pressure ulcer care and prevent new ulcers from developing.	Complaint
Feb 28, 2025	D · potential	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	Complaint
Jan 7, 2025	B · minimal	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	Complaint
Nov 15, 2024	B · minimal	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.	Complaint
Nov 15, 2024	D · potential	Reasonably accommodate the needs and preferences of each resident.	Routine
Nov 15, 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
Nov 15, 2024	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
Nov 15, 2024	D · potential	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	Routine
Nov 15, 2024	D · potential	Provide appropriate pressure ulcer care and prevent new ulcers from developing.	Routine
Nov 15, 2024	D · potential	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	Routine
Nov 15, 2024	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
Nov 15, 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
Nov 15, 2024	D · potential	Provide safe and appropriate respiratory care for a resident when needed.	Routine
Nov 15, 2024	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
Nov 15, 2024	D · potential	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.	Routine
Nov 15, 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
Nov 15, 2024	D · potential	Ensure medication error rates are not 5 percent or greater.	Routine
Nov 15, 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
Nov 15, 2024	D · potential	Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.	Routine
Nov 15, 2024	E · potential	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	Routine
Nov 15, 2024	D · potential	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.	Routine
Nov 15, 2024	D · potential	Provide and implement an infection prevention and control program.	Routine
Nov 15, 2024	D · potential	Implement a program that monitors antibiotic use.	Complaint
Aug 1, 2024	B · minimal	Provide and implement an infection prevention and control program.	Complaint
May 30, 2024	B · minimal	Reasonably accommodate the needs and preferences of each resident.	Complaint
Mar 21, 2024	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
Mar 21, 2024	D · potential	Ensure each resident’s drug regimen must be free from unnecessary drugs.	Complaint
Mar 21, 2024	D · potential	Provide and implement an infection prevention and control program.	Complaint
Mar 12, 2024	D · potential	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	Complaint
Jan 24, 2024	D · potential	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	Complaint
Jan 24, 2024	D · potential	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.	Complaint
Jan 24, 2024	D · potential	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.	Complaint
Dec 13, 2023	D · potential	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	Complaint
Dec 13, 2023	D · potential	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.	Complaint
Nov 17, 2023	D · potential	Ensure each resident’s drug regimen must be free from unnecessary drugs.	Complaint
Oct 23, 2023	D · potential	Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.	Complaint
May 16, 2022	D · potential	Ensure that residents are fully informed and understand their health status, care and treatments.	Routine
May 16, 2022	D · potential	Reasonably accommodate the needs and preferences of each resident.	Routine
May 16, 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
May 16, 2022	D · potential	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	Routine
May 16, 2022	D · potential	Provide appropriate pressure ulcer care and prevent new ulcers from developing.	Routine
May 16, 2022	D · potential	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	Routine
May 16, 2022	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
May 16, 2022	D · potential	Provide safe, appropriate dialysis care/services for a resident who requires such services.	Routine
May 16, 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
May 16, 2022	D · potential	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	Routine
May 16, 2022	D · potential	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.	Routine
May 16, 2022	D · potential	Provide and implement an infection prevention and control program.	Routine
May 16, 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

New Orange Hills
5017 E. Chapman Avenue, Orange, CA 92869 · (714) 997-7090

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): 555286
Certified beds: 145
Legal owner: Hollyleaf Healthcare, INC.
Part of: The Ensign Group

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

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New Orange Hills

Inspection citations

Questions to ask on a visit

Record on file

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