Inspection citations
11’23
60’24
16’25
28’26
115 shown
| Date | Severity | What inspectors found | Visit |
|---|---|---|---|
| Jun 30, 2026 | D · potential | Provide enough food/fluids to maintain a resident's health. | Complaint |
| Jun 30, 2026 | D · potential | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Complaint |
| Jun 30, 2026 | D · potential | Provide and implement an infection prevention and control program. | Complaint |
| May 6, 2026 | D · potential | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Routine |
| May 6, 2026 | D · potential | Reasonably accommodate the needs and preferences of each resident. | Routine |
| May 6, 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 |
| May 6, 2026 | D · potential | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Routine |
| May 6, 2026 | B · minimal | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | Routine |
| May 6, 2026 | D · potential | PASARR screening for Mental disorders or Intellectual Disabilities | Routine |
| May 6, 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 |
| May 6, 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. | Routine |
| May 6, 2026 | D · potential | Provide enough food/fluids to maintain a resident's health. | Routine |
| May 6, 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 |
| May 6, 2026 | D · potential | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Routine |
| May 6, 2026 | E · potential | Provide safe and appropriate respiratory care for a resident when needed. | Routine |
| May 6, 2026 | E · potential | Provide safe, appropriate dialysis care/services for a resident who requires such services. | Routine |
| May 6, 2026 | D · potential | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Routine |
| May 6, 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 |
| May 6, 2026 | D · potential | Ensure each resident’s drug regimen must be free from unnecessary drugs. | Routine |
| May 6, 2026 | E · 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 6, 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 |
| May 6, 2026 | D · potential | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Routine |
| May 6, 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 |
| May 6, 2026 | E · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
| May 6, 2026 | D · potential | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Routine |
| May 6, 2026 | D · potential | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Routine |
| May 6, 2026 | 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 |
| May 6, 2026 | E · potential | Provide and implement an infection prevention and control program. | Routine |
| Mar 24, 2025 | 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 |
| Mar 24, 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 |
| Mar 24, 2025 | 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. | Routine |
| Mar 24, 2025 | D · potential | Provide care and assistance to perform activities of daily living for any resident who is unable. | Routine |
| Mar 24, 2025 | D · potential | Provide enough food/fluids to maintain a resident's health. | Routine |
| Mar 24, 2025 | E · potential | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Routine |
| Mar 24, 2025 | D · potential | Provide safe and appropriate respiratory care for a resident when needed. | Routine |
| Mar 24, 2025 | D · potential | Provide safe, appropriate dialysis care/services for a resident who requires such services. | Routine |
| Mar 24, 2025 | D · potential | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Routine |
| Mar 24, 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 |
| Mar 24, 2025 | B · minimal | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Routine |
| Mar 24, 2025 | D · potential | Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Routine |
| Mar 24, 2025 | E · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
| Mar 24, 2025 | D · potential | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Routine |
| Mar 24, 2025 | D · potential | Provide and implement an infection prevention and control program. | Routine |
| Feb 14, 2025 | D · potential | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Complaint |
| Oct 29, 2024 | D · potential | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Complaint |
| Jul 17, 2024 | B · minimal | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | Complaint |
| Jun 25, 2024 | D · potential | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Complaint |
| May 3, 2024 | D · potential | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Complaint |
| Feb 8, 2024 | D · potential | Ensure that residents are fully informed and understand their health status, care and treatments. | Routine |
| Feb 8, 2024 | B · minimal | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Complaint |
| Feb 8, 2024 | D · potential | Allow residents to self-administer drugs if determined clinically appropriate. | Routine |
| Feb 8, 2024 | D · potential | Keep residents' personal and medical records private and confidential. | Routine |
| Feb 8, 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 |
| Feb 8, 2024 | D · potential | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Routine |
| Feb 8, 2024 | D · potential | 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. | Complaint |
| Feb 8, 2024 | D · potential | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Routine |
| Feb 8, 2024 | D · potential | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Routine |
| Feb 8, 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 |
| Feb 8, 2024 | B · minimal | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Routine |
| Feb 8, 2024 | D · potential | Provide activities to meet all resident's needs. | Routine |
| Feb 8, 2024 | D · potential | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | Routine |
| Feb 8, 2024 | D · potential | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Routine |
| Feb 8, 2024 | D · potential | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Complaint |
| Feb 8, 2024 | D · potential | Provide enough food/fluids to maintain a resident's health. | Routine |
| Feb 8, 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 |
| Feb 8, 2024 | D · potential | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Routine |
| Feb 8, 2024 | D · potential | Provide safe and appropriate respiratory care for a resident when needed. | Routine |
| Feb 8, 2024 | D · potential | Provide safe, appropriate pain management for a resident who requires such services. | Routine |
| Feb 8, 2024 | D · potential | Provide safe, appropriate dialysis care/services for a resident who requires such services. | Routine |
| Feb 8, 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 |
| Feb 8, 2024 | D · potential | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Routine |
| Feb 8, 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 |
| Feb 8, 2024 | D · potential | Ensure each resident’s drug regimen must be free from unnecessary drugs. | Routine |
| Feb 8, 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 |
| Feb 8, 2024 | D · potential | Ensure medication error rates are not 5 percent or greater. | Routine |
| Feb 8, 2024 | E · 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. | Complaint |
| Feb 8, 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 |
| Feb 8, 2024 | D · potential | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Routine |
| Feb 8, 2024 | B · minimal | Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Routine |
| Feb 8, 2024 | D · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
| Feb 8, 2024 | D · potential | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Routine |
| Feb 8, 2024 | 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 |
| Feb 8, 2024 | E · potential | Provide and implement an infection prevention and control program. | Routine |
| Feb 8, 2024 | E · potential | Implement a program that monitors antibiotic use. | Routine |
| Feb 8, 2024 | D · 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 |
| Jan 23, 2024 | E · potential | Reasonably accommodate the needs and preferences of each resident. | Complaint |
| Jan 23, 2024 | D · potential | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Complaint |
| Jan 23, 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. | Complaint |
| Jan 23, 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. | Complaint |
| Jan 23, 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 |
| Jan 23, 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. | Complaint |
| Jan 23, 2024 | D · potential | Prepare residents for a safe transfer or discharge from the nursing home. | Complaint |
| Jan 23, 2024 | 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 |
| Jan 23, 2024 | D · potential | Plan the resident's discharge to meet the resident's goals and needs. | Complaint |
| Jan 23, 2024 | E · potential | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | Complaint |
| Jan 23, 2024 | D · potential | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Complaint |
| Jan 23, 2024 | D · potential | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Complaint |
| Jan 23, 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. | Complaint |
| Jan 23, 2024 | D · potential | Provide safe, appropriate pain management for a resident who requires such services. | Complaint |
| Jan 23, 2024 | E · potential | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Complaint |
| Jan 23, 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 23, 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. | Complaint |
| Jan 23, 2024 | D · potential | Ensure that residents are free from significant medication errors. | Complaint |
| Jan 23, 2024 | B · minimal | Dispose of garbage and refuse properly. | Complaint |
| Dec 28, 2023 | D · potential | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Complaint |
| Dec 28, 2023 | D · potential | Ensure each resident’s drug regimen must be free from unnecessary drugs. | Complaint |
| Dec 28, 2023 | D · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Complaint |
| Dec 28, 2023 | D · potential | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Complaint |
| Dec 28, 2023 | D · potential | Provide and implement an infection prevention and control program. | Complaint |
| Nov 30, 2023 | D · potential | Reasonably accommodate the needs and preferences of each resident. | Complaint |
| Nov 30, 2023 | D · potential | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Complaint |
| Oct 18, 2023 | D · potential | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Complaint |
| Oct 18, 2023 | D · potential | 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. | Complaint |
| Oct 18, 2023 | D · potential | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Complaint |
| Oct 18, 2023 | B · minimal | Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | Complaint |
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
The Hills Post Acute
1800 Old Tustin Avenue, Santa Ana, CA 92705 · (714) 835-4900
Visit date: ____________ Spoke with: ______________________
Record on file
- Certification
- Medicare and Medi-Cal certified skilled nursing facility
- Medicare number (CCN)
- 555765
- Certified beds
- 174
- Legal owner
- Tustin Hills Healthcare, INC.
- Part of
- The Ensign Group
Full profile on Medicare's Care Compare. Source: CMS, processed October 1, 2026.
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