Starfile

Starfile / California

FOUNTAIN VALLEY POST ACUTE

11680 WARNER AVENUE, FOUNTAIN VALLEY, CA 92708 · CCN 555328

Ratings

Overall
★★★★☆ 4
Health inspection
★★★☆☆ 3
Quality measures
★★★★★ 5
Staffing
★★★☆☆ 3

Facility

Ownership type
For profit - Corporation
Certified beds
151
Avg residents/day
139.4
Phone
7142419800

Inspection history vs California & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

CycleInspection dateThis facilityCalifornia avgNational avgvs state
12026-01-132715.69.5+11.4 worse
22024-11-072517.49.8+7.6 worse
32022-06-132417.19.3+6.9 worse

Cycle 1 deficiencies by category

CategoryDeficiencies
Abuse, neglect, exploitation2
Quality of life and care7
Resident assessment and care planning2
Resident rights6
Nutrition and dietary6
Pharmacy service1
Administration2
Infection control1

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)4.1131.8%
RN staffing (reported)0.4035.3%
Total nurse staffing (adjusted)3.60

Fines & penalties

Total fines
$0
Number of fines
0
Number of penalties
0
Payment denials
0

Chain

Chain
PACS GROUP
Facilities in chain
264
Chain avg overall
2.90 / 5

Inspection citations (76)

  1. DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2026-01-13 · Health · corrected 2026-02-12

    Potential for more than minimal harm

  2. DF0554Allow residents to self-administer drugs if determined clinically appropriate.2026-01-13 · Health · corrected 2026-02-12

    Potential for more than minimal harm

  3. BF0558Reasonably accommodate the needs and preferences of each resident.2026-01-13 · Health · corrected 2026-02-12

    Potential for minimal harm

  4. DF0578Honor 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.2026-01-13 · Health · corrected 2026-02-12

    Potential for more than minimal harm

  5. BF0583Keep residents' personal and medical records private and confidential.2026-01-13 · Health · corrected 2026-02-12

    Potential for minimal harm

  6. DF0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.2026-01-13 · Health · corrected 2026-02-12

    Potential for more than minimal harm

  7. DF0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.2026-01-13 · Health · corrected 2026-02-12

    Potential for more than minimal harm

  8. DF0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.2026-01-13 · Health · corrected 2026-02-12

    Potential for more than minimal harm

  9. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2026-01-13 · Health · corrected 2026-02-12

    Potential for more than minimal harm

  10. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2026-01-13 · Health · corrected 2026-02-12

    Potential for more than minimal harm

  11. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2026-01-13 · Health · corrected 2026-02-12

    Potential for more than minimal harm

  12. DF0693Ensure 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.2026-01-13 · Health · corrected 2026-02-12

    Potential for more than minimal harm

  13. BF0695Provide safe and appropriate respiratory care for a resident when needed.2026-01-13 · Health · corrected 2026-02-12

    Potential for minimal harm

  14. DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2026-01-13 · Health · corrected 2026-02-12

    Potential for more than minimal harm

  15. BF0761Ensure 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.2026-01-13 · Health · corrected 2026-02-12

    Potential for minimal harm

  16. DF0802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.2026-01-13 · Health · corrected 2026-02-12

    Potential for more than minimal harm

  17. DF0803Ensure 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.2026-01-13 · Health · corrected 2026-02-12

    Potential for more than minimal harm

  18. DF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2026-01-13 · Health · corrected 2026-02-12

    Potential for more than minimal harm

  19. DF0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.2026-01-13 · Health · corrected 2026-02-12

    Potential for more than minimal harm

  20. DF0810Provide special eating equipment and utensils for residents who need them and appropriate assistance.2026-01-13 · Health · corrected 2026-02-12

    Potential for more than minimal harm

  21. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2026-01-13 · Health · corrected 2026-02-12

    Potential for more than minimal harm

  22. DF0838Conduct 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.2026-01-13 · Health · corrected 2026-02-12

    Potential for more than minimal harm

  23. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2026-01-13 · Health · corrected 2026-02-12

    Potential for more than minimal harm

  24. DF0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.2026-01-13 · Health · corrected 2026-02-12

    Potential for more than minimal harm

  25. DF0880Provide and implement an infection prevention and control program.2026-01-13 · Health · corrected 2026-02-12

    Potential for more than minimal harm

  26. BF0695Provide safe and appropriate respiratory care for a resident when needed.2025-11-25 · Health · corrected 2025-12-16

    Potential for minimal harm

  27. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-04-10 · Health · corrected 2025-05-09

    Potential for more than minimal harm

  28. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-02-12 · Health · corrected 2025-03-11

    Potential for more than minimal harm

  29. DF0610Respond appropriately to all alleged violations.2025-02-12 · Health · corrected 2025-03-11

    Potential for more than minimal harm

  30. BF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-11-07 · Health · corrected 2024-12-07

    Potential for minimal harm

  31. BF0554Allow residents to self-administer drugs if determined clinically appropriate.2024-11-07 · Health · corrected 2024-12-07

    Potential for minimal harm

  32. DF0558Reasonably accommodate the needs and preferences of each resident.2024-11-07 · Health · corrected 2024-12-07

    Potential for more than minimal harm

  33. BF0576Ensure residents have reasonable access to and privacy in their use of communication methods.2024-11-07 · Health · corrected 2024-12-07

    Potential for minimal harm

  34. DF0645PASARR screening for Mental disorders or Intellectual Disabilities2024-11-07 · Health · corrected 2024-12-07

    Potential for more than minimal harm

  35. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-11-07 · Health · corrected 2024-12-07

    Potential for more than minimal harm

  36. DF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.2024-11-07 · Health · corrected 2024-12-07

    Potential for more than minimal harm

  37. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-11-07 · Health · corrected 2024-12-07

    Potential for more than minimal harm

  38. EF0695Provide safe and appropriate respiratory care for a resident when needed.2024-11-07 · Health · corrected 2024-12-07

    Potential for more than minimal harm

  39. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-11-07 · Health · corrected 2024-12-07

    Potential for more than minimal harm

  40. DF0758Implement 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.2024-11-07 · Health · corrected 2024-12-07

    Potential for more than minimal harm

  41. DF0759Ensure medication error rates are not 5 percent or greater.2024-11-07 · Health · corrected 2024-12-07

    Potential for more than minimal harm

  42. DF0761Ensure 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.2024-11-07 · Health · corrected 2024-12-07

    Potential for more than minimal harm

  43. EF0803Ensure 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.2024-11-07 · Health · corrected 2024-12-07

    Potential for more than minimal harm

  44. DF0808Ensure 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.2024-11-07 · Health · corrected 2024-12-07

    Potential for more than minimal harm

  45. DF0810Provide special eating equipment and utensils for residents who need them and appropriate assistance.2024-11-07 · Health · corrected 2024-12-07

    Potential for more than minimal harm

  46. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-11-07 · Health · corrected 2024-12-07

    Potential for more than minimal harm

  47. DF0813Have a policy regarding use and storage of foods brought to residents by family and other visitors.2024-11-07 · Health · corrected 2024-12-07

    Potential for more than minimal harm

  48. DF0880Provide and implement an infection prevention and control program.2024-11-07 · Health · corrected 2024-12-27

    Potential for more than minimal harm

  49. DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2024-11-07 · Health · corrected 2024-12-07

    Potential for more than minimal harm

  50. DF0887Educate 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.2024-11-07 · Health · corrected 2024-12-07

    Potential for more than minimal harm

  51. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-10-04 · Health · corrected 2024-11-03

    Potential for more than minimal harm

  52. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-04-25 · Health · corrected 2024-05-24

    Potential for more than minimal harm

  53. DF0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.2023-12-07 · Health · corrected 2023-12-15

    Potential for more than minimal harm

  54. DF0610Respond appropriately to all alleged violations.2023-10-24 · Health · corrected 2023-11-06

    Potential for more than minimal harm

  55. DF0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.2023-10-24 · Health · corrected 2023-11-06

    Potential for more than minimal harm

  56. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-04-17 · Health · corrected 2023-05-07

    Potential for more than minimal harm

  57. BF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-03-27 · Health · corrected 2023-04-13

    Potential for minimal harm

  58. BF0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.2022-06-13 · Health · corrected 2022-07-13

    Potential for minimal harm

  59. BF0638Assure that each resident’s assessment is updated at least once every 3 months.2022-06-13 · Health · corrected 2022-07-13

    Potential for minimal harm

  60. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2022-06-13 · Health · corrected 2022-07-13

    Potential for more than minimal harm

  61. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2022-06-13 · Health · corrected 2022-07-13

    Potential for more than minimal harm

  62. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2022-06-13 · Health · corrected 2022-07-13

    Potential for more than minimal harm

  63. DF0692Provide enough food/fluids to maintain a resident's health.2022-06-13 · Health · corrected 2022-07-13

    Potential for more than minimal harm

  64. DF0695Provide safe and appropriate respiratory care for a resident when needed.2022-06-13 · Health · corrected 2022-07-13

    Potential for more than minimal harm

  65. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2022-06-13 · Health · corrected 2022-07-13

    Potential for more than minimal harm

  66. DF0758Implement 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.2022-06-13 · Health · corrected 2022-07-13

    Potential for more than minimal harm

  67. EF0761Ensure 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.2022-06-13 · Health · corrected 2022-07-13

    Potential for more than minimal harm

  68. EF0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.2022-06-13 · Health · corrected 2022-07-13

    Potential for more than minimal harm

  69. DF0802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.2022-06-13 · Health · corrected 2022-07-13

    Potential for more than minimal harm

  70. DF0803Ensure 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.2022-06-13 · Health · corrected 2022-07-13

    Potential for more than minimal harm

  71. DF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.2022-06-13 · Health · corrected 2022-07-13

    Potential for more than minimal harm

  72. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2022-06-13 · Health · corrected 2022-07-13

    Potential for more than minimal harm

  73. DF0813Have a policy regarding use and storage of foods brought to residents by family and other visitors.2022-06-13 · Health · corrected 2022-07-13

    Potential for more than minimal harm

  74. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2022-06-13 · Health · corrected 2022-07-13

    Potential for more than minimal harm

  75. DF0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.2022-06-13 · Health · corrected 2022-07-13

    Potential for more than minimal harm

  76. FF0908Keep all essential equipment working safely.2022-06-13 · Health · corrected 2022-07-13

    Potential for more than minimal harm

Ownership

OwnerTypeRolePercentSince
PROVIDENCE GROUP NH, LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100%2024-02-01
PACS GROUP, INC.Organization5% OR GREATER INDIRECT OWNERSHIP INTEREST2024-02-01
PACS HOLDINGS, LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST2024-02-01
HANCOCK, MARKIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST2024-02-01
MURRAY, JASONIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST2024-02-01
NIELSEN, CHADIndividualOPERATIONAL/MANAGERIAL CONTROL2024-02-01
APT, FREDERICKIndividualCORPORATE OFFICER2024-01-01
JERGENSEN, JOSHUAIndividualCORPORATE OFFICER2024-01-01
MITCHELL, JOHNIndividualCORPORATE OFFICER2024-01-01
NIELSEN, CHADIndividualW-2 MANAGING EMPLOYEE2024-02-01

Other facilities in FOUNTAIN VALLEY

NameOverallBeds

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.