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.
| Cycle | Inspection date | This facility | California avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2026-01-13 | 27 | 15.6 | 9.5 | +11.4 worse |
| 2 | 2024-11-07 | 25 | 17.4 | 9.8 | +7.6 worse |
| 3 | 2022-06-13 | 24 | 17.1 | 9.3 | +6.9 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 2 |
| Quality of life and care | 7 |
| Resident assessment and care planning | 2 |
| Resident rights | 6 |
| Nutrition and dietary | 6 |
| Pharmacy service | 1 |
| Administration | 2 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 4.11 | 31.8% |
| RN staffing (reported) | 0.40 | 35.3% |
| 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)
- 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
- DF0554Allow residents to self-administer drugs if determined clinically appropriate.2026-01-13 · Health · corrected 2026-02-12
Potential for more than minimal harm
- BF0558Reasonably accommodate the needs and preferences of each resident.2026-01-13 · Health · corrected 2026-02-12
Potential for minimal harm
- 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
- BF0583Keep residents' personal and medical records private and confidential.2026-01-13 · Health · corrected 2026-02-12
Potential for minimal harm
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- BF0695Provide safe and appropriate respiratory care for a resident when needed.2026-01-13 · Health · corrected 2026-02-12
Potential for minimal harm
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- DF0880Provide and implement an infection prevention and control program.2026-01-13 · Health · corrected 2026-02-12
Potential for more than minimal harm
- BF0695Provide safe and appropriate respiratory care for a resident when needed.2025-11-25 · Health · corrected 2025-12-16
Potential for minimal harm
- 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
- 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
- DF0610Respond appropriately to all alleged violations.2025-02-12 · Health · corrected 2025-03-11
Potential for more than minimal harm
- 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
- BF0554Allow residents to self-administer drugs if determined clinically appropriate.2024-11-07 · Health · corrected 2024-12-07
Potential for minimal harm
- DF0558Reasonably accommodate the needs and preferences of each resident.2024-11-07 · Health · corrected 2024-12-07
Potential for more than minimal harm
- 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
- DF0645PASARR screening for Mental disorders or Intellectual Disabilities2024-11-07 · Health · corrected 2024-12-07
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- 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
- 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
- DF0759Ensure medication error rates are not 5 percent or greater.2024-11-07 · Health · corrected 2024-12-07
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- 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
- 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
- DF0880Provide and implement an infection prevention and control program.2024-11-07 · Health · corrected 2024-12-27
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- 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
- DF0610Respond appropriately to all alleged violations.2023-10-24 · Health · corrected 2023-11-06
Potential for more than minimal harm
- 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
- 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
- BF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-03-27 · Health · corrected 2023-04-13
Potential for minimal harm
- 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
- 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
- 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
- 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
- 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
- DF0692Provide enough food/fluids to maintain a resident's health.2022-06-13 · Health · corrected 2022-07-13
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- FF0908Keep all essential equipment working safely.2022-06-13 · Health · corrected 2022-07-13
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| PROVIDENCE GROUP NH, LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2024-02-01 |
| PACS GROUP, INC. | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2024-02-01 |
| PACS HOLDINGS, LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2024-02-01 |
| HANCOCK, MARK | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2024-02-01 |
| MURRAY, JASON | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2024-02-01 |
| NIELSEN, CHAD | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-02-01 |
| APT, FREDERICK | Individual | CORPORATE OFFICER | — | 2024-01-01 |
| JERGENSEN, JOSHUA | Individual | CORPORATE OFFICER | — | 2024-01-01 |
| MITCHELL, JOHN | Individual | CORPORATE OFFICER | — | 2024-01-01 |
| NIELSEN, CHAD | Individual | W-2 MANAGING EMPLOYEE | — | 2024-02-01 |
Other facilities in FOUNTAIN VALLEY
| Name | Overall | Beds |
|---|
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.