Starfile

Starfile / California

MAINPLACE POST ACUTE

1835 WEST LA VETA AVENUE, ORANGE, CA 92868 · CCN 555259

Ratings

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

Facility

Ownership type
For profit - Corporation
Certified beds
169
Avg residents/day
155.9
Phone
7149786800

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
12024-10-242115.69.5+5.4 worse
22022-03-251517.49.8-2.4 better
32019-05-132817.19.3+10.9 worse

Cycle 1 deficiencies by category

CategoryDeficiencies
Quality of life and care6
Resident assessment and care planning2
Resident rights2
Nutrition and dietary3
Pharmacy service4
Environmental1
Infection control3

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)4.1631.8%
RN staffing (reported)0.4120.0%
Total nurse staffing (adjusted)4.03—

Fines & penalties

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

Chain

Chain
THE ENSIGN GROUP
Facilities in chain
329
Chain avg overall
3.20 / 5

Inspection citations (64)

  1. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-12-01 · Health · corrected 2025-12-14

    Potential for more than minimal harm

  2. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-12-01 · Health · corrected 2025-12-14

    Potential for more than minimal harm

  3. DF0760Ensure that residents are free from significant medication errors.2025-04-07 · Health · corrected 2025-04-30

    Potential for more than minimal harm

  4. DF0567Honor the resident's right to manage his or her financial affairs.2024-12-18 · Health · corrected 2024-12-23

    Potential for more than minimal harm

  5. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-12-18 · Health · corrected 2024-12-23

    Potential for more than minimal harm

  6. DF0554Allow residents to self-administer drugs if determined clinically appropriate.2024-10-24 · Health · corrected 2024-11-15

    Potential for more than minimal harm

  7. BF0584Honor 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.2024-10-24 · Health · corrected 2024-11-15

    Potential for minimal harm

  8. BF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-10-24 · Health · corrected 2024-11-15

    Potential for minimal harm

  9. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-10-24 · Health · corrected 2024-11-15

    Potential for more than minimal harm

  10. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-10-24 · Health · corrected 2024-11-15

    Potential for more than minimal harm

  11. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-10-24 · Health · corrected 2024-11-15

    Potential for more than minimal harm

  12. EF0695Provide safe and appropriate respiratory care for a resident when needed.2024-10-24 · Health · corrected 2024-11-15

    Potential for more than minimal harm

  13. DF0697Provide safe, appropriate pain management for a resident who requires such services.2024-10-24 · Health · corrected 2024-11-15

    Potential for more than minimal harm

  14. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2024-10-24 · Health · corrected 2024-11-15

    Potential for more than minimal harm

  15. EF0758Implement 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.2024-10-24 · Health · corrected 2024-11-15

    Potential for more than minimal harm

  16. 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.2024-10-24 · Health · corrected 2024-11-15

    Potential for more than minimal harm

  17. EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2024-10-24 · Health · corrected 2024-11-15

    Potential for more than minimal harm

  18. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-10-24 · Health · corrected 2024-11-15

    Potential for more than minimal harm

  19. BF0814Dispose of garbage and refuse properly.2024-10-24 · Health · corrected 2024-11-15

    Potential for minimal harm

  20. DF0880Provide and implement an infection prevention and control program.2024-10-24 · Health · corrected 2024-11-15

    Potential for more than minimal harm

  21. EF0881Implement a program that monitors antibiotic use.2024-10-24 · Health · corrected 2024-11-15

    Potential for more than minimal harm

  22. DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2024-10-24 · Health · corrected 2024-11-15

    Potential for more than minimal harm

  23. BF0907Provide enough space and equipment to meet each resident's needs2024-10-24 · Health · corrected 2024-11-15

    Potential for minimal harm

  24. BF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-08-08 · Health · corrected 2024-08-12

    Potential for minimal harm

  25. DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2024-05-03 · Health · corrected 2024-05-24

    Potential for more than minimal harm

  26. DF0773Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.2024-05-03 · Health · corrected 2024-05-24

    Potential for more than minimal harm

  27. DF0660Plan the resident's discharge to meet the resident's goals and needs.2024-03-29 · Health · corrected 2024-04-02

    Potential for more than minimal harm

  28. BF0584Honor 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.2024-01-16 · Health · corrected 2024-02-07

    Potential for minimal harm

  29. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-01-16 · Health · corrected 2024-02-07

    Potential for more than minimal harm

  30. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-01-16 · Health · corrected 2024-02-07

    Potential for more than minimal harm

  31. DF0880Provide and implement an infection prevention and control program.2024-01-16 · Health · corrected 2024-02-07

    Potential for more than minimal harm

  32. BF0584Honor 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.2023-12-20 · Health · corrected 2023-12-27

    Potential for minimal harm

  33. BF0553Allow resident to participate in the development and implementation of his or her person-centered plan of care.2023-09-13 · Health · corrected 2023-10-03

    Potential for minimal harm

  34. DF0625Notify 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.2023-07-20 · Health · corrected 2023-07-28

    Potential for more than minimal harm

  35. DF0880Provide and implement an infection prevention and control program.2023-04-28 · Health · corrected 2023-05-12

    Potential for more than minimal harm

  36. DF0584Honor 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.2022-03-25 · Health · corrected 2022-05-17

    Potential for more than minimal harm

  37. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2022-03-25 · Health · corrected 2022-05-17

    Potential for more than minimal harm

  38. DF0695Provide safe and appropriate respiratory care for a resident when needed.2022-03-25 · Health · corrected 2022-05-17

    Potential for more than minimal harm

  39. DF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2022-03-25 · Health · corrected 2022-05-17

    Potential for more than minimal harm

  40. DF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2022-03-25 · Health · corrected 2022-05-17

    Potential for more than minimal harm

  41. DF0813Have a policy regarding use and storage of foods brought to residents by family and other visitors.2022-03-25 · Health · corrected 2022-05-17

    Potential for more than minimal harm

  42. BF0814Dispose of garbage and refuse properly.2022-03-25 · Health · corrected 2022-05-17

    Potential for minimal harm

  43. FF0880Provide and implement an infection prevention and control program.2022-03-25 · Health · corrected 2022-05-17

    Potential for more than minimal harm

  44. BF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2022-03-25 · Health · corrected 2022-05-17

    Potential for minimal harm

  45. EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2019-05-13 · Health · corrected 2019-06-03

    Potential for more than minimal harm

  46. DF0554Allow residents to self-administer drugs if determined clinically appropriate.2019-05-13 · Health · corrected 2019-06-03

    Potential for more than minimal harm

  47. DF0558Reasonably accommodate the needs and preferences of each resident.2019-05-13 · Health · corrected 2019-06-03

    Potential for more than minimal harm

  48. DF0584Honor 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.2019-05-13 · Health · corrected 2019-06-03

    Potential for more than minimal harm

  49. DF0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.2019-05-13 · Health · corrected 2019-06-03

    Potential for more than minimal harm

  50. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2019-05-13 · Health · corrected 2019-06-03

    Potential for more than minimal harm

  51. DF0679Provide activities to meet all resident's needs.2019-05-13 · Health · corrected 2019-06-03

    Potential for more than minimal harm

  52. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2019-05-13 · Health · corrected 2019-06-03

    Potential for more than minimal harm

  53. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2019-05-13 · Health · corrected 2019-06-03

    Potential for more than minimal harm

  54. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2019-05-13 · Health · corrected 2019-06-03

    Potential for more than minimal harm

  55. DF0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.2019-05-13 · Health · corrected 2019-06-03

    Potential for more than minimal harm

  56. DF0695Provide safe and appropriate respiratory care for a resident when needed.2019-05-13 · Health · corrected 2019-06-03

    Potential for more than minimal harm

  57. DF0697Provide safe, appropriate pain management for a resident who requires such services.2019-05-13 · Health · corrected 2019-06-03

    Potential for more than minimal harm

  58. DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2019-05-13 · Health · corrected 2019-06-03

    Potential for more than minimal harm

  59. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2019-05-13 · Health · corrected 2019-06-03

    Potential for more than minimal harm

  60. 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.2019-05-13 · Health · corrected 2019-06-03

    Potential for more than minimal harm

  61. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2019-05-13 · Health · corrected 2019-06-03

    Potential for more than minimal harm

  62. BF0814Dispose of garbage and refuse properly.2019-05-13 · Health · corrected 2019-06-03

    Potential for minimal harm

  63. FF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2019-05-13 · Health · corrected 2019-06-03

    Potential for more than minimal harm

  64. DF0880Provide and implement an infection prevention and control program.2019-05-13 · Health · corrected 2019-06-03

    Potential for more than minimal harm

Ownership

OwnerTypeRolePercentSince
FLAGSTONE HEALTHCARE SOUTH LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100%2019-01-15
THE ENSIGN GROUP INCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST100%2019-01-15
RUGGLES, MARCIndividualOPERATIONAL/MANAGERIAL CONTROL—2019-05-01
TALEBI DOLOUEI, REZAIndividualOPERATIONAL/MANAGERIAL CONTROL—2022-03-01
WILLITS, ADAMIndividualCORPORATE DIRECTOR—2019-01-15
BURNAM, SOONIndividualCORPORATE OFFICER—2019-01-15
KEETCH, CHADIndividualCORPORATE OFFICER—2011-03-01
LOOPER, WILLIAMIndividualCORPORATE OFFICER—2023-02-01
SATO, AMIIndividualCORPORATE OFFICER—2024-09-09

Other facilities in ORANGE

NameOverallBeds
ORANGE HEALTHCARE & WELLNESS CENTRE, LLC★★★★☆112
HEALTHBRIDGE CHILDREN'S HOSPITAL - ORANGE D/P SNF★★★★☆21
CHAPMAN GLOBAL MEDICAL CENTER D/P SNF★★★★☆27
NEW ORANGE HILLS★★☆☆☆145

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