NEW ORANGE HILLS
5017 E. CHAPMAN AVENUE, ORANGE, CA 92869 · CCN 555286
Ratings
- Overall
- ★★☆☆☆ 2
- Health inspection
- ★★☆☆☆ 2
- Quality measures
- ★★★★☆ 4
- Staffing
- ★★☆☆☆ 2
Facility
- Ownership type
- For profit - Corporation
- Certified beds
- 145
- Avg residents/day
- 135.1
- Phone
- 7149977090
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 | 2024-11-15 | 30 | 15.6 | 9.5 | +14.4 worse |
| 2 | 2022-05-16 | 22 | 17.4 | 9.8 | +4.6 worse |
| 3 | 2020-02-26 | 37 | 17.1 | 9.3 | +19.9 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 12 |
| Resident assessment and care planning | 3 |
| Nursing and physician services | 1 |
| Resident rights | 4 |
| Nutrition and dietary | 1 |
| Pharmacy service | 4 |
| Administration | 1 |
| Infection control | 4 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 5.01 | 33.3% |
| RN staffing (reported) | 0.50 | 17.6% |
| Total nurse staffing (adjusted) | 3.10 | — |
Fines & penalties
- Total fines
- $0
- Number of fines
- 0
- Number of penalties
- 1
- Payment denials
- 1
Chain
- Chain
- THE ENSIGN GROUP
- Facilities in chain
- 329
- Chain avg overall
- 3.20 / 5
Inspection citations (89)1 actual harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-11-26 · Health · corrected 2025-12-08
Potential for more than minimal harm
- BF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-11-26 · Health · corrected 2025-12-08
Potential for minimal harm
- GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-11-10 · Health · corrected 2025-12-23
Actual harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-09-18 · Health · corrected 2025-10-10
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2025-08-06 · Health · corrected 2025-08-13
Potential for more than minimal harm
- DF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2025-07-10 · Health · corrected 2025-07-30
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-05-14 · Health · corrected 2025-06-04
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-05-14 · Health · corrected 2025-06-04
Potential for more than minimal harm
- BF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-05-14 · Health · corrected 2025-06-04
Potential for minimal harm
- DF0880Provide and implement an infection prevention and control program.2025-05-14 · Health · corrected 2025-06-04
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-02-28 · Health · corrected 2025-03-20
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-02-28 · Health · corrected 2025-03-20
Potential for more than minimal harm
- BF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-01-07 · Health · corrected 2025-01-28
Potential for minimal harm
- BF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-11-15 · Health · corrected 2024-12-14
Potential for minimal harm
- DF0558Reasonably accommodate the needs and preferences of each resident.2024-11-15 · Health · corrected 2024-12-14
Potential for more than minimal harm
- DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-11-15 · Health · corrected 2024-12-14
Potential for more than minimal harm
- 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.2024-11-15 · Health · corrected 2024-12-14
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-11-15 · Health · corrected 2024-12-14
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-11-15 · Health · corrected 2024-12-14
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-11-15 · Health · corrected 2024-12-14
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.2024-11-15 · Health · corrected 2024-12-14
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.2024-11-15 · Health · corrected 2024-12-14
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-11-15 · Health · corrected 2024-12-14
Potential for more than minimal harm
- DF0700Try 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.2024-11-15 · Health · corrected 2024-12-14
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.2024-11-15 · Health · corrected 2024-12-14
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.2024-11-15 · Health · corrected 2024-12-14
Potential for more than minimal harm
- DF0759Ensure medication error rates are not 5 percent or greater.2024-11-15 · Health · corrected 2024-12-14
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.2024-11-15 · Health · corrected 2024-12-14
Potential for more than minimal harm
- DF0773Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.2024-11-15 · Health · corrected 2024-12-14
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.2024-11-15 · Health · corrected 2024-12-14
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.2024-11-15 · Health · corrected 2024-12-14
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2024-11-15 · Health · corrected 2024-12-14
Potential for more than minimal harm
- DF0881Implement a program that monitors antibiotic use.2024-11-15 · Health · corrected 2024-12-14
Potential for more than minimal harm
- BF0880Provide and implement an infection prevention and control program.2024-08-01 · Health · corrected 2024-08-12
Potential for minimal harm
- BF0558Reasonably accommodate the needs and preferences of each resident.2024-05-30 · Health · corrected 2024-06-14
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.2024-03-21 · Health · corrected 2024-04-13
Potential for more than minimal harm
- DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2024-03-21 · Health · corrected 2024-04-13
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2024-03-21 · Health · corrected 2024-04-12
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-03-12 · Health · corrected 2024-03-27
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-01-24 · Health · corrected 2024-02-15
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.2024-01-24 · Health · corrected 2024-02-15
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.2024-01-24 · Health · corrected 2024-02-15
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-12-13 · Health · corrected 2023-12-29
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.2023-12-13 · Health · corrected 2023-12-29
Potential for more than minimal harm
- DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2023-11-17 · Health · corrected 2023-12-05
Potential for more than minimal harm
- DF0661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.2023-10-23 · Health · corrected 2023-11-07
Potential for more than minimal harm
- DF0610Respond appropriately to all alleged violations.2023-08-30 · Health · corrected 2023-09-12
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2023-08-30 · Health · corrected 2023-09-12
Potential for more than minimal harm
- DF0909Regularly 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.2023-08-30 · Health · corrected 2023-09-12
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-05-16 · Health · corrected 2023-05-16
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.2023-05-16 · Health · corrected 2023-05-16
Potential for more than minimal harm
- DF0697Provide safe, appropriate pain management for a resident who requires such services.2023-05-16 · Health · corrected 2023-05-16
Potential for more than minimal harm
- DF0700Try 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.2023-05-16 · Health · corrected 2023-05-16
Potential for more than minimal harm
- DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2023-04-04 · Health · corrected 2023-05-04
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.2023-04-04 · Health · corrected 2023-05-04
Potential for more than minimal harm
- DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2022-05-16 · Health · corrected 2022-06-16
Potential for more than minimal harm
- DF0558Reasonably accommodate the needs and preferences of each resident.2022-05-16 · Health · corrected 2022-06-16
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.2022-05-16 · Health · corrected 2022-06-16
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2022-05-16 · Health · corrected 2022-06-16
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2022-05-16 · Health · corrected 2022-06-16
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2022-05-16 · Health · corrected 2022-06-16
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.2022-05-16 · Health · corrected 2022-06-16
Potential for more than minimal harm
- DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2022-05-16 · Health · corrected 2022-06-16
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.2022-05-16 · Health · corrected 2022-06-16
Potential for more than minimal harm
- DF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2022-05-16 · Health · corrected 2022-06-16
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.2022-05-16 · Health · corrected 2022-06-16
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2022-05-16 · Health · corrected 2022-06-16
Potential for more than minimal harm
- DF0908Keep all essential equipment working safely.2022-05-16 · Health · corrected 2022-06-16
Potential for more than minimal harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2020-02-26 · Health · corrected 2020-03-26
Potential for more than minimal harm
- DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2020-02-26 · Health · corrected 2020-03-26
Potential for more than minimal harm
- 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.2020-02-26 · Health · corrected 2020-03-26
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.2020-02-26 · Health · corrected 2020-03-26
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2020-02-26 · Health · corrected 2020-03-26
Potential for more than minimal harm
- DF0687Provide appropriate foot care.2020-02-26 · Health · corrected 2020-03-26
Potential for more than minimal harm
- EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2020-02-26 · Health · corrected 2020-03-26
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.2020-02-26 · Health · corrected 2020-03-26
Potential for more than minimal harm
- EF0695Provide safe and appropriate respiratory care for a resident when needed.2020-02-26 · Health · corrected 2020-03-26
Potential for more than minimal harm
- DF0697Provide safe, appropriate pain management for a resident who requires such services.2020-02-26 · Health · corrected 2020-03-26
Potential for more than minimal harm
- EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2020-02-26 · Health · corrected 2020-03-26
Potential for more than minimal harm
- EF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2020-02-26 · Health · corrected 2020-03-26
Potential for more than minimal harm
- EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2020-02-26 · Health · corrected 2020-03-26
Potential for more than minimal harm
- DF0760Ensure that residents are free from significant medication errors.2020-02-26 · Health · corrected 2020-03-26
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.2020-02-26 · Health · corrected 2020-03-26
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.2020-02-26 · Health · corrected 2020-03-26
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.2020-02-26 · Health · corrected 2020-03-26
Potential for more than minimal harm
- EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2020-02-26 · Health · corrected 2020-03-26
Potential for more than minimal harm
- DF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2020-02-26 · Health · corrected 2020-03-26
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2020-02-26 · Health · corrected 2020-03-26
Potential for more than minimal harm
- BF0914Provide bedrooms that don't allow residents to see each other when privacy is needed.2020-02-26 · Health · corrected 2020-03-26
Potential for minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| FLAGSTONE HEALTHCARE SOUTH LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2022-11-08 |
| THE ENSIGN GROUP INC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2023-02-01 |
| VILLAFANIA, JAMES | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-02-01 |
| WILLITS, ADAM | Individual | CORPORATE DIRECTOR | — | 2023-02-01 |
| BURNAM, SOON | Individual | CORPORATE OFFICER | — | 2022-11-08 |
| FITCH, CRAIG | Individual | CORPORATE OFFICER | — | 2023-02-01 |
| LOOPER, WILLIAM | Individual | CORPORATE OFFICER | — | 2023-02-01 |
| VILLAFANIA, JAMES | Individual | W-2 MANAGING EMPLOYEE | — | 2023-02-01 |
Other facilities in ORANGE
| Name | Overall | Beds |
|---|---|---|
| ORANGE HEALTHCARE & WELLNESS CENTRE, LLC | ★★★★☆ | 112 |
| HEALTHBRIDGE CHILDREN'S HOSPITAL - ORANGE D/P SNF | ★★★★☆ | 21 |
| CHAPMAN GLOBAL MEDICAL CENTER D/P SNF | ★★★★☆ | 27 |
| MAINPLACE POST ACUTE | ★★★☆☆ | 169 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.