Starfile

Starfile / California

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.

CycleInspection dateThis facilityCalifornia avgNational avgvs state
12024-11-153015.69.5+14.4 worse
22022-05-162217.49.8+4.6 worse
32020-02-263717.19.3+19.9 worse

Cycle 1 deficiencies by category

CategoryDeficiencies
Quality of life and care12
Resident assessment and care planning3
Nursing and physician services1
Resident rights4
Nutrition and dietary1
Pharmacy service4
Administration1
Infection control4

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)5.0133.3%
RN staffing (reported)0.5017.6%
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

  1. 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

  2. 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

  3. 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

  4. 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

  5. DF0880Provide and implement an infection prevention and control program.2025-08-06 · Health · corrected 2025-08-13

    Potential for more than minimal harm

  6. 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

  7. 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

  8. 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

  9. 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

  10. DF0880Provide and implement an infection prevention and control program.2025-05-14 · Health · corrected 2025-06-04

    Potential for more than minimal harm

  11. 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

  12. 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

  13. 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

  14. 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

  15. DF0558Reasonably accommodate the needs and preferences of each resident.2024-11-15 · Health · corrected 2024-12-14

    Potential for more than minimal harm

  16. 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

  17. 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

  18. 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

  19. 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

  20. 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

  21. 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

  22. 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

  23. 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

  24. 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

  25. 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

  26. 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

  27. DF0759Ensure medication error rates are not 5 percent or greater.2024-11-15 · Health · corrected 2024-12-14

    Potential for more than minimal harm

  28. 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

  29. 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

  30. 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

  31. 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

  32. DF0880Provide and implement an infection prevention and control program.2024-11-15 · Health · corrected 2024-12-14

    Potential for more than minimal harm

  33. DF0881Implement a program that monitors antibiotic use.2024-11-15 · Health · corrected 2024-12-14

    Potential for more than minimal harm

  34. BF0880Provide and implement an infection prevention and control program.2024-08-01 · Health · corrected 2024-08-12

    Potential for minimal harm

  35. BF0558Reasonably accommodate the needs and preferences of each resident.2024-05-30 · Health · corrected 2024-06-14

    Potential for minimal harm

  36. 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

  37. 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

  38. DF0880Provide and implement an infection prevention and control program.2024-03-21 · Health · corrected 2024-04-12

    Potential for more than minimal harm

  39. 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

  40. 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

  41. 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

  42. 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

  43. 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

  44. 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

  45. 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

  46. 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

  47. DF0610Respond appropriately to all alleged violations.2023-08-30 · Health · corrected 2023-09-12

    Potential for more than minimal harm

  48. 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

  49. 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

  50. 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

  51. 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

  52. 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

  53. 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

  54. 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

  55. 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

  56. 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

  57. DF0558Reasonably accommodate the needs and preferences of each resident.2022-05-16 · Health · corrected 2022-06-16

    Potential for more than minimal harm

  58. 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

  59. 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

  60. 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

  61. 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

  62. 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

  63. 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

  64. 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

  65. 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

  66. 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

  67. DF0880Provide and implement an infection prevention and control program.2022-05-16 · Health · corrected 2022-06-16

    Potential for more than minimal harm

  68. DF0908Keep all essential equipment working safely.2022-05-16 · Health · corrected 2022-06-16

    Potential for more than minimal harm

  69. 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

  70. 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

  71. 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

  72. 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

  73. 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

  74. DF0687Provide appropriate foot care.2020-02-26 · Health · corrected 2020-03-26

    Potential for more than minimal harm

  75. 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

  76. 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

  77. 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

  78. 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

  79. 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

  80. 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

  81. 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

  82. DF0760Ensure that residents are free from significant medication errors.2020-02-26 · Health · corrected 2020-03-26

    Potential for more than minimal harm

  83. 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

  84. 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

  85. 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

  86. 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

  87. 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

  88. DF0880Provide and implement an infection prevention and control program.2020-02-26 · Health · corrected 2020-03-26

    Potential for more than minimal harm

  89. 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

OwnerTypeRolePercentSince
FLAGSTONE HEALTHCARE SOUTH LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100%2022-11-08
THE ENSIGN GROUP INCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST100%2023-02-01
VILLAFANIA, JAMESIndividualOPERATIONAL/MANAGERIAL CONTROL2023-02-01
WILLITS, ADAMIndividualCORPORATE DIRECTOR2023-02-01
BURNAM, SOONIndividualCORPORATE OFFICER2022-11-08
FITCH, CRAIGIndividualCORPORATE OFFICER2023-02-01
LOOPER, WILLIAMIndividualCORPORATE OFFICER2023-02-01
VILLAFANIA, JAMESIndividualW-2 MANAGING EMPLOYEE2023-02-01

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
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.