Starfile

Starfile / California

PACIFIC HAVEN SUBACUTE AND HEALTHCARE CENTER

12072 TRASK AVE., GARDEN GROVE, CA 92843 · CCN 055575

Ratings

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

Facility

Ownership type
For profit - Limited Liability company
Certified beds
99
Avg residents/day
95.6
Phone
7145341942

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
12025-05-052115.69.5+5.4 worse
22024-04-11417.49.8-13.4 better
32022-11-231017.19.3-7.1 better

Cycle 1 deficiencies by category

CategoryDeficiencies
Abuse, neglect, exploitation1
Quality of life and care6
Resident assessment and care planning2
Nursing and physician services1
Resident rights2
Nutrition and dietary4
Pharmacy service3
Environmental1
Infection control1

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)5.4240.1%
RN staffing (reported)1.0320.0%
Total nurse staffing (adjusted)3.21

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 (35)2 actual harm

  1. GF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2025-11-04 · Health · corrected 2025-12-16

    Actual harm

  2. GF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-11-04 · Health · corrected 2025-12-16

    Actual harm

  3. DF0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.2025-06-12 · Health · corrected 2025-07-01

    Potential for more than minimal harm

  4. DF0554Allow residents to self-administer drugs if determined clinically appropriate.2025-05-05 · Health · corrected 2025-06-01

    Potential for more than minimal harm

  5. BF0578Honor 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.2025-05-05 · Health · corrected 2025-06-01

    Potential for minimal harm

  6. DF0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.2025-05-05 · Health · corrected 2025-06-01

    Potential for more than minimal harm

  7. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-05-05 · Health · corrected 2025-06-01

    Potential for more than minimal harm

  8. DF0679Provide activities to meet all resident's needs.2025-05-05 · Health · corrected 2025-06-01

    Potential for more than minimal harm

  9. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-05-05 · Health · corrected 2025-06-01

    Potential for more than minimal harm

  10. DF0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.2025-05-05 · Health · corrected 2025-06-01

    Potential for more than minimal harm

  11. DF0692Provide enough food/fluids to maintain a resident's health.2025-05-05 · Health · corrected 2025-06-01

    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.2025-05-05 · Health · corrected 2025-06-01

    Potential for more than minimal harm

  13. DF0695Provide safe and appropriate respiratory care for a resident when needed.2025-05-05 · Health · corrected 2025-06-01

    Potential for more than minimal harm

  14. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-05-05 · Health · corrected 2025-06-01

    Potential for more than minimal harm

  15. 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.2025-05-05 · Health · corrected 2025-06-01

    Potential for more than minimal harm

  16. BF0803Ensure 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.2025-05-05 · Health · corrected 2025-06-01

    Potential for minimal harm

  17. BF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2025-05-05 · Health · corrected 2025-06-01

    Potential for minimal harm

  18. DF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-05-05 · Health · corrected 2025-06-01

    Potential for more than minimal harm

  19. BF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-05-05 · Health · corrected 2025-06-01

    Potential for minimal harm

  20. EF0880Provide and implement an infection prevention and control program.2025-05-05 · Health · corrected 2025-06-01

    Potential for more than minimal harm

  21. DF0908Keep all essential equipment working safely.2025-05-05 · Health · corrected 2025-06-01

    Potential for more than minimal harm

  22. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-04-11 · Health · corrected 2024-05-02

    Potential for more than minimal harm

  23. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-04-11 · Health · corrected 2024-05-07

    Potential for more than minimal harm

  24. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-04-11 · Health · corrected 2024-05-09

    Potential for more than minimal harm

  25. EF0880Provide and implement an infection prevention and control program.2024-04-11 · Health · corrected 2024-05-09

    Potential for more than minimal harm

  26. EF0695Provide safe and appropriate respiratory care for a resident when needed.2023-12-22 · Health · corrected 2024-01-20

    Potential for more than minimal harm

  27. BF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-12-22 · Health · corrected 2024-01-20

    Potential for minimal harm

  28. DF0660Plan the resident's discharge to meet the resident's goals and needs.2023-07-17 · Health · corrected 2023-08-16

    Potential for more than minimal harm

  29. DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2023-06-29 · Health · corrected 2023-07-28

    Potential for more than minimal harm

  30. 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.2022-11-23 · Health · corrected 2022-12-16

    Potential for more than minimal harm

  31. DF0692Provide enough food/fluids to maintain a resident's health.2022-11-23 · Health · corrected 2022-12-16

    Potential for more than minimal harm

  32. DF0695Provide safe and appropriate respiratory care for a resident when needed.2022-11-23 · Health · corrected 2022-12-16

    Potential for more than minimal harm

  33. DF0759Ensure medication error rates are not 5 percent or greater.2022-11-23 · Health · corrected 2022-12-16

    Potential for more than minimal harm

  34. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2022-11-23 · Health · corrected 2022-12-16

    Potential for more than minimal harm

  35. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2022-11-23 · Health · corrected 2022-12-16

    Potential for more than minimal harm

Ownership

OwnerTypeRolePercentSince
FLAGSTONE HEALTHCARE SOUTH LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100%2024-09-11
THE ENSIGN GROUP INCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST100%2024-09-11
CRUZ, MELODYIndividualOPERATIONAL/MANAGERIAL CONTROL2025-04-01
WILLITS, ADAMIndividualCORPORATE DIRECTOR2024-09-11
BURNAM, SOONIndividualCORPORATE OFFICER2024-09-11
LOOPER, WILLIAMIndividualCORPORATE OFFICER2024-09-11
SATO, AMIIndividualCORPORATE OFFICER2024-09-11
WILLITS, ADAMIndividualCORPORATE OFFICER2024-09-11

Other facilities in GARDEN GROVE

NameOverallBeds
THE GROVE POST ACUTE★★★★★97
ALTA GARDENS CARE CENTER★★★★★129
CHAPMAN CARE CENTER★★★★☆99
GARDEN GROVE POST ACUTE★★★★☆99
GARDEN PARK CARE CENTER★★★★☆124

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