Starfile

Starfile / California

Palm Terrace Healthcare & Rehabilitation Center

24962 CALLE ARAGON, LAGUNA HILLS, CA 92637 · CCN 555257

Ratings

Overall
★★★★☆ 4
Health inspection
★★★★☆ 4
Quality measures
★★★★☆ 4
Staffing
★★☆☆☆ 2

Facility

Ownership type
For profit - Corporation
Certified beds
99
Avg residents/day
91.8
Phone
9495879000

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
12025-02-031015.69.5-5.6 better
22022-05-241417.49.8-3.4 better
32019-11-013017.19.3+12.9 worse

Cycle 1 deficiencies by category

CategoryDeficiencies
Quality of life and care2
Resident assessment and care planning2
Nutrition and dietary2
Pharmacy service4

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)4.3452.7%
RN staffing (reported)0.3472.7%
Total nurse staffing (adjusted)3.86

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 (54)

  1. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-08-13 · Health · corrected 2025-08-27

    Potential for more than minimal harm

  2. BF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2025-02-03 · Health · corrected 2025-02-21

    Potential for minimal harm

  3. DF0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.2025-02-03 · Health · corrected 2025-02-21

    Potential for more than minimal harm

  4. DF0695Provide safe and appropriate respiratory care for a resident when needed.2025-02-03 · Health · corrected 2025-02-21

    Potential for more than minimal harm

  5. BF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-02-03 · Health · corrected 2025-02-21

    Potential for minimal harm

  6. DF0760Ensure that residents are free from significant medication errors.2025-02-03 · Health · corrected 2025-02-21

    Potential for more than minimal harm

  7. 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.2025-02-03 · Health · corrected 2025-02-21

    Potential for minimal harm

  8. 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.2025-02-03 · Health · corrected 2025-02-21

    Potential for more than minimal harm

  9. DF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-02-03 · Health · corrected 2025-02-21

    Potential for more than minimal harm

  10. BF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-02-03 · Health · corrected 2025-02-21

    Potential for minimal harm

  11. DF0760Ensure that residents are free from significant medication errors.2024-10-10 · Health · corrected 2024-11-09

    Potential for more than minimal harm

  12. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-09-03 · Health · corrected 2024-09-18

    Potential for more than minimal harm

  13. DF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2024-09-03 · Health · corrected 2024-09-18

    Potential for more than minimal harm

  14. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2023-11-30 · Health · corrected 2023-12-30

    Potential for more than minimal harm

  15. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-11-30 · Health · corrected 2023-12-30

    Potential for more than minimal harm

  16. BF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-09-08 · Health · corrected 2023-09-22

    Potential for minimal harm

  17. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-06-23 · Health · corrected 2023-07-22

    Potential for more than minimal harm

  18. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-05-04 · Health · corrected 2023-06-02

    Potential for more than minimal harm

  19. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2023-04-27 · Health · corrected 2023-06-02

    Potential for more than minimal harm

  20. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-04-27 · Health · corrected 2023-06-02

    Potential for more than minimal harm

  21. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-04-27 · Health · corrected 2023-06-02

    Potential for more than minimal harm

  22. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-03-15 · Health · corrected 2023-04-15

    Potential for more than minimal harm

  23. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-03-15 · Health · corrected 2023-04-15

    Potential for more than minimal harm

  24. DF0695Provide safe and appropriate respiratory care for a resident when needed.2023-03-15 · Health · corrected 2023-04-15

    Potential for more than minimal harm

  25. 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.2023-03-15 · Health · corrected 2023-04-15

    Potential for more than minimal harm

  26. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-03-15 · Health · corrected 2023-04-15

    Potential for more than minimal harm

  27. 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.2023-03-15 · Health · corrected 2023-04-15

    Potential for more than minimal harm

  28. 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.2022-05-24 · Health · corrected 2022-06-24

    Potential for more than minimal harm

  29. DF0679Provide activities to meet all resident's needs.2022-05-24 · Health · corrected 2022-06-24

    Potential for more than minimal harm

  30. DF0692Provide enough food/fluids to maintain a resident's health.2022-05-24 · Health · corrected 2022-06-24

    Potential for more than minimal harm

  31. DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2022-05-24 · Health · corrected 2022-06-24

    Potential for more than minimal harm

  32. 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.2022-05-24 · Health · corrected 2022-06-24

    Potential for more than minimal harm

  33. 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.2022-05-24 · Health · corrected 2022-06-24

    Potential for more than minimal harm

  34. 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.2022-05-24 · Health · corrected 2022-06-24

    Potential for more than minimal harm

  35. DF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2022-05-24 · Health · corrected 2022-06-24

    Potential for more than minimal harm

  36. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2022-05-24 · Health · corrected 2022-06-24

    Potential for more than minimal harm

  37. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2022-05-24 · Health · corrected 2022-06-24

    Potential for more than minimal harm

  38. FF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.2022-05-24 · Health · corrected 2022-06-24

    Potential for more than minimal harm

  39. 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.2019-11-01 · Health · corrected 2019-12-01

    Potential for more than minimal harm

  40. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2019-11-01 · Health · corrected 2019-12-01

    Potential for more than minimal harm

  41. DF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.2019-11-01 · Health · corrected 2019-12-01

    Potential for more than minimal harm

  42. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2019-11-01 · Health · corrected 2019-12-01

    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.2019-11-01 · Health · corrected 2019-12-01

    Potential for more than minimal harm

  44. DF0695Provide safe and appropriate respiratory care for a resident when needed.2019-11-01 · Health · corrected 2019-12-01

    Potential for more than minimal harm

  45. DF0697Provide safe, appropriate pain management for a resident who requires such services.2019-11-01 · Health · corrected 2019-12-01

    Potential for more than minimal harm

  46. DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2019-11-01 · Health · corrected 2019-12-01

    Potential for more than minimal harm

  47. DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2019-11-01 · Health · corrected 2019-12-01

    Potential for more than minimal harm

  48. 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.2019-11-01 · Health · corrected 2019-12-01

    Potential for more than minimal harm

  49. DF0759Ensure medication error rates are not 5 percent or greater.2019-11-01 · Health · corrected 2019-12-01

    Potential for more than minimal harm

  50. 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.2019-11-01 · Health · corrected 2019-12-01

    Potential for more than minimal harm

  51. DF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.2019-11-01 · Health · corrected 2019-12-01

    Potential for more than minimal harm

  52. DF0810Provide special eating equipment and utensils for residents who need them and appropriate assistance.2019-11-01 · Health · corrected 2019-12-01

    Potential for more than minimal harm

  53. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2019-11-01 · Health · corrected 2019-12-01

    Potential for more than minimal harm

  54. 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.2019-11-01 · Health · corrected 2019-12-01

    Potential for more than minimal harm

Ownership

OwnerTypeRolePercentSince
FLAGSTONE HEALTHCARE SOUTH LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100%2006-01-30
THE ENSIGN GROUP INCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST100%2006-01-30
LINDSEY, BRYCEIndividualOPERATIONAL/MANAGERIAL CONTROL2019-04-02
BURNAM, SOONIndividualCORPORATE OFFICER2006-01-30
WILLITS, ADAMIndividualCORPORATE OFFICER2018-07-30
LINDSEY, BRYCEIndividualW-2 MANAGING EMPLOYEE2019-04-02

Other facilities in LAGUNA HILLS

NameOverallBeds
VILLA VALENCIA HEALTHCARE CENTER★★★☆☆59
LAGUNA HILLS HEALTH AND REHABILITATION CENTER★☆☆☆☆208

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