Starfile / California

SAN JUAN HILLS HEALTHCARE CENTER

31741 RANCHO VIEJO ROAD, SAN JUAN CAPISTRANO, CA 92675 · CCN 555763

Inspection history vs California & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$3,174

Number of fines

1

Number of penalties

1

Payment denials

0

Chain

Chain

ASPEN SKILLED HEALTHCARE

Facilities in chain

34

Chain avg overall

3.50 / 5

Inspection citations (59)1 actual harm

1. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2025-10-15 · Health · corrected 2025-11-12

   Potential for more than minimal harm

2. BF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-07-15 · Health · corrected 2025-08-02

   Potential for minimal harm

3. BF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2025-07-15 · Health · corrected 2025-08-02

   Potential for minimal harm

4. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2025-07-15 · Health · corrected 2025-08-02

   Potential for more than minimal harm

5. BF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-05-23 · Health · corrected 2025-06-19

   Potential for minimal harm

6. BF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-11-15 · Health · corrected 2024-12-13

   Potential for minimal harm

7. DF0554Allow residents to self-administer drugs if determined clinically appropriate.2024-11-15 · Health · corrected 2024-12-13

   Potential for more than minimal harm

8. DF0565Honor the resident's right to organize and participate in resident/family groups in the facility.2024-11-15 · Health · corrected 2024-12-13

   Potential for more than minimal harm

9. BF0574The resident has the right to receive notices in a format and a language he or she understands.2024-11-15 · Health · corrected 2024-12-13

   Potential for minimal harm

10. DF0645PASARR screening for Mental disorders or Intellectual Disabilities2024-11-15 · Health · corrected 2024-12-13

    Potential for more than minimal harm

11. BF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-11-15 · Health · corrected 2024-12-13

    Potential for minimal harm

12. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-11-15 · Health · corrected 2024-12-13

    Potential for more than minimal harm

13. 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 2024-12-13

    Potential for more than minimal harm

14. DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-11-15 · Health · corrected 2024-12-13

    Potential for more than minimal harm

15. 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 2024-12-13

    Potential for more than minimal harm

16. 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 2024-12-13

    Potential for more than minimal harm

17. DF0759Ensure medication error rates are not 5 percent or greater.2024-11-15 · Health · corrected 2024-12-13

    Potential for more than minimal harm

18. 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 2024-12-13

    Potential for more than minimal harm

19. DF0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.2024-11-15 · Health · corrected 2024-12-13

    Potential for more than minimal harm

20. 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.2024-11-15 · Health · corrected 2024-12-13

    Potential for more than minimal harm

21. DF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2024-11-15 · Health · corrected 2024-12-13

    Potential for more than minimal harm

22. 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.2024-11-15 · Health · corrected 2024-12-13

    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.2024-11-15 · Health · corrected 2024-12-13

    Potential for more than minimal harm

24. BF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-11-15 · Health · corrected 2024-12-13

    Potential for minimal harm

25. DF0880Provide and implement an infection prevention and control program.2024-11-15 · Health · corrected 2024-12-13

    Potential for more than minimal harm

26. DF0881Implement a program that monitors antibiotic use.2024-11-15 · Health · corrected 2024-12-13

    Potential for more than minimal harm

27. DF0908Keep all essential equipment working safely.2024-11-15 · Health · corrected 2024-12-13

    Potential for more than minimal harm

28. 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.2024-11-15 · Health · corrected 2024-12-13

    Potential for more than minimal harm

29. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-12-12 · Health · corrected 2024-01-02

    Actual harm

30. DF0554Allow residents to self-administer drugs if determined clinically appropriate.2023-11-17 · Health · corrected 2023-12-15

    Potential for more than minimal harm

31. 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.2023-11-17 · Health · corrected 2023-12-15

    Potential for more than minimal harm

32. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-11-17 · Health · corrected 2023-12-15

    Potential for more than minimal harm

33. DF0679Provide activities to meet all resident's needs.2023-11-17 · Health · corrected 2023-12-15

    Potential for more than minimal harm

34. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-11-17 · Health · corrected 2023-12-15

    Potential for more than minimal harm

35. DF0695Provide safe and appropriate respiratory care for a resident when needed.2023-11-17 · Health · corrected 2023-12-15

    Potential for more than minimal harm

36. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-11-17 · Health · corrected 2023-12-15

    Potential for more than minimal harm

37. 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.2023-11-17 · Health · corrected 2023-12-15

    Potential for more than minimal harm

38. 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.2023-11-17 · Health · corrected 2023-12-15

    Potential for more than minimal harm

39. DF0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.2023-11-17 · Health · corrected 2023-12-15

    Potential for more than minimal harm

40. DF0802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.2023-11-17 · Health · corrected 2023-12-15

    Potential for more than minimal harm

41. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-11-17 · Health · corrected 2023-12-15

    Potential for more than minimal harm

42. DF0813Have a policy regarding use and storage of foods brought to residents by family and other visitors.2023-11-17 · Health · corrected 2023-12-15

    Potential for more than minimal harm

43. BF0880Provide and implement an infection prevention and control program.2023-11-17 · Health · corrected 2023-12-15

    Potential for minimal harm

44. DF0881Implement a program that monitors antibiotic use.2023-11-17 · Health · corrected 2023-12-15

    Potential for more than minimal harm

45. DF0908Keep all essential equipment working safely.2023-11-17 · Health · corrected 2023-12-17

    Potential for more than minimal harm

46. 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.2023-11-17 · Health · corrected 2023-12-15

    Potential for more than minimal harm

47. DF0565Honor the resident's right to organize and participate in resident/family groups in the facility.2022-10-20 · Health · corrected 2022-11-10

    Potential for more than minimal harm

48. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2022-10-20 · Health · corrected 2022-11-10

    Potential for more than minimal harm

49. DF0691Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.2022-10-20 · Health · corrected 2022-11-10

    Potential for more than minimal harm

50. DF0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.2022-10-20 · Health · corrected 2022-11-10

    Potential for more than minimal harm

51. DF0695Provide safe and appropriate respiratory care for a resident when needed.2022-10-20 · Health · corrected 2022-11-10

    Potential for more than minimal harm

52. 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.2022-10-20 · Health · corrected 2022-11-10

    Potential for more than minimal harm

53. 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.2022-10-20 · Health · corrected 2022-11-10

    Potential for more than minimal harm

54. DF0759Ensure medication error rates are not 5 percent or greater.2022-10-20 · Health · corrected 2022-11-10

    Potential for more than minimal harm

55. 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.2022-10-20 · Health · corrected 2022-11-10

    Potential for more than minimal harm

56. DF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.2022-10-20 · Health · corrected 2022-11-10

    Potential for more than minimal harm

57. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2022-10-20 · Health · corrected 2022-11-10

    Potential for more than minimal harm

58. DF0813Have a policy regarding use and storage of foods brought to residents by family and other visitors.2022-10-20 · Health · corrected 2022-11-10

    Potential for more than minimal harm

59. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2022-10-20 · Health · corrected 2022-11-10

    Potential for more than minimal harm

Ownership

Other facilities in SAN JUAN CAPISTRANO

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