ST ELIZABETH HEALTHCARE CENTER
2800 N. HARBOR BLVD., FULLERTON, CA 92835 · CCN 055570
Ratings
- Overall
- ★★★☆☆ 3
- Health inspection
- ★★★☆☆ 3
- Quality measures
- ★★★★☆ 4
- Staffing
- ★★★★☆ 4
Facility
- Ownership type
- For profit - Corporation
- Certified beds
- 59
- Avg residents/day
- 53.8
- Phone
- 7148719202
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 | 2024-12-17 | 23 | 15.6 | 9.5 | +7.4 worse |
| 2 | 2023-05-05 | 18 | 17.4 | 9.8 | +0.6 worse |
| 3 | 2020-03-02 | 12 | 17.1 | 9.3 | -5.1 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 2 |
| Quality of life and care | 7 |
| Resident assessment and care planning | 5 |
| Resident rights | 3 |
| Pharmacy service | 5 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 4.53 | 24.6% |
| RN staffing (reported) | 0.74 | 0.0% |
| Total nurse staffing (adjusted) | 3.92 | — |
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 (53)
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-12-19 · Health · corrected 2026-01-09
Potential for more than minimal harm
- BF0558Reasonably accommodate the needs and preferences of each resident.2025-09-09 · Health · corrected 2025-09-30
Potential for minimal harm
- BF0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.2025-09-09 · Health · corrected 2025-09-30
Potential for minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-09-09 · Health · corrected 2025-09-30
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.2025-09-09 · Health · corrected 2025-09-30
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-07-10 · Health · corrected 2025-08-08
Potential for more than minimal harm
- DF0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.2025-07-10 · Health · corrected 2025-08-08
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2025-07-10 · Health · corrected 2025-08-08
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.2025-07-10 · Health · corrected 2025-08-08
Potential for minimal harm
- BF0558Reasonably accommodate the needs and preferences of each resident.2024-12-17 · Health · corrected 2025-01-10
Potential for minimal harm
- BF0583Keep residents' personal and medical records private and confidential.2024-12-17 · Health · corrected 2025-01-10
Potential for minimal harm
- DF0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.2024-12-17 · Health · corrected 2025-01-10
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.2024-12-17 · Health · corrected 2025-01-10
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-12-17 · Health · corrected 2025-01-10
Potential for more than minimal harm
- DF0692Provide enough food/fluids to maintain a resident's health.2024-12-17 · Health · corrected 2025-01-10
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-12-17 · Health · corrected 2025-01-10
Potential for more than minimal harm
- DF0697Provide safe, appropriate pain management for a resident who requires such services.2024-12-17 · Health · corrected 2025-01-10
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.2024-12-17 · Health · corrected 2025-01-10
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.2024-12-17 · Health · corrected 2025-01-10
Potential for more than minimal harm
- DF0759Ensure medication error rates are not 5 percent or greater.2024-12-17 · Health · corrected 2025-01-17
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.2024-12-17 · Health · corrected 2025-01-17
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.2024-12-17 · Health · corrected 2025-01-10
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2024-12-17 · Health · corrected 2025-01-10
Potential for more than minimal harm
- DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-07-31 · Health · corrected 2024-08-24
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-05-07 · Health · corrected 2024-05-30
Potential for more than minimal harm
- BF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-01-31 · Health · corrected 2024-01-31
Potential for minimal harm
- DF0558Reasonably accommodate the needs and preferences of each resident.2023-05-05 · Health · corrected 2023-06-21
Potential for more than minimal harm
- 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.2023-05-05 · Health · corrected 2023-06-21
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.2023-05-05 · Health · corrected 2023-06-21
Potential for more than minimal harm
- DF0679Provide activities to meet all resident's needs.2023-05-05 · Health · corrected 2023-06-21
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-05-05 · Health · corrected 2023-06-21
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-05-05 · Health · corrected 2023-06-21
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.2023-05-05 · Health · corrected 2023-06-21
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.2023-05-05 · Health · corrected 2023-06-21
Potential for more than minimal harm
- DF0759Ensure medication error rates are not 5 percent or greater.2023-05-05 · Health · corrected 2023-06-21
Potential for more than minimal harm
- DF0760Ensure that residents are free from significant medication errors.2023-05-05 · Health · corrected 2023-06-21
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.2023-05-05 · Health · corrected 2023-06-21
Potential for more than minimal harm
- 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.2023-05-05 · Health · corrected 2023-06-21
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.2023-05-05 · Health · corrected 2023-06-21
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2023-05-05 · Health · corrected 2023-06-21
Potential for more than minimal harm
- BF0908Keep all essential equipment working safely.2023-05-05 · Health · corrected 2023-06-21
Potential for 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.2023-05-05 · Health · corrected 2023-06-21
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.2023-03-14 · Health · corrected 2023-03-31
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.2020-03-02 · Health · corrected 2020-03-30
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2020-03-02 · Health · corrected 2020-03-30
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.2020-03-02 · Health · corrected 2020-03-30
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.2020-03-02 · Health · corrected 2020-03-30
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.2020-03-02 · Health · corrected 2020-03-30
Potential for more than minimal harm
- DF0759Ensure medication error rates are not 5 percent or greater.2020-03-02 · Health · corrected 2020-03-30
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.2020-03-02 · Health · corrected 2020-03-30
Potential for more than minimal harm
- 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.2020-03-02 · Health · corrected 2020-03-30
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2020-03-02 · Health · corrected 2020-03-30
Potential for more than minimal harm
- DF0814Dispose of garbage and refuse properly.2020-03-02 · Health · corrected 2020-03-30
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| FLAGSTONE HEALTHCARE SOUTH LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2019-01-15 |
| THE ENSIGN GROUP INC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2019-01-15 |
| SQUIRES, BRIAN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-05-01 |
| WOO, KIHO | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-05-01 |
| WILLITS, ADAM | Individual | CORPORATE DIRECTOR | — | 2019-01-15 |
| BURNAM, SOON | Individual | CORPORATE OFFICER | — | 2019-01-15 |
| KEETCH, CHAD | Individual | CORPORATE OFFICER | — | 2011-03-01 |
| LOOPER, WILLIAM | Individual | CORPORATE OFFICER | — | 2023-02-01 |
| SATO, AMI | Individual | CORPORATE OFFICER | — | 2024-09-09 |
Other facilities in FULLERTON
| Name | Overall | Beds |
|---|---|---|
| GREENFIELD CARE CENTER OF FULLERTON, LLC | ★★★★★ | 99 |
| PARK VISTA AT MORNINGSIDE | ★★★★★ | 99 |
| TERRACE VIEW CARE CENTER | ★★★★★ | 59 |
| ST. CATHERINE HEALTHCARE | ★★★☆☆ | 99 |
| THE PAVILION AT SUNNY HILLS | ★★☆☆☆ | 300 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.