Starfile / California

THE HILLS POST ACUTE

1800 OLD TUSTIN AVENUE, SANTA ANA, CA 92705 · CCN 555765

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

$4,893

Number of fines

2

Number of penalties

2

Payment denials

0

Chain

Chain

THE ENSIGN GROUP

Facilities in chain

329

Chain avg overall

3.20 / 5

Inspection citations (112)

1. 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.2025-03-24 · Health · corrected 2025-04-14

   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.2025-03-24 · Health · corrected 2025-04-14

   Potential for minimal harm

3. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2025-03-24 · Health · corrected 2025-04-14

   Potential for more than minimal harm

4. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-03-24 · Health · corrected 2025-04-14

   Potential for more than minimal harm

5. DF0692Provide enough food/fluids to maintain a resident's health.2025-03-24 · Health · corrected 2025-04-14

   Potential for more than minimal harm

6. EF0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.2025-03-24 · Health · corrected 2025-04-14

   Potential for more than minimal harm

7. DF0695Provide safe and appropriate respiratory care for a resident when needed.2025-03-24 · Health · corrected 2025-04-14

   Potential for more than minimal harm

8. DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2025-03-24 · Health · corrected 2025-04-14

   Potential for more than minimal harm

9. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-03-24 · Health · corrected 2025-04-14

   Potential for more than minimal harm

10. 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.2025-03-24 · Health · corrected 2025-04-14

    Potential for more than minimal harm

11. BF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.2025-03-24 · Health · corrected 2025-04-14

    Potential for minimal harm

12. DF0810Provide special eating equipment and utensils for residents who need them and appropriate assistance.2025-03-24 · Health · corrected 2025-04-14

    Potential for more than minimal harm

13. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-03-24 · Health · corrected 2025-04-14

    Potential for more than minimal harm

14. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-03-24 · Health · corrected 2025-04-14

    Potential for more than minimal harm

15. DF0880Provide and implement an infection prevention and control program.2025-03-24 · Health · corrected 2025-04-14

    Potential for more than minimal harm

16. DF0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.2025-02-14 · Health · corrected 2025-02-17

    Potential for more than minimal harm

17. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-10-29 · Health · corrected 2024-11-11

    Potential for more than minimal harm

18. BF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-07-17 · Health · corrected 2024-07-26

    Potential for minimal harm

19. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-06-25 · Health · corrected 2024-07-08

    Potential for more than minimal harm

20. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-05-03 · Health · corrected 2024-05-30

    Potential for more than minimal harm

21. DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2024-02-08 · Health · corrected 2024-02-29

    Potential for more than minimal harm

22. BF0553Allow resident to participate in the development and implementation of his or her person-centered plan of care.2024-02-08 · Health · corrected 2024-02-29

    Potential for minimal harm

23. DF0554Allow residents to self-administer drugs if determined clinically appropriate.2024-02-08 · Health · corrected 2024-02-29

    Potential for more than minimal harm

24. DF0583Keep residents' personal and medical records private and confidential.2024-02-08 · Health · corrected 2024-02-29

    Potential for more than minimal harm

25. 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.2024-02-08 · Health · corrected 2024-02-29

    Potential for more than minimal harm

26. DF0585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.2024-02-08 · Health · corrected 2024-02-29

    Potential for more than minimal harm

27. 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.2024-02-08 · Health · corrected 2024-02-29

    Potential for more than minimal harm

28. DF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2024-02-08 · Health · corrected 2024-02-29

    Potential for more than minimal harm

29. DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2024-02-08 · Health · corrected 2024-02-29

    Potential for more than minimal harm

30. BF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-02-08 · Health · corrected 2024-02-29

    Potential for minimal harm

31. BF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-02-08 · Health · corrected 2024-02-29

    Potential for minimal harm

32. DF0679Provide activities to meet all resident's needs.2024-02-08 · Health · corrected 2024-02-29

    Potential for more than minimal harm

33. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-02-08 · Health · corrected 2024-02-29

    Potential for more than minimal harm

34. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-02-08 · Health · corrected 2024-02-29

    Potential for more than minimal harm

35. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-02-08 · Health · corrected 2024-02-29

    Potential for more than minimal harm

36. DF0692Provide enough food/fluids to maintain a resident's health.2024-02-08 · Health · corrected 2024-02-29

    Potential for more than minimal harm

37. 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.2024-02-08 · Health · corrected 2024-02-29

    Potential for more than minimal harm

38. DF0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.2024-02-08 · Health · corrected 2024-02-29

    Potential for more than minimal harm

39. DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-02-08 · Health · corrected 2024-02-29

    Potential for more than minimal harm

40. DF0697Provide safe, appropriate pain management for a resident who requires such services.2024-02-08 · Health · corrected 2024-02-29

    Potential for more than minimal harm

41. DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2024-02-08 · Health · corrected 2024-02-29

    Potential for more than minimal harm

42. 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.2024-02-08 · Health · corrected 2024-02-29

    Potential for more than minimal harm

43. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-02-08 · Health · corrected 2024-02-29

    Potential for more than minimal harm

44. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2024-02-08 · Health · corrected 2024-02-29

    Potential for more than minimal harm

45. DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2024-02-08 · Health · corrected 2024-02-29

    Potential for more than minimal harm

46. 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.2024-02-08 · Health · corrected 2024-02-28

    Potential for more than minimal harm

47. DF0759Ensure medication error rates are not 5 percent or greater.2024-02-08 · Health · corrected 2024-02-29

    Potential for more than minimal harm

48. 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.2024-02-08 · Health · corrected 2024-02-29

    Potential for more than minimal harm

49. 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.2024-02-08 · Health · corrected 2024-02-29

    Potential for more than minimal harm

50. DF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.2024-02-08 · Health · corrected 2024-02-29

    Potential for more than minimal harm

51. BF0808Ensure 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.2024-02-08 · Health · corrected 2024-02-29

    Potential for minimal harm

52. DF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-02-08 · Health · corrected 2024-02-29

    Potential for more than minimal harm

53. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-02-08 · Health · corrected 2024-02-29

    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.2024-02-08 · Health · corrected 2024-02-29

    Potential for more than minimal harm

55. EF0880Provide and implement an infection prevention and control program.2024-02-08 · Health · corrected 2024-02-29

    Potential for more than minimal harm

56. EF0881Implement a program that monitors antibiotic use.2024-02-08 · Health · corrected 2024-02-29

    Potential for more than minimal harm

57. 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.2024-02-08 · Health · corrected 2024-02-29

    Potential for more than minimal harm

58. EF0558Reasonably accommodate the needs and preferences of each resident.2024-01-23 · Health · corrected 2024-02-22

    Potential for more than minimal harm

59. DF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.2024-01-23 · Health · corrected 2024-02-22

    Potential for more than minimal harm

60. 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.2024-01-23 · Health · corrected 2024-02-22

    Potential for more than minimal harm

61. 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.2024-01-23 · Health · corrected 2024-02-22

    Potential for more than minimal harm

62. DF0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.2024-01-23 · Health · corrected 2024-02-22

    Potential for more than minimal harm

63. DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2024-01-23 · Health · corrected 2024-02-22

    Potential for more than minimal harm

64. DF0624Prepare residents for a safe transfer or discharge from the nursing home.2024-01-23 · Health · corrected 2024-02-22

    Potential for more than minimal harm

65. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-01-23 · Health · corrected 2024-02-22

    Potential for more than minimal harm

66. DF0660Plan the resident's discharge to meet the resident's goals and needs.2024-01-23 · Health · corrected 2024-02-22

    Potential for more than minimal harm

67. EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-01-23 · Health · corrected 2024-02-22

    Potential for more than minimal harm

68. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-01-23 · Health · corrected 2024-02-22

    Potential for more than minimal harm

69. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-01-23 · Health · corrected 2024-02-22

    Potential for more than minimal harm

70. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2024-01-23 · Health · corrected 2024-02-22

    Potential for more than minimal harm

71. DF0697Provide safe, appropriate pain management for a resident who requires such services.2024-01-23 · Health · corrected 2024-02-22

    Potential for more than minimal harm

72. EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2024-01-23 · Health · corrected 2024-02-22

    Potential for more than minimal harm

73. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-01-23 · Health · corrected 2024-02-22

    Potential for more than minimal harm

74. 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.2024-01-23 · Health · corrected 2024-02-22

    Potential for more than minimal harm

75. DF0760Ensure that residents are free from significant medication errors.2024-01-23 · Health · corrected 2024-02-22

    Potential for more than minimal harm

76. BF0814Dispose of garbage and refuse properly.2024-01-23 · Health · corrected 2024-02-22

    Potential for minimal harm

77. 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.2023-12-28 · Health · corrected 2024-01-27

    Potential for more than minimal harm

78. DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2023-12-28 · Health · corrected 2024-01-27

    Potential for more than minimal harm

79. DF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-12-28 · Health · corrected 2024-01-27

    Potential for more than minimal harm

80. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-12-28 · Health · corrected 2024-01-27

    Potential for more than minimal harm

81. DF0880Provide and implement an infection prevention and control program.2023-12-28 · Health · corrected 2024-01-27

    Potential for more than minimal harm

82. DF0558Reasonably accommodate the needs and preferences of each resident.2023-11-30 · Health · corrected 2023-12-15

    Potential for more than minimal harm

83. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-11-30 · Health · corrected 2023-12-15

    Potential for more than minimal harm

84. DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2023-10-18 · Health · corrected 2023-11-09

    Potential for more than minimal harm

85. 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.2023-10-18 · Health · corrected 2023-11-09

    Potential for more than minimal harm

86. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-10-18 · Health · corrected 2023-11-09

    Potential for more than minimal harm

87. BF0836Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.2023-10-18 · Health · corrected 2023-11-09

    Potential for minimal harm

88. BF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-09-13 · Health · corrected 2023-10-08

    Potential for minimal harm

89. DF0695Provide safe and appropriate respiratory care for a resident when needed.2023-09-13 · Health · corrected 2023-10-08

    Potential for more than minimal harm

90. 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.2023-09-13 · Health · corrected 2023-10-08

    Potential for more than minimal harm

91. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-08-16 · Health · corrected 2023-09-08

    Potential for more than minimal harm

92. DF0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.2023-08-16 · Health · corrected 2023-09-08

    Potential for more than minimal harm

93. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-08-16 · Health · corrected 2023-09-08

    Potential for more than minimal harm

94. DF0760Ensure that residents are free from significant medication errors.2023-08-16 · Health · corrected 2023-09-08

    Potential for more than minimal harm

95. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-06-15 · Health · corrected 2023-07-14

    Potential for more than minimal harm

96. DF0558Reasonably accommodate the needs and preferences of each resident.2023-06-14 · Health · corrected 2023-07-14

    Potential for more than minimal harm

97. 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.2023-06-14 · Health · corrected 2023-07-14

    Potential for more than minimal harm

98. DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2023-05-03 · Health · corrected 2023-06-01

    Potential for more than minimal harm

99. 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.2023-05-03 · Health · corrected 2023-06-01

    Potential for more than minimal harm

100. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-04-14 · Health · corrected 2023-05-05

     Potential for more than minimal harm

101. 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.2023-04-14 · Health · corrected 2023-05-05

     Potential for more than minimal harm

102. DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2023-04-13 · Health · corrected 2023-05-12

     Potential for more than minimal harm

103. EF0641Ensure each resident receives an accurate assessment.2021-10-18 · Health · corrected 2021-11-10

     Potential for more than minimal harm

104. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2021-10-18 · Health · corrected 2021-11-10

     Potential for more than minimal harm

105. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2021-10-18 · Health · corrected 2021-11-10

     Potential for more than minimal harm

106. EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2021-10-18 · Health · corrected 2021-11-10

     Potential for more than minimal harm

107. DF0695Provide safe and appropriate respiratory care for a resident when needed.2021-10-18 · Health · corrected 2021-11-10

     Potential for more than minimal harm

108. DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2021-10-18 · Health · corrected 2021-11-10

     Potential for more than minimal harm

109. 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.2021-10-18 · Health · corrected 2021-11-10

     Potential for more than minimal harm

110. 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.2021-10-18 · Health · corrected 2021-11-10

     Potential for more than minimal harm

111. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2021-10-18 · Health · corrected 2021-11-10

     Potential for more than minimal harm

112. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2021-10-18 · Health · corrected 2021-11-10

     Potential for more than minimal harm

Ownership

Other facilities in SANTA ANA

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