Starfile

Starfile / California

TRABUCO HILLS POST ACUTE

25652 OLD TRABUCO ROAD, LAKE FOREST, CA 92630 · CCN 555308

Ratings

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

Facility

Ownership type
For profit - Limited Liability company
Certified beds
175
Avg residents/day
167.1
Phone
9493809380

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
12024-10-114215.69.5+26.4 worse
22022-04-082417.49.8+6.6 worse
32019-04-292417.19.3+6.9 worse

Cycle 1 deficiencies by category

CategoryDeficiencies
Quality of life and care11
Resident assessment and care planning4
Resident rights10
Nutrition and dietary2
Pharmacy service9
Environmental3
Administration1
Infection control2

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)4.1437.2%
RN staffing (reported)0.3641.2%
Total nurse staffing (adjusted)3.23

Fines & penalties

Total fines
$0
Number of fines
0
Number of penalties
0
Payment denials
0

Chain

Chain
DAVID & FRANK JOHNSON
Facilities in chain
45
Chain avg overall
3.20 / 5

Inspection citations (90)

  1. BF0583Keep residents' personal and medical records private and confidential.2026-01-23 · Health · corrected 2026-02-22

    Potential for minimal harm

  2. BF0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.2026-01-23 · Health · corrected 2026-02-22

    Potential for minimal harm

  3. BF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2026-01-23 · Health · corrected 2026-02-22

    Potential for minimal harm

  4. BF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2026-01-23 · Health · corrected 2026-02-22

    Potential for minimal harm

  5. DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2026-01-23 · Health · corrected 2026-02-22

    Potential for more than minimal harm

  6. BF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2026-01-23 · Health · corrected 2026-02-22

    Potential for minimal harm

  7. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-09-09 · Health · corrected 2025-10-09

    Potential for more than minimal harm

  8. 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 2025-10-09

    Potential for more than minimal harm

  9. BF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2025-08-21 · Health · corrected 2025-09-21

    Potential for minimal harm

  10. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-08-21 · Health · corrected 2025-09-21

    Potential for more than minimal harm

  11. BF0770Provide timely, quality laboratory services/tests to meet the needs of residents.2025-08-21 · Health · corrected 2025-09-21

    Potential for minimal harm

  12. BF0554Allow residents to self-administer drugs if determined clinically appropriate.2025-08-08 · Health · corrected 2025-09-08

    Potential for minimal harm

  13. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-08-08 · Health · corrected 2025-09-08

    Potential for more than minimal harm

  14. DF0825Provide or get specialized rehabilitative services as required for a resident.2025-04-24 · Health · corrected 2025-05-24

    Potential for more than minimal harm

  15. DF0825Provide or get specialized rehabilitative services as required for a resident.2025-02-19 · Health · corrected 2025-03-10

    Potential for more than minimal harm

  16. BF0584Honor 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.2024-11-15 · Health · corrected 2024-12-15

    Potential for minimal harm

  17. BF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-10-11 · Health · corrected 2024-11-11

    Potential for minimal harm

  18. DF0554Allow residents to self-administer drugs if determined clinically appropriate.2024-10-11 · Health · corrected 2024-11-11

    Potential for more than minimal harm

  19. DF0558Reasonably accommodate the needs and preferences of each resident.2024-10-11 · Health · corrected 2024-11-11

    Potential for more than minimal harm

  20. 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.2024-10-11 · Health · corrected 2024-11-11

    Potential for more than minimal harm

  21. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-10-11 · Health · corrected 2024-11-11

    Potential for more than minimal harm

  22. DF0583Keep residents' personal and medical records private and confidential.2024-10-11 · Health · corrected 2024-11-11

    Potential for more than minimal harm

  23. DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2024-10-11 · Health · corrected 2024-11-11

    Potential for more than minimal harm

  24. BF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-10-11 · Health · corrected 2024-11-11

    Potential for minimal harm

  25. DF0679Provide activities to meet all resident's needs.2024-10-11 · Health · corrected 2024-11-11

    Potential for more than minimal harm

  26. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-10-11 · Health · corrected 2024-11-11

    Potential for more than minimal harm

  27. BF0685Assist a resident in gaining access to vision and hearing services.2024-10-11 · Health · corrected 2024-11-11

    Potential for minimal harm

  28. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-10-11 · Health · corrected 2024-11-11

    Potential for more than minimal harm

  29. 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.2024-10-11 · Health · corrected 2024-11-11

    Potential for more than minimal harm

  30. DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-10-11 · Health · corrected 2024-11-11

    Potential for more than minimal harm

  31. DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2024-10-11 · Health · corrected 2024-11-11

    Potential for more than minimal harm

  32. EF0700Try 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.2024-10-11 · Health · corrected 2024-11-11

    Potential for more than minimal harm

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

    Potential for more than minimal harm

  34. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2024-10-11 · Health · corrected 2024-11-11

    Potential for more than minimal harm

  35. BF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2024-10-11 · Health · corrected 2024-11-11

    Potential for minimal harm

  36. 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.2024-10-11 · Health · corrected 2024-11-11

    Potential for more than minimal harm

  37. DF0759Ensure medication error rates are not 5 percent or greater.2024-10-11 · Health · corrected 2024-11-11

    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.2024-10-11 · Health · corrected 2024-11-11

    Potential for more than minimal harm

  39. 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.2024-10-11 · Health · corrected 2024-11-11

    Potential for more than minimal harm

  40. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-10-11 · Health · corrected 2024-11-11

    Potential for more than minimal harm

  41. BF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-10-11 · Health · corrected 2024-11-11

    Potential for minimal harm

  42. EF0880Provide and implement an infection prevention and control program.2024-10-11 · Health · corrected 2024-11-11

    Potential for more than minimal harm

  43. DF0881Implement a program that monitors antibiotic use.2024-10-11 · Health · corrected 2024-11-11

    Potential for more than minimal harm

  44. DF0908Keep all essential equipment working safely.2024-10-11 · Health · corrected 2024-11-11

    Potential for more than minimal harm

  45. EF0909Regularly 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.2024-10-11 · Health · corrected 2024-11-11

    Potential for more than minimal harm

  46. BF0914Provide bedrooms that don't allow residents to see each other when privacy is needed.2024-10-11 · Health · corrected 2024-11-11

    Potential for minimal harm

  47. BF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-08-01 · Health · corrected 2024-09-01

    Potential for minimal harm

  48. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-06-20 · Health · corrected 2024-07-20

    Potential for more than minimal harm

  49. BF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-05-16 · Health · corrected 2024-06-16

    Potential for minimal harm

  50. BF0553Allow resident to participate in the development and implementation of his or her person-centered plan of care.2024-04-30 · Health · corrected 2024-05-30

    Potential for minimal harm

  51. BF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-03-20 · Health · corrected 2024-04-20

    Potential for minimal harm

  52. BF0809Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.2024-03-07 · Health · corrected 2024-04-06

    Potential for minimal harm

  53. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-04-27 · Health · corrected 2023-05-26

    Potential for more than minimal harm

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

    Potential for more than minimal harm

  55. DF0880Provide and implement an infection prevention and control program.2023-04-04 · Health · corrected 2023-04-14

    Potential for more than minimal harm

  56. DF0558Reasonably accommodate the needs and preferences of each resident.2022-04-08 · Health · corrected 2022-05-08

    Potential for more than minimal harm

  57. 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.2022-04-08 · Health · corrected 2022-05-08

    Potential for more than minimal harm

  58. BF0584Honor 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.2022-04-08 · Health · corrected 2022-05-08

    Potential for minimal harm

  59. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2022-04-08 · Health · corrected 2022-05-08

    Potential for more than minimal harm

  60. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2022-04-08 · Health · corrected 2022-05-08

    Potential for more than minimal harm

  61. DF0695Provide safe and appropriate respiratory care for a resident when needed.2022-04-08 · Health · corrected 2022-05-08

    Potential for more than minimal harm

  62. 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.2022-04-08 · Health · corrected 2022-05-08

    Potential for more than minimal harm

  63. 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.2022-04-08 · Health · corrected 2022-05-08

    Potential for minimal harm

  64. BF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.2022-04-08 · Health · corrected 2022-05-08

    Potential for minimal harm

  65. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2022-04-08 · Health · corrected 2022-05-08

    Potential for more than minimal harm

  66. DF0813Have a policy regarding use and storage of foods brought to residents by family and other visitors.2022-04-08 · Health · corrected 2022-05-08

    Potential for more than minimal harm

  67. BF0814Dispose of garbage and refuse properly.2022-04-08 · Health · corrected 2022-05-08

    Potential for minimal harm

  68. BF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2022-04-08 · Health · corrected 2022-05-08

    Potential for minimal harm

  69. DF0880Provide and implement an infection prevention and control program.2022-04-08 · Health · corrected 2022-05-08

    Potential for more than minimal harm

  70. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2019-04-29 · Health · corrected 2019-05-22

    Potential for more than minimal harm

  71. DF0554Allow residents to self-administer drugs if determined clinically appropriate.2019-04-29 · Health · corrected 2019-05-22

    Potential for more than minimal harm

  72. DF0558Reasonably accommodate the needs and preferences of each resident.2019-04-29 · Health · corrected 2019-05-22

    Potential for more than minimal harm

  73. 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.2019-04-29 · Health · corrected 2019-05-22

    Potential for more than minimal harm

  74. DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2019-04-29 · Health · corrected 2019-05-22

    Potential for more than minimal harm

  75. 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.2019-04-29 · Health · corrected 2019-05-22

    Potential for more than minimal harm

  76. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2019-04-29 · Health · corrected 2019-05-22

    Potential for more than minimal harm

  77. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2019-04-29 · Health · corrected 2019-05-22

    Potential for more than minimal harm

  78. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2019-04-29 · Health · corrected 2019-05-22

    Potential for more than minimal harm

  79. DF0692Provide enough food/fluids to maintain a resident's health.2019-04-29 · Health · corrected 2019-05-22

    Potential for more than minimal harm

  80. EF0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.2019-04-29 · Health · corrected 2019-05-22

    Potential for more than minimal harm

  81. DF0697Provide safe, appropriate pain management for a resident who requires such services.2019-04-29 · Health · corrected 2019-05-22

    Potential for more than minimal harm

  82. DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2019-04-29 · Health · corrected 2019-05-22

    Potential for more than minimal harm

  83. DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2019-04-29 · Health · corrected 2019-05-22

    Potential for more than minimal harm

  84. DF0759Ensure medication error rates are not 5 percent or greater.2019-04-29 · Health · corrected 2019-05-22

    Potential for more than minimal harm

  85. DF0760Ensure that residents are free from significant medication errors.2019-04-29 · Health · corrected 2019-05-22

    Potential for more than minimal harm

  86. 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.2019-04-29 · Health · corrected 2019-05-22

    Potential for more than minimal harm

  87. DF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2019-04-29 · Health · corrected 2019-05-22

    Potential for more than minimal harm

  88. DF0814Dispose of garbage and refuse properly.2019-04-29 · Health · corrected 2019-05-22

    Potential for more than minimal harm

  89. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2019-04-29 · Health · corrected 2019-05-22

    Potential for more than minimal harm

  90. DF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2019-04-29 · Health · corrected 2019-05-22

    Potential for more than minimal harm

Ownership

OwnerTypeRolePercentSince
JOHNSON, DAVIDIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST50%2022-08-16
JOHNSON, FRANKIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST50%2022-08-16
LAKE FOREST POST ACUTE LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL2023-05-19
CLINE, TALMADGEIndividualOPERATIONAL/MANAGERIAL CONTROL2022-09-09
JOHNSON, DAVIDIndividualOPERATIONAL/MANAGERIAL CONTROL2022-04-01
KOCHEK, JOSHUAIndividualOPERATIONAL/MANAGERIAL CONTROL2022-04-01
OXFORD, MICHEALIndividualOPERATIONAL/MANAGERIAL CONTROL2022-01-03
DEHGHANMANESH, ADRIANIndividualCORPORATE OFFICER2022-08-16
FARRALES, MARYIndividualCORPORATE OFFICER2023-01-01
KOCHEK, JOSHUAIndividualCORPORATE OFFICER2022-04-01
OXFORD, MICHEALIndividualCORPORATE OFFICER2022-01-03

Other facilities in LAKE FOREST

NameOverallBeds
FREEDOM VILLAGE HEALTHCARE CENTER★★★☆☆52

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