Orange, CA

Healthbridge Children's Hospital - Orange D/P SNF

4-star overall rating with 4-star inspections with $3,846 in total fines with 13 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle

393 S Tustin St, Orange, CA

(714) 289-2400

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

0 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

Certified beds

Average residents

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

2000-02-23

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

4.01

Registered nurse staffing

LPN hours / resident day

3.57

Licensed practical nurse staffing

Aide hours / resident day

3.96

Nurse aide staffing

Weekend hours

10.50

Weekend nurse staffing

RN turnover

Annual RN turnover

Total nurse turnover

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	94.5%	98.5% 4 pts worse	93.4% 1.1 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents experiencing one or more falls with major injury	0.0%	1.6% 1.6 pts better	3.3% 3.3 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight	0.0%	4.1% 4.1 pts better	5.4% 5.4 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication	21.9%	13.7% 8.2 pts worse	19.6% 2.3 pts worse	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who were physically restrained	0.0%	0.4% 0.4 pts better	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder	1.0%	1.0% About the same	1.0% About the same	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection	0.0%	1.2% 1.2 pts better	1.7% 1.7 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	8.4%	10.9% 2.5 pts better	19.8% 11.4 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers	0.0%	4.7% 4.7 pts better	5.1% 5.1 pts better	Long Stay · 2024Q4-2025Q3

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-02-24 · Fire 2025-02-24

13 health deficiencies

Top issue: Resident Rights (3 deficiencies)

1 fire-safety deficiencies

Top issue: Smoke (1 deficiency)

Cycle 2 Health 2024-03-14 · Fire 2024-03-14

17 health deficiencies

Top issue: Quality of Life and Care (4 deficiencies)

7 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 3 Health 2023-03-23 · Fire 2023-03-23

22 health deficiencies

Top issue: Quality of Life and Care (5 deficiencies)

15 fire-safety deficiencies

Top issue: Smoke (7 deficiencies)

Fire safety

Fire-safety citations

D · Potential for more than minimal harm 2025-02-24

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2025-03-13

F · Potential for more than minimal harm 2024-03-14

K352 · Smoke Deficiencies

Fire Safety

Properly install and monitor supervisory attachments on automatic sprinkler systems.

Corrected 2024-04-04

E · Potential for more than minimal harm 2024-03-14

K753 · Miscellaneous Deficiencies

Fire Safety

Have restrictions on the use of highly flammable decorations.

Corrected 2024-04-04

D · Potential for more than minimal harm 2024-03-14

K161 · Construction Deficiencies

Fire Safety

Use approved construction type or materials.

Corrected 2024-04-04

D · Potential for more than minimal harm 2024-03-14

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2024-04-04

D · Potential for more than minimal harm 2024-03-14

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2024-04-04

D · Potential for more than minimal harm 2024-03-14

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-04-04

D · Potential for more than minimal harm 2024-03-14

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2024-04-04

F · Potential for more than minimal harm 2023-03-23

E15 · Emergency Preparedness Deficiencies

Fire Safety

Address subsistence needs for staff and patients.

Corrected 2023-04-27

F · Potential for more than minimal harm 2023-03-23

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2023-04-27

D · Potential for more than minimal harm 2023-03-23

K161 · Construction Deficiencies

Fire Safety

Use approved construction type or materials.

Corrected 2023-04-27

D · Potential for more than minimal harm 2023-03-23

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2023-04-27

D · Potential for more than minimal harm 2023-03-23

K325 · Smoke Deficiencies

Fire Safety

Have properly installed hallway dispensers for alcohol-based hand rub.

Corrected 2023-04-27

D · Potential for more than minimal harm 2023-03-23

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2023-04-27

D · Potential for more than minimal harm 2023-03-23

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2023-04-27

C · Minimal harm 2023-03-23

E30 · Emergency Preparedness Deficiencies

Fire Safety

List the names and contact information of those in the facility.

Corrected 2023-04-27

C · Minimal harm 2023-03-23

E41 · Emergency Preparedness Deficiencies

Fire Safety

Implement emergency and standby power systems.

Corrected 2023-04-27

C · Minimal harm 2023-03-23

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2023-04-27

C · Minimal harm 2023-03-23

K346 · Smoke Deficiencies

Fire Safety

Follow proper procedures when the fire alarm was out of service for more than 4 hours.

Corrected 2023-04-27

C · Minimal harm 2023-03-23

K347 · Smoke Deficiencies

Fire Safety

Properly provide smoke detection systems in areas open to corridors.

Corrected 2023-04-27

C · Minimal harm 2023-03-23

K354 · Smoke Deficiencies

Fire Safety

Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

Corrected 2023-04-27

C · Minimal harm 2023-03-23

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2023-04-27

C · Minimal harm 2023-03-23

K908 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure gas and vacuum systems are inspected and tested as part of a maintenance program.

Corrected 2023-04-27

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-02-24

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2025-03-22

D · Potential for more than minimal harm 2025-02-24

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2025-03-22

D · Potential for more than minimal harm 2025-02-24

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2025-03-22

D · Potential for more than minimal harm 2025-02-24

F657 · Resident Assessment and Care Planning Deficiencies

Health

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2025-03-22

D · Potential for more than minimal harm 2025-02-24

F693 · Quality of Life and Care Deficiencies

Health

Ensure 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.

Corrected 2025-03-22

D · Potential for more than minimal harm 2025-02-24

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2025-03-22

D · Potential for more than minimal harm 2025-02-24

F758 · Pharmacy Service Deficiencies

Health

Implement 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.

Corrected 2025-03-22

D · Potential for more than minimal harm 2025-02-24

F761 · Pharmacy Service Deficiencies

Health

Ensure 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.

Corrected 2025-03-22

D · Potential for more than minimal harm 2025-02-24

F851 · Administration Deficiencies

Health

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

Corrected 2025-03-22

D · Potential for more than minimal harm 2025-02-24

F908 · Environmental Deficiencies

Health

Keep all essential equipment working safely.

Corrected 2025-03-22

B · Minimal harm 2025-02-24

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2025-03-22

B · Minimal harm 2025-02-24

F584 · Resident Rights Deficiencies

Health

Honor 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.

Corrected 2025-03-22

B · Minimal harm 2025-02-24

F623 · Resident Rights Deficiencies

Health

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2025-03-22

D · Potential for more than minimal harm 2024-10-22

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2024-11-30

D · Potential for more than minimal harm 2024-10-22

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2024-11-30

F · Potential for more than minimal harm 2024-03-14

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-04-12

F · Potential for more than minimal harm 2024-03-14

F909 · Environmental Deficiencies

Health

Regularly 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.

Corrected 2024-03-22

D · Potential for more than minimal harm 2024-03-14

F604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Corrected 2024-04-12

D · Potential for more than minimal harm 2024-03-14

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2024-04-01

D · Potential for more than minimal harm 2024-03-14

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-04-12

D · Potential for more than minimal harm 2024-03-14

F694 · Quality of Life and Care Deficiencies

Health

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

Corrected 2024-04-03

D · Potential for more than minimal harm 2024-03-14

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2024-04-12

D · Potential for more than minimal harm 2024-03-14

F700 · Quality of Life and Care Deficiencies

Health

Try 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.

Corrected 2024-04-06

D · Potential for more than minimal harm 2024-03-14

F756 · Pharmacy Service Deficiencies

Health

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Corrected 2024-04-01

D · Potential for more than minimal harm 2024-03-14

F758 · Pharmacy Service Deficiencies

Health

Corrected 2024-04-12

D · Potential for more than minimal harm 2024-03-14

F761 · Pharmacy Service Deficiencies

Health

Corrected 2024-04-12

D · Potential for more than minimal harm 2024-03-14

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2024-04-12

D · Potential for more than minimal harm 2024-03-14

F881 · Infection Control Deficiencies

Health

Implement a program that monitors antibiotic use.

Corrected 2024-03-19

B · Minimal harm 2024-03-14

F636 · Resident Assessment and Care Planning Deficiencies

Health

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Corrected 2024-04-01

B · Minimal harm 2024-03-14

F657 · Resident Assessment and Care Planning Deficiencies

Health

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2024-04-01

D · Potential for more than minimal harm 2024-02-29

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-03-29

B · Minimal harm 2024-02-29

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2024-03-29

E · Potential for more than minimal harm 2023-03-23

F761 · Pharmacy Service Deficiencies

Health

Corrected 2023-04-25

E · Potential for more than minimal harm 2023-03-23

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-04-25

D · Potential for more than minimal harm 2023-03-23

F583 · Resident Rights Deficiencies

Health

Keep residents' personal and medical records private and confidential.

Corrected 2023-04-25

D · Potential for more than minimal harm 2023-03-23

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2023-04-25

D · Potential for more than minimal harm 2023-03-23

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2023-04-25

D · Potential for more than minimal harm 2023-03-23

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2023-04-25

D · Potential for more than minimal harm 2023-03-23

F693 · Quality of Life and Care Deficiencies

Health

Ensure 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.

Corrected 2023-04-25

D · Potential for more than minimal harm 2023-03-23

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2023-04-25

D · Potential for more than minimal harm 2023-03-23

F726 · Nursing and Physician Services Deficiencies

Health

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Corrected 2023-04-25

D · Potential for more than minimal harm 2023-03-23

F756 · Pharmacy Service Deficiencies

Health

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Corrected 2023-04-25

D · Potential for more than minimal harm 2023-03-23

F758 · Pharmacy Service Deficiencies

Health

Corrected 2023-04-25

D · Potential for more than minimal harm 2023-03-23

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2023-04-25

D · Potential for more than minimal harm 2023-03-23

F801 · Nutrition and Dietary Deficiencies

Health

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

Corrected 2023-04-25

D · Potential for more than minimal harm 2023-03-23

F803 · Nutrition and Dietary Deficiencies

Health

Ensure 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.

Corrected 2023-04-25

D · Potential for more than minimal harm 2023-03-23

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2023-04-25

D · Potential for more than minimal harm 2023-03-23

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2023-04-25

D · Potential for more than minimal harm 2023-03-23

F868 · Administration Deficiencies

Health

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Corrected 2023-04-25

D · Potential for more than minimal harm 2023-03-23

F883 · Infection Control Deficiencies

Health

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Corrected 2023-04-25

B · Minimal harm 2023-03-23

F623 · Resident Rights Deficiencies

Health

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2023-04-25

B · Minimal harm 2023-03-23

F657 · Resident Assessment and Care Planning Deficiencies

Health

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2023-04-25

Penalties and ownership

What sits behind the stars

$3,846 2023-03-20

Fine

Fine · fine $3,846

Fine

Ownership

Aha Healthbridge Partners, LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 1 facilities 2020-09-21

Ascension Care Continuum, LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 1 facilities 2020-09-21

Barbara L. Weiss Irrevocable Trust

5% Or Greater Indirect Ownership Interest · Organization

0% 1 facilities 2020-09-21

Carondelet Health

5% Or Greater Indirect Ownership Interest · Organization

0% 1 facilities 2020-09-21

Consolver, Roberta

W-2 Managing Employee · Individual

0% 1 facilities 2020-09-21

David B. Weiss Revocable Trust

5% Or Greater Indirect Ownership Interest · Organization

0% 1 facilities 2020-09-21

Dodici Holdings LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 1 facilities 2020-09-21

Hb Tenant Holdings LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 1 facilities 2020-09-21

Larson, Daniel

5% Or Greater Indirect Ownership Interest · Individual

0% 2 facilities 2020-09-21

Larson, Daniel

Operational/Managerial Control · Individual

0% 2 facilities 2020-09-21

Medina, Sherri

5% Or Greater Direct Ownership Interest · Individual

0% 1 facilities 2020-09-21

Medina, Sherri

Operational/Managerial Control · Individual

0% 1 facilities 2020-09-21

Vivra Pediatric Care, LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 1 facilities 2020-09-21

Vsc Hbo, LLC

5% Or Greater Direct Ownership Interest · Organization

0% 1 facilities 2020-09-21

Weiss, David

5% Or Greater Indirect Ownership Interest · Individual

0% 1 facilities 2020-09-21

Weiss, David

Operational/Managerial Control · Individual

0% 1 facilities 2020-09-21

Nearby options

Other facilities in reach

Chapman Global Medical Center D/P SNF

Orange, CA

4-star overall rating with 4-star inspections with $4,194 in total fines with 18 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle

Overall: 4 / 5
Health: 4 / 5
Staffing: 3 / 5
Fines: $4,194