21 health deficiencies
Top issue: Quality of Life and Care (6 deficiencies)
3 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Orange, CA
3-star overall rating with 3-star inspections with 21 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
1835 West La Veta Avenue, Orange, CA
(714) 978-6800
Overall
3 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Beds
169
Certified beds
Average residents
156
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
The Ensign Group
Operator or chain grouping
Approved since
1987-03-04
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Staffing
RN hours / resident day
0.41
Registered nurse staffing
LPN hours / resident day
1.20
Licensed practical nurse staffing
Aide hours / resident day
2.55
Nurse aide staffing
Weekend hours
3.87
Weekend nurse staffing
RN turnover
20%
Annual RN turnover
Total nurse turnover
32%
Annual nurse turnover
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.5 |
2.3
0.2 pts worse
|
1.9
0.6 pts worse
|
Long Stay · 20240701-20250630 |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.8 |
1.6
0.2 pts worse
|
1.8
About the same
|
Long Stay · 20240701-20250630 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
98.5%
1.5 pts better
|
93.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% |
98.2%
1.8 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0.7% |
1.6%
0.9 pts better
|
3.3%
2.6 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who have depressive symptoms | 1.3% |
6.8%
5.5 pts better
|
11.4%
10.1 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who lose too much weight | 5.1% |
4.1%
1 pts worse
|
5.4%
0.3 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 16.0% |
13.7%
2.3 pts worse
|
19.6%
3.6 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who received an antipsychotic medication | 6.0% |
14.2%
8.2 pts better
|
16.7%
10.7 pts better
|
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 whose ability to walk independently worsened | 21.3% |
11.0%
10.3 pts worse
|
16.3%
5 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents whose need for help with daily activities has increased | 18.7% |
10.7%
8 pts worse
|
14.9%
3.8 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
1.0%
1 pts better
|
1.0%
1 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with a urinary tract infection | 0.5% |
1.2%
0.7 pts better
|
1.7%
1.2 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 17.5% |
10.9%
6.6 pts worse
|
19.8%
2.3 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with pressure ulcers | 4.0% |
4.7%
0.7 pts better
|
5.1%
1.1 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 99.9% |
94.0%
5.9 pts better
|
81.7%
18.2 pts better
|
Short Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents who had an outpatient emergency department visit | 14.7% |
11.2%
3.5 pts worse
|
12.0%
2.7 pts worse
|
Short Stay · 20240701-20250630 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.3% |
1.5%
0.2 pts better
|
1.6%
0.3 pts better
|
Short Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 98.7% |
93.2%
5.5 pts better
|
79.7%
19 pts better
|
Short Stay · 2024Q3-2025Q2 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 26.0% |
23.2%
2.8 pts worse
|
23.9%
2.1 pts worse
|
Short Stay · 20240701-20250630 |
Survey summary
Top issue: Quality of Life and Care (6 deficiencies)
3 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Top issue: Nutrition and Dietary (4 deficiencies)
11 fire-safety deficiencies
Top issue: Emergency Preparedness (4 deficiencies)
Top issue: Quality of Life and Care (10 deficiencies)
12 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Fire safety
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2024-11-14
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2024-11-14
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-11-14
Fire Safety
Establish policies and procedures for medical documentation.
Corrected 2022-04-28
Fire Safety
Establish roles under a Waiver declared by secretary.
Corrected 2022-04-28
Fire Safety
Provide emergency officials' contact information.
Corrected 2022-04-28
Fire Safety
Establish staff and initial training requirements.
Corrected 2022-04-28
Fire Safety
Use approved construction type or materials.
Corrected 2022-04-28
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-04-28
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2022-04-28
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2022-04-28
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2022-04-28
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2022-04-28
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2022-04-28
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2019-07-05
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2019-07-05
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2019-07-05
Fire Safety
Conduct testing and exercise requirements.
Corrected 2019-07-05
Fire Safety
Address patient/client population and determine types of services needed.
Corrected 2019-07-05
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2019-07-05
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2019-07-05
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2019-07-05
Fire Safety
Meet Health Care Facilities Code mechanical requirements.
Corrected 2019-07-05
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2019-07-05
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2019-07-05
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2019-07-05
Inspection history
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-12-14
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-12-14
Health
Ensure that residents are free from significant medication errors.
Corrected 2025-04-30
Health
Honor the resident's right to manage his or her financial affairs.
Corrected 2024-12-23
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-12-23
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-11-15
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 2024-11-15
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2024-11-15
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-11-15
Health
Implement a program that monitors antibiotic use.
Corrected 2024-11-15
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2024-11-15
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-11-15
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-11-15
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-11-15
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2024-11-15
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 2024-11-15
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 2024-11-15
Health
Provide and implement an infection prevention and control program.
Corrected 2024-11-15
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2024-11-15
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 2024-11-15
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-11-15
Health
Dispose of garbage and refuse properly.
Corrected 2024-11-15
Health
Provide enough space and equipment to meet each resident's needs
Corrected 2024-11-15
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-08-12
Health
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2024-05-24
Health
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Corrected 2024-05-24
Health
Plan the resident's discharge to meet the resident's goals and needs.
Corrected 2024-04-02
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-02-07
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-02-07
Health
Provide and implement an infection prevention and control program.
Corrected 2024-02-07
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 2024-02-07
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 2023-12-27
Health
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Corrected 2023-10-03
Health
Notify 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.
Corrected 2023-07-28
Health
Provide and implement an infection prevention and control program.
Corrected 2023-05-12
Health
Provide and implement an infection prevention and control program.
Corrected 2022-05-17
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 2022-05-17
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2022-05-17
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2022-05-17
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2022-05-17
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2022-05-17
Health
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Corrected 2022-05-17
Health
Dispose of garbage and refuse properly.
Corrected 2022-05-17
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2022-05-17
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2019-06-03
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2019-06-03
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2019-06-03
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2019-06-03
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2019-06-03
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 2019-06-03
Health
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected 2019-06-03
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2019-06-03
Health
Provide activities to meet all resident's needs.
Corrected 2019-06-03
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2019-06-03
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2019-06-03
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2019-06-03
Health
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected 2019-06-03
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2019-06-03
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2019-06-03
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2019-06-03
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2019-06-03
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 2019-06-03
Health
Provide and implement an infection prevention and control program.
Corrected 2019-06-03
Health
Dispose of garbage and refuse properly.
Corrected 2019-06-03
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Corporate Officer · Individual
Corporate Officer · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Nearby options
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Orange, CA
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