Federal inspection record · CMS data as of October 1, 2026

Mission Palms Healthcare Center

240 Hospital Circle, Westminster, CA · (714) 892-6686

CMS overall rating

3 of 5

Compare with a nearby home →
Certified beds
99
Residents per day
95
Ownership
For-Profit
Chain
Aspen Skilled Healthcare
Medicare / Medicaid
Medicare + Medicaid
Certified since
February 22, 1971

1

How this home got 3 stars

The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in California.

  2. Staffing

    no change

    Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.

  3. Quality measures

    +1 star

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    3 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among California homes

Mission Palms Healthcare Center carries 99 inspection points. That is fewer than 40% of California's 1,154 rated homes.

5★4★3★2★1★+35 homes above 300.2505102550100200inspection points → fewer is better on the leftThis home · 99 pts · 2★

Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in California: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.

  • 5★ 0–33 pts
  • 4★ 33–66 pts
  • 3★ 66–96 pts
  • 2★ 96–146 pts
  • 1★ over 146 pts

Bars show every rated home in California by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.

3

What inspectors found

48 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 0 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 1 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 32 4 pts
E 11 8 pts
F 1 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 3 0 pts
C 0 0 pts

Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.

Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.

Harm and immediate-jeopardy citations (1)

  1. G

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    August 27, 2024 · Complaint inspection · Freedom from Abuse, Neglect, and Exploitation · F600 · Corrected September 24, 2024

Everything else, by area of care

Quality of Life and Care10E
  1. E

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

    April 24, 2026 · Standard · F695 · Corrected May 15, 2026

  2. D

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

    April 24, 2026 · Standard · F684 · Corrected May 15, 2026

  3. D

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

    April 24, 2026 · Standard · F686 · Corrected May 15, 2026

  4. D

    Provide safe, appropriate pain management for a resident who requires such services.

    April 24, 2026 · Standard · F697 · Corrected May 15, 2026

  5. D

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

    March 19, 2025 · Complaint · F689 · Corrected April 3, 2025

  6. E

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

    February 7, 2025 · Standard · F695 · Corrected March 7, 2025

  7. D

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

    February 7, 2025 · Standard · F684 · Corrected March 7, 2025

  8. D

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

    February 7, 2025 · Standard · F689 · Corrected March 7, 2025

  9. D

    Provide enough food/fluids to maintain a resident's health.

    February 7, 2025 · Standard · F692 · Corrected March 7, 2025

  10. D

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

    January 24, 2024 · Complaint · F684 · Corrected February 24, 2024

Resident Rights8E
  1. E

    Ensure that residents are fully informed and understand their health status, care and treatments.

    April 24, 2026 · Standard · F552 · Corrected May 15, 2026

  2. D

    Reasonably accommodate the needs and preferences of each resident.

    April 24, 2026 · Standard · F558 · Corrected May 15, 2026

  3. D

    Honor 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.

    April 24, 2026 · Standard · F578 · Corrected May 15, 2026

  4. D

    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

    April 24, 2026 · Standard · F628 · Corrected May 15, 2026

  5. D

    Allow residents to self-administer drugs if determined clinically appropriate.

    February 7, 2025 · Standard · F554 · Corrected March 7, 2025

  6. B

    Reasonably accommodate the needs and preferences of each resident.

    January 24, 2024 · Complaint · F558 · Corrected February 24, 2024

  7. D

    Ensure that residents are fully informed and understand their health status, care and treatments.

    March 23, 2023 · Standard · F552 · Corrected April 24, 2023

  8. D

    Reasonably accommodate the needs and preferences of each resident.

    March 23, 2023 · Standard · F558 · Corrected April 24, 2023

Pharmacy Service8F
  1. E

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    April 24, 2026 · Standard · F757 · Corrected May 15, 2026

  2. D

    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.

    April 24, 2026 · Standard · F761 · Corrected May 15, 2026

  3. D

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    February 7, 2025 · Standard · F757 · Corrected March 7, 2025

  4. D

    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.

    February 7, 2025 · Standard · F758 · Corrected March 7, 2025

  5. D

    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.

    February 7, 2025 · Standard · F761 · Corrected March 7, 2025

  6. F

    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.

    March 23, 2023 · Standard · F761 · Corrected April 24, 2023

  7. D

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    March 23, 2023 · Standard · F755 · Corrected April 24, 2023

  8. D

    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.

    March 23, 2023 · Standard · F758 · Corrected April 24, 2023

Nutrition and Dietary7E
  1. E

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

    April 24, 2026 · Standard · F812 · Corrected May 15, 2026

  2. D

    Have a policy regarding use and storage of foods brought to residents by family and other visitors.

    April 24, 2026 · Standard · F813 · Corrected May 15, 2026

  3. E

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

    February 7, 2025 · Standard · F812 · Corrected February 11, 2025

  4. D

    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.

    February 7, 2025 · Standard · F803 · Corrected February 7, 2025

  5. D

    Have a policy regarding use and storage of foods brought to residents by family and other visitors.

    February 7, 2025 · Standard · F813 · Corrected March 7, 2025

  6. E

    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.

    March 23, 2023 · Standard · F803 · Corrected April 24, 2023

  7. E

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

    March 23, 2023 · Standard · F812 · Corrected April 24, 2023

Resident Assessment and Care Planning5D
  1. B

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

    May 19, 2026 · Complaint · F842 · Corrected May 29, 2026

  2. D

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

    April 24, 2026 · Standard · F656 · Corrected May 15, 2026

  3. D

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

    April 24, 2026 · Standard · F657 · Corrected May 15, 2026

  4. D

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

    March 23, 2023 · Standard · F656 · Corrected April 24, 2023

  5. B

    Ensure each resident receives an accurate assessment.

    March 23, 2023 · Standard · F641 · Corrected April 24, 2023

Infection Control4E
  1. E

    Provide and implement an infection prevention and control program.

    April 24, 2026 · Standard · F880 · Corrected May 15, 2026

  2. E

    Provide and implement an infection prevention and control program.

    February 7, 2025 · Standard · F880 · Corrected March 7, 2025

  3. E

    Implement a program that monitors antibiotic use.

    February 7, 2025 · Standard · F881 · Corrected March 7, 2025

  4. D

    Provide and implement an infection prevention and control program.

    March 23, 2023 · Standard · F880 · Corrected April 24, 2023

Environmental2D
  1. D

    Keep all essential equipment working safely.

    April 24, 2026 · Standard · F908 · Corrected May 15, 2026

  2. D

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    April 24, 2026 · Standard · F921 · Corrected May 15, 2026

Freedom from Abuse, Neglect, and Exploitation1D
  1. D

    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

    April 24, 2026 · Standard · F605 · Corrected May 15, 2026

Nursing and Physician Services1D
  1. D

    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.

    April 24, 2026 · Standard · F726 · Corrected May 15, 2026

Administration1D
  1. D

    Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

    April 24, 2026 · Standard · F849 · Corrected May 15, 2026

Inspection history

  1. 2026-04-24

    21 health deficiencies · 2 fire-safety deficiencies

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

  2. 2025-02-07

    14 health deficiencies · 5 fire-safety deficiencies

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

  3. 2023-03-23

    13 health deficiencies · 2 fire-safety deficiencies

    Top issue: Pharmacy Service (3 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 4 h 3 min of nursing staff time a day, 27 min of it from a registered nurse.

This home

4 h 3 min

California average

4 h 33 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 18% of nursing staff and 14% of registered nurses left in the past year.

Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.

5

Fines and payment denials

$13,923 in federal fines on record over the past three years.

DatePenaltyAmount
2024-08-27Fine$13,923

6

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Number of hospitalizations per 1000 long-stay resident days0.2 pts better2.02.21.8
Number of outpatient emergency department visits per 1000 long-stay resident days0.9 pts better0.61.51.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine1.3 pts better100.0%98.7%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine2.1 pts better100.0%97.9%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury1.7 pts worse3.3%1.6%3.2%
Percentage of long-stay residents who have depressive symptoms4.8 pts better2.8%7.6%13.5%
Percentage of long-stay residents who lose too much weight2.6 pts better1.5%4.1%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication9.8 pts better3.9%13.7%19.5%
Percentage of long-stay residents who received an antipsychotic medication6.2 pts better6.1%12.3%15.4%
Percentage of long-stay residents who were physically restrained0.3 pts better0.0%0.3%0.1%
Percentage of long-stay residents whose ability to walk independently worsened6.6 pts better2.3%8.9%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased1 pts better9.2%10.2%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.7 pts better0.0%0.7%0.7%
Percentage of long-stay residents with a urinary tract infection0.3 pts worse1.5%1.2%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence3.7 pts better6.1%9.8%18.3%
Percentage of long-stay residents with pressure ulcers3 pts better1.3%4.3%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine5.3 pts better99.9%94.6%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit4.4 pts better6.7%11.1%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication0.6 pts worse1.9%1.3%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine6.9 pts better100.0%93.1%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission2.8 pts better19.8%22.6%23.4%

·

Who owns and runs it

35 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Awhc,llc5% Or Greater Direct Ownership Interest · Organization100%1 facilities
Aspen Healthcare Services LLCAdp Of The SNF · Organization0%33 facilities
Aspen Skilled Healthcare Inc5% Or Greater Mortgage Interest · Organization0%18 facilities
Aspen Skilled Healthcare IncAdp Of The SNF · Organization0%18 facilities
Awhc,llcOperational/Managerial Control · Organization0%1 facilities
Awhc,llcAdp Of The SNF · Organization0%1 facilities
Bradshaw, JeffreyAdp Of The SNF · Individual0%34 facilities
Bradshaw, PeterIndirect Ownership Interest · Individual0%31 facilities
Brady, VernAdp Of The SNF · Individual0%32 facilities
Case, RyanAdp Of The SNF · Individual0%31 facilities
Caslmon, TimothyManaging Control - Governing Body · Individual0%14 facilities
Caslmon, TimothyOperational/Managerial Control · Individual0%14 facilities
Caslmon, TimothyAdp Of The SNF · Individual0%14 facilities
Chan, DavidAdp Of The SNF · Individual0%1 facilities
Cwhc, LLCAdp Of The SNF · Organization0%1 facilities
East West BankAdp Of The SNF · Organization0%23 facilities
Elsner, EricIndirect Ownership Interest · Individual0%30 facilities
Galapon, FederickOperational/Managerial Control · Individual0%1 facilities
Galapon, FederickAdp Of The SNF · Individual0%1 facilities
Jacaranda Healthcare Group LLCAdp Of The SNF · Organization0%14 facilities
Jurado, FrankAdp Of The SNF · Individual0%31 facilities
Kirkwood, JaredIndirect Ownership Interest · Individual0%31 facilities
Moss Adams LlpAdp Of The SNF · Organization0%32 facilities
Orgill, CraigIndirect Ownership Interest · Individual0%31 facilities
Parti, RajeshIndirect Ownership Interest · Individual0%30 facilities
Parti, ShrutyIndirect Ownership Interest · Individual0%29 facilities
Paxman, MarcusIndirect Ownership Interest · Individual0%32 facilities
Paxman, MarcusAdp Of The SNF · Individual0%32 facilities
Pham, AbegailOperational/Managerial Control · Individual0%1 facilities
Pham, AbegailAdp Of The SNF · Individual0%1 facilities
Thompson, StephenManaging Control - Governing Body · Individual0%18 facilities
Thompson, StephenOperational/Managerial Control · Individual0%18 facilities
Thompson, StephenAdp Of The SNF · Individual0%18 facilities
Wells Fargo Bank, National Assocaition5% Or Greater Mortgage Interest · Organization0%5 facilities
Wells Fargo Bank, National AssocaitionAdp Of The SNF · Organization0%5 facilities

·

Fire safety

9 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Smoke3D
  1. D

    Inspect, test, and maintain automatic sprinkler systems.

    April 24, 2026 · K353 · Corrected May 7, 2026

  2. D

    Provide properly protected cooking facilities.

    February 7, 2025 · K324 · Corrected February 13, 2025

  3. D

    Inspect, test, and maintain automatic sprinkler systems.

    March 23, 2023 · K353 · Corrected April 17, 2023

Gas, Vacuum, and Electrical Systems3F
  1. F

    Have power receptacles that are properly grounded.

    February 7, 2025 · K912 · Corrected February 13, 2025

  2. C

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

    February 7, 2025 · K918 · Corrected February 24, 2025

  3. D

    Ensure that testing and maintenance of electrical equipment is performed.

    March 23, 2023 · K921 · Corrected April 17, 2023

Egress2D
  1. D

    Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

    April 24, 2026 · K223 · Corrected May 7, 2026

  2. D

    Have properly located and lighted "Exit" signs.

    February 7, 2025 · K293 · Corrected February 13, 2025

Services1D
  1. D

    Have properly installed electrical wiring and gas equipment.

    February 7, 2025 · K511 · Corrected February 13, 2025

·

Other homes nearby

  1. Worst citation, 3 yrs
    E
    Nursing / resident / day
    3 h 39 min
    Fines
    $0
  2. Stanley Healthcare Center

    Westminster, CA · Progressive Health Care Centers

    Worst citation, 3 yrs
    E
    Nursing / resident / day
    4 h 6 min
    Fines
    $0
  3. Garden Grove Post Acute

    Garden Grove, CA · The Mandelbaum Family

    Worst citation, 3 yrs
    E
    Nursing / resident / day
    4 h 51 min
    Fines
    $0