14 health deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
5 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Westminster, CA
4-star overall rating with 3-star inspections with $13,923 in total fines with 14 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
240 Hospital Circle, Westminster, CA
(714) 892-6686
Overall
4 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
99
Certified beds
Average residents
92
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Aspen Skilled Healthcare
Operator or chain grouping
Approved since
1971-02-22
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
34 facilities
Chain averages 4 overall / 3 health / 3 staffing / 5 quality stars
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
RN hours / resident day
0.36
Registered nurse staffing · state 0.65 · national 0.68
LPN hours / resident day
1.17
Licensed practical nurse staffing · state 1.22 · national 0.87
Aide hours / resident day
2.50
Nurse aide staffing · state 2.64 · national 2.35
Total nurse hours
4.02
All reported nurse hours · state 4.51 · national 3.89
Licensed hours
1.52
RN + LPN hours · state 1.87 · national 1.54
Weekend hours
3.74
Weekend nurse staffing · state 4.08 · national 3.43
Weekend RN hours
0.31
Weekend registered nurse coverage · state 0.50 · national 0.47
Physical therapist
0.17
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
0.31
CMS adjusted RN staffing hours
Adjusted total hours
3.46
CMS adjusted total nurse staffing hours
Case-mix index
1.59
Higher values indicate more complex resident acuity
RN turnover
22%
Annual RN turnover · state 42% · national 45%
Total nurse turnover
22%
Annual nurse turnover · state 38% · national 46%
SNF VBP
Program rank
2,110
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
51.69
Composite VBP score used to determine payment impact.
Payment multiplier
1.0061
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
5.50
Baseline 19.89% · Performance 18.88% · Measure score 5.50 · Achievement 5.50 · Improvement 3.02
Healthcare-associated infections
4.32
Baseline 10.46% · Performance 7.83% · Measure score 4.32 · Achievement 0 · Improvement 4.32
Total nurse turnover
9.20
Baseline 12.16% · Performance 26.09% · Measure score 9.20 · Achievement 9.20 · Improvement 0
Adjusted total nurse staffing
1.65
Baseline 3.82 hours · Performance 3.55 hours · Measure score 1.65 · Achievement 1.65 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.59% |
10.72%
0.9 pts worse
|
No Different than the National Rate · Eligible stays 420 · Observed rate 11.19% · Lower 95% interval 9.24% |
| Discharge to community | 52.91% |
50.57%
2.3 pts better
|
No Different than the National Rate · Eligible stays 445 · Observed rate 48.09% · Lower 95% interval 49.01% |
| Medicare spending per beneficiary | 1.19 |
1.02
0.2 pts worse
|
|
| Drug regimen review with follow-up | 99.67% |
95.27%
4.4 pts better
|
Numerator 300 · Denominator 301 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 301 |
| Discharge self-care score | 61.8% |
53.69%
8.1 pts better
|
Numerator 110 · Denominator 178 |
| Discharge mobility score | 51.69% |
50.94%
0.8 pts better
|
Numerator 92 · Denominator 178 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 301 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 7.83% |
7.12%
0.7 pts worse
|
No Different than the National Rate · Eligible stays 277 · Observed rate 7.94% · Lower 95% interval 5.27% |
| Staff COVID-19 vaccination coverage | 9.32% |
8.2%
1.1 pts better
|
Numerator 15 · Denominator 161 |
| Staff flu vaccination coverage | 63.22% |
42%
21.2 pts better
|
Numerator 110 · Denominator 174 |
| Discharge function score | 59.55% |
56.45%
3.1 pts better
|
Numerator 106 · Denominator 178 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 78 · Denominator 78 |
| Transfer of health information to patient | 99.37% |
96.28%
3.1 pts better
|
Numerator 157 · Denominator 158 |
| Resident COVID-19 vaccinations up to date | 15.24% |
25.2%
10 pts worse
|
Numerator 25 · Denominator 164 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 3.3 |
2.3
1 pts worse
|
1.9
1.4 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 3.3 · Observed 3.6 · Expected 2.1 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.0 |
1.6
0.6 pts better
|
1.8
0.8 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.0 · Observed 0.7 · Expected 1.3 · Used in QM five-star |
| 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 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| 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 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0.4% |
1.6%
1.2 pts better
|
3.3%
2.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 1.9% · 4Q avg 0.4% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.0% |
6.8%
6.8 pts better
|
11.4%
11.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents who lose too much weight | 2.4% |
4.1%
1.7 pts better
|
5.4%
3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 7.8% · Q4 2.0% · 4Q avg 2.4% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 2.2% |
13.7%
11.5 pts better
|
19.6%
17.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 1.7% · Q3 1.8% · Q4 3.8% · 4Q avg 2.2% |
| Percentage of long-stay residents who received an antipsychotic medication | 4.8% |
14.2%
9.4 pts better
|
16.7%
11.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.2% · Q2 6.2% · Q3 4.2% · Q4 4.5% · 4Q avg 4.8% · Used in QM five-star |
| 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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 7.9% |
11.0%
3.1 pts better
|
16.3%
8.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 12.2% · Q2 16.3% · Q3 2.8% · Q4 0.0% · 4Q avg 7.9% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 10.3% |
10.7%
0.4 pts better
|
14.9%
4.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 15.6% · Q2 6.5% · Q3 11.4% · Q4 7.7% · 4Q avg 10.3% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.2% |
1.0%
0.2 pts worse
|
1.0%
0.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.5% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 1.2% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.9% |
1.2%
0.3 pts better
|
1.7%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.4% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.9% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 5.8% |
10.9%
5.1 pts better
|
19.8%
14 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 13.8% · Q2 0.0% · Q3 5.3% · Q4 3.9% · 4Q avg 5.8% |
| Percentage of long-stay residents with pressure ulcers | 1.4% |
4.7%
3.3 pts better
|
5.1%
3.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.3% · Q2 1.5% · Q3 1.6% · Q4 1.4% · 4Q avg 1.4% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 99.8% |
94.0%
5.8 pts better
|
81.7%
18.1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 99.5% · Q4 99.5% · 4Q avg 99.8% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 7.0% |
11.2%
4.2 pts better
|
12.0%
5 pts better
|
Short Stay · 20240701-20250630 · Adjusted 7.0% · Observed 6.8% · Expected 10.8% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.0% |
1.5%
0.5 pts better
|
1.6%
0.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.3% · Q4 2.6% · 4Q avg 1.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 100.0% |
93.2%
6.8 pts better
|
79.7%
20.3 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 20.9% |
23.2%
2.3 pts better
|
23.9%
3 pts better
|
Short Stay · 20240701-20250630 · Adjusted 20.9% · Observed 21.0% · Expected 23.9% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (5 deficiencies)
5 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Top issue: Pharmacy Service (3 deficiencies)
2 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Top issue: Quality of Life and Care (5 deficiencies)
5 fire-safety deficiencies
Top issue: Emergency Preparedness (2 deficiencies)
Fire safety
Fire Safety
Have power receptacles that are properly grounded.
Corrected 2025-02-13
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2025-02-13
Fire Safety
Provide properly protected cooking facilities.
Corrected 2025-02-13
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2025-02-13
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-02-24
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-04-17
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2023-04-17
Fire Safety
Establish policies and procedures for medical documentation.
Corrected 2020-01-21
Fire Safety
Conduct testing and exercise requirements.
Corrected 2020-01-21
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2020-01-21
Fire Safety
Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors.
Corrected 2020-01-21
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2020-01-21
Inspection history
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-04-03
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-03-07
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-02-11
Health
Provide and implement an infection prevention and control program.
Corrected 2025-03-07
Health
Implement a program that monitors antibiotic use.
Corrected 2025-03-07
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2025-03-07
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-03-07
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-03-07
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2025-03-07
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2025-03-07
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 2025-03-07
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 2025-03-07
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 2025-02-07
Health
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Corrected 2025-03-07
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-09-24
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-02-24
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2024-02-24
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 2023-04-24
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 2023-04-24
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-04-24
Health
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2023-04-24
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2023-04-24
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-04-24
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2023-04-24
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 2023-04-24
Health
Provide and implement an infection prevention and control program.
Corrected 2023-04-24
Health
Ensure each resident receives an accurate assessment.
Corrected 2023-04-24
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 2020-01-04
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2020-01-04
Health
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.
Corrected 2020-01-04
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2020-01-04
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2020-01-04
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2020-01-04
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 2020-01-04
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2020-01-04
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 2020-01-04
Health
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.
Corrected 2020-01-04
Health
Implement a program that monitors antibiotic use.
Corrected 2020-01-04
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2020-01-04
Penalties and ownership
Fine · fine $13,923
Fine
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Mortgage Interest · Organization
Operational/Managerial Control · Organization
Operational/Managerial Control · Individual
Corporate Director · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
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