Federal inspection record · CMS data as of October 1, 2026
Palm Terrace Healthcare & Rehabilitation Center
24962 Calle Aragon, Laguna Hills, CA · (949) 587-9000
- Certified beds
- 99
- Residents per day
- 92
- Ownership
- For-Profit
- Chain
- The Ensign Group
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- April 9, 1987
1
How this home got 4 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.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in California.
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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.
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Quality measures
★★★★★+1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★4 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among California homes
Palm Terrace Healthcare & Rehabilitation Center carries 80 inspection points. That is fewer than 54% of California's 1,154 rated homes.
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
49 health citations on record since 2022. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
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.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Pharmacy Service11D
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- D
Ensure medication error rates are not 5 percent or greater.
- 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.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Ensure that residents are free from significant medication errors.
- B
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- B
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.
- D
Ensure that residents are free from significant medication errors.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- 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.
Nutrition and Dietary10F
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- 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.
- D
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- B
Dispose of garbage and refuse properly.
- 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.
- D
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- 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.
- D
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Quality of Life and Care10D
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
- D
Provide safe, appropriate pain management for a resident who requires such services.
- D
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide activities to meet all resident's needs.
- D
Provide enough food/fluids to maintain a resident's health.
- D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Resident Assessment and Care Planning7D
- B
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
PASARR screening for Mental disorders or Intellectual Disabilities
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- B
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- B
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Rights4D
- D
Ensure that residents are fully informed and understand their health status, care and treatments.
- D
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.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- 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.
Nursing and Physician Services2D
- 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.
- 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.
Environmental2F
- D
Keep all essential equipment working safely.
- F
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Freedom from Abuse, Neglect, and Exploitation1E
- E
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Administration1D
- 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.
Infection Control1D
- D
Provide and implement an infection prevention and control program.
Inspection history
2026-02-09
23 health deficiencies · 2 fire-safety deficiencies
Top issue: Nutrition and Dietary (4 deficiencies)
2025-02-03
11 health deficiencies · 2 fire-safety deficiencies
Top issue: Pharmacy Service (5 deficiencies)
2022-05-24
15 health deficiencies · 6 fire-safety deficiencies
Top issue: Nutrition and Dietary (4 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 4 h 26 min of nursing staff time a day, 28 min of it from a registered nurse.
This home
4 h 26 min
California average
4 h 33 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 54% of nursing staff and 44% 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
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.5 pts better | 1.7 | 2.2 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.4 pts better | 1.1 | 1.5 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine1 pts worse | 97.7% | 98.7% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine2.1 pts worse | 95.8% | 97.9% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury4.2 pts worse | 5.8% | 1.6% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms5.7 pts better | 1.9% | 7.6% | 13.5% |
| Percentage of long-stay residents who lose too much weight3.5 pts better | 0.6% | 4.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication4 pts worse | 17.7% | 13.7% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication9.4 pts better | 2.9% | 12.3% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.3 pts better | 0.0% | 0.3% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened3.3 pts better | 5.6% | 8.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased1.4 pts better | 8.8% | 10.2% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladderAbout the same | 0.7% | 0.7% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.2 pts better | 0.0% | 1.2% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence2.4 pts worse | 12.2% | 9.8% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.5 pts better | 2.8% | 4.3% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine5.1 pts better | 99.7% | 94.6% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit1.7 pts better | 9.4% | 11.1% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.7 pts better | 0.6% | 1.3% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine3.3 pts better | 96.4% | 93.1% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission3.6 pts worse | 26.2% | 22.6% | 23.4% |
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Who owns and runs it
13 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Burnam, Soon | Corporate Officer · Individual | 0% | 353 facilities |
| Ensign Services Inc | Adp Of The SNF · Organization | 0% | 299 facilities |
| Eskandari, Hamid | Managing Control - Governing Body · Individual | 0% | 2 facilities |
| Eskandari, Hamid | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Eskandari, Hamid | Adp Of The SNF · Individual | 0% | 2 facilities |
| Keetch, Chad | Corporate Officer · Individual | 0% | 301 facilities |
| Lindsey, Bryce | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Lindsey, Bryce | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Lindsey, Bryce | Adp Of The SNF · Individual | 0% | 1 facilities |
| Port, Barry | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 203 facilities |
| The Ensign Group Inc | Indirect Ownership Interest · Organization | 0% | 135 facilities |
| Welltower Victory Ii Landlord LP | Adp Of The SNF · Organization | 0% | 1 facilities |
| Willits, Adam | Corporate Director · Individual | 0% | 77 facilities |
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Fire safety
10 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Services2F
- F
Have elevators that firefighters can control in the event of a fire.
- D
Have elevators that firefighters can control in the event of a fire.
Gas, Vacuum, and Electrical Systems2E
- E
Have proper medical gas storage and administration areas.
- D
Ensure proper usage of power strips and extension cords.
Emergency Preparedness2D
- D
Provide emergency officials' contact information.
- D
Provide family notifications of emergency plan.
Smoke2D
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D
Properly select, install, inspect, or maintain portable fire extinguishes.
Construction1D
- D
Use approved construction type or materials.
Egress1D
- D
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
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Other homes nearby
-
Villa Valencia Healthcare Center
Laguna Hills, CA · Aspen Skilled Healthcare
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 4 h 30 min
- Fines
- $0
-
Laguna Hills Health And Rehabilitation Center
Laguna Hills, CA · Cambridge Healthcare Services
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 4 h 7 min
- Fines
- $0
-
Freedom Village Healthcare Center
Lake Forest, CA
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 5 h 5 min
- Fines
- $0