Federal inspection record · CMS data as of October 1, 2026
San Juan Hills Healthcare Center
31741 Rancho Viejo Road, San Juan Capistrano, CA · (949) 248-8855
- Certified beds
- 45
- Residents per day
- 44
- Ownership
- For-Profit
- Chain
- Aspen Skilled Healthcare
- Medicare / Medicaid
- Medicare
- Certified since
- August 31, 2000
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.
-
Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in California.
-
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.
-
Quality measures
★★★★★+1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★4 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among California homes
San Juan Hills Healthcare Center carries 83 inspection points. That is fewer than 52% 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
65 health citations on record since 2023. 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.
Harm and immediate-jeopardy citations (1)
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Everything else, by area of care
Quality of Life and Care13D
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- 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
Provide safe, appropriate dialysis care/services for a resident who requires such services.
- D
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.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- B
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide activities to meet all resident's needs.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide safe and appropriate respiratory care for a resident when needed.
Nutrition and Dietary12F
- E
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.
- B
Dispose of garbage and refuse properly.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
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.
- 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.
- D
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
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.
- D
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
- D
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Resident Rights11D
- D
Reasonably accommodate the needs and preferences of each resident.
- D
Ensure that residents are fully informed and understand their health status, care and treatments.
- D
Allow residents to self-administer drugs if determined clinically appropriate.
- B
Reasonably accommodate the needs and preferences of each resident.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D
Allow residents to self-administer drugs if determined clinically appropriate.
- D
Honor the resident's right to organize and participate in resident/family groups in the facility.
- B
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- B
The resident has the right to receive notices in a format and a language he or she understands.
- D
Allow residents to self-administer drugs if determined clinically appropriate.
- D
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.
Pharmacy Service8D
- 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
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.
- 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
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.
- 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.
Resident Assessment and Care Planning8D
- 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
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- B
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- 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
- B
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Infection Control5E
- E
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
- D
Implement a program that monitors antibiotic use.
- D
Implement a program that monitors antibiotic use.
- B
Provide and implement an infection prevention and control program.
Environmental5D
- D
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.
- D
Keep all essential equipment working safely.
- D
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.
- D
Keep all essential equipment working safely.
- D
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.
Nursing and Physician Services1B
- B
Post nurse staffing information every day.
Administration1D
- D
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Inspection history
2026-01-22
20 health deficiencies · 2 fire-safety deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
2024-11-15
27 health deficiencies · 9 fire-safety deficiencies
Top issue: Nutrition and Dietary (5 deficiencies)
2023-11-17
18 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 5 h 5 min of nursing staff time a day, 55 min of it from a registered nurse.
This home
5 h 5 min
California average
4 h 33 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 40% 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
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine5 pts better | 99.6% | 94.6% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit1.6 pts better | 9.5% | 11.1% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.1 pts better | 0.2% | 1.3% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine2.2 pts better | 95.3% | 93.1% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission5.6 pts better | 17.0% | 22.6% | 23.4% |
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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
| Name | Role | Share | Homes |
|---|---|---|---|
| Aspen Healthcare Services LLC | Adp Of The SNF · Organization | 0% | 33 facilities |
| Aspen Skilled Healthcare Inc | Indirect Ownership Interest · Organization | 0% | 18 facilities |
| Asrv LLC | Direct Ownership Interest · Organization | 0% | 1 facilities |
| Asrv LLC | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Asrv LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Bradshaw, Jeffrey | Indirect Ownership Interest · Individual | 0% | 34 facilities |
| Bradshaw, Jeffrey | Managing Control - Governing Body · Individual | 0% | 34 facilities |
| Bradshaw, Jeffrey | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 34 facilities |
| Bradshaw, Jeffrey | Adp Of The SNF · Individual | 0% | 34 facilities |
| Bradshaw, Peter | Indirect Ownership Interest · Individual | 0% | 31 facilities |
| Brady, Vern | Indirect Ownership Interest · Individual | 0% | 32 facilities |
| Brady, Vern | Adp Of The SNF · Individual | 0% | 32 facilities |
| Case, Ryan | Indirect Ownership Interest · Individual | 0% | 31 facilities |
| Case, Ryan | Adp Of The SNF · Individual | 0% | 31 facilities |
| Caslmon, Timothy | Managing Control - Governing Body · Individual | 0% | 14 facilities |
| Caslmon, Timothy | Operational/Managerial Control · Individual | 0% | 14 facilities |
| Caslmon, Timothy | Adp Of The SNF · Individual | 0% | 14 facilities |
| East West Bank | Adp Of The SNF · Organization | 0% | 23 facilities |
| Elsner, Eric | Indirect Ownership Interest · Individual | 0% | 30 facilities |
| Guu, Huan | Adp Of The SNF · Individual | 0% | 1 facilities |
| Jurado, Frank | Adp Of The SNF · Individual | 0% | 31 facilities |
| Kirkwood, Jared | Indirect Ownership Interest · Individual | 0% | 31 facilities |
| Nordfelt, Spencer | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Nordfelt, Spencer | Adp Of The SNF · Individual | 0% | 2 facilities |
| Orgill, Craig | Indirect Ownership Interest · Individual | 0% | 31 facilities |
| Parti, Rajesh | Indirect Ownership Interest · Individual | 0% | 30 facilities |
| Parti, Shruty | Indirect Ownership Interest · Individual | 0% | 29 facilities |
| Paxman, Marcus | Indirect Ownership Interest · Individual | 0% | 32 facilities |
| Paxman, Marcus | Adp Of The SNF · Individual | 0% | 32 facilities |
| Sacc LLC | Indirect Ownership Interest · Organization | 0% | 2 facilities |
| Sta Ana, Lanie | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Sta Ana, Lanie | Adp Of The SNF · Individual | 0% | 1 facilities |
| Thompson, Stephen | Managing Control - Governing Body · Individual | 0% | 18 facilities |
| Thompson, Stephen | Operational/Managerial Control · Individual | 0% | 18 facilities |
| Thompson, Stephen | Adp Of The SNF · Individual | 0% | 18 facilities |
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Fire safety
17 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke9F
- D
Inspect, test, and maintain automatic sprinkler systems.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- D
Provide properly protected cooking facilities.
- D
Install corridor and hallway doors that block smoke.
- E
Have approved installation, maintenance and testing program for fire alarm systems.
- E
Properly select, install, inspect, or maintain portable fire extinguishes.
- D
Properly provide smoke detection systems in areas open to corridors.
- D
Inspect, test, and maintain automatic sprinkler systems.
Gas, Vacuum, and Electrical Systems6D
- D
Have proper medical gas storage and administration areas.
- D
Meet requirements for the use of electrical equipment.
- D
Ensure proper usage of power strips and extension cords.
- D
Ensure equipment listed for use in oxygen-enriched atmospheres are correctly labeled.
- C
Have generator or other power source capable of supplying service within 10 seconds.
- D
Have generator or other power source capable of supplying service within 10 seconds.
Miscellaneous1C
- C
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Emergency Preparedness1C
- C
Establish roles under a Waiver declared by secretary.
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Other homes nearby
-
Capistrano Beach Care Center
Dana Point, CA
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 4 h 9 min
- Fines
- $0
-
Orchards Skilled Nursing
Rancho Mission Viejo, CA · Continuing Life
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 5 h 17 min
- Fines
- $0
-
Palm Terrace Healthcare & Rehabilitation Center
Laguna Hills, CA · The Ensign Group
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 4 h 26 min
- Fines
- $0