Federal inspection record · CMS data as of October 1, 2026
Trabuco Hills Post Acute
25652 Old Trabuco Road, Lake Forest, CA · (949) 380-9380
- Certified beds
- 175
- Residents per day
- 159
- Ownership
- For-Profit
- Chain
- David Johnson
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- June 28, 1988
1
How this home got 2 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
★★★★★2 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among California homes
Trabuco Hills Post Acute carries 173 inspection points. That is fewer than 13% 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
107 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
Quality of Life and Care26E
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Assist a resident in gaining access to vision and hearing services.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- 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 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.
- 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 pain management for a resident who requires such services.
- D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
- B
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide or get specialized rehabilitative services as required for a resident.
- D
Provide or get specialized rehabilitative services as required for a resident.
- E
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 activities to meet all resident's needs.
- 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
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.
- 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.
- B
Assist a resident in gaining access to vision and hearing services.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- B
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 safe and appropriate respiratory care for a resident when needed.
Resident Rights23D
- D
Allow residents to self-administer drugs if determined clinically appropriate.
- D
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
- D
Allow residents to self-administer drugs if determined clinically appropriate.
- 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.
- D
Keep residents' personal and medical records private and confidential.
- D
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
- D
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- B
Keep residents' personal and medical records private and confidential.
- B
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- B
Allow residents to self-administer drugs if determined clinically appropriate.
- B
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
Allow residents to self-administer drugs if determined clinically appropriate.
- D
Reasonably accommodate the needs and preferences of each 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.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D
Keep residents' personal and medical records private and confidential.
- D
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- B
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- B
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- B
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
- D
Reasonably accommodate the needs and preferences of each 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.
- B
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.
Nutrition and Dietary13E
- 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.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
- D
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
- D
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
- 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.
- B
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
- B
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.
- B
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
- B
Dispose of garbage and refuse properly.
Pharmacy Service13D
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- 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
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- B
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- 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.
- B
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- 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 Planning12D
- D
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- B
Ensure each resident receives an accurate assessment.
- B
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
- 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.
- B
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- B
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- 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.
- B
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Infection Control7E
- E
Provide and implement an infection prevention and control program.
- D
Implement a program that monitors antibiotic use.
- D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- D
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
- E
Provide and implement an infection prevention and control program.
- D
Implement a program that monitors antibiotic use.
- D
Provide and implement an infection prevention and control program.
Environmental6E
- E
Keep all essential equipment working safely.
- E
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
- D
Make sure that a working call system is available in each resident's bathroom and bathing area.
- E
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.
- B
Provide bedrooms that don't allow residents to see each other when privacy is needed.
Administration4E
- E
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.
- D
Have a plan that describes the process for conducting QAPI and QAA activities.
- B
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.
- B
Provide timely, quality laboratory services/tests to meet the needs of residents.
Freedom from Abuse, Neglect, and Exploitation2D
- D
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- D
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Nursing and Physician Services1D
- D
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Inspection history
2026-03-04
47 health deficiencies · 7 fire-safety deficiencies
Top issue: Quality of Life and Care (10 deficiencies)
2024-10-11
40 health deficiencies · 15 fire-safety deficiencies
Top issue: Quality of Life and Care (12 deficiencies)
2022-04-08
20 health deficiencies · 13 fire-safety deficiencies
Top issue: Nutrition and Dietary (6 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 4 h 9 min of nursing staff time a day, 21 min of it from a registered nurse.
This home
4 h 9 min
California average
4 h 33 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 36% of nursing staff and 33% of registered nurses left in the past year, along with 1 administrator.
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 days0.1 pts better | 2.1 | 2.2 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.2 pts better | 1.3 | 1.5 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine1.3 pts better | 100.0% | 98.7% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine2.1 pts better | 100.0% | 97.9% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.1 pts worse | 2.7% | 1.6% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms0.1 pts worse | 7.7% | 7.6% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.9 pts better | 3.2% | 4.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication4.5 pts worse | 18.2% | 13.7% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication3.1 pts better | 9.2% | 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 worsened5.3 pts better | 3.6% | 8.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased4.4 pts better | 5.8% | 10.2% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.7 pts better | 0.0% | 0.7% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.9 pts better | 0.3% | 1.2% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence1.9 pts worse | 11.7% | 9.8% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.5 pts worse | 4.8% | 4.3% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine5.4 pts better | 100.0% | 94.6% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visitAbout the same | 11.1% | 11.1% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.4 pts better | 0.9% | 1.3% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine6.7 pts better | 99.8% | 93.1% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission2.4 pts better | 20.2% | 22.6% | 23.4% |
·
Who owns and runs it
22 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 |
|---|---|---|---|
| Johnson, Frank | 5% Or Greater Direct Ownership Interest · Individual | 50% | 42 facilities |
| Cline, Talmadge | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Cline, Talmadge | Adp Of The SNF · Individual | 0% | 1 facilities |
| Dehghanmanesh, Adrian | Corporate Officer · Individual | 0% | 44 facilities |
| Eskandari, Hamid | Adp Of The SNF · Individual | 0% | 2 facilities |
| Farrales, Mary | Corporate Officer · Individual | 0% | 43 facilities |
| Farrales, Mary | Adp Of The SNF · Individual | 0% | 43 facilities |
| Johnson, David | Managing Control - Governing Body · Individual | 0% | 34 facilities |
| Johnson, David | Operational/Managerial Control · Individual | 0% | 34 facilities |
| Johnson, David | Adp Of The SNF · Individual | 0% | 34 facilities |
| Johnson, Frank | Managing Control - Governing Body · Individual | 0% | 42 facilities |
| Kochek, Joshua | Corporate Officer · Individual | 0% | 43 facilities |
| Kochek, Joshua | Operational/Managerial Control · Individual | 0% | 43 facilities |
| Kochek, Joshua | Adp Of The SNF · Individual | 0% | 43 facilities |
| Lake Forest Post Acute LLC | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Lake Forest Post Acute LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Lake Forest Property Holdings, LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Oxford, Micheal | Corporate Officer · Individual | 0% | 42 facilities |
| Oxford, Micheal | Operational/Managerial Control · Individual | 0% | 42 facilities |
| Oxford, Micheal | Adp Of The SNF · Individual | 0% | 42 facilities |
| Sun Meridian Management Services LLC | Adp Of The SNF · Organization | 0% | 20 facilities |
| Vbn New York LLC | Adp Of The SNF · Organization | 0% | 9 facilities |
·
Fire safety
35 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke10F
- F
Inspect, test, and maintain automatic sprinkler systems.
- D
Install corridor and hallway doors that block smoke.
- C
Have approved installation, maintenance and testing program for fire alarm systems.
- E
Install corridor and hallway doors that block smoke.
- C
Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.
- C
Have approved installation, maintenance and testing program for fire alarm systems.
- C
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D
Inspect, test, and maintain automatic sprinkler systems.
- D
Install corridor and hallway doors that block smoke.
Gas, Vacuum, and Electrical Systems10F
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- E
Have power receptacles that are properly grounded.
- E
Ensure proper usage of power strips and extension cords.
- D
Meet requirements for the use of electrical equipment.
- D
Have proper medical gas storage and administration areas.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- D
Meet requirements for the installation and maintenance of electrical systems.
- D
Ensure proper usage of power strips and extension cords.
- D
Have proper medical gas storage and administration areas.
Emergency Preparedness5F
- F
Provide emergency officials' contact information.
- F
Establish staff and initial training requirements.
- F
Conduct testing and exercise requirements.
- F
Conduct risk assessment and an All-Hazards approach.
- D
Implement emergency and standby power systems.
Construction3E
- D
Use approved construction type or materials.
- E
Use approved construction type or materials.
- D
Use approved construction type or materials.
Egress3D
- B
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- D
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- D
Have properly located and lighted "Exit" signs.
Services2F
- F
Have properly installed electrical wiring and gas equipment.
- D
Have properly installed electrical wiring and gas equipment.
Miscellaneous2F
- F
Have simulated fire drills held at unexpected times.
- D
Have simulated fire drills held at unexpected times.
·
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★★★★★- Worst citation, 3 yrs
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-
Laguna Hills Health And Rehabilitation Center
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-
Villa Valencia Healthcare Center
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