Nursing HomeInspections

The Hills Post Acute

Nursing home in Santa Ana, CA

Medicare & Medicaid certified1★ overall (CMS)

Call (714) 835-4900Send a messageMap ↗

Public-record details

Address
1800 Old Tustin Avenue, Santa Ana, CA 92705
Phone
(714) 835-4900
Listed under
For-profit
Medicare CCN
555765
Overall star rating
1 of 5 ★☆☆☆☆
Health inspection rating
1 of 5
Staffing rating
4 of 5
Quality measures rating
4 of 5
Certified beds
174
Average residents per day
161
Ownership
For-profit, limited Liability company
Legal business name
Tustin Hills Healthcare, INC.
Chain
The Ensign Group (342 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Dec 1, 2000
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 555765. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: May 6, 2026. CMS lists 122 health citations for this facility across its last three standard inspection cycles and complaint inspections (Aug 16, 2023 to Jun 30, 2026): 50 from complaint inspections, 0 at the “actual harm” level or higher.

InspectionCitationSeverity
Jun 30, 2026Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care · complaint inspection
D
Potential for more than minimal harm, isolated
Jun 30, 2026Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service · complaint inspection
D
Potential for more than minimal harm, isolated
Jun 30, 2026Provide and implement an infection prevention and control program.
Infection Control · complaint inspection
D
Potential for more than minimal harm, isolated
May 6, 2026Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Resident Assessment and Care Planning
B
Potential for minimal harm, pattern
May 6, 2026Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights
D
Potential for more than minimal harm, isolated
May 6, 2026Reasonably accommodate the needs and preferences of each resident.
Resident Rights
D
Potential for more than minimal harm, isolated
May 6, 2026Honor 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.
Resident Rights
D
Potential for more than minimal harm, isolated
May 6, 2026Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Rights
D
Potential for more than minimal harm, isolated
May 6, 2026PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning
D
Potential for more than minimal harm, isolated
May 6, 2026Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning
D
Potential for more than minimal harm, isolated
May 6, 2026Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning
D
Potential for more than minimal harm, isolated
May 6, 2026Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care
D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 122. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 2 fines totalling $4,893 in the last three years.

Sep 18, 2023Fine: $1,748
Aug 28, 2023Fine: $3,145

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
4.03 hours
Registered nurse (RN) time per resident per day
0.38 hours
Nurse aide time per resident per day
2.49 hours
Total nurse staffing on weekends
3.69 hours
Nursing staff turnover (yearly)
35%
RN turnover (yearly)
39%
Administrators who left in the past year
0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

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