The Hills Post Acute
Nursing home in Santa Ana, CA
Medicare & Medicaid certified1★ overall (CMS)
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
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.
| Inspection | Citation | Severity |
|---|---|---|
| Jun 30, 2026 | Provide enough food/fluids to maintain a resident's health. | D |
| Jun 30, 2026 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D |
| Jun 30, 2026 | Provide and implement an infection prevention and control program. | D |
| May 6, 2026 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | B |
| May 6, 2026 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D |
| May 6, 2026 | Reasonably accommodate the needs and preferences of each resident. | D |
| May 6, 2026 | 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 |
| May 6, 2026 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D |
| May 6, 2026 | PASARR screening for Mental disorders or Intellectual Disabilities | D |
| May 6, 2026 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D |
| May 6, 2026 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D |
| May 6, 2026 | Provide enough food/fluids to maintain a resident's health. | D |
Fines and payment denials
CMS records 2 fines totalling $4,893 in the last three years.
| Sep 18, 2023 | Fine: $1,748 |
| Aug 28, 2023 | Fine: $3,145 |
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
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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