Deficiency Index

The Hills Post Acute

Santa Ana, California · CCN 555765

114 surveys since 2011, 5 of them producing a finding at harm level or worse.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
500
Surveys
114
Harm or worse
5
Immediate jeopardy
2
The record, 2011–2026
’11’15’20’25’26
No harm recordedHarm or worseNot surveyed
Immediate jeopardy2

Findings at the most serious level CMS records.

Beyond CMS’s monthly file99/114

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
174
Ownership
For profit - Limited Liability company
Chain
THE ENSIGN GROUP
County
Orange
Medicare-certified since
2000

CMS ratings

Overall
1
Health inspection
1
Staffing
4
Quality measures
4

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded somewhat more weighted findings than its peer group.

Weighted by harm level, against 225 for-profit facilities with 128 or more beds in California.

Last survey on record

Jun 30, 2026

132 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day4.034.08
Registered-nurse hours per resident day0.38—
Annual nurse turnover34.8%37.2%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

Fines
$1,748 across 1 penalty

Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD9779.5%E1411.5%F—
No harm, potential for minimalA—B119.0%C—
CMS’s current file: 122 of the 500 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F7559×

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

  • F8426×

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

  • F8805×

    Provide and implement an infection prevention and control program.

  • F5844×

    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.

  • F6574×

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

In the surveyor’s words

From the most serious findings on record at The Hills Post Acute, in the surveyor’s own words.

  • No harm, potential for more than minimal, patternF695May 6, 2026

    Based on observation, interview, medical record review, and facility P&P review, the facility failed to ensure one of one final sampled resident (Resident 7) and two nonsampled residents (Residents 31 and 175) reviewed for respiratory care were provided the appropriate respiratory care. * The facility failed to ensure Resident 7 nasal canula tubing was dated and labeled and had an oxygen storage bag as per the facility's P&P. * The facility failed to ensure Resident 31's nasal cannula tubing was dated and labeled as per the facility's P&P. * The facility failed to ensure Resident 175 nasal canula tubing was dated and labeled and had an oxygen storage bag as per the facility's P&P. […]

  • No harm, potential for more than minimal, patternF698May 6, 2026

    Based on interview, medical record review, and facility P&P review, the facility failed to ensure the dialysis care and services were provided for three of three final sampled residents (Residents 2, 12, and 81) reviewed for dialysis care. * The facility failed to ensure the Dialysis Communication Forms for Resident 2 were completed and accurate on multiple dates. * The facility failed to ensure Resident 12's hemodialysis communication records were complete and failed to ensure accurate documentation of the monitoring of Resident 12's fluid restriction as ordered by the physician. * The facility failed to ensure Resident 81's hemodialysis communication records and fluid intake monitoring were completed accurately. […]

  • No harm, potential for more than minimal, patternF761May 6, 2026

    Based on observation, interview, and facility P&P review, the facility failed to store the drugs and biologicals in a safe manner for two of three medication carts (Medication Carts A and B); and two of 32 final sampled residents (Residents 132 and 164). * The facility failed to ensure safe medication labeling practices was in accordance with the accepted professional standards when the opened inhaler mouthpieces and nasal spray bottles were not properly labeled with sufficient information to clearly identify the specific resident for Resident 192 in Medication Cart A, and Residents 67, 117, and 158 in Medication Cart B. […]

  • No harm, potential for more than minimal, patternF803May 6, 2026

    Based on observation, interview, facility document review, and facility P&P review, the facility failed to ensure the menu and recipes were followed for 26 of 153 residents (Resident 94, 18 of 18 residents who received pureed food and seven of seven residents on a renal diet) eating from the kitchen. * The facility failed to ensure the puree recipe for IDDSI Level 4 Pureed Starch (Rice, Pasta, Polenta, Potatoes, etc.) was followed. * The facility failed to follow the renal diet menu. * The facility failed to inform the residents of menu changes. * The facility failed to offer Resident 94 appropriate food substitutions when he refused both breakfast and lunch. […]

  • No harm, potential for more than minimal, patternF812May 6, 2026

    Based on observation, interview, facility document review, and facility P&P review, the facility failed to ensure food safety and sanitary requirements were met in the kitchen. * The facility failed to ensure food preparation equipment was in good, cleanable and sanitary condition. * The facility failed to ensure temperature was monitored in the dry storage room. * The facility failed to ensure food items were labeled and discarded by the best by or use by date. These failures had the potential to cause foodborne illnesses in the medically vulnerable residents population who consumed food prepared in the kitchen.Findings: Review of the facility's document titled Diet Type Report revised on 5/4/26, showed 153 residents received food from the kitchen. 1. […]

Read 25 findings in full →The most serious and the most recent: 25 of 500 on record.

Every survey on record

FindingsAt actual harm or above

  • Jun 30, 2026Complaint3 findings
  • May 6, 2026Standard25 findings
  • Mar 24, 2025Standard15 findings
  • Feb 14, 2025Complaint1 finding
  • Oct 29, 2024Complaint1 finding
  • Jul 17, 2024Complaint1 finding
  • Jun 25, 2024Complaint1 finding
  • May 3, 2024Complaint1 finding
Show the 106 earlier surveys
  • Feb 8, 2024Standard and complaint37 findings
  • Jan 23, 2024Complaint19 findings
  • Dec 28, 2023Complaint5 findings
  • Nov 30, 2023Complaint2 findings
  • Oct 18, 2023Complaint4 findings
  • Sep 13, 2023Complaint3 findings
  • Aug 16, 2023Complaint4 findings
  • Jun 15, 2023Complaint1 finding
  • Jun 14, 2023Complaint2 findings
  • May 3, 2023Complaint2 findings
  • Apr 14, 2023Complaint2 findings
  • Apr 13, 2023Complaint1 finding
  • Feb 9, 2023Complaint1 finding
  • Feb 2, 2023Complaint1 finding
  • Dec 30, 2022Infection control3 findings
  • Dec 1, 2022Complaint1 finding
  • Nov 22, 2022Complaint1 finding
  • Nov 18, 2022Complaint1 finding
  • Oct 10, 2022Complaint2 findings
  • Sep 26, 2022Complaint1 finding
  • Sep 22, 2022Complaint1 finding
  • Aug 30, 2022Complaint1 finding
  • Aug 25, 2022Complaint2 findings
  • Mar 1, 2022Complaint2 findings
  • Jan 31, 2022Complaint2 findings
  • Oct 18, 2021Standard and complaint10 findings
  • Sep 17, 2021Complaint1 finding
  • Sep 10, 2021Complaint1 finding
  • Sep 7, 2021Complaint1 finding
  • Jul 15, 2021Complaint1 finding
  • May 14, 2021Complaint1 finding
  • Apr 16, 2021Complaint1 finding
  • Apr 13, 2021Standard23 findings
  • Mar 17, 2021Complaint1 finding
  • Mar 10, 2021Complaint2 findings
  • Nov 4, 2020Complaint1 finding
  • Oct 16, 2020Complaint3 findings
  • Sep 22, 2020Complaint3 findings
  • Jul 24, 2020Infection control1 finding
  • Apr 7, 2020Complaint2 findings
  • Feb 27, 2020Complaint5 findings · 1 harm
  • Dec 20, 2019Complaint1 finding
  • Oct 23, 2019Complaint1 finding
  • Aug 29, 2019Complaint2 findings
  • Aug 5, 2019Standard and complaint27 findings · 1 harm
  • Jul 9, 2019Complaint2 findings
  • May 28, 2019Complaint1 finding
  • May 17, 2019Complaint2 findings
  • May 7, 2019Complaint2 findings
  • Apr 30, 2019Complaint1 finding
  • Apr 11, 2019Complaint1 finding
  • Mar 29, 2019Complaint1 finding
  • Feb 26, 2019Complaint3 findings
  • Feb 15, 2019Complaint1 finding
  • Feb 11, 2019Complaint4 findings
  • Feb 8, 2019Complaint1 finding
  • Dec 7, 2018Complaint1 finding
  • Oct 31, 2018Complaint1 finding
  • Oct 3, 2018Complaint2 findings
  • Aug 3, 2018Standard23 findings · 1 harm
  • Jul 23, 2018Complaint1 finding
  • Jun 12, 2018Complaint1 finding
  • Apr 16, 2018Complaint1 finding
  • Mar 26, 2018Complaint1 finding
  • Mar 16, 2018Complaint2 findings
  • Feb 16, 2018Complaint3 findings
  • Jan 12, 2018Complaint1 finding
  • Dec 21, 2017Complaint2 findings
  • Dec 8, 2017Complaint4 findings
  • Dec 7, 2017Complaint2 findings
  • Nov 29, 2017Complaint1 finding
  • Nov 27, 2017Complaint2 findings
  • Nov 2, 2017Complaint2 findings
  • Oct 10, 2017Complaint1 finding
  • Aug 7, 2017Complaint1 finding
  • Jul 10, 2017Standard22 findings
  • Mar 30, 2017Complaint2 findings
  • Mar 29, 2017Complaint1 finding
  • Jan 10, 2017Complaint1 finding
  • Nov 7, 2016Complaint5 findings
  • Oct 25, 2016Complaint3 findings
  • Oct 6, 2016Complaint2 findings
  • Sep 29, 2016Complaint5 findings
  • Jul 18, 2016Standard18 findings
  • Jul 12, 2016Complaint1 finding
  • Nov 9, 2015Complaint3 findings
  • Aug 4, 2015Complaint3 findings
  • Jul 20, 2015Standard22 findings
  • Jul 14, 2015Complaint3 findings
  • Jun 18, 2015Complaint1 finding
  • Apr 27, 2015Complaint3 findings
  • Mar 25, 2015Complaint4 findings
  • Mar 9, 2015Complaint2 findings
  • Dec 24, 2014Complaint1 finding
  • Jun 9, 2014Standard17 findings
  • Mar 25, 2014Complaint2 findings
  • Dec 18, 2013—1 finding
  • Dec 2, 2013—1 finding
  • Apr 25, 2013—20 findings
  • Dec 13, 2012—2 findings
  • Oct 25, 2012—1 finding
  • Sep 18, 2012—1 finding
  • Aug 2, 2012—2 findings
  • Jul 3, 2012—1 finding
  • Jun 14, 2012Standard23 findings · 2 harm
  • Mar 3, 2011—19 findings

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction