Gordon Lane Care Center
1821 E Chapman Ave, Fullerton, CA 92831 · (714) 879-7301
For profit - Limited Liability company · 99 certified beds
Abuse icon Medicare's Care Compare says: “This nursing home has been cited for abuse.” Medicare marks homes recently cited for harm or potential harm from abuse or neglect, and caps their health inspection rating at 2 stars.
Gordon Lane Care Center has a 2-star overall rating from Medicare, out of 5. Its last standard inspection, in August 2025, found 25 citations (the California average is 15.6). It hasn't been fined in the last three years.
Medicare ratings
| Overall ratingStarts from the health inspection rating, then goes up or down a star for a 5-star or 1-star staffing or quality rating. | ★★★★★ 2 out of 5 stars · Below average |
| Health inspectionsFrom the two most recent standard inspections and three years of complaint inspections, compared with other homes in the same state. | ★★★★★ 2 out of 5 stars · Below average |
| Quality measuresFrom 15 measures of how residents do, such as falls with major injury, pressure ulcers, hospital stays and getting home after a short stay. | ★★★★★ 4 out of 5 stars · Above average |
| StaffingFrom payroll records of nurse hours per resident, adjusted for how much care residents need, and staff turnover. | ★★★★★ 3 out of 5 stars · Average |
How to read a nursing home's star ratings
Most recent health inspection
The standard health inspection on August 4, 2025 found 25 citations. What an inspection citation means
- Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.August 4, 2025 · F0557 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Reasonably accommodate the needs and preferences of each resident.August 4, 2025 · F0558 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.August 4, 2025 · F0578 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.August 4, 2025 · F0605 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.August 4, 2025 · F0628 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- PASARR screening for Mental disorders or Intellectual DisabilitiesAugust 4, 2025 · F0645 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.August 4, 2025 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.August 4, 2025 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate pressure ulcer care and prevent new ulcers from developing.August 4, 2025 · F0686 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.August 4, 2025 · F0693 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide for the safe, appropriate administration of IV fluids for a resident when needed.August 4, 2025 · F0694 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide safe and appropriate respiratory care for a resident when needed.August 4, 2025 · F0695 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide safe, appropriate pain management for a resident who requires such services.August 4, 2025 · F0697 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide safe, appropriate dialysis care/services for a resident who requires such services.August 4, 2025 · F0698 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.August 4, 2025 · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure each resident’s drug regimen must be free from unnecessary drugs.August 4, 2025 · F0757 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.August 4, 2025 · F0761 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Have a policy regarding use and storage of foods brought to residents by family and other visitors.August 4, 2025 · F0813 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.August 4, 2025 · F0838 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.August 4, 2025 · F0842 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.August 4, 2025 · F0849 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide and implement an infection prevention and control program.August 4, 2025 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Implement a program that monitors antibiotic use.August 4, 2025 · F0881 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.August 4, 2025 · F0909 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.August 4, 2025 · F0550 · Level of harm: Potential for minimal harm · Residents affected: Some
Complaint inspections, last three years
Inspections after complaints found 24 citations.
- Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.June 23, 2026 · F0600 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.June 23, 2026 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide and implement an infection prevention and control program.August 4, 2025 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Implement a program that monitors antibiotic use.August 4, 2025 · F0881 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide and implement an infection prevention and control program.June 18, 2025 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Respond appropriately to all alleged violations.June 2, 2025 · F0610 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.June 2, 2025 · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.February 5, 2025 · F0761 · Level of harm: Potential for minimal harm · Residents affected: Some
- Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.November 21, 2024 · F0657 · Level of harm: Potential for minimal harm · Residents affected: Some
- Provide and implement an infection prevention and control program.November 21, 2024 · F0880 · Level of harm: Potential for minimal harm · Residents affected: Some
- Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.October 2, 2024 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Respond appropriately to all alleged violations.October 2, 2024 · F0610 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.October 2, 2024 · F0758 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.September 3, 2024 · F0557 · Level of harm: Potential for minimal harm · Residents affected: Some
- Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.September 3, 2024 · F0600 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide and implement an infection prevention and control program.September 3, 2024 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.June 26, 2024 · F0656 · Level of harm: Potential for minimal harm · Residents affected: Some
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.June 26, 2024 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.June 26, 2024 · F0842 · Level of harm: Potential for minimal harm · Residents affected: Some
- 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.December 13, 2023 · F0578 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.December 13, 2023 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.October 24, 2023 · F0623 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.October 24, 2023 · F0625 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.October 24, 2023 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Fines and payment denials
No fines or payment denials in the last three years.
Nurse staffing
Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.
| Hours per resident per day | This home | California average | U.S. average |
|---|---|---|---|
| Total nurse staffing | 4.14 | 4.52 | 3.86 |
| Registered nurses (RN) | 0.34 | 0.67 | 0.69 |
| Licensed practical nurses (LPN) | 1.16 | 1.20 | 0.86 |
| Nurse aides | 2.64 | 2.65 | 2.32 |
| Total nursing staff turnover | 26% | 36.7% | 45.8% |
About this home
| Ownership | For profit - Limited Liability company |
| Certified beds | 99 |
| Average residents per day | 93.9 |
| Inside a hospital | No |
| Continuing care retirement community | No |
Nursing homes nearby
- Greenfield Care Center of Fullerton, LLC Fullerton · ★★★★★ 5 out of 5 stars
- Park Vista at Morningside Fullerton · ★★★★★ 4 out of 5 stars
- Terrace View Care Center Fullerton · ★★★★★ 4 out of 5 stars
- St Elizabeth Healthcare Center Fullerton · ★★★★★ 3 out of 5 stars
- St. Catherine Healthcare Fullerton · ★★★★★ 3 out of 5 stars
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Data from Medicare (CMS), updated October 2026, from Gordon Lane Care Center on Medicare's Care Compare and the CMS Provider Data Catalog. ParentNextStep isn't affiliated with Medicare or CMS.