The Hills Post Acute
1800 Old Tustin Avenue, Santa Ana, CA 92705 · (714) 835-4900
For profit - Limited Liability company · 174 certified beds
The Hills Post Acute has a 1-star overall rating from Medicare, out of 5. Its last standard inspection, in May 2026, found 25 citations (the California average is 15.6). It was fined 1 time in the last three years, $1,748 in all.
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. | ★★★★★ 1 out of 5 stars · Much below average |
| Health inspectionsFrom the two most recent standard inspections and three years of complaint inspections, compared with other homes in the same state. | ★★★★★ 1 out of 5 stars · Much 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. | ★★★★★ 4 out of 5 stars · Above average |
How to read a nursing home's star ratings
Most recent health inspection
The standard health inspection on May 6, 2026 found 25 citations. What an inspection citation means
- Provide safe and appropriate respiratory care for a resident when needed.May 6, 2026 · F0695 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide safe, appropriate dialysis care/services for a resident who requires such services.May 6, 2026 · F0698 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- 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.May 6, 2026 · F0761 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- 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.May 6, 2026 · F0803 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.May 6, 2026 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide and implement an infection prevention and control program.May 6, 2026 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.May 6, 2026 · F0550 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Reasonably accommodate the needs and preferences of each resident.May 6, 2026 · F0558 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.May 6, 2026 · F0584 · 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.May 6, 2026 · F0628 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- PASARR screening for Mental disorders or Intellectual DisabilitiesMay 6, 2026 · 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.May 6, 2026 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.May 6, 2026 · F0657 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide enough food/fluids to maintain a resident's health.May 6, 2026 · F0692 · 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.May 6, 2026 · 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.May 6, 2026 · F0694 · 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.May 6, 2026 · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.May 6, 2026 · F0756 · 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.May 6, 2026 · F0757 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.May 6, 2026 · F0804 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.May 6, 2026 · F0806 · 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.May 6, 2026 · F0813 · 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.May 6, 2026 · 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.May 6, 2026 · F0849 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.May 6, 2026 · F0640 · Level of harm: Potential for minimal harm · Residents affected: Some
Complaint inspections, last three years
Inspections after complaints found 43 citations.
- Provide enough food/fluids to maintain a resident's health.June 30, 2026 · F0692 · 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 30, 2026 · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide and implement an infection prevention and control program.June 30, 2026 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.February 14, 2025 · F0805 · 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.October 29, 2024 · F0755 · 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.July 17, 2024 · F0684 · Level of harm: Potential for minimal harm · Residents affected: Some
- Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.June 25, 2024 · F0842 · 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.May 3, 2024 · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Allow resident to participate in the development and implementation of his or her person-centered plan of care.February 8, 2024 · F0553 · Level of harm: Potential for minimal harm · Residents affected: Some
- 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.February 8, 2024 · F0625 · 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.February 8, 2024 · F0656 · Level of harm: Potential for minimal harm · Residents affected: Some
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.February 8, 2024 · F0689 · 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 8, 2024 · F0761 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Reasonably accommodate the needs and preferences of each resident.January 23, 2024 · F0558 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.January 23, 2024 · F0561 · 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.January 23, 2024 · F0578 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.January 23, 2024 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.January 23, 2024 · F0622 · 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.January 23, 2024 · F0623 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Prepare residents for a safe transfer or discharge from the nursing home.January 23, 2024 · F0624 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.January 23, 2024 · F0657 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Plan the resident's discharge to meet the resident's goals and needs.January 23, 2024 · F0660 · 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.January 23, 2024 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide appropriate pressure ulcer care and prevent new ulcers from developing.January 23, 2024 · F0686 · 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.January 23, 2024 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.January 23, 2024 · F0690 · 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.January 23, 2024 · F0697 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.January 23, 2024 · F0725 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.January 23, 2024 · F0755 · 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.January 23, 2024 · F0758 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that residents are free from significant medication errors.January 23, 2024 · F0760 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Dispose of garbage and refuse properly.January 23, 2024 · F0814 · Level of harm: Potential for minimal harm · Residents affected: Some
- Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.December 28, 2023 · F0688 · 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.December 28, 2023 · F0757 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.December 28, 2023 · F0812 · 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.December 28, 2023 · F0842 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide and implement an infection prevention and control program.December 28, 2023 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Reasonably accommodate the needs and preferences of each resident.November 30, 2023 · F0558 · 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.November 30, 2023 · F0842 · 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 18, 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 18, 2023 · F0625 · 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.October 18, 2023 · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.October 18, 2023 · F0836 · Level of harm: Potential for minimal harm · Residents affected: Some
Fines and payment denials
- Fine of $1,748September 18, 2023
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 | 4.03 | 4.52 | 3.86 |
| Registered nurses (RN) | 0.38 | 0.67 | 0.69 |
| Licensed practical nurses (LPN) | 1.15 | 1.20 | 0.86 |
| Nurse aides | 2.49 | 2.65 | 2.32 |
| Total nursing staff turnover | 34.8% | 36.7% | 45.8% |
About this home
| Ownership | For profit - Limited Liability company |
| Certified beds | 174 |
| Average residents per day | 161.1 |
| Inside a hospital | No |
| Continuing care retirement community | No |
Nursing homes nearby
- Town & Country Santa Ana · ★★★★★ 5 out of 5 stars
- South Coast Global Medical Center D/P SNF Santa Ana · ★★★★★ 3 out of 5 stars
- Citrus Post-Acute Santa Ana · ★★★★★ 2 out of 5 stars
- South Coast Post Acute Santa Ana · ★★★★★ 2 out of 5 stars
- Advanced Rehab Center of Tustin Santa Ana · ★★★★★ 1 out of 5 stars
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Data from Medicare (CMS), updated October 2026, from The Hills Post Acute on Medicare's Care Compare and the CMS Provider Data Catalog. ParentNextStep isn't affiliated with Medicare or CMS.