Palm Terrace Healthcare & Rehabilitation Center
24962 Calle Aragon · Laguna Hills, CA · 92637 · 9495879000
99 certified beds For profit - Limited Liability company Chain: The Ensign Group
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results are getting worse cycle over cycle, not better.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
2 actual-harm citations in the most recent cycle
Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.
$50,950 in federal fines in the last 24 months
2 fines — CMS fines are reserved for verified, serious non-compliance.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 2 of 5 Staffing: 2 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 4.19 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.35 | 0.55–0.75 |
| Weekend hours / resident-day | 3.65 | ≈ weekday level |
| Nursing turnover / year | 50% | median 45% |
| Fines (3-yr window) | 2 · $50,950 |
Inspection citations (51 in the current record)
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No harm found · B February 26, 2026 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected March 10, 2026 · Resident Assessment and Care Planning
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Actual harm · G February 9, 2026
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected March 10, 2026 · Quality of Life and Care
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Actual harm · G February 9, 2026 · found via complaint
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected March 10, 2026 · Nursing and Physician Services
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Potential for harm · D February 9, 2026
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected March 10, 2026 · Resident Rights
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Potential for harm · D February 9, 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.
Corrected March 10, 2026 · Resident Rights
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Potential for harm · E February 9, 2026
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected March 10, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 9, 2026
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected March 10, 2026 · Resident Assessment and Care Planning
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Potential for harm · D February 9, 2026
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected March 10, 2026 · Resident Assessment and Care Planning
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Potential for harm · D February 9, 2026
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 10, 2026 · Quality of Life and Care
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Potential for harm · D February 9, 2026
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected March 10, 2026 · Quality of Life and Care
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Potential for harm · D February 9, 2026
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected March 10, 2026 · Pharmacy Service
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Potential for harm · D February 9, 2026
Ensure medication error rates are not 5 percent or greater.
Corrected March 10, 2026 · Pharmacy Service
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Potential for harm · D February 9, 2026
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.
Corrected March 10, 2026 · Pharmacy Service
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Potential for harm · D February 9, 2026
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.
Corrected March 10, 2026 · Nutrition and Dietary
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Potential for harm · D February 9, 2026
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected March 10, 2026 · Nutrition and Dietary
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Potential for harm · E February 9, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected March 10, 2026 · Nutrition and Dietary
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Potential for harm · D February 9, 2026
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.
Corrected March 10, 2026 · Administration
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Potential for harm · D February 9, 2026
Provide and implement an infection prevention and control program.
Corrected March 10, 2026 · Infection Control
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Potential for harm · D February 9, 2026
Keep all essential equipment working safely.
Corrected March 10, 2026 · Environmental
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Potential for harm · D February 9, 2026 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected March 10, 2026 · Resident Assessment and Care Planning
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Potential for harm · D February 9, 2026 · found via complaint
Provide safe, appropriate pain management for a resident who requires such services.
Corrected March 10, 2026 · Quality of Life and Care
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Potential for harm · D February 9, 2026 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected March 10, 2026 · Pharmacy Service
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No harm found · B February 9, 2026
Dispose of garbage and refuse properly.
Corrected March 10, 2026 · Nutrition and Dietary
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Potential for harm · D August 13, 2025 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected August 27, 2025 · Pharmacy Service
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Potential for harm · D February 3, 2025
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected February 21, 2025 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| February 9, 2026 | Fine | $25,475 |
| February 9, 2026 | Fine | $25,475 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 555257 · certified since April 9, 1987. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.