St Elizabeth Healthcare Center
2800 N. Harbor Blvd. · Fullerton, CA · 92835 · 7148719202
59 certified beds For profit - Corporation Chain: The Ensign Group
Why this verdict
- Inspection results are getting worse cycle over cycle, not better.
- Staffing hours comfortably above national benchmarks.
- No federal fines or payment denials in CMS’s 3-year window.
The composite number cleared 74 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.
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
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
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: 3 of 5 Staffing: 4 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 4.49 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.65 | 0.55–0.75 |
| Weekend hours / resident-day | 4.03 | ≈ weekday level |
| Nursing turnover / year | 28% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (58 in the current record)
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Potential for harm · D March 19, 2026
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected April 10, 2026 · Resident Rights
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Potential for harm · D March 19, 2026
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected April 10, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 19, 2026
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected March 25, 2026 · Resident Assessment and Care Planning
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Potential for harm · D March 19, 2026
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected April 10, 2026 · Resident Assessment and Care Planning
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Potential for harm · D March 19, 2026
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected April 10, 2026 · Quality of Life and Care
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Potential for harm · D March 19, 2026
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.
Corrected April 10, 2026 · Quality of Life and Care
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Potential for harm · D March 19, 2026
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected March 25, 2026 · Quality of Life and Care
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Potential for harm · D March 19, 2026
Provide safe and appropriate respiratory care for a resident when needed.
Corrected March 25, 2026 · Quality of Life and Care
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Potential for harm · D March 19, 2026
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected April 10, 2026 · Nursing and Physician Services
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Potential for harm · D March 19, 2026
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected April 10, 2026 · Pharmacy Service
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Potential for harm · D March 19, 2026
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected April 10, 2026 · Pharmacy Service
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Potential for harm · D March 19, 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 April 10, 2026 · Pharmacy Service
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Potential for harm · E March 19, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected March 20, 2026 · Nutrition and Dietary
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Potential for harm · D March 19, 2026
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected March 26, 2026 · Resident Assessment and Care Planning
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Potential for harm · E March 19, 2026
Provide and implement an infection prevention and control program.
Corrected March 31, 2026 · Infection Control
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Potential for harm · D March 19, 2026
Keep all essential equipment working safely.
Corrected April 10, 2026 · Environmental
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Potential for harm · D December 19, 2025 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected January 9, 2026 · Resident Assessment and Care Planning
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Potential for harm · D September 9, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected September 30, 2025 · Quality of Life and Care
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Potential for harm · D September 9, 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 September 30, 2025 · Pharmacy Service
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No harm found · B September 9, 2025 · found via complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected September 30, 2025 · Resident Rights
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No harm found · B September 9, 2025 · found via complaint
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected September 30, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D July 10, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected August 8, 2025 · Quality of Life and Care
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Potential for harm · D July 10, 2025 · found via complaint
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected August 8, 2025 · Quality of Life and Care
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Potential for harm · D July 10, 2025 · found via complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected August 8, 2025 · Quality of Life and Care
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No harm found · B July 10, 2025 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected August 8, 2025 · Resident Assessment and Care Planning
Showing the 25 most recent. The Safety Report includes every citation with full findings.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 055570 · certified since May 1, 1977. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.