The Hills Post Acute
1800 Old Tustin Avenue · Santa Ana, CA · 92705 · 7148354900
174 certified beds For profit - Corporation Chain: The Ensign Group
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results have improved across recent cycles.
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
No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 2 of 5 Staffing: 3 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.92 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.40 | 0.55–0.75 |
| Weekend hours / resident-day | 3.59 | ≈ weekday level |
| Nursing turnover / year | 35% | median 45% |
| Fines (3-yr window) | 2 · $4,893 |
Inspection citations (107 in the current record)
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Potential for harm · D March 24, 2025
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 April 14, 2025 · Resident Rights
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Potential for harm · D March 24, 2025
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 14, 2025 · Resident Assessment and Care Planning
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Potential for harm · D March 24, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected April 14, 2025 · Quality of Life and Care
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Potential for harm · D March 24, 2025
Provide enough food/fluids to maintain a resident's health.
Corrected April 14, 2025 · Quality of Life and Care
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Potential for harm · E March 24, 2025
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected April 14, 2025 · Quality of Life and Care
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Potential for harm · D March 24, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected April 14, 2025 · Quality of Life and Care
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Potential for harm · D March 24, 2025
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected April 14, 2025 · Quality of Life and Care
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Potential for harm · D March 24, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected April 14, 2025 · Pharmacy Service
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Potential for harm · D March 24, 2025
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 14, 2025 · Pharmacy Service
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Potential for harm · D March 24, 2025
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Corrected April 14, 2025 · Nutrition and Dietary
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Potential for harm · E March 24, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected April 14, 2025 · Nutrition and Dietary
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Potential for harm · D March 24, 2025
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected April 14, 2025 · Resident Assessment and Care Planning
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Potential for harm · D March 24, 2025
Provide and implement an infection prevention and control program.
Corrected April 14, 2025 · Infection Control
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No harm found · B March 24, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected April 14, 2025 · Resident Assessment and Care Planning
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No harm found · B March 24, 2025
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected April 14, 2025 · Nutrition and Dietary
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Potential for harm · D February 14, 2025 · found via complaint
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected February 17, 2025 · Nutrition and Dietary
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Potential for harm · D October 29, 2024 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected November 11, 2024 · Pharmacy Service
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No harm found · B July 17, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected July 26, 2024 · Quality of Life and Care
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Potential for harm · D June 25, 2024 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected July 8, 2024 · Resident Assessment and Care Planning
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Potential for harm · D May 3, 2024 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected May 30, 2024 · Pharmacy Service
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Potential for harm · D February 8, 2024
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected February 29, 2024 · Resident Rights
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Potential for harm · D February 8, 2024
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected February 29, 2024 · Resident Rights
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Potential for harm · D February 8, 2024
Keep residents' personal and medical records private and confidential.
Corrected February 29, 2024 · Resident Rights
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Potential for harm · D February 8, 2024
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 February 29, 2024 · Resident Rights
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Potential for harm · D February 8, 2024
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected February 29, 2024 · Resident Rights
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| September 18, 2023 | Fine | $1,748 |
| August 28, 2023 | Fine | $3,145 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 555765 · certified since December 1, 2000. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.