Trabuco Hills Post Acute
25652 Old Trabuco Road · Lake Forest, CA · 92630 · 9493809380
175 certified beds For profit - Limited Liability company Chain: David Johnson
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.
- No federal fines or payment denials in CMS’s 3-year window.
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: 1 of 5 Inspections: 1 of 5 Staffing: 2 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 4.12 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.40 | 0.55–0.75 |
| Weekend hours / resident-day | 3.76 | ≈ weekday level |
| Nursing turnover / year | 35% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (104 in the current record)
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Potential for harm · D March 4, 2026
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected April 3, 2026 · Resident Rights
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Potential for harm · D March 4, 2026
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.
Corrected April 3, 2026 · Resident Rights
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Potential for harm · D March 4, 2026
Keep residents' personal and medical records private and confidential.
Corrected April 3, 2026 · Resident Rights
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Potential for harm · D March 4, 2026
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected April 3, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 4, 2026
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Corrected April 3, 2026 · Resident Rights
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Potential for harm · D March 4, 2026
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected April 3, 2026 · Resident Rights
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Potential for harm · D March 4, 2026
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected April 3, 2026 · Resident Assessment and Care Planning
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Potential for harm · D March 4, 2026
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected April 3, 2026 · Resident Assessment and Care Planning
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Potential for harm · D March 4, 2026
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 3, 2026 · Quality of Life and Care
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Potential for harm · D March 4, 2026
Assist a resident in gaining access to vision and hearing services.
Corrected April 3, 2026 · Quality of Life and Care
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Potential for harm · D March 4, 2026
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected April 3, 2026 · Quality of Life and Care
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Potential for harm · D March 4, 2026
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected April 3, 2026 · Quality of Life and Care
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Potential for harm · D March 4, 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 3, 2026 · Quality of Life and Care
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Potential for harm · D March 4, 2026
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected April 3, 2026 · Quality of Life and Care
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Potential for harm · D March 4, 2026
Provide safe and appropriate respiratory care for a resident when needed.
Corrected April 3, 2026 · Quality of Life and Care
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Potential for harm · D March 4, 2026
Provide safe, appropriate pain management for a resident who requires such services.
Corrected April 3, 2026 · Quality of Life and Care
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Potential for harm · D March 4, 2026
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected April 3, 2026 · Quality of Life and Care
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Potential for harm · D March 4, 2026
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected April 3, 2026 · Pharmacy Service
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Potential for harm · D March 4, 2026
Ensure medication error rates are not 5 percent or greater.
Corrected April 3, 2026 · Pharmacy Service
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Potential for harm · D March 4, 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 3, 2026 · Pharmacy Service
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Potential for harm · D March 4, 2026
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Corrected April 3, 2026 · Nutrition and Dietary
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Potential for harm · E March 4, 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 April 3, 2026 · Nutrition and Dietary
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Potential for harm · D March 4, 2026
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected April 3, 2026 · Nutrition and Dietary
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Potential for harm · E March 4, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected April 3, 2026 · Nutrition and Dietary
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Potential for harm · D March 4, 2026
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Corrected April 3, 2026 · Nutrition and Dietary
Showing the 25 most recent. The Safety Report includes every citation with full findings.
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 555308 · certified since June 28, 1988. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.