Nursing homeActive
San Juan Hills Healthcare Center
31741 Rancho Viejo Road, San Juan Capistrano, CA 92675949248885545 certified beds · 42 residentsFor profit - Limited Liability companyMedicare
Surveys on file
9
since 2023
Deficiencies
64
● 11● 52● 1
Penalties · 3 yrs
—
none on file
Last survey
2026-05-26
Complaint
CMS overall
4 / 5
stars as published by CMS
CMS overall 4/5
Health 3
Staffing 4
Quality 5
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · California Department of Public Health · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-05-26 | Complaint | 120 | CMS-2567 (Care Compare) | — |
| 2026-04-20 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2026-01-22 | Standard | 2120 | CMS-2567 (Care Compare) | — |
| 2025-10-15 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2025-07-15 | Complaint | 210 | CMS-2567 (Care Compare) | — |
| 2025-05-23 | Complaint | 100 | CMS-2567 (Care Compare) | — |
| 2024-11-15 | Standard | 4190 | CMS-2567 (Care Compare) | — |
| 2023-12-12 | Complaint | 001 | CMS-2567 (Care Compare) | — |
| 2023-11-17 | Standard | 1160 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · California Department of Public Health publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-06-11Record 555763-20260526-F684
F761Ensure 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-06-11Record 555763-20260526-F761
F732Post nurse staffing information every day.Scope/severity BPaperwork
Staffing
Pattern; potential for minimal harm.Corrected 2026-06-11Record 555763-20260526-F732
F552Ensure that residents are fully informed and understand their health status, care and treatments.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-05Record 555763-20260420-F552
F554Allow residents to self-administer drugs if determined clinically appropriate.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-03Record 555763-20260122-F554
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-03Record 555763-20260122-F656
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-03Record 555763-20260122-F657
F694Provide for the safe, appropriate administration of IV fluids for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-03Record 555763-20260122-F694
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-03Record 555763-20260122-F695
F698Provide safe, appropriate dialysis care/services for a resident who requires such services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-03Record 555763-20260122-F698
F700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-03Record 555763-20260122-F700
F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-03Record 555763-20260122-F804
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-03-03Record 555763-20260122-F812
F838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.Scope/severity DStandard
Records
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-03Record 555763-20260122-F838
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-03-03Record 555763-20260122-F880
F909Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.Scope/severity DStandard
Environment
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-03Record 555763-20260122-F909
F558Reasonably accommodate the needs and preferences of each resident.Scope/severity BPaperwork
Dignity & rights
Pattern; potential for minimal harm.Corrected 2026-03-03Record 555763-20260122-F558
F814Dispose of garbage and refuse properly.Scope/severity BPaperwork
Food & nutrition
Pattern; potential for minimal harm.Corrected 2026-03-03Record 555763-20260122-F814
F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-11-12Record 555763-20251015-F580
F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-08-02Record 555763-20250715-F690
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity BPaperwork
Care planningRecords
Pattern; potential for minimal harm.Corrected 2025-08-02Record 555763-20250715-F656
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity BPaperwork
Care planningRecords
Pattern; potential for minimal harm.Corrected 2025-08-02Record 555763-20250715-F657
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity BPaperwork
Care planningRecords
Pattern; potential for minimal harm.Corrected 2025-06-19Record 555763-20250523-F842
F554Allow residents to self-administer drugs if determined clinically appropriate.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-13Record 555763-20241115-F554
F565Honor the resident's right to organize and participate in resident/family groups in the facility.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-13Record 555763-20241115-F565
F645PASARR screening for Mental disorders or Intellectual DisabilitiesScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-13Record 555763-20241115-F645
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-13Record 555763-20241115-F689
F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-13Record 555763-20241115-F690
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-13Record 555763-20241115-F695
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-13Record 555763-20241115-F755
F758Implement 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-13Record 555763-20241115-F758
F759Ensure medication error rates are not 5 percent or greater.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-13Record 555763-20241115-F759
F761Ensure 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-13Record 555763-20241115-F761
F801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-13Record 555763-20241115-F801
F803Ensure 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.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-13Record 555763-20241115-F803
F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-13Record 555763-20241115-F804
F808Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-13Record 555763-20241115-F808
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-12-13Record 555763-20241115-F812
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-13Record 555763-20241115-F880
F881Implement a program that monitors antibiotic use.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-13Record 555763-20241115-F881
F908Keep all essential equipment working safely.Scope/severity DStandard
Environment
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-13Record 555763-20241115-F908
F909Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.Scope/severity DStandard
Environment
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-13Record 555763-20241115-F909
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity BPaperwork
Dignity & rights
Pattern; potential for minimal harm.Corrected 2024-12-13Record 555763-20241115-F550
F574The resident has the right to receive notices in a format and a language he or she understands.Scope/severity BPaperwork
Dignity & rights
Pattern; potential for minimal harm.Corrected 2024-12-13Record 555763-20241115-F574
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity BPaperwork
Care planning
Pattern; potential for minimal harm.Corrected 2024-12-13Record 555763-20241115-F684
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity BPaperwork
Care planningRecords
Pattern; potential for minimal harm.Corrected 2024-12-13Record 555763-20241115-F842
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity GHarm
Care planningFalls
Isolated; actual harm that is not immediate jeopardy.Corrected 2024-01-02Record 555763-20231212-F689
F554Allow residents to self-administer drugs if determined clinically appropriate.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-12-15Record 555763-20231117-F554
F625Notify 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.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-12-15Record 555763-20231117-F625
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-12-15Record 555763-20231117-F656
F679Provide activities to meet all resident's needs.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-12-15Record 555763-20231117-F679
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-12-15Record 555763-20231117-F684
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-12-15Record 555763-20231117-F695
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-12-15Record 555763-20231117-F755
F758Implement 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-12-15Record 555763-20231117-F758
F761Ensure 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-12-15Record 555763-20231117-F761
F801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-12-15Record 555763-20231117-F801
F802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-12-15Record 555763-20231117-F802
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2023-12-15Record 555763-20231117-F812
F813Have a policy regarding use and storage of foods brought to residents by family and other visitors.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-12-15Record 555763-20231117-F813
F881Implement a program that monitors antibiotic use.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-12-15Record 555763-20231117-F881
F908Keep all essential equipment working safely.Scope/severity DStandard
Environment
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-12-17Record 555763-20231117-F908
F909Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.Scope/severity DStandard
Environment
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-12-15Record 555763-20231117-F909
F880Provide and implement an infection prevention and control program.Scope/severity BPaperwork
Infection control
Pattern; potential for minimal harm.Corrected 2023-12-15Record 555763-20231117-F880
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.92
Facility
California
National
California 0.67 · National 0.69
Total nurse hours per resident day5.08
Facility
California
National
California 4.52 · National 3.86
Weekend total nurse hours4.50
Facility
California
National
California 4.09 · National 3.42
Total nursing staff turnover37%
Facility
California
National
California 37% · National 46%
Registered nurse turnover14%
Facility
California
National
California 38% · National 43%
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Asrv LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Caslmon, Timothy Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Nordfelt, Spencer Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Sta Ana, Lanie Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Thompson, Stephen Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Aspen Healthcare Services LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Aspen Skilled Healthcare Inc Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Asrv LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Asrv LLC Organization | DIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Bradshaw, Jeffrey Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Bradshaw, Jeffrey Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Bradshaw, Jeffrey Individual | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | NOT APPLICABLE | — | — |
| Bradshaw, Jeffrey Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Bradshaw, Peter Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Brady, Vern Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Brady, Vern Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Case, Ryan Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Case, Ryan Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Caslmon, Timothy Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Caslmon, Timothy Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| East West Bank Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Elsner, Eric Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Guu, Huan Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Jurado, Frank Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Kirkwood, Jared Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Nordfelt, Spencer Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Orgill, Craig Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Parti, Rajesh Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Parti, Shruty Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Paxman, Marcus Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Paxman, Marcus Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Sacc LLC Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Sta Ana, Lanie Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Thompson, Stephen Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Thompson, Stephen Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
Part of a chain
Aspen Skilled Healthcare — 35 facilities
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or California.
No county cost figures on file for Orange.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Capistrano Beach Care Center Dana Point | 3.7 mi | 2026-05-28 | 7580 |
| Orchards Skilled Nursing Rancho Mission Viejo | 3.8 mi | 2025-04-17 | 5220 |
| Palm Terrace Healthcare & Rehabilitation Center Laguna Hills | 7.5 mi | 2026-02-26 | 7302 |
| Villa Valencia Healthcare Center Laguna Hills | 8.0 mi | 2026-01-21 | 8220 |
| Laguna Hills Health And Rehabilitation Center Laguna Hills | 8.1 mi | 2026-05-26 | 201170 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |