LAGUNA HILLS HEALTH AND REHABILITATION CENTER
LAGUNA HILLS HEALTH AND REHABILITATION CENTER is a 208-bed nursing home in LAGUNA HILLS, California. CMS has certified it for Medicare and Medicaid since 1971-12-31. It averages 190.4 residents a day.
What harm was found in the violations cited at LAGUNA HILLS HEALTH AND REHABILITATION CENTER?
CMS lists 145 health-inspection deficiencies for LAGUNA HILLS HEALTH AND REHABILITATION CENTER, all of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is G; the most recent health inspection was 2026-05-26.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2026-05-26 | F0726 | 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. | E |
| 2026-05-26 | F0686, F0757 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Ensure each resident’s drug regimen must be free from unnecessary drugs. | D |
| 2026-04-16 | F0761 | 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. | D |
| 2026-04-07 | F0628, F0689 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D |
| 2026-03-26 | F0559 | Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | D |
| 2026-02-04 | F0602, F0684 | Protect each resident from the wrongful use of the resident's belongings or money. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D |
| 2025-09-11 | F0609, F0627 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | D |
| 2025-09-11 | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | B |
| 2025-08-25 | F0689, F0812 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E |
| 2025-08-25 | F0550, F0554, F0558, F0585, F0605, F0610, F0645, F0656, F0684, F0686, F0688, F0695, F0698, F0700, F0755, F0757, F0761, F0808, F0880, F0881, F0909 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Allow residents to self-administer drugs if determined clinically appropriate. / Reasonably accommodate the needs and preferences of each resident. / 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. / Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. / Respond appropriately to all alleged violations. / PASARR screening for Mental disorders or Intellectual Disabilities / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. / Provide safe and appropriate respiratory care for a resident when needed. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / Try 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. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / 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. / Ensure 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. / Provide and implement an infection prevention and control program. / Implement a program that monitors antibiotic use. / Regularly 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. | D |
| 2025-08-25 | F0578, F0583, F0657, F0814, F0838, F0842 | 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. / Keep residents' personal and medical records private and confidential. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Dispose of garbage and refuse properly. / Conduct 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. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | B |
| 2025-07-15 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D |
| 2025-06-04 | F0689, F0697, F0842 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide safe, appropriate pain management for a resident who requires such services. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D |
| 2025-01-24 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | B |
| 2025-01-03 | F0558, F0609, F0656 | Reasonably accommodate the needs and preferences of each resident. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | B |
| 2024-10-14 | F0880 | Provide and implement an infection prevention and control program. | B |
| 2024-09-25 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D |
| 2024-08-27 | F0584, F0622, F0757 | 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. / Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. / Ensure each resident’s drug regimen must be free from unnecessary drugs. | D |
| 2024-08-19 | F0689, F0812, F0880, F0908 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Provide and implement an infection prevention and control program. / Keep all essential equipment working safely. | E |
| 2024-08-19 | F0550, F0558, F0580, F0622, F0641, F0656, F0657, F0679, F0684, F0686, F0692, F0694, F0695, F0697, F0698, F0755, F0756, F0757, F0758, F0759, F0761, F0801, F0802, F0803, F0805, F0813, F0849, F0881, F0919 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Reasonably accommodate the needs and preferences of each resident. / Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. / Ensure each resident receives an accurate assessment. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide activities to meet all resident's needs. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Provide enough food/fluids to maintain a resident's health. / Provide for the safe, appropriate administration of IV fluids for a resident when needed. / Provide safe and appropriate respiratory care for a resident when needed. / Provide safe, appropriate pain management for a resident who requires such services. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / Implement 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. / Ensure medication error rates are not 5 percent or greater. / 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. / Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. / Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. / 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. / Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. / Have a policy regarding use and storage of foods brought to residents by family and other visitors. / 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. / Implement a program that monitors antibiotic use. / Make sure that a working call system is available in each resident's bathroom and bathing area. | D |
| 2024-08-19 | F0584 | 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. | B |
| 2024-07-01 | F0600, F0609 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D |
| 2024-05-08 | F0558, F0573 | Reasonably accommodate the needs and preferences of each resident. / Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | D |
| 2024-02-13 | F0880 | Provide and implement an infection prevention and control program. | D |
| 2024-02-13 | F0584 | 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. | B |
| 2024-01-02 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D |
| 2023-11-03 | F0558, F0806 | Reasonably accommodate the needs and preferences of each resident. / Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D |
| 2023-10-05 | F0745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | D |
| 2023-10-05 | F0569 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | B |
| 2023-09-13 | F0578, F0761, F0802, F0803, F0812, F0909 | 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. / 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. / Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. / 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. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Regularly 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. | E |
| 2023-09-13 | F0552, F0554, F0558, F0565, F0583, F0610, F0656, F0657, F0679, F0684, F0689, F0690, F0694, F0695, F0698, F0700, F0755, F0756, F0757, F0758, F0759, F0760, F0808, F0880, F0881, F0887, F0925 | Ensure that residents are fully informed and understand their health status, care and treatments. / Allow residents to self-administer drugs if determined clinically appropriate. / Reasonably accommodate the needs and preferences of each resident. / Honor the resident's right to organize and participate in resident/family groups in the facility. / Keep residents' personal and medical records private and confidential. / Respond appropriately to all alleged violations. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide activities to meet all resident's needs. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Provide for the safe, appropriate administration of IV fluids for a resident when needed. / Provide safe and appropriate respiratory care for a resident when needed. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / Try 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. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / Implement 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. / Ensure medication error rates are not 5 percent or greater. / Ensure that residents are free from significant medication errors. / Ensure 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. / Provide and implement an infection prevention and control program. / Implement a program that monitors antibiotic use. / Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. / Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | D |
| 2023-09-13 | F0623, F0641, F0804, F0842, F0908 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / Ensure each resident receives an accurate assessment. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Keep all essential equipment working safely. | B |
| 2023-08-10 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G |
| 2023-08-10 | F0761, F0880 | 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. / Provide and implement an infection prevention and control program. | B |
| 2023-08-02 | F0684, F0689, F0695, F0755, F0842 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide safe and appropriate respiratory care for a resident when needed. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D |
How is LAGUNA HILLS HEALTH AND REHABILITATION CENTER staffed relative to the CA average?
| Measure | This facility | CA average |
|---|---|---|
| Total nurse staffing hours per resident per day | 3.91380 | 4.51570 |
| Total nursing staff turnover (%) | 39.7 | 36.7 |
| Average number of residents per day | 190.4 | 87.9 |
Who owns LAGUNA HILLS HEALTH AND REHABILITATION CENTER, and what chain is it in?
LAGUNA HILLS HEALTH AND REHABILITATION CENTER is registered with CMS as For profit - Corporation, operates under the legal business name AG LAGUNA HILLS LLC and belongs to the CAMBRIDGE HEALTHCARE SERVICES chain.
| Role | Owner | Association date |
|---|---|---|
| 5% OR GREATER DIRECT OWNERSHIP INTEREST | AG FACILITIES OPERATIONS, LLC | since 08/11/2003 |
| 5% OR GREATER INDIRECT OWNERSHIP INTEREST | IRA E SMEDRA LIVING TRUST, WIN WIN ENTERPRISES, LLC | since 08/11/2003 |
| MANAGING CONTROL - GOVERNING BODY | DALTON, KYLE, KUIZON, KRISTINA | since 04/01/2025 |
| CORPORATE OFFICER | SMEDRA, IRA, WINTNER, JACOB | since 08/11/2003 |
| OPERATIONAL/MANAGERIAL CONTROL | CAMBRIDGE HEALTHCARE SERVICES LLC, ABUY, JOCELYN, BUTENKO, JULIE, CAPELA, HEIDI, DALTON, KYLE, HASSELL, LANCE, KUIZON, KRISTINA, LUTZ, LINDA, SALAZAR, PAULINA, SMEDRA, IRA, WINTNER, JACOB, ZAHED, SHAHAB | since 01/02/2025 |
| ADP OF THE SNF | 24452 HEALTH CENTER, LLC, CAMBRIDGE HEALTHCARE SERVICES LLC, WIN WIN ENTERPRISES, LLC, BUTENKO, JULIE, CAPELA, HEIDI, DALTON, KYLE, HASSELL, LANCE, KUIZON, KRISTINA, LUTZ, LINDA, SALAZAR, PAULINA, SMEDRA, IRA, WINTNER, JACOB, ZAHED, SHAHAB | since 02/01/2012 |
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