NEW ORANGE HILLS

Orange · CA · For profit - Corporation · THE ENSIGN GROUP chain · 145 certified beds · CCN 555286 · HOLLYLEAF HEALTHCARE, INC.


NEW ORANGE HILLS operates 145 certified beds in ORANGE, California. Its Medicare and Medicaid certification dates to 1987-12-07. It averages 136.6 residents a day.

What harm was found in the violations cited at NEW ORANGE HILLS?

CMS lists 82 health-inspection deficiencies for NEW ORANGE HILLS since 2022-05-16, 69 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 2026-02-18.

Survey dateTagDeficiencySeverity
2026-02-18F0656, F0695, F0812, F0880Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide safe and appropriate respiratory care for a resident when needed. / 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.E
2026-02-18F0554, F0583, F0584, F0605, F0687, F0690, F0693, F0726, F0755, F0756, F0761, F0804, F0925Allow residents to self-administer drugs if determined clinically appropriate. / Keep residents' personal and medical records private and confidential. / 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. / Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. / Provide appropriate foot care. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / 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. / 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. / 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 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 food and drink is palatable, attractive, and at a safe and appetizing temperature. / Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.D
2026-02-18F0686, F0730, F0842Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Observe each nurse aide's job performance and give regular training. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.B
2025-11-26F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D
2025-11-26F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.B
2025-11-10F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G
2025-09-18F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D
2025-08-06F0880Provide and implement an infection prevention and control program.D
2025-07-10F0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.D
2025-05-14F0684, F0686, F0880Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Provide and implement an infection prevention and control program.D
2025-05-14F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.B
2025-02-28F0686, F0689Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D
2025-01-07F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.B
2024-11-15F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E
2024-11-15F0558, F0580, F0584, F0684, F0686, F0689, F0690, F0693, F0695, F0700, F0755, F0758, F0759, F0761, F0773, F0842, F0880, F0881Reasonably 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. / 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. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / 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. / 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. / Provide safe and appropriate respiratory care for a resident when needed. / 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. / 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. / Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Provide and implement an infection prevention and control program. / Implement a program that monitors antibiotic use.D
2024-11-15F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.B
2024-08-01F0880Provide and implement an infection prevention and control program.B
2024-05-30F0558Reasonably accommodate the needs and preferences of each resident.B
2024-03-21F0656, F0757, F0880Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / Provide and implement an infection prevention and control program.D
2024-03-12F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D
2024-01-24F0684, F0755, F0842Provide appropriate treatment and care according to orders, resident’s preferences and goals. / 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
2023-12-13F0689, F0755Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D
2023-11-17F0757Ensure each resident’s drug regimen must be free from unnecessary drugs.D
2023-10-23F0661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.D
2023-08-30F0610, F0658, F0909Respond appropriately to all alleged violations. / Ensure services provided by the nursing facility meet professional standards of quality. / 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
2022-05-16F0552, F0558, F0656, F0684, F0686, F0689, F0690, F0698, F0761, F0812, F0842, F0880, F0908Ensure that residents are fully informed and understand their health status, care and treatments. / Reasonably accommodate the needs and preferences of each resident. / 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. / 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 safe, appropriate dialysis care/services for a resident who requires such services. / 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. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Provide and implement an infection prevention and control program. / Keep all essential equipment working safely.D

Why was NEW ORANGE HILLS fined?

DateTypeAmount
2025-11-10Fine$8,278

Has NEW ORANGE HILLS had payment denied by Medicare?

Payment denial startLength in days
2025-12-1013

How is NEW ORANGE HILLS staffed?

MeasureThis facilityCA average
Total nurse staffing hours per resident per day5.031734.51570
Average number of residents per day136.687.9

Who owns NEW ORANGE HILLS, and what chain is it in?

NEW ORANGE HILLS is registered with CMS as For profit - Corporation, operates under the legal business name HOLLYLEAF HEALTHCARE, INC. and belongs to the THE ENSIGN GROUP chain.

RoleOwnerAssociation date
MANAGING CONTROL - GOVERNING BODYBABU, JOOBY, VILLAFANIA, JAMESsince 02/01/2023
CORPORATE DIRECTORWILLITS, ADAMsince 02/01/2023
CORPORATE OFFICERBURNAM, SOON, KEETCH, CHAD, LOOPER, WILLIAM, SATO, AMIsince 02/01/2023
OPERATIONAL/MANAGERIAL CONTROLBABU, JOOBY, VILLAFANIA, JAMESsince 02/01/2023
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFPORT, BARRYsince 06/27/2025
ADP OF THE SNFENSIGN SERVICES INC, BABU, JOOBY, VILLAFANIA, JAMESsince 02/01/2023

Were you or a family member harmed at NEW ORANGE HILLS?