Palm Terrace Healthcare & Rehabilitation Center
Palm Terrace Healthcare & Rehabilitation Center is a 99-bed nursing home in LAGUNA HILLS, California. CMS has certified it for Medicare and Medicaid since 1987-04-09. It averages 92.2 residents a day.
What harm was found in the violations cited at Palm Terrace Healthcare & Rehabilitation Center?
CMS lists 50 health-inspection deficiencies for Palm Terrace Healthcare & Rehabilitation Center since 2022-05-24, 39 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 2026-02-26.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2026-02-26 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | B |
| 2026-02-09 | F0684, F0726 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. / 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. | G |
| 2026-02-09 | F0605, F0812 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E |
| 2026-02-09 | F0552, F0584, F0645, F0656, F0657, F0689, F0694, F0697, F0755, F0757, F0759, F0761, F0803, F0804, F0849, F0880, F0908 | Ensure that residents are fully informed and understand their health status, care and treatments. / 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. / 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. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide for the safe, appropriate administration of IV fluids for a resident when needed. / Provide safe, appropriate pain management 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 each resident’s drug regimen must be free from unnecessary drugs. / 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. / 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 food and drink is palatable, attractive, and at a safe and appetizing temperature. / 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. / Provide and implement an infection prevention and control program. / Keep all essential equipment working safely. | D |
| 2026-02-09 | F0814 | Dispose of garbage and refuse properly. | B |
| 2025-08-13 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D |
| 2025-02-03 | F0694, F0695, F0760, F0803, F0812 | 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. / Ensure that residents are free from significant medication errors. / 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. | D |
| 2025-02-03 | F0655, F0755, F0761, F0842 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / 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. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | B |
| 2024-10-10 | F0760 | Ensure that residents are free from significant medication errors. | D |
| 2024-09-03 | F0755, F0804 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D |
| 2023-11-30 | F0580, F0689 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D |
| 2023-09-08 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | B |
| 2022-05-24 | F0812, F0925 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | F |
| 2022-05-24 | F0578, F0679, F0692, F0698, F0726, F0761, F0803, F0804, 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. / Provide activities to meet all resident's needs. / Provide enough food/fluids to maintain a resident's health. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / 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. / 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 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 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. | D |
Why was Palm Terrace Healthcare & Rehabilitation Center fined 2 times?
| Date | Type | Amount |
|---|---|---|
| 2026-02-09 | Fine | $25,475 |
| 2026-02-09 | Fine | $25,475 |
How is Palm Terrace Healthcare & Rehabilitation Center staffed relative to the CA average?
| Measure | This facility | CA average |
|---|---|---|
| Total nurse staffing hours per resident per day | 4.33529 | 4.51570 |
| Total nursing staff turnover (%) | 52.5 | 36.7 |
| Average number of residents per day | 92.2 | 87.9 |
Who owns Palm Terrace Healthcare & Rehabilitation Center, and what chain is it in?
Palm Terrace Healthcare & Rehabilitation Center is registered with CMS as For profit - Limited Liability company, operates under the legal business name GATE THREE HEALTHCARE, LLC and belongs to the THE ENSIGN GROUP chain.
| Role | Owner | Association date |
|---|---|---|
| INDIRECT OWNERSHIP INTEREST | THE ENSIGN GROUP INC | since 01/30/2006 |
| MANAGING CONTROL - GOVERNING BODY | ESKANDARI, HAMID, LINDSEY, BRYCE | since 02/01/2021 |
| CORPORATE DIRECTOR | WILLITS, ADAM | since 07/30/2018 |
| CORPORATE OFFICER | BURNAM, SOON, KEETCH, CHAD | since 01/30/2006 |
| OPERATIONAL/MANAGERIAL CONTROL | ESKANDARI, HAMID, LINDSEY, BRYCE | since 02/01/2021 |
| INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | PORT, BARRY | since 10/14/2025 |
| ADP OF THE SNF | ENSIGN SERVICES INC, WELLTOWER VICTORY II LANDLORD LP, ESKANDARI, HAMID, LINDSEY, BRYCE | since 02/01/2021 |
Were you or a family member harmed at Palm Terrace Healthcare & Rehabilitation Center?