Palm Terrace Healthcare & Rehabilitation Center

CCN 555257 · GATE THREE HEALTHCARE, LLC · For profit - Limited Liability company · THE ENSIGN GROUP chain · 99 certified beds · Orange · CA


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 dateTagDeficiencySeverity
2026-02-26F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.B
2026-02-09F0684, F0726Provide 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
2026-02-09F0605, F0812Prevent 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
2026-02-09F0552, F0584, F0645, F0656, F0657, F0689, F0694, F0697, F0755, F0757, F0759, F0761, F0803, F0804, F0849, F0880, F0908Ensure 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
2026-02-09F0814Dispose of garbage and refuse properly.B
2025-08-13F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D
2025-02-03F0694, F0695, F0760, F0803, F0812Provide 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
2025-02-03F0655, F0755, F0761, F0842Create 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
2024-10-10F0760Ensure that residents are free from significant medication errors.D
2024-09-03F0755, F0804Provide 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
2023-11-30F0580, F0689Immediately 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
2023-09-08F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.B
2022-05-24F0812, F0925Procure 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
2022-05-24F0578, F0679, F0692, F0698, F0726, F0761, F0803, F0804, F0842Honor 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?

DateTypeAmount
2026-02-09Fine$25,475
2026-02-09Fine$25,475

How is Palm Terrace Healthcare & Rehabilitation Center staffed relative to the CA average?

MeasureThis facilityCA average
Total nurse staffing hours per resident per day4.335294.51570
Total nursing staff turnover (%)52.536.7
Average number of residents per day92.287.9

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.

RoleOwnerAssociation date
INDIRECT OWNERSHIP INTERESTTHE ENSIGN GROUP INCsince 01/30/2006
MANAGING CONTROL - GOVERNING BODYESKANDARI, HAMID, LINDSEY, BRYCEsince 02/01/2021
CORPORATE DIRECTORWILLITS, ADAMsince 07/30/2018
CORPORATE OFFICERBURNAM, SOON, KEETCH, CHADsince 01/30/2006
OPERATIONAL/MANAGERIAL CONTROLESKANDARI, HAMID, LINDSEY, BRYCEsince 02/01/2021
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFPORT, BARRYsince 10/14/2025
ADP OF THE SNFENSIGN SERVICES INC, WELLTOWER VICTORY II LANDLORD LP, ESKANDARI, HAMID, LINDSEY, BRYCEsince 02/01/2021

Were you or a family member harmed at Palm Terrace Healthcare & Rehabilitation Center?