SAN JUAN HILLS HEALTHCARE CENTER
SAN JUAN HILLS HEALTHCARE CENTER is a 45-bed nursing home in SAN JUAN CAPISTRANO, California. CMS has certified it for Medicare and Medicaid since 2000-08-31. It averages 42.4 residents a day.
What harm was found in the violations cited at SAN JUAN HILLS HEALTHCARE CENTER?
CMS lists 64 health-inspection deficiencies for SAN JUAN HILLS HEALTHCARE 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 | F0684, F0761 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. / 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 |
| 2026-05-26 | F0732 | Post nurse staffing information every day. | B |
| 2026-04-20 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D |
| 2026-01-22 | F0812, F0880 | 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 |
| 2026-01-22 | F0554, F0656, F0657, F0694, F0695, F0698, F0700, F0804, F0838, F0909 | Allow residents to self-administer drugs if determined clinically appropriate. / 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 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. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. / 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. / 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 |
| 2026-01-22 | F0558, F0814 | Reasonably accommodate the needs and preferences of each resident. / Dispose of garbage and refuse properly. | B |
| 2025-10-15 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D |
| 2025-07-15 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D |
| 2025-07-15 | F0656, F0657 | 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. | B |
| 2025-05-23 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | B |
| 2024-11-15 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E |
| 2024-11-15 | F0554, F0565, F0645, F0689, F0690, F0695, F0755, F0758, F0759, F0761, F0801, F0803, F0804, F0808, F0880, F0881, F0908, F0909 | Allow residents to self-administer drugs if determined clinically appropriate. / Honor the resident's right to organize and participate in resident/family groups in the facility. / PASARR screening for Mental disorders or Intellectual Disabilities / 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 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. / 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. / 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. / 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. / Keep all essential equipment working safely. / 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 |
| 2024-11-15 | F0550, F0574, F0684, F0842 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / The resident has the right to receive notices in a format and a language he or she understands. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | B |
| 2023-12-12 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G |
| 2023-11-17 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F |
| 2023-11-17 | F0554, F0625, F0656, F0679, F0684, F0695, F0755, F0758, F0761, F0801, F0802, F0813, F0881, F0908, F0909 | Allow residents to self-administer drugs if determined clinically appropriate. / Notify 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. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide activities to meet all resident's needs. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / 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. / 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 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. / Have a policy regarding use and storage of foods brought to residents by family and other visitors. / Implement a program that monitors antibiotic use. / Keep all essential equipment working safely. / 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 |
| 2023-11-17 | F0880 | Provide and implement an infection prevention and control program. | B |
How is SAN JUAN HILLS HEALTHCARE CENTER staffed?
| Measure | This facility | CA average |
|---|---|---|
| Total nurse staffing hours per resident per day | 5.08443 | 4.51570 |
| Total nursing staff turnover (%) | 36.8 | 36.7 |
| Average number of residents per day | 42.4 | 87.9 |
Who owns SAN JUAN HILLS HEALTHCARE CENTER, and what chain is it in?
SAN JUAN HILLS HEALTHCARE CENTER is registered with CMS as For profit - Limited Liability company, operates under the legal business name ASRV LLC and belongs to the ASPEN SKILLED HEALTHCARE chain.
| Role | Owner | Association date |
|---|---|---|
| DIRECT OWNERSHIP INTEREST | ASRV LLC | since 11/03/2021 |
| INDIRECT OWNERSHIP INTEREST | ASPEN SKILLED HEALTHCARE INC, SACC LLC, BRADSHAW, JEFFREY, BRADSHAW, PETER, BRADY, VERN, CASE, RYAN, ELSNER, ERIC, KIRKWOOD, JARED, ORGILL, CRAIG, PARTI, RAJESH, PARTI, SHRUTY, PAXMAN, MARCUS | since 04/01/2022 |
| MANAGING CONTROL - GOVERNING BODY | BRADSHAW, JEFFREY, CASLMON, TIMOTHY, THOMPSON, STEPHEN | since 01/01/2023 |
| OPERATIONAL/MANAGERIAL CONTROL | ASRV LLC, CASLMON, TIMOTHY, NORDFELT, SPENCER, STA ANA, LANIE, THOMPSON, STEPHEN | since 01/01/2023 |
| INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | BRADSHAW, JEFFREY | since 08/21/2025 |
| ADP OF THE SNF | ASPEN HEALTHCARE SERVICES LLC, ASRV LLC, EAST WEST BANK, BRADSHAW, JEFFREY, BRADY, VERN, CASE, RYAN, CASLMON, TIMOTHY, GUU, HUAN, JURADO, FRANK, NORDFELT, SPENCER, PAXMAN, MARCUS, STA ANA, LANIE, THOMPSON, STEPHEN | since 01/01/2023 |
Were you or a family member harmed at SAN JUAN HILLS HEALTHCARE CENTER?