TRABUCO HILLS POST ACUTE
Certified for Medicare and Medicaid since 1988-06-28, TRABUCO HILLS POST ACUTE is a 175-bed nursing home in LAKE FOREST, California, averaging 164.0 residents a day.
Has TRABUCO HILLS POST ACUTE been cited for violations?
CMS lists 107 health-inspection deficiencies for TRABUCO HILLS POST ACUTE since 2022-04-08, 93 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is E; the most recent health inspection was 2026-06-24.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2026-06-24 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D |
| 2026-05-27 | F0557, F0607 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. / Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D |
| 2026-03-04 | F0803, F0812, F0849, F0880, F0908, F0925 | 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. / 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. / Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E |
| 2026-03-04 | F0554, F0578, F0583, F0605, F0627, F0628, F0644, F0656, F0684, F0685, F0686, F0690, F0693, F0694, F0695, F0697, F0698, F0755, F0759, F0761, F0802, F0806, F0813, F0842, F0865, F0881, F0883, F0887, F0919, F0947 | Allow residents to self-administer drugs if determined clinically appropriate. / 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. / Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. / Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. / Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. / Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. / 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. / Assist a resident in gaining access to vision and hearing services. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / 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 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 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 sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. / Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. / Have a policy regarding use and storage of foods brought to residents by family and other visitors. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Have a plan that describes the process for conducting QAPI and QAA activities. / Implement a program that monitors antibiotic use. / Develop and implement policies and procedures for flu and pneumonia vaccinations. / 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 that a working call system is available in each resident's bathroom and bathing area. / Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | D |
| 2026-03-04 | F0641, F0838 | Ensure each resident receives an accurate assessment. / 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. | B |
| 2026-01-23 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D |
| 2026-01-23 | F0583, F0636, F0686, F0755, F0842 | Keep residents' personal and medical records private and confidential. / Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / 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. | B |
| 2025-09-09 | F0684, F0755 | Provide 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. | D |
| 2025-08-21 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D |
| 2025-08-21 | F0580, F0770 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Provide timely, quality laboratory services/tests to meet the needs of residents. | B |
| 2025-08-08 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D |
| 2025-08-08 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | B |
| 2025-04-24 | F0825 | Provide or get specialized rehabilitative services as required for a resident. | D |
| 2025-02-19 | F0825 | Provide or get specialized rehabilitative services as required for a resident. | D |
| 2024-11-15 | 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 |
| 2024-10-11 | F0700, F0812, F0880, F0909 | 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. / 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. / 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 |
| 2024-10-11 | F0554, F0558, F0578, F0580, F0583, F0623, F0679, F0684, F0689, F0693, F0695, F0698, F0755, F0756, F0758, F0759, F0761, F0803, F0881, F0908 | 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 request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. / Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Keep residents' personal and medical records private and confidential. / Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / 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. / 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. / 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. / 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. / 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. / Implement a program that monitors antibiotic use. / Keep all essential equipment working safely. | D |
| 2024-10-11 | F0550, F0656, F0685, F0757, F0842, F0914 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Assist a resident in gaining access to vision and hearing services. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Provide bedrooms that don't allow residents to see each other when privacy is needed. | B |
| 2024-08-01 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | B |
| 2024-06-20 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D |
| 2024-05-16 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | B |
| 2024-04-30 | F0553 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | B |
| 2024-03-20 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | B |
| 2024-03-07 | F0809 | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | B |
| 2022-04-08 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E |
| 2022-04-08 | F0558, F0578, F0656, F0689, F0695, F0761, F0813, F0880 | Reasonably accommodate the needs and preferences of each resident. / 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. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / 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. / 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. / Have a policy regarding use and storage of foods brought to residents by family and other visitors. / Provide and implement an infection prevention and control program. | D |
| 2022-04-08 | F0584, F0803, F0806, F0814, F0842 | 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. / 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 that accommodates resident allergies, intolerances, and preferences, as well as appealing options. / Dispose of garbage and refuse properly. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | B |
How is TRABUCO HILLS POST ACUTE staffed relative to the CA average?
| Measure | This facility | CA average |
|---|---|---|
| Total nurse staffing hours per resident per day | 4.17192 | 4.51570 |
| Total nursing staff turnover (%) | 30.4 | 36.7 |
| Average number of residents per day | 164.0 | 87.9 |
Who owns TRABUCO HILLS POST ACUTE, and what chain is it in?
TRABUCO HILLS POST ACUTE is registered with CMS as For profit - Limited Liability company, operates under the legal business name LAKE FOREST POST ACUTE LLC and belongs to the DAVID JOHNSON chain.
| Role | Owner | Association date |
|---|---|---|
| 5% OR GREATER DIRECT OWNERSHIP INTEREST | JOHNSON, FRANK | since 08/16/2022 |
| MANAGING CONTROL - GOVERNING BODY | JOHNSON, DAVID, JOHNSON, FRANK | since 03/22/2021 |
| CORPORATE OFFICER | DEHGHANMANESH, ADRIAN, FARRALES, MARY, KOCHEK, JOSHUA, OXFORD, MICHEAL | since 01/01/2023 |
| OPERATIONAL/MANAGERIAL CONTROL | LAKE FOREST POST ACUTE LLC, CLINE, TALMADGE, JOHNSON, DAVID, KOCHEK, JOSHUA, OXFORD, MICHEAL | since 01/03/2022 |
| ADP OF THE SNF | LAKE FOREST POST ACUTE LLC, LAKE FOREST PROPERTY HOLDINGS, LLC, SUN MERIDIAN MANAGEMENT SERVICES LLC, VBN NEW YORK LLC, CLINE, TALMADGE, ESKANDARI, HAMID, FARRALES, MARY, JOHNSON, DAVID, KOCHEK, JOSHUA, OXFORD, MICHEAL | since 01/01/2023 |
Were you or a family member harmed at TRABUCO HILLS POST ACUTE?