Elder Care Record

California › Orange County › Garden Grove

Alta Gardens Care Center

13075 Blackbird Street, Garden Grove, CA 92843

CCN 555473 · For-profit, limited liability company · 129 certified beds · chain Windsor

Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.

Certified for 129 beds, Alta Gardens Care Center serves Garden Grove in Orange County, California and has taken Medicare and Medicaid residents since 1999.

CMS gives it 3 of 5 stars overall, equal to the California median; the health inspection rating is 2, staffing 3 and quality measures 5.

Inspectors recorded 59 health deficiencies across the three most recent survey cycles (28, 20, 11 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 45.7 per 100 beds, about the same as the state median of 51.1.

CMS lists 1 penalty in the period covered: fines totalling $8K.

Reported nurse staffing is 3.9 hours per resident per day (0.5 RN), close to the California median of 4.2; nursing staff turnover is 20.4%.

59health deficiencies, 3 survey cycles1 at actual harm or worse
$8Kfines listed by CMS1 penalty in period
3.9nurse hours per resident per daystate median 4.2
91%occupancy (residents ÷ beds)118 residents a day

Compared with county, state and nation

MeasureThis facilityOrange Co. medianCalifornia medianUS average
Overall star rating3333.0
Health citations, 3 cycles59664428.7
Citations per 100 beds45.769.751.126.8
Total nurse hours per resident day3.94.34.23.9
RN hours per resident day0.50.50.50.7
Nursing staff turnover20.4%30.8%36.4%45.8%
Fines listed$8,278$0$0—

County and state figures are medians across facilities (72 in the county, 1165 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)28
Cycle 220
Cycle 311

Dark bar: this facility. Grey bar: California average per facility for the same cycle, as published by CMS. Standard health survey dates: 18 Feb 2026, 18 Feb 2025.

Severity mix: G ×1 D ×41 E ×8 B ×9

Health deficiencies

Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.

Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
1 Jun 2026F0836Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.DComplaint investigation16 Jun 2026
11 Mar 2026F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.GComplaint investigation27 Mar 2026
18 Feb 2026F0552Ensure that residents are fully informed and understand their health status, care and treatments.EStandard survey18 Mar 2026
18 Feb 2026F0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.EStandard survey18 Mar 2026
18 Feb 2026F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey18 Mar 2026
18 Feb 2026F0880Provide and implement an infection prevention and control program.EStandard survey18 Mar 2026
18 Feb 2026F0584Honor 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.DStandard survey18 Mar 2026
18 Feb 2026F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint investigation18 Mar 2026
18 Feb 2026F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey18 Mar 2026
18 Feb 2026F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey18 Mar 2026
18 Feb 2026F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard survey18 Mar 2026
18 Feb 2026F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey18 Mar 2026
18 Feb 2026F0692Provide enough food/fluids to maintain a resident's health.DStandard survey18 Mar 2026
18 Feb 2026F0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.DStandard survey18 Mar 2026
18 Feb 2026F0697Provide safe, appropriate pain management for a resident who requires such services.DStandard survey18 Mar 2026
18 Feb 2026F0698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard survey18 Mar 2026
18 Feb 2026F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard survey18 Mar 2026
18 Feb 2026F0761Ensure 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.DStandard survey18 Mar 2026
18 Feb 2026F0802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.DStandard survey18 Mar 2026
18 Feb 2026F0803Ensure 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.DStandard survey18 Mar 2026
18 Feb 2026F0807Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.DStandard survey18 Mar 2026
18 Feb 2026F0813Have a policy regarding use and storage of foods brought to residents by family and other visitors.DStandard survey18 Mar 2026
18 Feb 2026F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard survey18 Mar 2026
18 Feb 2026F0908Keep all essential equipment working safely.DStandard survey18 Mar 2026
18 Feb 2026F0645PASARR screening for Mental disorders or Intellectual DisabilitiesBStandard survey18 Mar 2026
18 Feb 2026F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.BStandard survey18 Mar 2026
18 Feb 2026F0695Provide safe and appropriate respiratory care for a resident when needed.BStandard survey18 Mar 2026
18 Feb 2026F0838Conduct 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.BStandard survey18 Mar 2026
18 Feb 2025F0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.EStandard survey28 Feb 2025
18 Feb 2025F0803Ensure 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.EStandard survey28 Feb 2025
18 Feb 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey28 Feb 2025
18 Feb 2025F0693Ensure 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.DStandard survey28 Feb 2025
18 Feb 2025F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey28 Feb 2025
18 Feb 2025F0697Provide safe, appropriate pain management for a resident who requires such services.DStandard survey28 Feb 2025
18 Feb 2025F0698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard survey28 Feb 2025
18 Feb 2025F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard survey28 Feb 2025
18 Feb 2025F0757Ensure each resident’s drug regimen must be free from unnecessary drugs.DStandard survey28 Feb 2025
18 Feb 2025F0758Implement 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.DStandard survey28 Feb 2025
18 Feb 2025F0759Ensure medication error rates are not 5 percent or greater.DStandard survey28 Feb 2025
18 Feb 2025F0802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.DStandard survey28 Feb 2025
18 Feb 2025F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.DStandard survey28 Feb 2025
18 Feb 2025F0813Have a policy regarding use and storage of foods brought to residents by family and other visitors.DStandard survey28 Feb 2025
18 Feb 2025F0880Provide and implement an infection prevention and control program.DStandard survey28 Feb 2025
18 Feb 2025F0578Honor 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.BStandard survey28 Feb 2025
18 Feb 2025F0625Notify 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.BStandard survey28 Feb 2025
18 Feb 2025F0761Ensure 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.BComplaint investigation28 Feb 2025
18 Feb 2025F0814Dispose of garbage and refuse properly.BStandard survey28 Feb 2025
7 Jan 2025F0880Provide and implement an infection prevention and control program.BComplaint investigation14 Jan 2025
5 Jun 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation20 Jun 2024
20 Sep 2022F0803Ensure 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.EStandard survey20 Oct 2022
20 Sep 2022F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey20 Oct 2022
20 Sep 2022F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard survey20 Oct 2022
20 Sep 2022F0554Allow residents to self-administer drugs if determined clinically appropriate.DStandard survey20 Oct 2022
20 Sep 2022F0693Ensure 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.DStandard survey20 Oct 2022
20 Sep 2022F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey20 Oct 2022
20 Sep 2022F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard survey20 Oct 2022
20 Sep 2022F0761Ensure 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.DStandard survey20 Oct 2022
20 Sep 2022F0880Provide and implement an infection prevention and control program.DStandard survey20 Oct 2022
20 Sep 2022F0908Keep all essential equipment working safely.DStandard survey20 Oct 2022

Penalties

DateTypeAmountDetail
18 Feb 2026Fine$8,278

Staffing

Total nursing3.87 h
Nurse aides2.48 h
LPN0.88 h
RN0.51 h
Weekend total3.59 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the California average. Turnover: nursing staff 20.4%, RNs 33.3%; 1 administrator left in the reporting year.

Quality measures

MeasureResidentsThis facilityCalifornia medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay9.6%8.9%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.3%0.3%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay1.1%0.7%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay0.5%1.3%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay0.7%0.8%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay6.0%8.6%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay1.4%3.6%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay12.0%9.1%13.4%

Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.

Ownership

Ownership type: for-profit, limited liability company. Legal business name: Alta Care Center, Llc. Chain: Windsor (22 facilities).

OrganisationRole in the CMS recordInterestSince
Bold Quail 3 Operations Holdings, LLC5% or greater direct ownership interest100%03/03/2025
Bold Quail 3 Realty Holdings, LLC5% or greater indirect ownership interestNO PERCENTAGE PROVIDED01/22/2024
Bold Quail 3, LLC5% or greater indirect ownership interestNO PERCENTAGE PROVIDED03/03/2025
Newgen LLC5% or greater indirect ownership interestNO PERCENTAGE PROVIDED03/03/2025
13075 Blackbird Street Propco, LLCAdp of the snfNOT APPLICABLE03/03/2025
9560 Pico LLCAdp of the snfNOT APPLICABLE03/03/2025
Bold Quail 3 Realty Holdings, LLCAdp of the snfNOT APPLICABLE03/03/2025
Bold Quail 3, LLCAdp of the snfNOT APPLICABLE03/03/2025
Newgen Administrative Services, LLCAdp of the snfNOT APPLICABLE03/03/2025
Newgen LLCAdp of the snfNOT APPLICABLE03/03/2025
Pico Ar LLCAdp of the snfNOT APPLICABLE03/03/2025

Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.

Other nursing homes in Orange County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Freedom Village Healthcare CenterLake Forest5253556107.7—2 Jun 2026
Greenfield Care Center of Fullerton, LLCFullerton995453030.3—2 Apr 2026
La Palma Nursing CenterAnaheim725356286.1—6 Feb 2026
Orchards Skilled NursingRancho Mission Viejo495453979.6—17 Apr 2025
Sun Mar Nursing CenterAnaheim695532029.0—3 Feb 2026
The Grove Post AcuteGarden Grove975443940.2—10 Feb 2026
Town & CountrySanta Ana965355355.2—10 Mar 2026
Victoria Healthcare and Rehabilitation CenterCosta Mesa795532734.2—4 Sep 2025

All 72 facilities in Orange County

Questions and answers

How many deficiencies has Alta Gardens Care Center been cited for?

59 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The California median is 44 per facility.

Has Alta Gardens Care Center been fined?

Yes. CMS lists fines totalling $8K in the period covered.

How does staffing at Alta Gardens Care Center compare?

Reported total nurse staffing is 3.9 hours per resident per day against a California median of 4.2 and a national average of 3.9.

Who operates Alta Gardens Care Center?

It is part of the Windsor chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Bold Quail 3 Operations Holdings, LLC, Bold Quail 3 Realty Holdings, LLC and Bold Quail 3, LLC. Individual owners and managers are not listed on this site.

When was Alta Gardens Care Center last inspected?

The most recent survey or investigation in the CMS record is dated 1 Jun 2026; the most recent standard health survey was 18 Feb 2026.

Where does this data come from?

All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.

Provenance

Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.