Palm Terrace Healthcare & Rehabilitation CenterCMS ratings, inspections and fines
- Address
- 24962 Calle Aragon, Laguna Hills, CA 92637
- CCN
- 555257
- Ownership type
- For-profit, limited liability company
- Certified beds
- 99
- Chain
- The Ensign Group
- Residents per day
- 92
- CMS flags
- None in the CMS record
Open the watch listCare Compare record (Medicare.gov)
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Palm Terrace Healthcare & Rehabilitation Center an overall rating of 3 of 5 stars. The last standard survey was on 9 Feb 2026. The latest survey cycle has 24 health citations. The median for nursing homes in California is 14. CMS lists 2 fines with a total of $50,950 for this home in its penalties file.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Changes in the CMS recordFeed of changes in California (RSS)
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Orange County median | California median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 3 | 3.0 | 3.0 | 3.0 |
| Health inspection rating | 2 | 3.0 | 3.0 | 2.8 |
| Staffing rating | 2 | 3.0 | 3.0 | 2.9 |
| Quality measure rating | 5 | 5.0 | 4.0 | 3.6 |
A median is the middle value of the homes in the group: 72 homes in the county, 1,165 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | California median |
|---|---|---|---|
| Cycle 1 (latest) | 9 Feb 2026 | 24 | 14 |
| Cycle 2 | 3 Feb 2025 | 12 | 14 |
| Cycle 3 | No date | 14 | 15 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | J0 | K0 | L0 |
| Actual harm that is not immediate jeopardy | H0 | I0 | |
| No actual harm, potential for more than minimal harm | |||
| No actual harm, potential for minimal harm | A0 | C0 |
Survey cycle 1 (latest): 24 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 26 Feb 2026 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | B | Complaint investigation | 10 Mar 2026 |
| 9 Feb 2026 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Standard survey | 10 Mar 2026 |
| 9 Feb 2026 | 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. | D | Standard survey | 10 Mar 2026 |
| 9 Feb 2026 | F0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | E | Standard survey | 10 Mar 2026 |
| 9 Feb 2026 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard survey | 10 Mar 2026 |
| 9 Feb 2026 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 10 Mar 2026 |
| 9 Feb 2026 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Complaint investigation | 10 Mar 2026 |
| 9 Feb 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Standard survey | 10 Mar 2026 |
| 9 Feb 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 10 Mar 2026 |
| 9 Feb 2026 | F0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D | Standard survey | 10 Mar 2026 |
| 9 Feb 2026 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Complaint investigation | 10 Mar 2026 |
| 9 Feb 2026 | F0726 | 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 | Complaint investigation | 10 Mar 2026 |
| 9 Feb 2026 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 10 Mar 2026 |
| 9 Feb 2026 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 10 Mar 2026 |
| 9 Feb 2026 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 10 Mar 2026 |
| 9 Feb 2026 | F0761 | 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 | Standard survey | 10 Mar 2026 |
| 9 Feb 2026 | F0803 | 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. | D | Standard survey | 10 Mar 2026 |
| 9 Feb 2026 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | Standard survey | 10 Mar 2026 |
| 9 Feb 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 10 Mar 2026 |
| 9 Feb 2026 | F0814 | Dispose of garbage and refuse properly. | B | Standard survey | 10 Mar 2026 |
| 9 Feb 2026 | F0849 | 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. | D | Standard survey | 10 Mar 2026 |
| 9 Feb 2026 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 10 Mar 2026 |
| 9 Feb 2026 | F0908 | Keep all essential equipment working safely. | D | Standard survey | 10 Mar 2026 |
| 13 Aug 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 27 Aug 2025 |
Survey cycle 2: 12 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 3 Feb 2025 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | B | Standard survey | 21 Feb 2025 |
| 3 Feb 2025 | F0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D | Standard survey | 21 Feb 2025 |
| 3 Feb 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 21 Feb 2025 |
| 3 Feb 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | B | Standard survey | 21 Feb 2025 |
| 3 Feb 2025 | F0760 | Ensure that residents are free from significant medication errors. | D | Standard survey | 21 Feb 2025 |
| 3 Feb 2025 | F0761 | 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. | B | Standard survey | 21 Feb 2025 |
| 3 Feb 2025 | F0803 | 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. | D | Standard survey | 21 Feb 2025 |
| 3 Feb 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard survey | 21 Feb 2025 |
| 3 Feb 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | B | Standard survey | 21 Feb 2025 |
| 10 Oct 2024 | F0760 | Ensure that residents are free from significant medication errors. | D | Complaint investigation | 9 Nov 2024 |
| 3 Sep 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 18 Sep 2024 |
| 3 Sep 2024 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | Complaint investigation | 18 Sep 2024 |
Survey cycle 3: 14 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 30 Nov 2023 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 30 Dec 2023 |
| 30 Nov 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 30 Dec 2023 |
| 8 Sep 2023 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | B | Complaint investigation | 22 Sep 2023 |
| 24 May 2022 | F0578 | 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. | D | Standard survey | 24 Jun 2022 |
| 24 May 2022 | F0679 | Provide activities to meet all resident's needs. | D | Standard survey | 24 Jun 2022 |
| 24 May 2022 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 24 Jun 2022 |
| 24 May 2022 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 24 Jun 2022 |
| 24 May 2022 | F0726 | 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. | D | Standard survey | 24 Jun 2022 |
| 24 May 2022 | F0761 | 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 | Standard survey | 24 Jun 2022 |
| 24 May 2022 | F0803 | 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. | D | Standard survey | 24 Jun 2022 |
| 24 May 2022 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | Standard survey | 24 Jun 2022 |
| 24 May 2022 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 24 Jun 2022 |
| 24 May 2022 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 24 Jun 2022 |
| 24 May 2022 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | F | Standard survey | 24 Jun 2022 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
| Date | Type | Fine | Days without payment |
|---|---|---|---|
| 9 Feb 2026 | Fine | $25,475 | |
| 9 Feb 2026 | Fine | $25,475 |
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | California median | California average (CMS) |
|---|---|---|---|
| All nurse staff | 4.34 | 4.20 | 4.52 |
| Registered nurses (RN) | 0.44 | 0.50 | 0.67 |
| Licensed practical nurses (LPN) | 1.52 | 1.20 | |
| Nurse aides | 2.37 | 2.65 | |
| All nurse staff, weekends | 3.69 | 3.80 | 4.09 |
- Nurse staff turnover in a year
- 52.5%
- Nurse staff turnover, California median
- 36.4%
- RN turnover in a year
- 50.0%
- Administrators who left in a year
- 0
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | California median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 9.0% | 8.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.3% | 0.3% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.6% | 0.7% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 3.9% | 1.3% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.5% | 0.8% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 8.7% | 8.6% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 2.6% | 3.6% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 2.9% | 9.1% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, limited liability company
- Legal business name
- Gate Three Healthcare, LLC
- Chain
- The Ensign Group (342 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| The Ensign Group Inc | Indirect ownership interest | 30 Jan 2006 | |
| Ensign Services Inc | Adp of the snf | 1 Nov 2004 |
The site shows organisations only. It does not show the names of persons.
Other homes in Orange County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Villa Valencia Healthcare Center | Laguna Hills | 4 of 5 | 21 | $0 | 16 May 2025 | |
| Laguna Hills Health and Rehabilitation Center | Laguna Hills | 1 of 5 | 41 | $0 | 25 Aug 2025 | |
| Freedom Village Healthcare Center | Lake Forest | 5 of 5 | 18 | $0 | 26 Nov 2025 | |
| Trabuco Hills Post Acute | Lake Forest | 2 of 5 | 54 | $0 | 4 Mar 2026 | |
| Orchards Skilled Nursing | Rancho Mission Viejo | 5 of 5 | 10 | $0 | 17 Apr 2025 | |
| San Juan Hills Healthcare Center | San Juan Capistrano | 4 of 5 | 19 | $0 | 22 Jan 2026 | |
| Regents Point - Windcrest | Irvine | 4 of 5 | 16 | $0 | 10 Jun 2026 | |
| Capistrano Beach Care Center | Dana Point | 1 of 5 | 27 | $0 | 19 Nov 2025 | |
| Foothill Regional Medical Center D/P SNF | Tustin | 4 of 5 | 11 | $0 | 5 Feb 2026 | |
| Newport Subacute Healthcare Center | Costa Mesa | 1 of 5 | 47 | $14,380 | 29 Aug 2025 | |
| Victoria Healthcare and Rehabilitation Center | Costa Mesa | 5 of 5 | 12 | $0 | 23 Jul 2025 | |
| Plaza Healthcare Center | Santa Ana | 1 of 5 | 31 | $2,470 | 16 Jun 2025 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Palm Terrace Healthcare & Rehabilitation Center (CCN 555257). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/palm-terrace-healthcare-rehabilitation-center-laguna-hills-ca-555257/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Palm Terrace Healthcare & Rehabilitation Center last inspected?
- The latest inspection with a citation in the CMS record was on 26 Feb 2026. It was a complaint investigation. It gave 1 citation. The standard survey before the last one was on 3 Feb 2025.
- Who operates Palm Terrace Healthcare & Rehabilitation Center?
- The CMS record gives the ownership type as for-profit, limited liability company. CMS lists the home in the chain The Ensign Group. The CMS ownership file names no organisation for operational or managerial control. This site does not show the names of persons.
- Is Palm Terrace Healthcare & Rehabilitation Center a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 5 homes in California as Special Focus Facilities and 31 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.