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San Juan Hills Healthcare CenterCMS ratings, inspections and fines

Address
31741 Rancho Viejo Road, San Juan Capistrano, CA 92675
CCN
555763
Ownership type
For-profit, limited liability company
Certified beds
45
Residents per day
42
CMS flags
None in the CMS record
CMS star ratings
Overall rating4 of 5
Health inspection rating3 of 5
Staffing rating4 of 5
Quality measure rating5 of 5
Care 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 San Juan Hills Healthcare Center an overall rating of 4 of 5 stars. The last standard survey was on 22 Jan 2026. The latest survey cycle has 19 health citations. The median for nursing homes in California is 14. CMS lists no fines 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.

Ratings

CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.

CMS star ratings of San Juan Hills Healthcare Center, with medians
Rating (1 to 5 stars)This homeOrange County medianCalifornia medianUS average (CMS)
Overall rating43.03.03.0
Health inspection rating33.03.02.8
Staffing rating43.03.02.9
Quality measure rating55.04.03.6

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.

Health citations of San Juan Hills Healthcare Center in the last three survey cycles
Survey cycleStandard surveyCitationsCalifornia median
Cycle 1 (latest)22 Jan 20261914
Cycle 215 Nov 20242714
Cycle 3No date1815

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.

Scope and severity of the 64 citations. Select a cell to show only its rows.
SeverityIsolatedPatternWidespread
Immediate jeopardy to resident health or safetyJ0K0L0
Actual harm that is not immediate jeopardyH0I0
No actual harm, potential for more than minimal harm
No actual harm, potential for minimal harmA0C0

Survey cycle 1 (latest): 19 citations

Standard survey of this cycle: .

Health citations of San Juan Hills Healthcare Center in survey cycle 1, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
26 May 2026F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation11 Jun 2026
26 May 2026F0732Post nurse staffing information every day.BComplaint investigation11 Jun 2026
26 May 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.DComplaint investigation11 Jun 2026
20 Apr 2026F0552Ensure that residents are fully informed and understand their health status, care and treatments.DComplaint investigation5 May 2026
22 Jan 2026F0554Allow residents to self-administer drugs if determined clinically appropriate.DStandard survey3 Mar 2026
22 Jan 2026F0558Reasonably accommodate the needs and preferences of each resident.BStandard survey3 Mar 2026
22 Jan 2026F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey3 Mar 2026
22 Jan 2026F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard survey3 Mar 2026
22 Jan 2026F0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.DStandard survey3 Mar 2026
22 Jan 2026F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey3 Mar 2026
22 Jan 2026F0698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard survey3 Mar 2026
22 Jan 2026F0700Try 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.DStandard survey3 Mar 2026
22 Jan 2026F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.DStandard survey3 Mar 2026
22 Jan 2026F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey3 Mar 2026
22 Jan 2026F0814Dispose of garbage and refuse properly.BStandard survey3 Mar 2026
22 Jan 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.DStandard survey3 Mar 2026
22 Jan 2026F0880Provide and implement an infection prevention and control program.EStandard survey3 Mar 2026
22 Jan 2026F0909Regularly 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.DStandard survey3 Mar 2026
15 Oct 2025F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint investigation12 Nov 2025

Survey cycle 2: 27 citations

Standard survey of this cycle: .

Health citations of San Juan Hills Healthcare Center in survey cycle 2, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
15 Jul 2025F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.BComplaint investigation2 Aug 2025
15 Jul 2025F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.BComplaint investigation2 Aug 2025
15 Jul 2025F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DComplaint investigation2 Aug 2025
23 May 2025F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.BComplaint investigation19 Jun 2025
15 Nov 2024F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.BComplaint investigation13 Dec 2024
15 Nov 2024F0554Allow residents to self-administer drugs if determined clinically appropriate.DStandard survey13 Dec 2024
15 Nov 2024F0565Honor the resident's right to organize and participate in resident/family groups in the facility.DStandard survey13 Dec 2024
15 Nov 2024F0574The resident has the right to receive notices in a format and a language he or she understands.BComplaint investigation13 Dec 2024
15 Nov 2024F0645PASARR screening for Mental disorders or Intellectual DisabilitiesDStandard survey13 Dec 2024
15 Nov 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.BComplaint investigation13 Dec 2024
15 Nov 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey13 Dec 2024
15 Nov 2024F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard survey13 Dec 2024
15 Nov 2024F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey13 Dec 2024
15 Nov 2024F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard survey13 Dec 2024
15 Nov 2024F0758Implement 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 survey13 Dec 2024
15 Nov 2024F0759Ensure medication error rates are not 5 percent or greater.DStandard survey13 Dec 2024
15 Nov 2024F0761Ensure 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 survey13 Dec 2024
15 Nov 2024F0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.DStandard survey13 Dec 2024
15 Nov 2024F0803Ensure 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 survey13 Dec 2024
15 Nov 2024F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.DComplaint investigation13 Dec 2024
15 Nov 2024F0808Ensure 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.DStandard survey13 Dec 2024
15 Nov 2024F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey13 Dec 2024
15 Nov 2024F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.BStandard survey13 Dec 2024
15 Nov 2024F0880Provide and implement an infection prevention and control program.DStandard survey13 Dec 2024
15 Nov 2024F0881Implement a program that monitors antibiotic use.DStandard survey13 Dec 2024
15 Nov 2024F0908Keep all essential equipment working safely.DStandard survey13 Dec 2024
15 Nov 2024F0909Regularly 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.DStandard survey13 Dec 2024

Survey cycle 3: 18 citations

The CMS provider file has no standard survey date for this cycle.

Health citations of San Juan Hills Healthcare Center in survey cycle 3, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
12 Dec 2023F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint investigation2 Jan 2024
17 Nov 2023F0554Allow residents to self-administer drugs if determined clinically appropriate.DStandard survey15 Dec 2023
17 Nov 2023F0625Notify 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.DStandard survey15 Dec 2023
17 Nov 2023F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey15 Dec 2023
17 Nov 2023F0679Provide activities to meet all resident's needs.DStandard survey15 Dec 2023
17 Nov 2023F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey15 Dec 2023
17 Nov 2023F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey15 Dec 2023
17 Nov 2023F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard survey15 Dec 2023
17 Nov 2023F0758Implement 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 survey15 Dec 2023
17 Nov 2023F0761Ensure 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 survey15 Dec 2023
17 Nov 2023F0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.DStandard survey15 Dec 2023
17 Nov 2023F0802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.DStandard survey15 Dec 2023
17 Nov 2023F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey15 Dec 2023
17 Nov 2023F0813Have a policy regarding use and storage of foods brought to residents by family and other visitors.DStandard survey15 Dec 2023
17 Nov 2023F0880Provide and implement an infection prevention and control program.BStandard survey15 Dec 2023
17 Nov 2023F0881Implement a program that monitors antibiotic use.DStandard survey15 Dec 2023
17 Nov 2023F0908Keep all essential equipment working safely.DStandard survey17 Dec 2023
17 Nov 2023F0909Regularly 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.DStandard survey15 Dec 2023

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.

CMS lists no fine and no payment denial for this home in its penalties file.

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.

Nurse staffing hours per resident per day at San Juan Hills Healthcare Center
StaffThis homeCalifornia medianCalifornia average (CMS)
All nurse staff5.084.204.52
Registered nurses (RN)0.920.500.67
Licensed practical nurses (LPN)1.301.20
Nurse aides2.862.65
All nurse staff, weekends4.503.804.09
Nurse staff turnover in a year
36.8%
Nurse staff turnover, California median
36.4%
RN turnover in a year
14.3%
Administrators who left in a year
No data

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.

Quality measures of San Juan Hills Healthcare Center, average of four quarters (2025Q2-2026Q1)
Measure (CMS text)ResidentsThis homeCalifornia medianUS median
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay0.0%0.8%1.0%

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
Setting
Continuing care retirement community
Legal business name
Asrv LLC
Chain
Aspen Skilled Healthcare (35 homes in the CMS chain file)
Organisations in the CMS ownership record of San Juan Hills Healthcare Center
OrganisationRole in the CMS recordInterestSince
Asrv LLCDirect ownership interest3 Nov 2021
Aspen Skilled Healthcare IncIndirect ownership interest3 Nov 2021
Sacc LLCIndirect ownership interest3 Nov 2021
Asrv LLCOperational/managerial control3 Nov 2021
Aspen Healthcare Services LLCAdp of the snf1 Jan 2023
Asrv LLCAdp of the snf3 Nov 2021
East West BankAdp of the snf6 Aug 2020

The site shows organisations only. It does not show the names of persons.

Other homes in Orange County

The 12 nearest other nursing homes in Orange County, California
Nursing homeCityOverall ratingCitations, latest cycleFinesLast standard survey
Capistrano Beach Care CenterDana Point1 of 527$019 Nov 2025
Orchards Skilled NursingRancho Mission Viejo5 of 510$017 Apr 2025
Palm Terrace Healthcare & Rehabilitation CenterLaguna Hills3 of 524$50,9509 Feb 2026
Villa Valencia Healthcare CenterLaguna Hills4 of 521$016 May 2025
Laguna Hills Health and Rehabilitation CenterLaguna Hills1 of 541$025 Aug 2025
Freedom Village Healthcare CenterLake Forest5 of 518$026 Nov 2025
Trabuco Hills Post AcuteLake Forest2 of 554$04 Mar 2026
Regents Point - WindcrestIrvine4 of 516$010 Jun 2026
Newport Subacute Healthcare CenterCosta Mesa1 of 547$14,38029 Aug 2025
Victoria Healthcare and Rehabilitation CenterCosta Mesa5 of 512$023 Jul 2025
Crystal Cove Care CenterNewport Beach4 of 527$024 Feb 2025
Pelican Ridge Post AcuteNewport Beach3 of 536$019 Aug 2025

All 72 nursing homes in Orange County

Official channels

Cite this page

Centers for Medicare & Medicaid Services, Care Compare. Record of San Juan Hills Healthcare Center (CCN 555763). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/san-juan-hills-healthcare-center-san-juan-capistrano-ca-555763/

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 San Juan Hills Healthcare Center last inspected?
The latest inspection with a citation in the CMS record was on 26 May 2026. It was a complaint investigation. It gave 3 citations. The standard survey before the last one was on 15 Nov 2024.
Who operates San Juan Hills Healthcare Center?
The CMS record gives the ownership type as for-profit, limited liability company. CMS lists the home in the chain Aspen Skilled Healthcare. The CMS ownership file names Asrv LLC for operational or managerial control. This site does not show the names of persons.
Is San Juan Hills Healthcare 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.