Elder Care Record

California › Orange County › Fullerton

The Pavilion At Sunny Hills

2222 N. Harbor Blvd., Fullerton, CA 92835

CCN 555733 · For-profit, partnership · 300 certified beds · chain Pursue Health

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 300 beds, The Pavilion At Sunny Hills serves Fullerton in Orange County, California and has taken Medicare and Medicaid residents since 1999.

CMS gives it 2 of 5 stars overall, below the California median of 3; the health inspection rating is 2, staffing 3 and quality measures 4.

Inspectors recorded 84 health deficiencies across the three most recent survey cycles (34, 28, 22 by cycle, most recent first), none at the actual-harm level. That is 28.0 per 100 beds, fewer than the state median of 51.1.

CMS lists no fines or payment denials against the facility in the period covered.

Reported nurse staffing is 4.5 hours per resident per day (0.4 RN), close to the California median of 4.2; nursing staff turnover is 39.8%.

84health deficiencies, 3 survey cyclesnone at actual-harm level
$0fines listed by CMS0 penalties in period
4.5nurse hours per resident per daystate median 4.2
62%occupancy (residents ÷ beds)187 residents a day

Compared with county, state and nation

MeasureThis facilityOrange Co. medianCalifornia medianUS average
Overall star rating2333.0
Health citations, 3 cycles84664428.7
Citations per 100 beds28.069.751.126.8
Total nurse hours per resident day4.54.34.23.9
RN hours per resident day0.40.50.50.7
Nursing staff turnover39.8%30.8%36.4%45.8%
Fines listed$0$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)34
Cycle 228
Cycle 322

Dark bar: this facility. Grey bar: California average per facility for the same cycle, as published by CMS. Standard health survey dates: 28 Apr 2025, 7 Dec 2023.

Severity mix: D ×64 E ×6 F ×1 B ×13

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
26 May 2026F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation19 Jun 2026
26 May 2026F0880Provide and implement an infection prevention and control program.DComplaint investigation19 Jun 2026
26 Mar 2026F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DComplaint investigation16 Apr 2026
26 Mar 2026F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DComplaint investigation16 Apr 2026
26 Mar 2026F0692Provide enough food/fluids to maintain a resident's health.DComplaint investigation16 Apr 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.BComplaint investigation16 Mar 2026
30 Jan 2026F0695Provide safe and appropriate respiratory care for a resident when needed.DComplaint investigation13 Feb 2026
8 Dec 2025F0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.DComplaint investigation25 Dec 2025
8 Dec 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation25 Dec 2025
10 Jul 2025F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation23 Jul 2025
28 May 2025F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.BComplaint investigation16 Jun 2025
28 Apr 2025F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey28 May 2025
28 Apr 2025F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint investigation28 May 2025
28 Apr 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.DStandard survey28 May 2025
28 Apr 2025F0645PASARR screening for Mental disorders or Intellectual DisabilitiesDStandard survey28 May 2025
28 Apr 2025F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey28 May 2025
28 Apr 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey28 May 2025
28 Apr 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey28 May 2025
28 Apr 2025F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard survey28 May 2025
28 Apr 2025F0692Provide enough food/fluids to maintain a resident's health.DStandard survey28 May 2025
28 Apr 2025F0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.DStandard survey28 May 2025
28 Apr 2025F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey28 May 2025
28 Apr 2025F0697Provide safe, appropriate pain management for a resident who requires such services.DStandard survey28 May 2025
28 Apr 2025F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard survey28 May 2025
28 Apr 2025F0757Ensure each resident’s drug regimen must be free from unnecessary drugs.DStandard survey28 May 2025
28 Apr 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 May 2025
28 Apr 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.DStandard survey28 May 2025
28 Apr 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.DStandard survey28 May 2025
28 Apr 2025F0813Have a policy regarding use and storage of foods brought to residents by family and other visitors.DStandard survey28 May 2025
28 Apr 2025F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard survey28 May 2025
28 Apr 2025F0880Provide and implement an infection prevention and control program.DStandard survey28 May 2025
28 Apr 2025F0908Keep all essential equipment working safely.DStandard survey28 May 2025
28 Apr 2025F0554Allow residents to self-administer drugs if determined clinically appropriate.BComplaint investigation28 May 2025
28 Apr 2025F0583Keep residents' personal and medical records private and confidential.BStandard survey28 May 2025
28 Apr 2025F0641Ensure each resident receives an accurate assessment.BStandard survey28 May 2025
28 Apr 2025F0814Dispose of garbage and refuse properly.BStandard survey28 May 2025
18 Mar 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation17 Apr 2025
18 Mar 2025F0836Ensure 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.BComplaint investigation17 Apr 2025
30 Jul 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation30 Aug 2024
28 May 2024F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint investigation28 Jun 2024
7 Dec 2023F0695Provide safe and appropriate respiratory care for a resident when needed.EStandard survey7 Jan 2024
7 Dec 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.EStandard survey7 Jan 2024
7 Dec 2023F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey7 Jan 2024
7 Dec 2023F0554Allow residents to self-administer drugs if determined clinically appropriate.DStandard survey7 Jan 2024
7 Dec 2023F0578Honor 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.DStandard survey7 Jan 2024
7 Dec 2023F0585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.DStandard survey7 Jan 2024
7 Dec 2023F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey7 Jan 2024
7 Dec 2023F0679Provide activities to meet all resident's needs.DStandard survey7 Jan 2024
7 Dec 2023F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey7 Jan 2024
7 Dec 2023F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey7 Jan 2024
7 Dec 2023F0693Ensure 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 survey7 Jan 2024
7 Dec 2023F0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.DStandard survey7 Jan 2024
7 Dec 2023F0698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard survey7 Jan 2024
7 Dec 2023F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard survey7 Jan 2024
7 Dec 2023F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard survey7 Jan 2024
7 Dec 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 survey7 Jan 2024
7 Dec 2023F0880Provide and implement an infection prevention and control program.DStandard survey7 Jan 2024
7 Dec 2023F0881Implement a program that monitors antibiotic use.DStandard survey7 Jan 2024
7 Dec 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 survey7 Jan 2024
7 Dec 2023F0552Ensure that residents are fully informed and understand their health status, care and treatments.BStandard survey7 Jan 2024
7 Dec 2023F0583Keep residents' personal and medical records private and confidential.BStandard survey7 Jan 2024
7 Dec 2023F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.BStandard survey7 Jan 2024
7 Dec 2023F0814Dispose of garbage and refuse properly.BStandard survey7 Jan 2024
7 Dec 2023F0908Keep all essential equipment working safely.BStandard survey7 Jan 2024
9 Nov 2023F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint investigation8 Dec 2023
29 Aug 2023F0602Protect each resident from the wrongful use of the resident's belongings or money.DComplaint investigation29 Sep 2023
29 Aug 2023F0606Not hire anyone with a finding of abuse, neglect, exploitation, or theft.DComplaint investigation29 Sep 2023
16 Nov 2021F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey15 Dec 2021
16 Nov 2021F0761Ensure 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.EStandard survey15 Dec 2021
16 Nov 2021F0880Provide and implement an infection prevention and control program.EStandard survey15 Dec 2021
16 Nov 2021F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard survey15 Dec 2021
16 Nov 2021F0558Reasonably accommodate the needs and preferences of each resident.DStandard survey15 Dec 2021
16 Nov 2021F0583Keep residents' personal and medical records private and confidential.DStandard survey15 Dec 2021
16 Nov 2021F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey15 Dec 2021
16 Nov 2021F0679Provide activities to meet all resident's needs.DStandard survey15 Dec 2021
16 Nov 2021F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey15 Dec 2021
16 Nov 2021F0700Try 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 survey15 Dec 2021
16 Nov 2021F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard survey15 Dec 2021
16 Nov 2021F0759Ensure medication error rates are not 5 percent or greater.DStandard survey15 Dec 2021
16 Nov 2021F0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.DStandard survey15 Dec 2021
16 Nov 2021F0813Have a policy regarding use and storage of foods brought to residents by family and other visitors.DStandard survey15 Dec 2021
16 Nov 2021F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard survey15 Dec 2021
16 Nov 2021F0908Keep all essential equipment working safely.DStandard survey15 Dec 2021
16 Nov 2021F0814Dispose of garbage and refuse properly.BStandard survey15 Dec 2021

Penalties

CMS lists no fines or payment denials for this facility in the period covered.

Staffing

Total nursing4.45 h
Nurse aides2.71 h
LPN1.38 h
RN0.37 h
Weekend total4.01 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the California average. Turnover: nursing staff 39.8%, RNs 29.4%; 0 administrators 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 Stay6.8%8.9%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.0%0.3%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay0.0%0.7%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay1.3%1.3%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay1.8%0.8%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay8.8%8.6%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay2.2%3.6%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay16.6%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, partnership. Legal business name: Fullerton Healthcare & Wellness Centre Lp. Chain: Pursue Health (7 facilities).

OrganisationRole in the CMS recordInterestSince
Abby Gl LLCLimited partnership interestNOT APPLICABLE08/06/2020
Fullerton Wellness Gp, LLCLimited partnership interestNOT APPLICABLE12/20/2013
Eretz Fullerton Properties LLCAdp of the snfNOT APPLICABLE01/18/2017
Pursue Health LLCAdp of the snfNOT APPLICABLE01/03/2022

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 The Pavilion At Sunny Hills been cited for?

84 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The California median is 44 per facility.

Has The Pavilion At Sunny Hills been fined?

CMS lists no fines against the facility in the period covered.

How does staffing at The Pavilion At Sunny Hills compare?

Reported total nurse staffing is 4.5 hours per resident per day against a California median of 4.2 and a national average of 3.9.

Who operates The Pavilion At Sunny Hills?

It is part of the Pursue Health chain. Ownership type is for-profit, partnership. Individual owners and managers are not listed on this site.

When was The Pavilion At Sunny Hills last inspected?

The most recent survey or investigation in the CMS record is dated 26 May 2026; the most recent standard health survey was 28 Apr 2025.

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.