The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited February 2026 — isolated incident, actual harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: G
Nursing home report
Palm Terrace Healthcare & Rehabilitation Center
LAGUNA HILLS, CA · Medicare-certified · 99 beds
Needs attention
For-profitChain member
3 of 5 overall
Palm Terrace Healthcare & Rehabilitation Center in Laguna Hills has a 3-star overall rating, with weaker health inspection and staffing ratings at 2 stars each, though quality measures are 5 stars. It reported a recent federal penalty and $50,950 in fines over the last 24 months, with nurse staffing at 4.19 hours per resident per day, just above the federal benchmark of 4.1.
Facility ratings
Health inspections
Staffing
4.1888 hrs/resident/day
Quality measures
Last inspection: February 26, 2026Penalties, last 24 months: $50,950recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.1888.
Staffing detail
- Registered nurses
- 0.35
- Licensed practical nurses
- 1.51
- Nurse aides
- 2.32
- Weekend nursing
- 3.65
Hours per resident per day.
Total staff turnover: 50%
Registered nurse turnover: 70%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
2.9%Improving
Residents with a fall causing major injury
4.3%Worsening
Residents with pressure ulcers (bedsores)
2.2%Improving
Residents with a urinary tract infection
0.6%Steady
Residents who lost too much weight
0%Steady
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
8.7%Worsening
Residents whose ability to walk got worse
7.2%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
19.5%Improving
Short-stay residents newly given an antipsychotic
0.4%Worsening
Residents with a long-term catheter
0%Steady
Residents with new or worsening incontinence
10.8%Improving
Residents with depressive symptoms
2.4%Steady
Long-stay residents given the seasonal flu vaccine
100%Steady
Long-stay residents given the pneumonia vaccine
98.9%Worsening
Short-stay residents given the seasonal flu vaccine
99.7%Steady
Short-stay residents given the pneumonia vaccine
99.9%Steady
What the inspectors found
The home failed to ensure nurses and nurse aides had the needed skills to care for each resident and support their well-being. Cited February 2026 — isolated incident, actual harm.
View the original federal record
F-Tag 726 — 42 CFR §483.35 — S/S: G
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited May 2022 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The nursing home failed to make sure it had a pest control program to prevent or deal with mice, insects, and other pests. Cited May 2022 — widespread issue, potential for harm.
View the original federal record
F-Tag 925 — 42 CFR §483.90 — S/S: F
The home failed to prevent unnecessary mind-altering medications or ensure medicines did not limit a resident’s ability to function. Cited February 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 605 — 42 CFR §483.12 — S/S: E
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- PENALTY
A federal payment denial was recorded.
- PENALTY
A federal fine of $25,475 was recorded.
- INSPECTION
Health inspection found 22 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Penalties & enforcement
On record with Medicare: 2 fines · $50,950 in total fines · 1 payment denial.
- 14 days
Medicare/Medicaid payment denial
Feb 9, 2026
- $25,475
Federal fine
Feb 9, 2026
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of THE ENSIGN GROUP · 338 homes · 3.2 stars avg
- Occupancy
- 93.2 residents on an average day (94% of 99 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 39 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.