The home failed to honor residents’ choices about treatment, research participation, and advance care instructions. Cited July 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 578 — 42 CFR §483.10 — S/S: E
Nursing home report
Royale Health Care Center
Registered name: SOUTH COAST POST ACUTE
SANTA ANA, CA · Medicare-certified · 255 beds
Needs attention
Abuse citationFor-profitChain member
Data as of September 1, 2026
2 of 5 overall
Royale Health Care Center in Santa Ana has an overall 2-star rating, with 2-star health inspections but stronger 4-star staffing and quality ratings. Reported nurse staffing is 3.51 hours per resident day versus the 4.1-hour federal benchmark, there were no fines in the last 24 months, and it has a recent abuse citation.
Facility ratings
Health inspections
Staffing
3.5099 hrs/resident/day
Quality measures
Last inspection: July 31, 2026Penalties, last 24 months: $0recent abuse citation
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.5099.
Staffing detail
- Registered nurses
- 0.52
- Licensed practical nurses
- 1.02
- Nurse aides
- 1.97
- Weekend nursing
- 3.21
Hours per resident per day.
Total staff turnover: 24%
Registered nurse turnover: 42%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
27.9%27.3%Improving
Residents with a fall causing major injury
0%0%No change
Residents with pressure ulcers (bedsores)
3.4%0%Improving
Residents with a urinary tract infection
1%0%Improving
Residents who lost too much weight
4.6%6.3%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
1.1%1%No change
Residents whose ability to walk got worse
1.1%1%No change
Long-stay residents on antianxiety or sleep medication
21%17.8%Improving
Short-stay residents newly given an antipsychotic
3.5%0%Improving
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
5%3.9%Improving
Residents with depressive symptoms
0.5%6.5%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—99.6%—
Long-stay residents given the pneumonia vaccine
97.5%99.5%Improving
Short-stay residents given the seasonal flu vaccine
—90.4%—
Short-stay residents given the pneumonia vaccine
98.2%96.3%Worsening
What the inspectors found
The home failed to ensure residents had a safe, clean, comfortable, homelike environment and daily care supports were provided safely. Cited July 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 584 — 42 CFR §483.10 — S/S: E
The home failed to provide safe, appropriate pain management for a resident who needed it. Cited July 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 697 — 42 CFR §483.25(k) — S/S: E
The home failed to make food and drinks appealing and served them at a safe, appetizing temperature. Cited July 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 804 — 42 CFR §483.60 — S/S: E
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited July 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 21 health deficiencies.
See what inspectors found
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
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- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
Operator & ownership
Recent ownership change · Mar 24, 2023
Now operated by 1030 Warner Avenue I Opco LLC, previously Royale Health Care Center INC..
- Ownership
- For profit - Limited Liability company
- Chain
- Part of WINDSOR · 22 homes · 2.5 stars avg
- Occupancy
- 240.8 residents on an average day (94% of 255 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 52 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.