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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 July 1, 2026
2 of 5 overall

Royale Health Care Center in Santa Ana has a 2-star overall rating, with a 2-star health inspection score, 4-star staffing and quality ratings, and reported nurse staffing below the federal benchmark (3.51 vs. 4.1 hours per resident day). It has no fines in the last 24 months, but it does have a recent abuse citation and recent inspection findings related to infection control, IV fluid administration, and food handling.

Facility ratings

Health inspections

Staffing

3.5099 hrs/resident/day

Quality measures

Last inspection: October 29, 2025Penalties, 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 nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited April 2022 — widespread issue, potential for harm.

View the original federal record

F-Tag 880 — 42 CFR §483.80(a) — S/S: F

The home failed to ensure IV fluids were given safely and appropriately when needed. Cited February 2025 — limited pattern, potential for harm.

View the original federal record

F-Tag 694 — 42 CFR §483.25 — S/S: E

The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited February 2025 — limited pattern, potential for harm.

View the original federal record

F-Tag 812 — 42 CFR §483.60(i) — S/S: E

The home failed to properly reduce or limit psychotropic medication use and try safer non-drug approaches when appropriate. Cited December 2023 — limited pattern, potential for harm.

View the original federal record

F-Tag 758 — 42 CFR §483.45(e) — S/S: E

The home failed to properly label and securely store medications and biologicals. Cited December 2023 — limited pattern, potential for harm.

View the original federal record

F-Tag 761 — 42 CFR §483.45(g) — S/S: E

Recent history

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  3. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  4. 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 · 23 homes · 2.4 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.