The home failed to provide safe and appropriate breathing care when a resident needed it. Cited May 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 695 — 42 CFR §483.25(i) — S/S: E
Nursing home report
THE HILLS POST ACUTE
SANTA ANA, CA · Medicare-certified · 174 beds
In good standing
For-profitChain member
Data as of July 1, 2026
2 of 5 overall
The Hills Post Acute in Santa Ana has a 2-star overall rating, with a 2-star health inspection rating but stronger 4-star staffing and quality measures. It reported no fines in the last 24 months, and its nurse staffing is 4.03 hours per resident per day versus the 4.1 federal benchmark.
Facility ratings
Health inspections
Staffing
4.0293 hrs/resident/day
Quality measures
Last inspection: May 6, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.0293.
Staffing detail
- Registered nurses
- 0.38
- Licensed practical nurses
- 1.15
- Nurse aides
- 2.49
- Weekend nursing
- 3.69
Hours per resident per day.
Total staff turnover: 35%
Registered nurse turnover: 39%
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
9.5%4.1%Improving
Residents with a fall causing major injury
1.6%1.7%No change
Residents with pressure ulcers (bedsores)
4.6%3.1%Improving
Residents with a urinary tract infection
0%0.9%Worsening
Residents who lost too much weight
8.8%4.9%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
8.7%17%Worsening
Residents whose ability to walk got worse
17%18.9%Worsening
Long-stay residents on antianxiety or sleep medication
9.5%16.2%Worsening
Short-stay residents newly given an antipsychotic
0.6%0.5%No change
Residents with a long-term catheter
0.8%0%Improving
Residents with new or worsening incontinence
7.2%25.3%Worsening
Residents with depressive symptoms
2.9%1%Improving
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
—99.3%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—96.8%—
Short-stay residents given the pneumonia vaccine
100%100%No change
What the inspectors found
The home failed to provide safe, appropriate dialysis care for a resident who needed it. Cited May 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 698 — 42 CFR §483.25(l) — S/S: E
The home failed to properly label and securely store medications and biologicals. Cited May 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 761 — 42 CFR §483.45(g) — S/S: E
The home failed to ensure meals and menus were planned, updated, and followed to meet residents’ nutritional needs. Cited May 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 803 — 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 May 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 25 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 15 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Penalties & enforcement
On record with Medicare: 2 fines · $4,893 in total fines.
- $1,748
Federal fine
Sep 18, 2023
- $3,145
Federal fine
Aug 28, 2023
Operator & ownership
Recent ownership change · May 1, 2019
Now operated by The Hills Post Acute, previously Carehouse Healthcare Center.
- Ownership
- For profit - Limited Liability company
- Chain
- Part of THE ENSIGN GROUP · 346 homes · 3.2 stars avg
- Occupancy
- 161.1 residents on an average day (93% of 174 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 25 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.