GoodStanding

Nursing home report

THE HILLS POST ACUTE

SANTA ANA, CA · Medicare-certified · 174 beds

In good standing
For-profitChain member
2 of 5 overall

The Hills Post Acute in Santa Ana has a 2-star overall rating, with a 2-star health inspection rating, 3-star staffing, and 4-star quality measures. It reports 3.92 nurse staffing hours per resident per day, just below the 4.1 federal benchmark, with $0 in fines over the last 24 months and recent inspection citations involving IV fluids, food safety, and drug storage/labeling.

Facility ratings

Health inspections

Staffing

3.917 hrs/resident/day

Quality measures

Last inspection: March 24, 2025Penalties, last 24 months: $0

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.917.

Staffing detail

Registered nurses
0.40
Licensed practical nurses
1.11
Nurse aides
2.41
Weekend nursing
3.59

Hours per resident per day.

Total staff turnover: 35%
Registered nurse turnover: 44%

Resident outcomes

How often residents experience these outcomes, with the direction over the past year.

Long-stay residents on antipsychotic medication

6.1%Improving

Residents with a fall causing major injury

2%Worsening

Residents with pressure ulcers (bedsores)

4.2%Improving

Residents with a urinary tract infection

1.2%Worsening

Residents who lost too much weight

5.1%Worsening

Residents who were physically restrained

0%Steady

Residents needing more help with daily activities

8.1%Improving

Residents whose ability to walk got worse

13.7%Worsening
Show all measures

Long-stay residents on antianxiety or sleep medication

8.5%Worsening

Short-stay residents newly given an antipsychotic

0.8%Improving

Residents with a long-term catheter

0.4%Worsening

Residents with new or worsening incontinence

12.7%Worsening

Residents with depressive symptoms

2.3%Worsening

Long-stay residents given the seasonal flu vaccine

99.3%Steady

Long-stay residents given the pneumonia vaccine

99.8%Improving

Short-stay residents given the seasonal flu vaccine

96.8%Steady

Short-stay residents given the pneumonia vaccine

99.9%Steady

What the inspectors found

The home failed to ensure IV fluids were given safely and appropriately when needed. Cited March 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 March 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 label and securely store medications and biologicals. Cited February 2024 — limited pattern, potential for harm.

View the original federal record

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

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 February 2024 — limited pattern, potential for harm.

View the original federal record

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

The home failed to monitor antibiotic use properly. Cited February 2024 — limited pattern, potential for harm.

View the original federal record

F-Tag 881 — 42 CFR §483.80 — 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 15 health deficiencies.

    See what inspectors found
  3. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  4. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found

Penalties & enforcement

On record with Medicare: 2 fines · $4,893 in total fines.

  • Federal fine

    Sep 18, 2023

    $1,748
  • Federal fine

    Aug 28, 2023

    $3,145

Operator & ownership

Ownership
For profit - Corporation
Chain
Part of THE ENSIGN GROUP · 338 homes · 3.2 stars avg
Occupancy
162.7 residents on an average day (94% 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.