Mission Palms Healthcare Center
A nursing home in Westminster, California 92683
240 Hospital Circle, Westminster, California 92683. (714) 892-6686.
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The short answer
Record last released by CMS on Oct 28, 2026.
- 3of 5 CMS’s overall rating
- 21 health citations at the latest inspection cycle California average: 15.7
- 4.05 nurse hours per resident per day California average: 4.54
- 1 fine in the last three years (needs attention)
Each figure’s source sits beside it, in its section below.
What these words mean7
- Star ratings
- CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
- Scope and severity (A to L)
- CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7).
- Nurse staffing hours
- The hours registered nurses, licensed practical nurses and nurse aides worked, per resident per day, from the payroll records each home sends CMS. Source: CMS, Payroll-Based Journal.
- Fines and payment denials
- A fine (civil money penalty) is money CMS makes a nursing home pay when it falls short of federal rules. A payment denial means Medicare and Medicaid stop paying for new admissions until the home meets the rules again. Source: CMS; 42 CFR 488.430 and 488.417.
- Capacity
- The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.
What did inspectors find?
21 health citations at the latest inspection cycle
The California average is 15.7.
Last standard inspection Apr 24, 2026.
Most serious in three years: actual harm (G), at a complaint inspection on Aug 27, 2024
CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
When those citations happened
38 citations in 6 months of the last 36. Last cited May 2026. Most serious: actual harm (G). The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Dec | |||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
All 38 citations in the last three years
Grouped by inspection, newest first. Each carries CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7)., from A, the least serious, to L, the most. 5 came from complaint inspections.
CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.
May 19, 2026: complaint inspection1 citation
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Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Apr 24, 2026: standard inspection20 citations
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Ensure that residents are fully informed and understand their health status, care and treatments.
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Reasonably accommodate the needs and preferences of each resident.
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Honor the resident’s right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
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Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident’s ability to function.
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Provide the required documentation or notification related to the resident’s needs, appeal rights, or bed-hold policies.
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Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.
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Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
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Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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Provide safe and appropriate respiratory care for a resident when needed.
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Provide safe, appropriate pain management for a resident who requires such services.
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Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident’s well being.
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Ensure each resident’s drug regimen must be free from unnecessary drugs.
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Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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Have a policy regarding use and storage of foods brought to residents by family and other visitors.
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Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
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Provide and implement an infection prevention and control program.
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Keep all essential equipment working safely.
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Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Mar 19, 2025: complaint inspection1 citation
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Feb 7, 2025: standard inspection13 citations
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Allow residents to self-administer drugs if determined clinically appropriate.
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Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Provide enough food/fluids to maintain a resident’s health.
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Provide safe and appropriate respiratory care for a resident when needed.
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Ensure each resident’s drug regimen must be free from unnecessary drugs.
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Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
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Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
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Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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Have a policy regarding use and storage of foods brought to residents by family and other visitors.
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Provide and implement an infection prevention and control program.
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Implement a program that monitors antibiotic use.
Aug 27, 2024: complaint inspection1 citation
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Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Jan 24, 2024: complaint inspection2 citations
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Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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Reasonably accommodate the needs and preferences of each resident.
Is it certified, and in good standing?
- Certified for Medicare and Medicaid since Feb 22, 1971.
- Not on CMS’s special focus list.
- No abuse icon from CMS.
- No change of ownership in the last 12 months.
- CMS lists its ownership as for profit, corporation.
- 99 certified beds.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
Has it been fined or penalized?
- 1 fine in the last three years, $13,923 in all.
- No Medicare payment denials in the last three years.
- 5 citations in the last three years came from complaint inspections.
CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
| Date | Kind | Amount |
|---|---|---|
| Aug 27, 2024 | Fine | $13,923 |
Who does the caring?
4.05 nurse hours per resident per day
The California average is 4.54.
CMS publishes staffing about four months after the fact.
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | This home | California average |
|---|---|---|
| Nurse hours per resident per day | 4.05 | 4.54 |
| Of which registered nurses | 0.45 | 0.68 |
| At weekends | 3.73 | 4.10 |
| Nursing staff turnover | 18.1% | 36.6% |
| Registered nurse turnover | 14.3% | 37.8% |
| Administrators who left | 0 | Not given |
Who owns it?
- Awhc,llc owns 100% directly since Jan 14, 2010.
- Awhc,llc runs it.
- 26 owners or officers are people: Vern J Brady (owns 5% or more through other companies, 31.95%); Ryan M Case (owns 5% or more through other companies, 31.77%); Jeffrey J Bradshaw (owns 5% or more through other companies, 22.25%); Eric Elsner (owns a share through other companies, 4.08%); Shruty Parti (owns a share through other companies, 4.08%); Rajesh Parti (owns a share through other companies, 4.08%); Craig Orgill (owns a share through other companies, 1.3%); Jared Kirkwood (owns a share through other companies, 0.3%); Peter Bradshaw (owns a share through other companies, 0.09%); Marcus J Paxman (owns a share through other companies, 0.01%); David D Chan (additional disclosable party (controls, leases property to, or provides services to the home)); Jeffrey J Bradshaw (additional disclosable party (controls, leases property to, or provides services to the home)); Timothy Caslmon (runs it (operational or managerial control)); Timothy Caslmon (on the governing body (managing control)); Timothy Caslmon (additional disclosable party (controls, leases property to, or provides services to the home)); Ryan M Case (additional disclosable party (controls, leases property to, or provides services to the home)); Marcus J Paxman (additional disclosable party (controls, leases property to, or provides services to the home)); Federick Galapon (runs it (operational or managerial control)); Federick Galapon (additional disclosable party (controls, leases property to, or provides services to the home)); Stephen Thompson (runs it (operational or managerial control)); Stephen Thompson (on the governing body (managing control)); Stephen Thompson (additional disclosable party (controls, leases property to, or provides services to the home)); Frank Jurado (additional disclosable party (controls, leases property to, or provides services to the home)); Vern J Brady (additional disclosable party (controls, leases property to, or provides services to the home)); Abegail T Pham (runs it (operational or managerial control)); Abegail T Pham (additional disclosable party (controls, leases property to, or provides services to the home)).
- Part of Aspen Skilled Healthcare (35 homes in CMS’s data).
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, All Owners. Checked Nov 5, 2026. Updated monthly.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Organisation | Role | Share | Since |
|---|---|---|---|
| Awhc,llc | Owns 5% or more directly | 100% | Jan 14, 2010 |
| Aspen Skilled Healthcare Inc. | Owns 5% or more through other companies | 100% | Jan 14, 2010 |
| Jacaranda Healthcare Group LLC | Owns 5% or more through other companies | 100% | Jan 1, 2023 |
| Aspen Skilled Healthcare Inc. | Holds 5% or more of the mortgage | 15.15% | Jul 31, 2019 |
| Wells Fargo Bank, National Assocaition | Holds 5% or more of the mortgage | 15.15% | Jul 31, 2019 |
| Awhc,llc | Runs it (operational or managerial control) | Jan 14, 2010 | |
| Awhc,llc | Additional disclosable party (controls, leases property to, or provides services to the home) | Jan 14, 2010 | |
| Aspen Skilled Healthcare Inc. | Additional disclosable party (controls, leases property to, or provides services to the home) | Aug 1, 2019 | |
| Aspen Healthcare Services LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Jan 1, 2023 | |
| Wells Fargo Bank, National Assocaition | Additional disclosable party (controls, leases property to, or provides services to the home) | Jan 14, 2010 | |
| Jacaranda Healthcare Group LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Jan 1, 2023 | |
| East West Bank | Additional disclosable party (controls, leases property to, or provides services to the home) | Jan 14, 2010 | |
| Cwhc, LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Aug 1, 2019 | |
| Moss Adams LLP | Additional disclosable party (controls, leases property to, or provides services to the home) | Jan 14, 2020 |
How do residents fare?
- CMS rates its quality measures 5 of 5 (California average 4.2).
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | Rating |
|---|---|
| Overall rating | 3 of 5 |
| Health inspections | 2 of 5 |
| Staffing | 3 of 5 |
| Quality measures | 5 of 5 |
How does it compare nearby?
- Among the 12 nearest homes, within 4.3 miles, this one had the 7th most health citations at the latest inspection cycle (21; the middle value was 22).
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Place | Miles away | Citations, latest cycle |
|---|---|---|
| Mission Palms Healthcare Center This nursing home | 21 | |
| Extended Care Hospital of Westminster | 0.6 | 21 |
| Stanley Healthcare Center | 1.2 | 18 |
| Garden Grove Post Acute | 1.9 | 16 |
| Rowntree Gardens | 1.9 | 16 |
| Park Anaheim Healthcare Center | 3.7 | 23 |
| Anaheim Point | 3.7 | 23 |
| Beach Creek Post-Acute | 4.2 | 27 |
| Anaheim Crest Nursing Center | 4.2 | 29 |
| West Anaheim Medical Center D/P SNF | 4.2 | 13 |
| Huntington Valley Healthcare Center | 4.3 | 37 |
| Anaheim Healthcare Center, LLC | 4.3 | 30 |
What the record doesn’t say
- Complaints that didn’t lead to a citation aren’t published.
- Inspections reach CMS’s data about six weeks after they happen, and staffing about four months after.
- CMS publishes the inspectors’ full written findings in a separate monthly file, which isn’t loaded yet.
- Fines and Medicare payment denials are the only enforcement CMS publishes; state licence actions aren’t included.
Sources
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Centers for Medicare & Medicaid Services, Provider Information (4pq5-n9py).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Health Deficiencies (r5ix-sfxw).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Penalties (g6vv-u9sr).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).
Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, State and US Averages (xcdc-v8bm).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Nov 5, 2026.
From the home
The public record above comes first. Anything the home adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the home will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.
Paid listing
None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the home”, and paying will never change a finding, a rating or the order of results.