San Juan Hills Healthcare Center
A nursing home in San Juan Capistrano, California 92675
31741 Rancho Viejo Road, San Juan Capistrano, California 92675. (949) 248-8855.
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The short answer
Record last released by CMS on Oct 28, 2026.
- 4of 5 CMS’s overall rating
- 20 health citations at the latest inspection cycle California average: 15.7
- 5.08 nurse hours per resident per day California average: 4.54
- 0 fines in the last three years
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?
20 health citations at the latest inspection cycle
The California average is 15.7.
Last standard inspection Jan 22, 2026.
Most serious in three years: actual harm (G), at a complaint inspection on Dec 12, 2023
CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
When those citations happened
48 citations in 9 months of the last 36. Last cited Jul 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 65 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. 15 came from complaint inspections.
CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.
Jul 29, 2026: complaint inspection1 citation
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Reasonably accommodate the needs and preferences of each resident.
May 26, 2026: complaint inspection3 citations
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Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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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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Post nurse staffing information every day.
Apr 20, 2026: complaint inspection1 citation
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Ensure that residents are fully informed and understand their health status, care and treatments.
Jan 22, 2026: standard inspection14 citations
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Allow residents to self-administer drugs if determined clinically appropriate.
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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 for the safe, appropriate administration of IV fluids for a resident when needed.
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Provide safe and appropriate respiratory care for a resident when needed.
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Provide safe, appropriate dialysis care/services for a resident who requires such services.
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Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
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Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
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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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Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
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Provide and implement an infection prevention and control program.
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Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
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Reasonably accommodate the needs and preferences of each resident.
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Dispose of garbage and refuse properly.
Oct 15, 2025: complaint inspection1 citation
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Immediately tell the resident, the resident’s doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Jul 15, 2025: complaint inspection3 citations
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Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
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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.
May 23, 2025: 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.
Nov 15, 2024: standard inspection19 citations
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Allow residents to self-administer drugs if determined clinically appropriate.
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Honor the resident’s right to organize and participate in resident/family groups in the facility.
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PASARR screening for Mental disorders or Intellectual Disabilities
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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 appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
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Provide safe and appropriate respiratory care for a resident when needed.
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Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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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 medication error rates are not 5 percent or greater.
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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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Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
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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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Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
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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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Provide and implement an infection prevention and control program.
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Implement a program that monitors antibiotic use.
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Keep all essential equipment working safely.
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Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
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Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Nov 15, 2024: standard and complaint inspection4 citations
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Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
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Honor the resident’s right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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The resident has the right to receive notices in a format and a language he or she understands.
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Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Dec 12, 2023: 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.
Nov 17, 2023: standard inspection17 citations
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Allow residents to self-administer drugs if determined clinically appropriate.
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Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
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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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Provide activities to meet all resident’s needs.
-
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
-
Provide safe and appropriate respiratory care for a resident when needed.
-
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
-
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.
-
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.
-
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
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Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
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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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Implement a program that monitors antibiotic use.
-
Keep all essential equipment working safely.
-
Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
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Provide and implement an infection prevention and control program.
Is it certified, and in good standing?
- Certified for Medicare since Aug 31, 2000.
- 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, limited liability company.
- 45 certified beds.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
Has it been fined or penalized?
- No fines in the last three years.
- No Medicare payment denials in the last three years.
- 15 citations in the last three years came from complaint inspections.
CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
Who does the caring?
5.08 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 | 5.08 | 4.54 |
| Of which registered nurses | 0.92 | 0.68 |
| At weekends | 4.38 | 4.10 |
| Nursing staff turnover | 40% | 36.6% |
| Registered nurse turnover | 14.3% | 37.8% |
| Administrators who left | Not given | Not given |
Who owns it?
- Asrv LLC owns 100% directly since Nov 3, 2021.
- Asrv LLC runs it.
- 27 owners or officers are people: Vern J Brady (owns a share through other companies, 31.95%); Ryan M Case (owns a share through other companies, 31.77%); Jeffrey J Bradshaw (owns a share 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%); Jeffrey J Bradshaw (on the governing body (managing control)); 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)); Huan C Guu (additional disclosable party (controls, leases property to, or provides services to the home)); Lanie Sta Ana (runs it (operational or managerial control)); Lanie Sta Ana (additional disclosable party (controls, leases property to, or provides services to the home)); Spencer Nordfelt (runs it (operational or managerial control)); Spencer Nordfelt (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)).
- 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 |
|---|---|---|---|
| Aspen Skilled Healthcare Inc. | Owns a share through other companies | 100% | Nov 3, 2021 |
| Sacc LLC | Owns a share through other companies | 100% | Nov 3, 2021 |
| Asrv LLC | Owns a share directly | 100% | Nov 3, 2021 |
| Aspen Healthcare Services 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) | Aug 6, 2020 | |
| Asrv LLC | Runs it (operational or managerial control) | Nov 3, 2021 | |
| Asrv LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Nov 3, 2021 |
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 | 4 of 5 |
| Health inspections | 3 of 5 |
| Staffing | 3 of 5 |
| Quality measures | 5 of 5 |
How does it compare nearby?
- Among the 12 nearest homes, within 18.3 miles, this one had the 8th most health citations at the latest inspection cycle (20; the middle value was 22.5).
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Place | Miles away | Citations, latest cycle |
|---|---|---|
| San Juan Hills Healthcare Center This nursing home | 20 | |
| Capistrano Beach Care Center | 3.7 | 26 |
| Orchards Skilled Nursing | 3.8 | 3 |
| Palm Terrace Healthcare & Rehabilitation Center | 7.5 | 23 |
| Villa Valencia Healthcare Center | 8.0 | 22 |
| Laguna Hills Health and Rehabilitation Center | 8.1 | 41 |
| Freedom Village Healthcare Center | 8.8 | 17 |
| Trabuco Hills Post Acute | 10.0 | 47 |
| Regents Point - Windcrest | 14.6 | 16 |
| Newport Subacute Healthcare Center | 18.1 | 43 |
| Victoria Healthcare and Rehabilitation Center | 18.2 | 12 |
| Crystal Cove Care Center | 18.3 | 23 |
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.