Acacia Villas
State licensed1620 E. Chapman Avenue, Fullerton, CA 92831
Assisted Living
Assisted livingResidential care for the elderly (RCFE)24-hour personal care
Call for pricing
Prices not published
🏥
Medicare-certifiedSkilled Nursing
Gordon Lane Care Center
Fullerton, CaliforniaMedicare inspection record
About Gordon Lane Care Center
GORDON LANE CARE CENTER is a for profit - limited liability company nursing home in FULLERTON, CA with 99 certified beds.
Community at a glance
Capacity
99 residents
Location
Fullerton, CA
Status
Listed in a public registry
Care & services offered
Skilled Nursing
Contact & location
1821 E CHAPMAN AVE, Fullerton, California 92831
Medicare inspection record
From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov
- Medicare flags Gordon Lane Care Center for a citation related to abuse of residents in its recent inspections.
At its most recent standard inspection, on August 4, 2025, state inspectors cited 27 health deficiencies (the California average is 15.5).
Nurses and nurse aides spend 4 hours 8 minutes with each resident a day, below the California average of 4 hours 31 minutes.
Medicare has not fined Gordon Lane Care Center in the last three years.
Staffing
| Measure | This home |
|---|---|
| Nurse and aide time per resident, per day | 4 hours 8 minutesBelow the California average |
| Registered nurse time per resident, per day | 20 minutesBelow the California average |
| Nursing staff who left in the past year | 26%Below the California average |
Inspections
71 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.
June 23, 2026 · Complaint investigation · 2 citations
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Jul 23, 2026Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Jul 23, 2026
August 4, 2025 · Standard inspection · 25 citations
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.
Risk of harm, no one hurt, a few residents (level D)EnvironmentalCorrected Aug 30, 2025Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Aug 30, 2025Provide safe, appropriate dialysis care/services for a resident who requires such services.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Aug 30, 2025Honor 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.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Aug 30, 2025Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Aug 30, 2025Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Aug 30, 2025PASARR screening for Mental disorders or Intellectual Disabilities
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Aug 30, 2025Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Risk of harm, no one hurt, a few residents (level D)Nutrition and DietaryCorrected Aug 30, 2025Reasonably accommodate the needs and preferences of each resident.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Aug 30, 2025Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Aug 30, 2025Ensure 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.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Aug 30, 2025Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Aug 30, 2025Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Risk of harm, no one hurt, a few residents (level D)AdministrationCorrected Aug 30, 2025Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, a few residents (level D)Infection ControlFrom a complaintCorrected Aug 30, 2025Implement a program that monitors antibiotic use.
Risk of harm, no one hurt, a few residents (level D)Infection ControlFrom a complaintCorrected Aug 30, 2025Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Aug 30, 2025Provide safe, appropriate pain management for a resident who requires such services.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Aug 30, 2025Conduct 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.
Risk of harm, no one hurt, a few residents (level D)AdministrationCorrected Aug 30, 2025Provide safe and appropriate respiratory care for a resident when needed.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Aug 30, 2025Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Aug 30, 2025Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Aug 30, 2025Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationCorrected Aug 30, 2025Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Aug 30, 2025Ensure each resident’s drug regimen must be free from unnecessary drugs.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Aug 30, 2025Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Minimal harm or risk, a pattern (level B)Resident RightsCorrected Aug 30, 2025
June 18, 2025 · Complaint investigation · 1 citation+
Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, a few residents (level D)Infection ControlFrom a complaintCorrected Jun 30, 2025
June 2, 2025 · Complaint investigation · 2 citations+
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceFrom a complaintCorrected Jul 2, 2025Respond appropriately to all alleged violations.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Jul 2, 2025
February 5, 2025 · Complaint investigation · 1 citation+
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.
Minimal harm or risk, a pattern (level B)Pharmacy ServiceFrom a complaintCorrected Feb 7, 2025
November 21, 2024 · Complaint investigation · 2 citations+
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Minimal harm or risk, a pattern (level B)Resident Assessment and Care PlanningFrom a complaintCorrected Dec 7, 2024Provide and implement an infection prevention and control program.
Minimal harm or risk, a pattern (level B)Infection ControlFrom a complaintCorrected Dec 7, 2024
October 2, 2024 · Complaint investigation · 3 citations+
Respond appropriately to all alleged violations.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Oct 25, 2024Implement 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.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceFrom a complaintCorrected Oct 25, 2024Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Oct 25, 2024
September 3, 2024 · Complaint investigation · 3 citations+
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Sep 19, 2024Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, a few residents (level D)Infection ControlFrom a complaintCorrected Sep 19, 2024Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Minimal harm or risk, a pattern (level B)Resident RightsFrom a complaintCorrected Sep 19, 2024
June 26, 2024 · Complaint investigation · 3 citations+
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Jun 27, 2024Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Minimal harm or risk, a pattern (level B)Resident Assessment and Care PlanningFrom a complaintCorrected Jun 27, 2024Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Minimal harm or risk, a pattern (level B)Resident Assessment and Care PlanningFrom a complaintCorrected Jun 27, 2024
April 12, 2024 · Standard inspection · 18 citations+
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryCorrected May 12, 2024Ensure 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.
Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceCorrected May 12, 2024Make sure that a working call system is available in each resident's bathroom and bathing area.
Risk of harm, no one hurt, a pattern (level E)EnvironmentalCorrected May 12, 2024Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, a pattern (level E)Infection ControlCorrected May 12, 2024Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected May 12, 2024Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Risk of harm, no one hurt, a few residents (level D)Nutrition and DietaryCorrected May 12, 2024Ensure that residents are free from significant medication errors.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected May 12, 2024Provide safe and appropriate respiratory care for a resident when needed.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected May 12, 2024Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected May 12, 2024Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Risk of harm, no one hurt, a few residents (level D)Nutrition and DietaryCorrected May 12, 2024Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Risk of harm, no one hurt, a few residents (level D)Nutrition and DietaryCorrected May 12, 2024Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected May 12, 2024Provide safe, appropriate dialysis care/services for a resident who requires such services.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected May 12, 2024Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected May 12, 2024Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected May 12, 2024Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected May 12, 2024Ensure 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.
Risk of harm, no one hurt, a few residents (level D)Nutrition and DietaryCorrected May 12, 2024Ensure that residents are fully informed and understand their health status, care and treatments.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected May 12, 2024
Showing the 60 most recent. The full list is on Medicare.gov.
Fines and payment denials
No fines or Medicare payment denials in the last three years.
About the home, per Medicare
- Ownership
- For profit - Limited Liability company
- Legal business name
- Gordon Lane Healthcare LLC
- Medicare-certified beds
- 99
- Average residents per day
- 94
- Accepts
- Medicare and Medicaid
- First certified
- October 18, 2002
- Part of a chain
- David Johnson, 48 homes
- Inside a hospital
- No
- Continuing care retirement community
- No
- Resident or family council
- Resident
- Sprinklers in all required areas
- Yes
- CMS Certification Number
- 555797
Location
Loading map…
1821 E CHAPMAN AVEFullerton, CA 92831
12 other communities within 10 miles
Senior living near Fullerton
Cambridge Court
State licensed1621 Commonwealth Avenue, East, Fullerton, CA 92831
Assisted Living
Assisted livingResidential care for the elderly (RCFE)24-hour personal care
Call for pricing
Prices not published
Ivy Terrace At Fullerton
State licensed1510 E. Commonwealth Avenue, Fullerton, CA 92831
Assisted Living
Assisted livingResidential care for the elderly (RCFE)24-hour personal care
Call for pricing
Prices not published
Questions about Gordon Lane Care Center
How did Gordon Lane Care Center do on its last inspection?+
State inspectors visited on August 4, 2025 and cited 27 health deficiencies, 4 of them from complaint investigations. The California average is 15.5.
How much nursing care does each resident get at Gordon Lane Care Center?+
Nurses and aides spend 4 hours 8 minutes with each resident per day, including 20 minutes from registered nurses. 26% of nursing staff left over the past year.
Has Gordon Lane Care Center been fined by Medicare?+
Medicare's records show no fines against Gordon Lane Care Center in the last three years.
Does Medicare cover skilled nursing?+
Medicare covers up to 100 days of skilled nursing per benefit period after a qualifying 3-day hospital stay — fully for the first 20 days, then with a daily copay. Long-term custodial stays are generally not covered.
How much does a nursing home cost?+
A semi-private room averages about $7,900 per month nationally; private rooms cost more. Medicaid is the largest payer for long-term nursing home care.
What is the CMS star rating?+
Medicare rates nursing homes 1 to 5 stars on its Care Compare site. We don't repeat those stars here. Each nursing home page shows Medicare's underlying record instead: inspections, staffing and fines, with a link to check it on Medicare.gov.