🛡️ Free for Families  ·  No Spam Calls  ·  No Referral Fees  ·  Built on Official Records

FindSeniorLivingNow

🏠 Is this your community?

Families are searching for a community like yours right now. Make sure they find you.

Claim This Community
🏥
Medicare-certifiedSkilled Nursing

The Hills Post Acute

Santa Ana, CaliforniaMedicare inspection record
(714) 835-4900

About The Hills Post Acute

The Hills Post Acute brings skilled nursing and rehabilitation services to Santa Ana, California with a focus on personalized recovery. Our team supports patients through complex medical needs and therapy goals, helping them regain independence and return home whenever possible.

Community at a glance

Capacity

174 residents

Location

Santa Ana, CA

Status

Listed in a public registry

Care & services offered

Skilled Nursing

Contact & location

1800 OLD TUSTIN AVENUE, Santa Ana, California 92705

(714) 835-4900

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

At its most recent standard inspection, on May 6, 2026, state inspectors cited 28 health deficiencies (the California average is 15.5).

Nurses and nurse aides spend 4 hours 2 minutes with each resident a day, below the California average of 4 hours 31 minutes.

Staffing

MeasureThis home
Nurse and aide time per resident, per day4 hours 2 minutesBelow the California average
Registered nurse time per resident, per day23 minutesBelow the California average
Nursing staff who left in the past year35%Below the California average

Inspections

111 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.

June 30, 2026 · Complaint investigation · 3 citations

  • Provide enough food/fluids to maintain a resident's health.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Jul 20, 2026
  • 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 20, 2026
  • Provide and implement an infection prevention and control program.

    Risk of harm, no one hurt, a few residents (level D)Infection ControlFrom a complaintCorrected Jul 20, 2026

May 6, 2026 · Standard inspection · 25 citations

  • Provide safe and appropriate respiratory care for a resident when needed.

    Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareCorrected Jun 1, 2026
  • 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 Jun 1, 2026
  • 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.

    Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceCorrected Jun 1, 2026
  • Provide safe, appropriate dialysis care/services for a resident who requires such services.

    Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareCorrected Jun 1, 2026
  • Provide and implement an infection prevention and control program.

    Risk of harm, no one hurt, a pattern (level E)Infection ControlCorrected Jun 1, 2026
  • 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.

    Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryCorrected Jun 1, 2026
  • 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 ServiceCorrected Jun 1, 2026
  • Ensure 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 Jun 1, 2026
  • Develop 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 Jun 1, 2026
  • Ensure 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 Jun 1, 2026
  • Reasonably accommodate the needs and preferences of each resident.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Jun 1, 2026
  • 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.

    Risk of harm, no one hurt, a few residents (level D)AdministrationCorrected Jun 1, 2026
  • Ensure 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 Jun 1, 2026
  • Provide enough food/fluids to maintain a resident's health.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Jun 1, 2026
  • Provide 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 Jun 1, 2026
  • Have 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 Jun 1, 2026
  • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Jun 1, 2026
  • Provide 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 Jun 1, 2026
  • Ensure each resident’s drug regimen must be free from unnecessary drugs.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Jun 1, 2026
  • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Jun 1, 2026
  • Safeguard 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 Jun 1, 2026
  • Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Jun 1, 2026
  • PASARR screening for Mental disorders or Intellectual Disabilities

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Jun 1, 2026
  • Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Jun 1, 2026
  • Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

    Minimal harm or risk, a pattern (level B)Resident Assessment and Care PlanningCorrected Jun 1, 2026
March 24, 2025 · Standard inspection · 15 citations+
  • Provide for the safe, appropriate administration of IV fluids for a resident when needed.

    Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareCorrected Apr 14, 2025
  • 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 Apr 14, 2025
  • 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.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Apr 14, 2025
  • Safeguard 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 Apr 14, 2025
  • Provide and implement an infection prevention and control program.

    Risk of harm, no one hurt, a few residents (level D)Infection ControlCorrected Apr 14, 2025
  • Provide enough food/fluids to maintain a resident's health.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Apr 14, 2025
  • Provide 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 Apr 14, 2025
  • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Apr 14, 2025
  • 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 ServiceCorrected Apr 14, 2025
  • Provide 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 Apr 14, 2025
  • Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Apr 14, 2025
  • Provide special eating equipment and utensils for residents who need them and appropriate assistance.

    Risk of harm, no one hurt, a few residents (level D)Nutrition and DietaryCorrected Apr 14, 2025
  • Provide care and assistance to perform activities of daily living for any resident who is unable.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Apr 14, 2025
  • Develop 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 PlanningCorrected Apr 14, 2025
  • Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

    Minimal harm or risk, a pattern (level B)Nutrition and DietaryCorrected Apr 14, 2025
February 14, 2025 · Complaint investigation · 1 citation+
  • Ensure 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 DietaryFrom a complaintCorrected Feb 17, 2025
October 29, 2024 · Complaint investigation · 1 citation+
  • 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 Nov 11, 2024
July 17, 2024 · Complaint investigation · 1 citation+
  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Minimal harm or risk, a pattern (level B)Quality of Life and CareFrom a complaintCorrected Jul 26, 2024
June 25, 2024 · Complaint investigation · 1 citation+
  • Safeguard 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 PlanningFrom a complaintCorrected Jul 8, 2024
May 3, 2024 · Complaint investigation · 1 citation+
  • 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 May 30, 2024
February 8, 2024 · Standard inspection · 12 citations+
  • Implement a program that monitors antibiotic use.

    Risk of harm, no one hurt, a pattern (level E)Infection ControlCorrected Feb 29, 2024
  • 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.

    Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceFrom a complaintCorrected Feb 29, 2024
  • Provide and implement an infection prevention and control program.

    Risk of harm, no one hurt, a pattern (level E)Infection ControlCorrected Feb 29, 2024
  • 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 Feb 29, 2024
  • Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Feb 29, 2024
  • Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Feb 29, 2024
  • Safeguard 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 Feb 29, 2024
  • 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.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Feb 28, 2024
  • 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 ServiceCorrected Feb 29, 2024
  • Ensure 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 Feb 29, 2024
  • Allow residents to self-administer drugs if determined clinically appropriate.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Feb 29, 2024
  • Ensure each resident’s drug regimen must be free from unnecessary drugs.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Feb 29, 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
Tustin Hills Healthcare, Inc.
Medicare-certified beds
174
Average residents per day
161
Accepts
Medicare and Medicaid
First certified
December 1, 2000
Part of a chain
The Ensign Group, 344 homes
Inside a hospital
No
Continuing care retirement community
No
Resident or family council
Resident
Sprinklers in all required areas
Yes
CMS Certification Number
555765

Location

Loading map…

1800 OLD TUSTIN AVENUESanta Ana, CA 92705

12 other communities within 10 miles

Senior living near Santa Ana

Questions about The Hills Post Acute

How did The Hills Post Acute do on its last inspection?+

State inspectors visited on May 6, 2026 and cited 28 health deficiencies, 3 of them from complaint investigations. The California average is 15.5.

How much nursing care does each resident get at The Hills Post Acute?+

Nurses and aides spend 4 hours 2 minutes with each resident per day, including 23 minutes from registered nurses. 35% of nursing staff left over the past year.

Has The Hills Post Acute been fined by Medicare?+

Medicare's records show no fines against The Hills Post Acute 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.

Senior living in Santa Ana Skilled Nursing in California Skilled Nursing guide Information last updated October 2026