The Hills Post Acute in Santa Ana, CA - Medicare and Medicaid Certified Nursing Home

The Hills Post Acute is a medicare and medicaid certified nursing home in Santa Ana, California. It is located in Orange county at 1800 Old Tustin Avenue, Santa Ana, California 92705. You can reach out to the office of The Hills Post Acute via phone at (714) 835-4900. This skilled nursing facility has 174 federally certified beds with average occupancy rate of 92.59%. Its legal business name is Tustin Hills Healthcare, Inc. and has the following ownership type - For Profit - Limited Liability Company. It is part of The Ensign Group, a chain of 342 nursing homes.

The Hills Post Acute (Medicare CCN 555765) is certified by CMS (Centers for Medicare & Medicaid Services) and participates in both medicare and medicaid program. This means if you are part of medicare or medicaid program, you may consider this nursing facility for your medical needs. It was first certified by CMS in 2000 (26 years certified) and the last quality survey was conducted in May, 2026.

Contact Information

	The Hills Post Acute
	1800 Old Tustin Avenue, Santa Ana, California 92705
	(714) 835-4900

Map and Direction

Nursing Home Profile

Name	The Hills Post Acute
Location	1800 Old Tustin Avenue, Santa Ana, California
Certified By	Medicare and Medicaid
No. of Certified Beds	174
Occupancy Rate	92.59%
Medicare ID (CCN)	555765
Legal Business Name	Tustin Hills Healthcare, Inc.
Ownership Type	For Profit - Limited Liability Company
Chain	The Ensign Group (342 nursing homes)
Chain Average Overall Rating	3.2 out of 5

NPI Associated with this Nursing Home:

Nursing homes may have several NPI numbers. NPIs marked Confirmed are listed with The Hills Post Acute in Medicare enrollment records; Possible ones were matched in NPPES by name, address or phone number, so please use them accordingly.

NPI Number	1609330547
Match	Confirmed listed in Medicare enrollment records
Organization Name	Tustin Hills Healthcare, Inc.
Doing Business As	The Hills Post Acute
Address	1800 Old Tustin Ave, Santa Ana, CA 92705
Phone Number	714-835-4900

NPI Number	1609865583
Match	Possible same name, address or phone number
Organization Name	Carehouse Healthcare Center, LLC
Doing Business As	Carehouse Healthcare Center
Address	1800 Old Tustin Ave., Santa Ana, CA 92705
Phone Number	714-835-4900

Quality Ratings:

Nursing homes vary in the quality of care and services they provide to their residents. The below quality ratings for The Hills Post Acute are calculated from three sources - health inspection results, staffing data, and quality measure data. This information gives you an indication of the care The Hills Post Acute give to their patients.

Ratings from Surveys (Inspections):
Ratings from Quality Measures:
Ratings from Staffing Data:
Overall Rating:

Staffing and Staff Turnover:

Staffing hours per resident per day and staff turnover of The Hills Post Acute, from the payroll data it reports to CMS, are compared against the national average with the color code indicators: Better than National Average Worse than National Average

Staffing Measure	Provider	National Avg.
Total nurse staff hours per resident per day	4.03	3.86
Registered nurse (RN) hours per resident per day	0.38	0.69
Licensed practical nurse (LPN) hours per resident per day	1.15	0.86
Nurse aide hours per resident per day	2.49	2.32
Total nurse staff hours per resident per day on the weekend	3.69	3.42
RN hours per resident per day on the weekend	0.3	0.48
Physical therapist hours per resident per day	0.11	0.07
Total nursing staff turnover	34.8%	45.8%
Registered nurse turnover	38.9%	42.9%
Number of administrators who have left the nursing home	0	0.5

Complaints, Fines and Penalties:

Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon)	No
Number of Fines	2
Total Amount of Fines in Dollars	$4,893
Number of Payment Denials	0
Total Number of Penalties	2

Health Inspections:

In its most recent inspection cycle (standard health inspection in May, 2026, plus any complaint inspections), inspectors cited The Hills Post Acute for 28 health deficiencies (national average: 9.3). The 30 most recent of its 122 citations since 2023 are listed below.

Date	Deficiency	Harm Level	Status
Jun 30, 2026	Provide enough food/fluids to maintain a resident's health. F0692, Quality of Life and Care, Complaint inspection	Potential for harm, isolated	Corrected by Jul 20, 2026
Jun 30, 2026	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755, Pharmacy Service, Complaint inspection	Potential for harm, isolated	Corrected by Jul 20, 2026
Jun 30, 2026	Provide and implement an infection prevention and control program. F0880, Infection Control, Complaint inspection	Potential for harm, isolated	Corrected by Jul 20, 2026
May 6, 2026	Provide safe and appropriate respiratory care for a resident when needed. F0695, Quality of Life and Care, Standard inspection	Potential for harm, pattern	Corrected by Jun 1, 2026
May 6, 2026	Provide safe, appropriate dialysis care/services for a resident who requires such services. F0698, Quality of Life and Care, Standard inspection	Potential for harm, pattern	Corrected by Jun 1, 2026
May 6, 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. F0761, Pharmacy Service, Standard inspection	Potential for harm, pattern	Corrected by Jun 1, 2026
May 6, 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. F0803, Nutrition and Dietary, Standard inspection	Potential for harm, pattern	Corrected by Jun 1, 2026
May 6, 2026	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection	Potential for harm, pattern	Corrected by Jun 1, 2026
May 6, 2026	Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection	Potential for harm, pattern	Corrected by Jun 1, 2026
May 6, 2026	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550, Resident Rights, Standard inspection	Potential for harm, isolated	Corrected by Jun 1, 2026
May 6, 2026	Reasonably accommodate the needs and preferences of each resident. F0558, Resident Rights, Standard inspection	Potential for harm, isolated	Corrected by Jun 1, 2026
May 6, 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. F0584, Resident Rights, Standard inspection	Potential for harm, isolated	Corrected by Jun 1, 2026
May 6, 2026	Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. F0628, Resident Rights, Standard inspection	Potential for harm, isolated	Corrected by Jun 1, 2026
May 6, 2026	PASARR screening for Mental disorders or Intellectual Disabilities F0645, Resident Assessment and Care Planning, Standard inspection	Potential for harm, isolated	Corrected by Jun 1, 2026
May 6, 2026	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656, Resident Assessment and Care Planning, Standard inspection	Potential for harm, isolated	Corrected by Jun 1, 2026
May 6, 2026	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657, Resident Assessment and Care Planning, Standard inspection	Potential for harm, isolated	Corrected by Jun 1, 2026
May 6, 2026	Provide enough food/fluids to maintain a resident's health. F0692, Quality of Life and Care, Standard inspection	Potential for harm, isolated	Corrected by Jun 1, 2026
May 6, 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. F0693, Quality of Life and Care, Standard inspection	Potential for harm, isolated	Corrected by Jun 1, 2026
May 6, 2026	Provide for the safe, appropriate administration of IV fluids for a resident when needed. F0694, Quality of Life and Care, Standard inspection	Potential for harm, isolated	Corrected by Jun 1, 2026
May 6, 2026	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755, Pharmacy Service, Standard inspection	Potential for harm, isolated	Corrected by Jun 1, 2026
May 6, 2026	Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. F0756, Pharmacy Service, Standard inspection	Potential for harm, isolated	Corrected by Jun 1, 2026
May 6, 2026	Ensure each resident’s drug regimen must be free from unnecessary drugs. F0757, Pharmacy Service, Standard inspection	Potential for harm, isolated	Corrected by Jun 1, 2026
May 6, 2026	Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. F0804, Nutrition and Dietary, Standard inspection	Potential for harm, isolated	Corrected by Jun 1, 2026
May 6, 2026	Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. F0806, Nutrition and Dietary, Standard inspection	Potential for harm, isolated	Corrected by Jun 1, 2026
May 6, 2026	Have a policy regarding use and storage of foods brought to residents by family and other visitors. F0813, Nutrition and Dietary, Standard inspection	Potential for harm, isolated	Corrected by Jun 1, 2026
May 6, 2026	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842, Resident Assessment and Care Planning, Standard inspection	Potential for harm, isolated	Corrected by Jun 1, 2026
May 6, 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. F0849, Administration, Standard inspection	Potential for harm, isolated	Corrected by Jun 1, 2026
May 6, 2026	Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. F0640, Resident Assessment and Care Planning, Standard inspection	Minimal harm potential, pattern	Corrected by Jun 1, 2026
Mar 24, 2025	Provide for the safe, appropriate administration of IV fluids for a resident when needed. F0694, Quality of Life and Care, Standard inspection	Potential for harm, pattern	Corrected by Apr 14, 2025
Mar 24, 2025	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection	Potential for harm, pattern	Corrected by Apr 14, 2025

Quality of Resident Care:

These quality measures of The Hills Post Acute, from the regular health assessments of its residents, are compared against the national average with the color code indicators: Better than National Average Worse than National Average

Quality Measure	Provider	National Avg.
Percentage of long-stay residents whose need for help with daily activities has increased	9.18	13.87
Percentage of long-stay residents who lose too much weight	5.8	5.19
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.37	0.82
Percentage of long-stay residents with a urinary tract infection	1.04	1.59
Percentage of long-stay residents who have depressive symptoms	2.1	12.8
Percentage of long-stay residents who were physically restrained	0	0.13
Percentage of long-stay residents experiencing one or more falls with major injury	2.06	3.23
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	100	93.55
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	100	82.04
Percentage of short-stay residents who newly received an antipsychotic medication	0.45	1.56
Percentage of long-stay residents whose ability to walk independently worsened	16.37	14.07
Percentage of long-stay residents who received an antianxiety or hypnotic medication	10.35	19.52
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	99.31	95.46
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	96.82	79.75
Percentage of long-stay residents with pressure ulcers	3.2	4.62
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	14.85	19.01
Percentage of long-stay residents who received an antipsychotic medication	5.58	15.38

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Nursing Home

A nursing home (also called skilled nursing facility) is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living.

A skilled nursing facility (SNF) may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation.

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