| Palm Terrace Healthcare & Rehabilitation Center | |
| 24962 Calle Aragon, Laguna Hills, California 92637 | |
| (949) 587-9000 | |
| Name | Palm Terrace Healthcare & Rehabilitation Center |
|---|---|
| Location | 24962 Calle Aragon, Laguna Hills, California |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 99 |
| Occupancy Rate | 93.13% |
| Medicare ID (CCN) | 555257 |
| Legal Business Name | Gate Three Healthcare, LLC |
| Ownership Type | For Profit - Limited Liability Company |
| Chain | The Ensign Group (342 nursing homes) |
| Chain Average Overall Rating | 3.2 out of 5 |
| NPI Number | 1639164361 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Gate Three Healthcare LLC |
| Doing Business As | Palm Terrace Healthcare and Rehabilitation Center |
| Address | 24962 Calle Aragon, Laguna Hills, CA 92637 |
| Phone Number | 949-587-9000 |
| Ratings from Surveys (Inspections): | |
| Ratings from Quality Measures: | |
| Ratings from Staffing Data: | |
| Overall Rating: |
|---|
| Staffing Measure | Provider | National Avg. |
|---|---|---|
| Total nurse staff hours per resident per day | 4.34 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.44 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 1.52 | 0.86 |
| Nurse aide hours per resident per day | 2.37 | 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 | 0.24 | 0.48 |
| Physical therapist hours per resident per day | 0.17 | 0.07 |
| Total nursing staff turnover | 52.5% | 45.8% |
| Registered nurse turnover | 50% | 42.9% |
| Number of administrators who have left the nursing home | 0 | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | No |
| Number of Fines | 2 |
| Total Amount of Fines in Dollars | $50,950 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 2 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Feb 26, 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, Complaint inspection | Minimal harm potential, pattern | Corrected by Mar 10, 2026 |
| Feb 9, 2026 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Standard inspection | Actual harm, isolated | Corrected by Mar 10, 2026 |
| Feb 9, 2026 | 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. F0726, Nursing and Physician Services, Standard inspection, Complaint inspection | Actual harm, isolated | Corrected by Mar 10, 2026 |
| Feb 9, 2026 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. F0605, Freedom from Abuse, Neglect, and Exploitation, Standard inspection | Potential for harm, pattern | Corrected by Mar 10, 2026 |
| Feb 9, 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 Mar 10, 2026 |
| Feb 9, 2026 | Ensure that residents are fully informed and understand their health status, care and treatments. F0552, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Mar 10, 2026 |
| Feb 9, 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 Mar 10, 2026 |
| Feb 9, 2026 | PASARR screening for Mental disorders or Intellectual Disabilities F0645, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Mar 10, 2026 |
| Feb 9, 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 Mar 10, 2026 |
| Feb 9, 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, Complaint inspection | Potential for harm, isolated | Corrected by Mar 10, 2026 |
| Feb 9, 2026 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Mar 10, 2026 |
| Feb 9, 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 Mar 10, 2026 |
| Feb 9, 2026 | Provide safe, appropriate pain management for a resident who requires such services. F0697, Quality of Life and Care, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Mar 10, 2026 |
| Feb 9, 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, Complaint inspection | Potential for harm, isolated | Corrected by Mar 10, 2026 |
| Feb 9, 2026 | Ensure each resident’s drug regimen must be free from unnecessary drugs. F0757, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Mar 10, 2026 |
| Feb 9, 2026 | Ensure medication error rates are not 5 percent or greater. F0759, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Mar 10, 2026 |
| Feb 9, 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, isolated | Corrected by Mar 10, 2026 |
| Feb 9, 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, isolated | Corrected by Mar 10, 2026 |
| Feb 9, 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 Mar 10, 2026 |
| Feb 9, 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 Mar 10, 2026 |
| Feb 9, 2026 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, isolated | Corrected by Mar 10, 2026 |
| Feb 9, 2026 | Keep all essential equipment working safely. F0908, Environmental, Standard inspection | Potential for harm, isolated | Corrected by Mar 10, 2026 |
| Feb 9, 2026 | Dispose of garbage and refuse properly. F0814, Nutrition and Dietary, Standard inspection | Minimal harm potential, pattern | Corrected by Mar 10, 2026 |
| Aug 13, 2025 | 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 Aug 27, 2025 |
| Feb 3, 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, isolated | Corrected by Feb 21, 2025 |
| Feb 3, 2025 | Provide safe and appropriate respiratory care for a resident when needed. F0695, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Feb 21, 2025 |
| Feb 3, 2025 | Ensure that residents are free from significant medication errors. F0760, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Feb 21, 2025 |
| Feb 3, 2025 | 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, isolated | Corrected by Feb 21, 2025 |
| Feb 3, 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, isolated | Corrected by Feb 21, 2025 |
| Feb 3, 2025 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted F0655, Resident Assessment and Care Planning, Standard inspection | Minimal harm potential, pattern | Corrected by Feb 21, 2025 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 9.03 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 0.61 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.3 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 0.57 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 2.38 | 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 | 3.89 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 98.33 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 99.86 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.54 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 8.66 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 18.34 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 99.72 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 2.6 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 12.91 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 2.86 | 15.38 |
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