Nursing homes › California › Pacific Haven Subacute and Healthcare Center
12072 Trask Ave., Garden Grove, CA 92843 · 7145341942 · 99 certified beds
Per CMS filings, this facility is affiliated with The Ensign Group, a group operating 346 facilities in 17 states. Group record: average rating 3.2/5, 33 abuse citation icons, 9 facilities on the Special Focus list, $7,179,329 in federal fines. This facility rates above its group average (3.2/5).
Total nurse staffing: 5.23 (California median: 4.24). RN hours: 0.89. Weekend total: 4.90. Nursing staff turnover: 42%.
All-time on record: 35 deficiency citations. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-04-17 | Respond appropriately to all alleged violations. | D | complaint | corrected 2026-04-26 |
| 2025-11-04 | 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. | G | complaint | corrected 2025-12-16 |
| 2025-11-04 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | G | complaint | corrected 2025-12-16 |
| 2025-06-12 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | complaint | corrected 2025-07-01 |
| 2025-05-05 | 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. | E | Health | corrected 2025-06-01 |
| 2025-05-05 | Provide and implement an infection prevention and control program. | E | Health | corrected 2025-06-01 |
| 2025-05-05 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Health | corrected 2025-06-01 |
| 2025-05-05 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | Health | corrected 2025-06-01 |
| 2025-05-05 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Health | corrected 2025-06-01 |
| 2025-05-05 | Provide activities to meet all resident's needs. | D | Health | corrected 2025-06-01 |
| 2025-05-05 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Health | corrected 2025-06-01 |
| 2025-05-05 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | Health | corrected 2025-06-01 |
| 2025-05-05 | Provide enough food/fluids to maintain a resident's health. | D | Health | corrected 2025-06-01 |
| 2025-05-05 | 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. | D | Health | corrected 2025-06-01 |
| 2025-05-05 | Provide safe and appropriate respiratory care for a resident when needed. | D | Health | corrected 2025-06-01 |
| 2025-05-05 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Health | corrected 2025-06-01 |
| 2025-05-05 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Health | corrected 2025-06-01 |
| 2025-05-05 | Keep all essential equipment working safely. | D | Health | corrected 2025-06-01 |
| 2025-05-05 | Honor 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. | B | complaint | corrected 2025-06-01 |
| 2025-05-05 | 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. | B | complaint | corrected 2025-06-01 |
| 2025-05-05 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | B | complaint | corrected 2025-06-01 |
| 2025-05-05 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | B | Health | corrected 2025-06-01 |
| 2024-04-11 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Health | corrected 2024-05-07 |
| 2024-04-11 | Provide and implement an infection prevention and control program. | E | Health | corrected 2024-05-09 |
| 2024-04-11 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Health | corrected 2024-05-02 |
| 2024-04-11 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Health | corrected 2024-05-09 |
| 2023-12-22 | Provide safe and appropriate respiratory care for a resident when needed. | E | complaint | corrected 2024-01-20 |
| 2023-12-22 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | B | complaint | corrected 2024-01-20 |
| 2023-07-17 | Plan the resident's discharge to meet the resident's goals and needs. | D | complaint | corrected 2023-08-16 |
No federal fines or payment denials on record.
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| CRUZ, MELODY | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 04/01/2025 |
| LE, CHINH | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 04/01/2025 |
| WILLITS, ADAM | Corporate Director | Individual | NOT APPLICABLE | since 09/11/2024 |
| BURNAM, SOON | Corporate Officer | Individual | NOT APPLICABLE | since 09/11/2024 |
| LOOPER, WILLIAM | Corporate Officer | Individual | NOT APPLICABLE | since 09/11/2024 |
| SATO, AMI | Corporate Officer | Individual | NOT APPLICABLE | since 09/11/2024 |
| WILLITS, ADAM | Corporate Officer | Individual | NOT APPLICABLE | since 09/11/2024 |
| CRUZ, MELODY | Operational/Managerial Control | Individual | NOT APPLICABLE | since 04/01/2025 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 055575. Corrections: data@carerecords.org.