Nursing homes › California › San Juan Hills Healthcare Center
31741 Rancho Viejo Road, San Juan Capistrano, CA 92675 · 9492488855 · 45 certified beds
Per CMS filings, this facility is affiliated with Aspen Skilled Healthcare, a group operating 35 facilities in 2 states. Group record: average rating 3.7/5, 1 abuse citation icons, 0 facilities on the Special Focus list, $747,470 in federal fines. This facility rates above its group average (3.7/5).
Total nurse staffing: 5.08 (California median: 4.24). RN hours: 0.92. Weekend total: 4.50. Nursing staff turnover: 37%.
All-time on record: 64 deficiency citations. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-05-26 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | complaint | corrected 2026-06-11 |
| 2026-05-26 | 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. | D | complaint | corrected 2026-06-11 |
| 2026-05-26 | Post nurse staffing information every day. | B | complaint | corrected 2026-06-11 |
| 2026-04-20 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | complaint | corrected 2026-05-05 |
| 2026-01-22 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Health | corrected 2026-03-03 |
| 2026-01-22 | Provide and implement an infection prevention and control program. | E | Health | corrected 2026-03-03 |
| 2026-01-22 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Health | corrected 2026-03-03 |
| 2026-01-22 | 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 2026-03-03 |
| 2026-01-22 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Health | corrected 2026-03-03 |
| 2026-01-22 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D | Health | corrected 2026-03-03 |
| 2026-01-22 | Provide safe and appropriate respiratory care for a resident when needed. | D | Health | corrected 2026-03-03 |
| 2026-01-22 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Health | corrected 2026-03-03 |
| 2026-01-22 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | D | Health | corrected 2026-03-03 |
| 2026-01-22 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | Health | corrected 2026-03-03 |
| 2026-01-22 | Conduct 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. | D | Health | corrected 2026-03-03 |
| 2026-01-22 | 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. | D | Health | corrected 2026-03-03 |
| 2026-01-22 | Reasonably accommodate the needs and preferences of each resident. | B | Health | corrected 2026-03-03 |
| 2026-01-22 | Dispose of garbage and refuse properly. | B | Health | corrected 2026-03-03 |
| 2025-10-15 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | complaint | corrected 2025-11-12 |
| 2025-07-15 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | complaint | corrected 2025-08-02 |
| 2025-07-15 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | B | complaint | corrected 2025-08-02 |
| 2025-07-15 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | B | complaint | corrected 2025-08-02 |
| 2025-05-23 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | B | complaint | corrected 2025-06-19 |
| 2024-11-15 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Health | corrected 2024-12-13 |
| 2024-11-15 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Health | corrected 2024-12-13 |
| 2024-11-15 | Honor the resident's right to organize and participate in resident/family groups in the facility. | D | Health | corrected 2024-12-13 |
| 2024-11-15 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Health | corrected 2024-12-13 |
| 2024-11-15 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Health | corrected 2024-12-13 |
| 2024-11-15 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Health | corrected 2024-12-13 |
| 2024-11-15 | Provide safe and appropriate respiratory care for a resident when needed. | D | Health | corrected 2024-12-13 |
| 2024-11-15 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Health | corrected 2024-12-13 |
| 2024-11-15 | 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. | D | Health | corrected 2024-12-13 |
| 2024-11-15 | Ensure medication error rates are not 5 percent or greater. | D | Health | corrected 2024-12-13 |
| 2024-11-15 | 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. | D | Health | corrected 2024-12-13 |
| 2024-11-15 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | D | Health | corrected 2024-12-13 |
| 2024-11-15 | 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. | D | Health | corrected 2024-12-13 |
| 2024-11-15 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | complaint | corrected 2024-12-13 |
| 2024-11-15 | Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | D | Health | corrected 2024-12-13 |
| 2024-11-15 | Provide and implement an infection prevention and control program. | D | Health | corrected 2024-12-13 |
| 2024-11-15 | Implement a program that monitors antibiotic use. | D | Health | corrected 2024-12-13 |
No federal fines or payment denials on record.
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| ASRV LLC | Direct Ownership Interest | Organization | NOT APPLICABLE | since 11/03/2021 |
| ASPEN SKILLED HEALTHCARE INC | Indirect Ownership Interest | Organization | NOT APPLICABLE | since 11/03/2021 |
| SACC LLC | Indirect Ownership Interest | Organization | NOT APPLICABLE | since 11/03/2021 |
| BRADSHAW, JEFFREY | Indirect Ownership Interest | Individual | NOT APPLICABLE | since 11/03/2021 |
| BRADSHAW, PETER | Indirect Ownership Interest | Individual | NOT APPLICABLE | since 07/07/2023 |
| BRADY, VERN | Indirect Ownership Interest | Individual | NOT APPLICABLE | since 11/03/2021 |
| CASE, RYAN | Indirect Ownership Interest | Individual | NOT APPLICABLE | since 11/03/2021 |
| ELSNER, ERIC | Indirect Ownership Interest | Individual | NOT APPLICABLE | since 11/03/2021 |
| KIRKWOOD, JARED | Indirect Ownership Interest | Individual | NOT APPLICABLE | since 11/03/2021 |
| ORGILL, CRAIG | Indirect Ownership Interest | Individual | NOT APPLICABLE | since 11/03/2021 |
| PARTI, RAJESH | Indirect Ownership Interest | Individual | NOT APPLICABLE | since 11/03/2021 |
| PARTI, SHRUTY | Indirect Ownership Interest | Individual | NOT APPLICABLE | since 11/03/2021 |
| PAXMAN, MARCUS | Indirect Ownership Interest | Individual | NOT APPLICABLE | since 04/01/2022 |
| BRADSHAW, JEFFREY | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 01/01/2023 |
| CASLMON, TIMOTHY | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 01/01/2023 |
| THOMPSON, STEPHEN | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 01/01/2023 |
| ASRV LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 11/03/2021 |
| CASLMON, TIMOTHY | Operational/Managerial Control | Individual | NOT APPLICABLE | since 01/01/2023 |
| NORDFELT, SPENCER | Operational/Managerial Control | Individual | NOT APPLICABLE | since 01/03/2022 |
| STA ANA, LANIE | Operational/Managerial Control | Individual | NOT APPLICABLE | since 02/01/2022 |
| THOMPSON, STEPHEN | Operational/Managerial Control | Individual | NOT APPLICABLE | since 01/01/2023 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 555763. Corrections: data@carerecords.org.