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Nursing Homes · Medicare certified

The Hills Post Acute

1800 Old Tustin Avenue · Santa Ana, CA 92705 · 174 certified beds

(714) 835-4900

NPI 1609330547 (opens in a new tab)

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About The Hills Post Acute

The Hills Post Acute is a nursing home in Santa Ana, California. Its capacity is 174 beds, above the Orange County median of 99 for nursing homes. It is run by a for-profit operator and is part of The Ensign Group. It is Medicare certified. Its public inspection record shows 132 citations, the most recent on May 6, 2026. CMS also lists 2 fines or payment denials against it. Nurse staffing averages 4.10 hours per resident per day. It is one of 8 nursing homes listed in Santa Ana. Residents and families can raise concerns with the Office of the State Long-Term Care Ombudsman at 1-800-231-4024. Its public records were last updated in October 2026.

Public record

CMS Care Compare, updated October 2026

Certification

Medicare-certified.

Ratings

Overall

1.0

Staffing

4.0

Quality measures

4.0

CMS Care Compare, October 2026.

Inspection history (132)

Records from October 2021 to May 2026.

  • February 8, 2024

    Tag F0695

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

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 29, 2024.

  • February 8, 2024

    Tag F0756

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 29, 2024.

  • January 23, 2024

    Tag F0660

    Plan the resident's discharge to meet the resident's goals and needs.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 22, 2024.

  • January 23, 2024

    Tag F0578

    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.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 22, 2024.

  • January 23, 2024

    Tag F0657

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 22, 2024.

  • January 23, 2024

    Tag F0686

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 22, 2024.

  • January 23, 2024

    Tag F0684

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected February 22, 2024.

  • January 23, 2024

    Tag F0561

    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 22, 2024.

  • January 23, 2024

    Tag F0697

    Provide safe, appropriate pain management for a resident who requires such services.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 22, 2024.

  • January 23, 2024

    Tag F0623

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 22, 2024.

  • January 23, 2024

    Tag F0690

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 22, 2024.

  • January 23, 2024

    Tag F0584

    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.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 22, 2024.

  • January 23, 2024

    Tag F0760

    Ensure that residents are free from significant medication errors.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 22, 2024.

  • January 23, 2024

    Tag F0558

    Reasonably accommodate the needs and preferences of each resident.

    Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected February 22, 2024.

  • January 23, 2024

    Tag F0624

    Prepare residents for a safe transfer or discharge from the nursing home.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 22, 2024.

  • January 23, 2024

    Tag F0758

    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 l….

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 22, 2024.

  • January 23, 2024

    Tag F0622

    Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 22, 2024.

  • January 23, 2024

    Tag F0725

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected February 22, 2024.

  • January 23, 2024

    Tag F0689

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 22, 2024.

  • January 23, 2024

    Tag F0755

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 22, 2024.

See the source data on data.cms.gov (opens in a new tab)

Penalties (2)

Total fines: $4,893

  • September 18, 2023 · Fine

    CMS recorded a civil money penalty of $1,748 against this nursing home on September 18, 2023.

  • August 28, 2023 · Fine

    CMS recorded a civil money penalty of $3,145 against this nursing home on August 28, 2023.

See the source data on data.cms.gov (opens in a new tab)

Staffing

4.10 nurse hours per resident per day in Q2 2026, up from 3.92 in Q4 2025.

From the payroll records nursing homes file with CMS.

Ownership

For profit - Limited Liability company

Part of The Ensign Group, a chain of 347 nursing homes.

Average CMS star ratings across the chain: 3.3 overall, 2.8 for health inspections, 2.8 for staffing, 4.4 for quality measures.

Typical cost

CareScout Cost of Care Survey, 2025

This provider's prices aren't public. Here is what the same care typically costs in California.

Nursing Homes

California median$12,167/mo

Nearby alternatives

Other licensed providers in Santa Ana.

Deciding between options? Nursing Homes Guide: Skilled Nursing & Long-Term Care

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