The Hills Post Acute
1800 Old Tustin Avenue, Santa Ana, CA 927057148354900Ownership: For profit - Limited Liability companyCertified beds: 174Avg. daily residents: 161Chain: The Ensign Group (342 facilities)County: Orange
The complete public record on The Hills Post Acute, a Medicare & Medicaid–certified nursing home in Santa Ana, California, from the CMS Care Compare database (August 2026 release). Every figure below is published by federal regulators; ClearPath adds the state comparisons and the plain-English reading.
CMS Star Ratings
Overall rating
★☆☆☆☆
CMS’s composite of the three ratings below. California average: 3.2 stars.
Health inspection
★☆☆☆☆
Based on the last three years of on-site inspections and complaint investigations — the rating CMS weights most heavily.
Staffing
★★★★☆
Nurse and aide hours per resident per day, adjusted for how much care residents need, plus staff turnover.
Quality measures
★★★★☆
Clinical outcomes CMS tracks, such as falls with injury, pressure ulcers and hospital readmissions.
The Hills Post Acute holds a 1-star overall rating, in the bottom two tiers CMS assigns. Federal regulators have fined this facility $4,893 in the last three years. None of this tells you whether a bed is open, whether your insurance is in network, or whether the facility will accept a given level of care — confirm those three directly with the facility before you commit.
Rating trajectory: overall rating declined from 2 stars (July 2026) to 1 stars (August 2026) across 2 monthly CMS releases tracked by ClearPath.
Staffing
4.03 total nurse staff hours per resident per day
below the state average (4.52)
0.38 RN hours per resident per day
below the state average (0.67)
3.69 weekend nurse staff hours per resident per day
34.8% total nursing staff turnover
below the state average (36.7)
38.9% RN turnover
0 administrators left in the reporting period
Hours are per resident per day, from payroll-based journal data facilities submit to CMS. Turnover is the share of nursing staff who left over the past year.
Inspections & Penalties
May 6, 2026 most recent standard health inspection
28 health deficiencies cited in the most recent inspection cycle
above the state average (15.6)
62 health deficiencies in the two prior cycles combined
$4,893 in federal fines across 2 penalties (last 3 years)
below the state average ($24,666)
0 payment denials
CMS withholding Medicare/Medicaid payment for new admissions until problems were fixed
Recent Inspection Citations
60 citations on record across recent inspections. Showing the most recent inspection. Severity uses CMS’s A–L scope-and-severity scale; G and above means residents were actually harmed.
| Inspection | Tag | What was cited | Severity |
|---|
| June 30, 2026 | 0692 | Provide enough food/fluids to maintain a resident's health. Complaint | D · Potential for more than minimal harm |
| June 30, 2026 | 0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Complaint | D · Potential for more than minimal harm |
| June 30, 2026 | 0880 | Provide and implement an infection prevention and control program. Complaint | D · Potential for more than minimal harm |
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Source: CMS Care Compare (data.cms.gov), August 2026 monthly release. Figures are as published by CMS and change monthly; ClearPath refreshes automatically. ClearPath Senior Guide is an independent information service, accepts no referral fees or placement incentives from any facility, and does not recommend facilities. Verify current details with the facility.