nursing home in Laguna Hills, CA
Palm Terrace Healthcare & Rehabilitation Center
24962 Calle Aragon, Laguna Hills, CA 92637 · (949) 587-9000
★★★★★3
Average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★2
- Staffing★★★★★2
- Quality measures★★★★★5
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Palm Terrace Healthcare & Rehabilitation Center at a glance
Palm Terrace Healthcare & Rehabilitation Center is a 99-bed for-profit nursing home in Laguna Hills, California (Orange County).
CMS gives it 3 out of 5 stars on its overall star rating, close to the California average of 3.2.
Residents receive about 4.3 hours of nursing care per day (0.4 of them from registered nurses), close to the state average of 4.5 hours.
Its most recent standard health inspection (February 9, 2026) found 23 health citations. The California average is 15.5.
Federal regulators fined it 2 times in the past three years, totaling $50,950.
Nursing staff turnover is 52.5% per year (state average 36.7%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 99
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- The Ensign Group
- Medicare-certified since
- April 9, 1987
- Resident/family council
- Resident
- County
- Orange County
- CMS Certification Number
- 555257
Ratings
| Measure | This facility | California avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 3 / 5 | 3.2 / 5 | 3 / 5 | Average |
| Health inspection rating ⓘ (higher is better) | 2 / 5 | 2.8 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 2 / 5 | 3.3 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 5 / 5 | 4.1 / 5 | 3.6 / 5 | Better |
| Long-stay quality rating (higher is better) | 5 / 5 | 4.4 / 5 | 3.8 / 5 | Better |
| Short-stay (rehab) quality rating (higher is better) | 3 / 5 | 3.6 / 5 | 3.3 / 5 | Average |
Staffing
| Measure | This facility | California avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 4.34 hrs | 4.52 hrs | 3.86 hrs | Better |
| Registered nurse hours per resident per day (higher is better) | 0.44 hrs | 0.67 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 2.37 hrs | 2.65 hrs | 2.32 hrs | Average |
| Weekend nurse staff hours per resident per day (higher is better) | 3.69 hrs | 4.09 hrs | 3.42 hrs | Better |
| Nursing staff turnover (yearly) (lower is better) | 52.5% | 36.7% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 50% | 38.1% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 0 | 0 | 1 | Better |
Inspections
| Measure | This facility | California avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 23 | 16 | 9 | Worse |
| Citations from complaint investigations (latest cycle) (lower is better) | 5 | 4 | 3 | Worse |
| Weighted health inspection score ⓘ (lower is better) | 104 | 105.8 | 80.6 | Worse |
Penalties
| Measure | This facility | California avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 2 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $50,950 | $23,986 | $30,972 | Worse |
| All federal penalties in the past 3 years (lower is better) | 2 | 1 | 1 | Worse |
Size
| Measure | This facility | California avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 99 | 99 | 107 | |
| Average residents per day | 92 | 88 | 86 | |
| Occupancy | 93.1% | 88.4% | 80.9% |
Long-stay residents
| Measure | This facility | California avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 3.9% | 1.6% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 2.6% | 4.3% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 2.9% | 12% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 0.6% | 1.2% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0.3% | 0.8% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 9% | 10.2% | 13.9% | Better |
| Long-stay residents whose walking worsened (lower is better) | 8.7% | 9.8% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 0.6% | 4% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 2.4% | 7.3% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.4% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 18.3% | 13.7% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 12.9% | 10.2% | 19% | Better |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 98.2% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 98.3% | 98.6% | 93.6% | Better |
Short-stay residents
| Measure | This facility | California avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 0.5% | 1.5% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 99.7% | 93.2% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 99.9% | 94.4% | 82% | Better |
Inspection citations
State inspectors cited this home for 50 health deficiencies and 10 fire safety deficiencies in the inspection records CMS currently publishes. 2 citations involved actual harm.
| Date | Citation | Severity | Status |
|---|---|---|---|
| February 26, 2026 Complaint | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | B No harm, pattern | Corrected March 10, 2026 |
| February 9, 2026 Fire safety | Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Egress Deficiencies · Tag K0223 | D Potential harm, isolated | Corrected February 7, 2026 |
| February 9, 2026 Fire safety | Use approved construction type or materials. Construction Deficiencies · Tag K0161 | D Potential harm, isolated | Corrected February 7, 2026 |
| February 9, 2026 Standard | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | G Actual harm, isolated | Corrected March 10, 2026 |
| February 9, 2026 Complaint | 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. Nursing and Physician Services Deficiencies · Tag F0726 | G Actual harm, isolated | Corrected March 10, 2026 |
| February 9, 2026 Standard | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0605 | E Potential harm, pattern | Corrected March 10, 2026 |
| February 9, 2026 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected March 10, 2026 |
| February 9, 2026 Standard | Keep all essential equipment working safely. Environmental Deficiencies · Tag F0908 | D Potential harm, isolated | Corrected March 10, 2026 |
| February 9, 2026 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected March 10, 2026 |
| February 9, 2026 Standard | 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. Administration Deficiencies · Tag F0849 | D Potential harm, isolated | Corrected March 10, 2026 |
| February 9, 2026 Complaint | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | D Potential harm, isolated | Corrected March 10, 2026 |
| February 9, 2026 Complaint | Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Tag F0697 | D Potential harm, isolated | Corrected March 10, 2026 |
| February 9, 2026 Standard | Provide for the safe, appropriate administration of IV fluids for a resident when needed. Quality of Life and Care Deficiencies · Tag F0694 | D Potential harm, isolated | Corrected March 10, 2026 |
| February 9, 2026 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected March 10, 2026 |
| February 9, 2026 Complaint | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | D Potential harm, isolated | Corrected March 10, 2026 |
| February 9, 2026 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected March 10, 2026 |
| February 9, 2026 Standard | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Tag F0645 | D Potential harm, isolated | Corrected March 10, 2026 |
| February 9, 2026 Standard | 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. Resident Rights Deficiencies · Tag F0584 | D Potential harm, isolated | Corrected March 10, 2026 |
| February 9, 2026 Standard | Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies · Tag F0552 | D Potential harm, isolated | Corrected March 10, 2026 |
| February 9, 2026 Standard | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Tag F0804 | D Potential harm, isolated | Corrected March 10, 2026 |
| February 9, 2026 Standard | 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. Nutrition and Dietary Deficiencies · Tag F0803 | D Potential harm, isolated | Corrected March 10, 2026 |
| February 9, 2026 Standard | 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. Pharmacy Service Deficiencies · Tag F0761 | D Potential harm, isolated | Corrected March 10, 2026 |
| February 9, 2026 Standard | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Tag F0759 | D Potential harm, isolated | Corrected March 10, 2026 |
| February 9, 2026 Standard | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Tag F0757 | D Potential harm, isolated | Corrected March 10, 2026 |
| February 9, 2026 Standard | Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · Tag F0814 | B No harm, pattern | Corrected March 10, 2026 |
| August 13, 2025 Complaint | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | D Potential harm, isolated | Corrected August 27, 2025 |
| February 3, 2025 Fire safety | Have elevators that firefighters can control in the event of a fire. Services Deficiencies · Tag K0531 | F Potential harm, widespread | Corrected February 7, 2025 |
| February 3, 2025 Fire safety | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0923 | E Potential harm, pattern | Corrected February 8, 2025 |
| February 3, 2025 Standard | Provide for the safe, appropriate administration of IV fluids for a resident when needed. Quality of Life and Care Deficiencies · Tag F0694 | D Potential harm, isolated | Corrected February 21, 2025 |
| February 3, 2025 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | D Potential harm, isolated | Corrected February 21, 2025 |
| February 3, 2025 Standard | 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. Nutrition and Dietary Deficiencies · Tag F0803 | D Potential harm, isolated | Corrected February 21, 2025 |
| February 3, 2025 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | D Potential harm, isolated | Corrected February 21, 2025 |
| February 3, 2025 Standard | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | D Potential harm, isolated | Corrected February 21, 2025 |
| February 3, 2025 Standard | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | B No harm, pattern | Corrected February 21, 2025 |
| February 3, 2025 Standard | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Tag F0655 | B No harm, pattern | Corrected February 21, 2025 |
| February 3, 2025 Standard | 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. Pharmacy Service Deficiencies · Tag F0761 | B No harm, pattern | Corrected February 21, 2025 |
| February 3, 2025 Standard | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | B No harm, pattern | Corrected February 21, 2025 |
| October 10, 2024 Complaint | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | D Potential harm, isolated | Corrected November 9, 2024 |
| September 3, 2024 Complaint | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Tag F0804 | D Potential harm, isolated | Corrected September 18, 2024 |
| September 3, 2024 Complaint | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | D Potential harm, isolated | Corrected September 18, 2024 |
| November 30, 2023 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected December 30, 2023 |
| November 30, 2023 Complaint | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Tag F0580 | D Potential harm, isolated | Corrected December 30, 2023 |
| September 8, 2023 Complaint | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | B No harm, pattern | Corrected September 22, 2023 |
| May 24, 2022 Fire safety | Provide emergency officials' contact information. Emergency Preparedness Deficiencies · Tag E0031 | D Potential harm, isolated | Corrected June 14, 2022 |
| May 24, 2022 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | D Potential harm, isolated | Corrected June 14, 2022 |
| May 24, 2022 Fire safety | Have elevators that firefighters can control in the event of a fire. Services Deficiencies · Tag K0531 | D Potential harm, isolated | Corrected June 14, 2022 |
| May 24, 2022 Fire safety | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Tag K0355 | D Potential harm, isolated | Corrected June 14, 2022 |
| May 24, 2022 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | D Potential harm, isolated | Corrected June 14, 2022 |
| May 24, 2022 Fire safety | Provide family notifications of emergency plan. Emergency Preparedness Deficiencies · Tag E0035 | D Potential harm, isolated | Corrected June 14, 2022 |
| May 24, 2022 Standard | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental Deficiencies · Tag F0925 | F Potential harm, widespread | Corrected June 24, 2022 |
| May 24, 2022 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected June 24, 2022 |
| May 24, 2022 Standard | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Tag F0698 | D Potential harm, isolated | Corrected June 24, 2022 |
| May 24, 2022 Standard | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Tag F0692 | D Potential harm, isolated | Corrected June 24, 2022 |
| May 24, 2022 Standard | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Tag F0679 | D Potential harm, isolated | Corrected June 24, 2022 |
| May 24, 2022 Standard | 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. Resident Rights Deficiencies · Tag F0578 | D Potential harm, isolated | Corrected June 24, 2022 |
| May 24, 2022 Standard | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | D Potential harm, isolated | Corrected June 24, 2022 |
| May 24, 2022 Standard | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Tag F0804 | D Potential harm, isolated | Corrected June 24, 2022 |
| May 24, 2022 Standard | 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. Pharmacy Service Deficiencies · Tag F0761 | D Potential harm, isolated | Corrected June 24, 2022 |
| May 24, 2022 Standard | 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. Nutrition and Dietary Deficiencies · Tag F0803 | D Potential harm, isolated | Corrected June 24, 2022 |
| May 24, 2022 Standard | 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. Nursing and Physician Services Deficiencies · Tag F0726 | D Potential harm, isolated | Corrected June 24, 2022 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 1 federal penalty in the past three years, including $25,475 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| February 9, 2026 | Fine | $25,475 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| ENSIGN SERVICES INC Organization | adp of the snf | NOT APPLICABLE | 11/01/2004 |
| ESKANDARI, HAMID Individual | adp of the snf | NOT APPLICABLE | 02/01/2021 |
| LINDSEY, BRYCE Individual | adp of the snf | NOT APPLICABLE | 04/02/2019 |
| WELLTOWER VICTORY II LANDLORD LP Organization | adp of the snf | NOT APPLICABLE | 08/31/2016 |
| WILLITS, ADAM Individual | corporate director | NOT APPLICABLE | 07/30/2018 |
| BURNAM, SOON Individual | corporate officer | NOT APPLICABLE | 01/30/2006 |
| KEETCH, CHAD Individual | corporate officer | NOT APPLICABLE | 03/01/2011 |
| THE ENSIGN GROUP INC Organization | indirect ownership interest | NOT APPLICABLE | 01/30/2006 |
| PORT, BARRY Individual | individual is an owner, partner or trustee of any adp of the snf | NOT APPLICABLE | 10/14/2025 |
| ESKANDARI, HAMID Individual | managing control - governing body | NOT APPLICABLE | 02/01/2021 |
| LINDSEY, BRYCE Individual | managing control - governing body | NOT APPLICABLE | 04/02/2019 |
| ESKANDARI, HAMID Individual | operational/managerial control | NOT APPLICABLE | 02/01/2021 |
| LINDSEY, BRYCE Individual | operational/managerial control | NOT APPLICABLE | 04/02/2019 |
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Frequently asked questions
What is Palm Terrace Healthcare & Rehabilitation Center's rating?
Palm Terrace Healthcare & Rehabilitation Center has 3 out of 5 stars on the CMS overall star rating. The average for California nursing homes is 3.2 stars.
How many inspection citations did Palm Terrace Healthcare & Rehabilitation Center receive?
Its most recent standard health inspection found 23 citations, compared with a California average of 15.5. Every citation is listed on this page with its severity.
Does Palm Terrace Healthcare & Rehabilitation Center accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Palm Terrace Healthcare & Rehabilitation Center?
It is for profit - limited liability company and part of The Ensign Group. The ownership section on this page lists the owners and managers reported to CMS.
Where is Palm Terrace Healthcare & Rehabilitation Center and how do I contact it?
Palm Terrace Healthcare & Rehabilitation Center is at 24962 Calle Aragon, Laguna Hills, CA 92637. Phone: (949) 587-9000.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.