Public Record
Trabuco Hills Post Acute
Operated by David Johnson
From CMS
Facility profile
- CMS overall rating
- 2 / 5
- Certified beds
- 175
- Avg. residents per day
- 165.5
*CMS Five-Star
*CMS
*CMS
California cost report
Food cost per resident day
Raw food costs divided by total patient days from the same HCAI filing. Each year is compared with the median across California HCAI filers that carry a Medicare provider number for that report year; the roughly 18 percent of filers without one are not in the comparison.
2024 raw food costs per resident day
$12.83
Filing period: to
California median $8.96 across 825 filers. This facility: 90.5th percentile of those filers.
Within its operator's California portfolio ( 45 filers): median $10.43.
RN, LVN, and CNA staffing mix
Census context: 50,574 total patient days in this filing.
| Role | Productive hours | Productive salaries | Hourly rate |
|---|---|---|---|
| RN | 21,101 | $1,124,227 | $53.28/hour |
| LVN | 56,446 | $2,349,938 | $41.63/hour |
| CNA | 127,272 | $3,184,103 | $25.02/hour |
2023 raw food costs per resident day
$11.10
Filing period: to
California median $8.51 across 892 filers. This facility: 81.4th percentile of those filers.
Within its operator's California portfolio ( 45 filers): median $9.80.
RN, LVN, and CNA staffing mix
Census context: 44,232 total patient days in this filing.
| Role | Productive hours | Productive salaries | Hourly rate |
|---|---|---|---|
| RN | 11,801 | $622,176 | $52.72/hour |
| LVN | 50,161 | $2,018,267 | $40.24/hour |
| CNA | 115,523 | $2,732,657 | $23.65/hour |
2022 raw food costs per resident day
$11.77
Filing period: to
California median $8.23 across 896 filers. This facility: 86.8th percentile of those filers.
Within its operator's California portfolio ( 45 filers): median $9.67.
RN, LVN, and CNA staffing mix
Census context: 11,018 total patient days in this filing.
| Role | Productive hours | Productive salaries | Hourly rate |
|---|---|---|---|
| RN | 5,211 | $241,350 | $46.32/hour |
| LVN | 15,314 | $638,458 | $41.69/hour |
| CNA | 34,061 | $732,600 | $21.51/hour |
2021 raw food costs per resident day
$7.27
Filing period: to
California median $8.32 across 111 filers. This facility: 33.3th percentile of those filers.
RN, LVN, and CNA staffing mix
Census context: 27,799 total patient days in this filing.
| Role | Productive hours | Productive salaries | Hourly rate |
|---|---|---|---|
| RN | 3,893 | $177,979 | $45.72/hour |
| LVN | 23,946 | $958,371 | $40.02/hour |
| CNA | 61,522 | $1,509,151 | $24.53/hour |
*HCAI Long-Term Care Integrated Disclosure
Inspection record
On record from CMS
- Health citations
- 137
- Fire safety findings
- 39
- Inspections on file
- 22
- Last inspection
- 2026-01-23
*CMS
*CMS
*CMS
*CMS
Citations
137 citations on record
Each deficiency cited on a CMS health inspection of this facility, sourced from the federal record. Open a report for the raw CMS Scope and Severity grade on each finding.
What do CMS severity letters mean?
Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.
General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.
Each letter combines severity with scope: how many residents the deficiency affected.
- 0607Generalpotential for harm
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- 0557Generalpotential for harm
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
- 0686Generalpotential for harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- 0865Generalpotential for harm
Have a plan that describes the process for conducting QAPI and QAA activities.
- 0849Generalpotential for harm
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.
- 0947Generalpotential for harm
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
- 0693Generalpotential for harm
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.
- 0880Generalpotential for harm
Provide and implement an infection prevention and control program.
- 0883Generalpotential for harm
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- 0881Generalpotential for harm
Implement a program that monitors antibiotic use.
- 0838Generalno actual harm
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.
- 0813Generalpotential for harm
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
- 0812Generalpotential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- 0806Generalpotential for harm
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
- 0803Generalpotential for harm
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.
- 0802Generalpotential for harm
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
- 0761Generalpotential for harm
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.
- 0759Generalpotential for harm
Ensure medication error rates are not 5 percent or greater.
- 0755Generalpotential for harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- 0698Generalpotential for harm
Provide safe, appropriate dialysis care/services for a resident who requires such services.
- 0697Generalpotential for harm
Provide safe, appropriate pain management for a resident who requires such services.
- 0695Generalpotential for harm
Provide safe and appropriate respiratory care for a resident when needed.
- 0694Generalpotential for harm
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
- 0690Generalpotential for harm
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- 0925Generalpotential for harm
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
- 0919Generalpotential for harm
Make sure that a working call system is available in each resident's bathroom and bathing area.
- 0842Generalpotential for harm
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- 0908Generalpotential for harm
Keep all essential equipment working safely.
- 0685Generalpotential for harm
Assist a resident in gaining access to vision and hearing services.
- 0684Generalpotential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- 0656Generalpotential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- 0644Generalpotential for harm
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- 0641Generalno actual harm
Ensure each resident receives an accurate assessment.
- 0628Generalpotential for harm
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- 0627Generalpotential for harm
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
- 0605Generalpotential for harm
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
- 0583Generalpotential for harm
Keep residents' personal and medical records private and confidential.
- 0578Generalpotential for harm
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.
- 0554Generalpotential for harm
Allow residents to self-administer drugs if determined clinically appropriate.
- 0918Generalpotential for harm
Have generator or other power source capable of supplying service within 10 seconds.
- 0712Generalpotential for harm
Have simulated fire drills held at unexpected times.
- 0511Generalpotential for harm
Have properly installed electrical wiring and gas equipment.
- 0363Generalpotential for harm
Install corridor and hallway doors that block smoke.
- 0353Generalpotential for harm
Inspect, test, and maintain automatic sprinkler systems.
- 0345Generalno actual harm
Have approved installation, maintenance and testing program for fire alarm systems.
- 0161Generalpotential for harm
Use approved construction type or materials.
- 0887Generalpotential for harm
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
- 0686Generalno actual harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- 0636Generalno actual harm
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
- 0583Generalno actual harm
Keep residents' personal and medical records private and confidential.
- 0755Generalno actual harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- 0842Generalno actual harm
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- 0757Generalpotential for harm
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- 0755Generalpotential for harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- 0684Generalpotential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- 0684Generalpotential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- 0770Generalno actual harm
Provide timely, quality laboratory services/tests to meet the needs of residents.
- 0580Generalno actual harm
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- 0656Generalpotential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- 0554Generalno actual harm
Allow residents to self-administer drugs if determined clinically appropriate.
- 0825Generalpotential for harm
Provide or get specialized rehabilitative services as required for a resident.
- 0825Generalpotential for harm
Provide or get specialized rehabilitative services as required for a resident.
- 0584Generalno actual harm
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.
- 0558Generalpotential for harm
Reasonably accommodate the needs and preferences of each resident.
- 0578Generalpotential for harm
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.
- 0580Generalpotential for harm
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- 0583Generalpotential for harm
Keep residents' personal and medical records private and confidential.
- 0623Generalpotential for harm
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- 0656Generalno actual harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- 0685Generalno actual harm
Assist a resident in gaining access to vision and hearing services.
- 0689Generalpotential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- 0695Generalpotential for harm
Provide safe and appropriate respiratory care for a resident when needed.
- 0698Generalpotential for harm
Provide safe, appropriate dialysis care/services for a resident who requires such services.
- 0700Generalpotential for harm
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.
- 0755Generalpotential for harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- 0756Generalpotential for harm
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- 0757Generalno actual harm
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- 0758Generalpotential for harm
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.
- 0759Generalpotential for harm
Ensure medication error rates are not 5 percent or greater.
- 0761Generalpotential for harm
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.
- 0803Generalpotential for harm
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.
- 0812Generalpotential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- 0842Generalno actual harm
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- 0880Generalpotential for harm
Provide and implement an infection prevention and control program.
- 0881Generalpotential for harm
Implement a program that monitors antibiotic use.
- 0908Generalpotential for harm
Keep all essential equipment working safely.
- 0909Generalpotential for harm
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.
- 0914Generalno actual harm
Provide bedrooms that don't allow residents to see each other when privacy is needed.
- 0550Generalno actual harm
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- 0554Generalpotential for harm
Allow residents to self-administer drugs if determined clinically appropriate.
- 0679Generalpotential for harm
Provide activities to meet all resident's needs.
- 0684Generalpotential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- 0693Generalpotential for harm
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.
- 0580Generalno actual harm
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- 0684Generalpotential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- 0684Generalno actual harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- 0553Generalno actual harm
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
- 0842Generalno actual harm
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- 0809Generalno actual harm
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
- 0684Generalpotential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- 0684Generalpotential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- 0880Generalpotential for harm
Provide and implement an infection prevention and control program.
- 0656Generalpotential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- 0584Generalno actual harm
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.
- 0578Generalpotential for harm
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.
- 0880Generalpotential for harm
Provide and implement an infection prevention and control program.
- 0842Generalno actual harm
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- 0814Generalno actual harm
Dispose of garbage and refuse properly.
- 0813Generalpotential for harm
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
- 0812Generalpotential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- 0806Generalno actual harm
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
- 0803Generalno actual harm
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.
- 0761Generalpotential for harm
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.
- 0695Generalpotential for harm
Provide safe and appropriate respiratory care for a resident when needed.
- 0689Generalpotential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- 0558Generalpotential for harm
Reasonably accommodate the needs and preferences of each resident.
- 0554Generalpotential for harm
Allow residents to self-administer drugs if determined clinically appropriate.
- 0558Generalpotential for harm
Reasonably accommodate the needs and preferences of each resident.
- 0578Generalpotential for harm
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.
- 0623Generalpotential for harm
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- 0625Generalpotential for harm
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
- 0684Generalpotential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- 0689Generalpotential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- 0690Generalpotential for harm
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- 0692Generalpotential for harm
Provide enough food/fluids to maintain a resident's health.
- 0694Generalpotential for harm
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
- 0697Generalpotential for harm
Provide safe, appropriate pain management for a resident who requires such services.
- 0698Generalpotential for harm
Provide safe, appropriate dialysis care/services for a resident who requires such services.
- 0757Generalpotential for harm
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- 0759Generalpotential for harm
Ensure medication error rates are not 5 percent or greater.
- 0760Generalpotential for harm
Ensure that residents are free from significant medication errors.
- 0761Generalpotential for harm
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.
- 0812Generalpotential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- 0814Generalpotential for harm
Dispose of garbage and refuse properly.
- 0921Generalpotential for harm
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
- 0550Generalpotential for harm
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- 0842Generalpotential for harm
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspection history
Every health inspection on record
Each CMS health inspection of this facility, and the deficiencies the surveyors cited. Where the verbatim Form 2567 statement of deficiencies is on file, it links to the full report.
- View inspection reportInspection2 deficiencies
- View inspection reportInspection7 deficiencies
- View inspection reportInspection38 deficiencies
- Inspection6 deficiencies
555308 01/23/2026 Trabuco Hills Post Acute 25652 Old Trabuco Road Lake Forest, CA 92630 F 0583 Keep residents' personal and medical records private and confidential. Level of Harm - Potential for minimal harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on…
Read full statement of deficiencies - Inspection2 deficiencies
555308 09/09/2025 Trabuco Hills Post Acute 25652 Old Trabuco Road Lake Forest, CA 92630 F 0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO…
Read full statement of deficiencies - Inspection3 deficiencies
555308 08/21/2025 Trabuco Hills Post Acute 25652 Old Trabuco Road Lake Forest, CA 92630 F 0580 Level of Harm - Potential for minimal harm Residents Affected - Some Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect…
Read full statement of deficiencies - Inspection2 deficiencies
555308 08/08/2025 Trabuco Hills Post Acute 25652 Old Trabuco Road Lake Forest, CA 92630 F 0554 Allow residents to self-administer drugs if determined clinically appropriate. Level of Harm - Potential for minimal harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY**…
Read full statement of deficiencies - Inspection1 deficiency
555308 04/24/2025 Trabuco Hills Post Acute 25652 Old Trabuco Road Lake Forest, CA 92630 F 0825 Provide or get specialized rehabilitative services as required for a resident. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT…
Read full statement of deficiencies - Inspection1 deficiency
555308 02/19/2025 Trabuco Hills Post Acute 25652 Old Trabuco Road Lake Forest, CA 92630 F 0825 Provide or get specialized rehabilitative services as required for a resident. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT…
Read full statement of deficiencies - Inspection1 deficiency
555308 11/15/2024 Trabuco Hills Post Acute 25652 Old Trabuco Road Lake Forest, CA 92630 F 0584 Level of Harm - Potential for minimal harm Residents Affected - Some Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving…
Read full statement of deficiencies
Showing the 10 most recent inspections. 15 earlier inspections are also on record.
Ownership
David Johnson
47nursing homes nationwide, in CMS records
45 in California, 2 in other states.
Counted from the chain CMS itself discloses for this home, which matches CMS Care Compare. ReadyRule's own common-control analysis is a separate and broader lens, and the two can differ.
FAQ
Questions and answers
- What is Trabuco Hills Post Acute?
- Trabuco Hills Post Acute is a Medicare- and Medicaid-certified nursing home in Lake Forest, CA, tracked by the Centers for Medicare & Medicaid Services (CMS). Its CMS Certification Number (CCN) is 555308.
- What is the CMS rating for Trabuco Hills Post Acute?
- Trabuco Hills Post Acute has a CMS overall rating of 2 out of 5 stars. CMS rates nursing homes on health inspections, staffing, and quality measures.
- How many beds does Trabuco Hills Post Acute have?
- Trabuco Hills Post Acute is certified for 175 beds. It serves an average of 165.5 residents per day.
- How many citations does Trabuco Hills Post Acute have?
- Trabuco Hills Post Acute has 137 citations on record from CMS health inspections, each tied to a federal deficiency tag.
- When was Trabuco Hills Post Acute last inspected?
- Trabuco Hills Post Acute was last inspected on January 23, 2026. CMS surveys nursing homes about once a year and after complaints.
- What can I do if I have concerns about care at this facility?
- Start by raising the concern with the facility administrator or director of nursing. Every state also runs a free long-term care ombudsman program that advocates for residents and families; the federal Eldercare Locator at eldercare.acl.gov can connect you with yours. Complaints about quality of care can also be filed with your state survey agency.
*Sourced from the Centers for Medicare & Medicaid Services (CMS). See the official record on CMS Care Compare. If you believe any information is inaccurate, report it here.
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