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Nursing HomeMedicaid Investigative

Advanced Rehab Center of Tustin

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

2210 E. First Street, Lyon Street · Santa Ana, CA 9270599 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
4.2/5

based on 92 Google reviews

5
4
3
2
1
Advanced Rehab Center of Tustin Nursing Home in Santa Ana, CA — Street View
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6/ 10
high Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Abuse citation on record
  • Low overall rating (1/5 stars)
  • Above-median deficiencies (29 vs median 13.0)
  • High RN turnover (64%)

Bottom 25% in CA · Below recommended RN staffing · Above recommended total nurse staffing · Worst in ABRAHAM BAK & MENACHEM GASTWIRTH chain · $37,182 in fines · Abuse citation

Source: Medicare data

What this means for your family

This facility is an excellent choice for families prioritizing compassionate nursing care and a clean environment for rehabilitation. However, you should implement a system for labeling all personal clothing and belongings, as multiple families have reported items going missing.

Google Reviews

Google Reviews

92 reviews on Google
Families considering Advanced Rehab Center of Tustin will find a highly praised nursing and rehabilitation staff that is frequently described as compassionate, attentive, and dedicated. While many reviewers celebrate the quality of clinical care and the kindness of the nurses, there are recurring reports of lost personal belongings, such as clothing and blankets, and occasional inconsistencies in visiting policies.

Quality Themes

Tap a score for details
Food5.0Staff9.0Clean8.0Activities8.0MedsN/AMemoryN/AComms6.0ValueN/A

Strengths

  • Compassionate and attentive nursing staff
  • Clean and well-maintained environment
  • Effective rehabilitation and physical therapy
  • Friendly and helpful administrative/admissions team

Concerns

  • Loss of personal items like clothing and blankets (mentioned by 3 reviewers)
  • Inconsistent visiting policies and procedures (mentioned by 2 reviewers)
  • Staffing shortages or lack of availability (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

234'15(1)'17(2)'20(3)'22(3)'24(19)'26(11)

Distribution · 72 analyzed

5
54
4
2
3
4
2
1
1
11

How They Respond to Reviews

98%response rate
Generic

The owner relies heavily on repetitive, templated responses that often include a contact phone number. While some early responses show personalization, the vast majority of replies are identical copy-paste strings.

Questions for Your Tour

  • 1I noticed the administrative team is very responsive to feedback; how do you ensure that families are kept in the loop regarding any changes in care or facility updates?
  • 2With the focus on rehabilitation here, could you tell us more about how the physical therapy team works with residents to help them regain their independence?
  • 3What specific steps does the facility take to ensure that residents' personal belongings, like clothing and blankets, are safely labeled and kept organized?
  • 4Can you walk us through the protocols in place for handling medical emergencies or urgent care needs during the overnight hours?
  • 5How do you manage staffing levels during busy shifts to ensure that the nursing team remains as attentive and available as possible for every resident?
  • 6What kind of daily activities or social programs are available to help residents stay engaged and connected with one another?

Personalized based on this facility's data


Key Review Excerpts

Every interaction I’ve had with the staff has been pleasant, respectful, and helpful. Robert looks clean, well cared for, and supported, and that means a great deal to me.

Family member of resident · 2026★★★★★

I was in the hospital for a week before coming to Advanced Rehab Center of Tustin, and I can honestly say I have never received this much love and care at any other facility.

Rehab patient · 2025★★★★★

My mother has been going here for the last month to get ECT treatments. It’s been a miracle and I cannot say enough about the staff, the doctors, and everybody that we’ve encountered.

Family member of resident · 2025★★★★★
Source: 92 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.34hrs
45%
Registered nurses for medical care
Total Nursing
4.38hrs
OK
All nurses + aides combined
Staff Turnover
30%
Lower is better (< 30% = good)
RN Turnover
50%
Lower is better (< 30% = good)

RN hours are below the national benchmark. RNs handle complex medical needs and medication, so ask about coverage during your visit.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
2/ 5
Better Than Avg

8

measures

Worse Than Avg

6

measures

Mixed Results

3

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility33.2%
Worse than Avg
Here
33.2%
US
12.1%
CA
7.0%
Orange
5.7%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility19.3%
Worse than Avg
Here
19.3%
US
14.4%
CA
10.4%
Orange
9.3%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility15.9%
Worse than Avg
Here
15.9%
US
15.4%
CA
11.6%
Orange
8.3%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility16.6%
Mixed vs Avgs
Here
16.6%
US
19.4%
CA
10.7%
Orange
9.7%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
CA
98.6%
Orange
98.6%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility13.1%
Mixed vs Avgs
Here
13.1%
US
19.5%
CA
13.7%
Orange
12.8%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
79.7%
CA
93.2%
Orange
94.6%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
81.8%
CA
94.2%
Orange
95.2%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility3.8%
Worse than Avg
Here
3.8%
US
1.6%
CA
1.5%
Orange
1.8%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

27deficiencies
1penalties
Well above state avg (15.4)
48 complaint-triggered
$37,182 in fines

This facility shows persistent quality concerns, with families frequently filing reports about protect issues including physical abuse and neglect reporting failures. The most recurring problems involve medication management, resident abuse protection, and dietary services. Despite all violations being marked as corrected, similar issues continue appearing across multiple surveys over several years, suggesting underlying systemic problems that may not be fully resolved.

Nov 13, 2025Complaint
2
0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

Aug 5, 2025Complaint
3
0686Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0656Minimal · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0842Minimal · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Jul 9, 2025Complaint
2
0600Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

0757Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Apr 16, 2025Complaint
4
0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0660Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0660Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

Mar 24, 2025Routine
23
0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0324Potential for harm · IsolatedCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0741Potential for harm · IsolatedCorrected

Miscellaneous Deficiencies

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

0686Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0694Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0697Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0755Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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

0758Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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.

0761Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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.

0803Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

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.

0804Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

0805Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

0813Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Have a policy regarding use and storage of foods brought to residents by family and other visitors.

0838Potential for harm · IsolatedCorrected

Administration Deficiencies

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.

0881Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Implement a program that monitors antibiotic use.

0345Minimal · WidespreadCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0558Minimal · PatternCorrected

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

0582Minimal · PatternCorrected

Resident Rights Deficiencies

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

0640Minimal · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

0842Minimal · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Feb 25, 2025Complaint
1
0622Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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.

Federal Penalties

Fine

Jul 12, 2024

$37,182

Ownership & Operations

Who Operates This Facility

Owner / Operator

Advanced Rehab Center of Tustin

Organization Type

for profit

Chain Affiliation

Chain Name

Abraham Bak & Menachem Gastwirth

Chain Size

16 facilities nationwide

Chain avg rating: 2.4/5 · Rank 13 of 16 (Worst)

Ownership & Management

Owners

Lehmann, Kenneth

Owner

Gastwirth, Menachem

Owner

25%

Key personnel

Bak, AbrahamOfficer / DirectorGastwirth, MenachemOfficer / DirectorArellanes, WilliamManagerAzzam, SamirManagerBak, AbrahamManager
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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