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Nursing HomeMedicaid Investigative

The Hills Post Acute

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

1800 Old Tustin Avenue, Meredith Parkwood · Santa Ana, CA 92705174 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
4.2/5

based on 107 Google reviews

5
4
3
2
1
The Hills Post Acute Nursing Home in Santa Ana, CA — Street View
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4/ 10
moderate Risk

Quality Concerns Identified

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

  • Low overall rating (2/5 stars)
  • Above-median deficiencies (15 vs median 13.0)
  • High RN turnover (53%)

Below average in CA · Below recommended RN staffing · Below chain average · $4,893 in fines

Source: Medicare data

What this means for your family

The facility's physical therapy and nursing teams are standout assets that can significantly aid in post-hospital recovery. However, because of documented instances of hygiene neglect and communication gaps, families should maintain frequent, unannounced visits and closely monitor medication and hygiene needs.

Google Reviews

Google Reviews

107 reviews on Google
Families considering The Hills Post Acute will find a facility with a highly praised physical therapy and nursing team, particularly noted for successful rehabilitation outcomes. While many recent reviews highlight a positive turnaround under new management, there are serious, recurring allegations regarding neglect, hygiene, and communication failures that require close monitoring.

Quality Themes

Tap a score for details
Food4.0Staff8.0Clean5.0Activities7.0Meds4.0Memory5.0Comms3.0ValueN/A

Strengths

  • Exceptional physical therapy and rehab services
  • Compassionate and professional nursing staff
  • Welcoming and clean environment
  • Supportive administration and management

Concerns

  • Issues with hygiene and basic care (e.g., oral care, incontinence management) (mentioned by 3 reviewers)
  • Inconsistent communication from administration and nursing stations (mentioned by 3 reviewers)
  • Inadequate food quality or nutritional oversight (mentioned by 3 reviewers)
  • Loss or theft of resident belongings (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2345.02020(2)5.02021(1)2.42022(9)4.62023(33)3.92024(23)4.42025(26)4.42026(14)

Distribution · 108 analyzed

5
76
4
11
3
3
2
3
1
15
22 reviews posted between Oct 27, 2023Oct 30, 2023 · 22 were 5-star

How They Respond to Reviews

27%response rate
Good

The owner provides highly personalized and empathetic responses to positive reviews, often addressing specific staff members or family members mentioned. For negative reviews, they consistently use a professional, non-defensive tone that acknowledges the issue and provides a phone number for direct resolution.

Questions for Your Tour

  • 1We've heard wonderful things about the physical therapy and rehab services here; could you tell us more about how the therapists work with residents to reach their goals?
  • 2How does the nursing team ensure that daily personal care needs, like oral hygiene and incontinence management, are consistently met for every resident?
  • 3What is the process for communicating important medical updates or changes in condition from the nursing station to the family members?
  • 4Could you describe the dining experience and how the facility ensures nutritional needs are met with high-quality meals?
  • 5What steps are taken to ensure that residents' personal belongings are kept secure and organized within their rooms?
  • 6How does the facility handle medical emergencies or urgent changes in health during the overnight hours?

Personalized based on this facility's data


Key Review Excerpts

The physical therapy team was excellent, knowledgeable, encouraging, and genuinely يست invested in my mom’s progress. Nursing care and wound care were absolutely top tier; everything was handled

Rehab patient's family · 2025★★★★★

One of the best therapy teams I have ever seen! They got him up and moving again. It wasn’t easy, but absolute pros!

Rehab patient's family · 2023★★★★★

My experience at this short-term physical therapy facility was extremely disappointing. The admissions and case management staff come across as completely money-driven, with little genuine care or compassion

Rehab patient's family · 2025☆☆☆☆
Source: 107 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.40hrs
53%
Registered nurses for medical care
Total Nursing
3.92hrs
96%
All nurses + aides combined
Staff Turnover
35%
Lower is better (< 30% = good)
RN Turnover
44%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

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

Medicare Rating
4/ 5
Better Than Avg

12

measures

Mixed Results

5

measures

Long-Stay Residents
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility8.5%
Better than Avg
Here
8.5%
US
19.5%
CA
13.7%
Orange
13.1%
😔

Residents with depression symptoms

↓ Lower is better
This Facility2.3%
Better than Avg
Here
2.3%
US
12.1%
CA
7.0%
Orange
6.1%

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

💊

Residents on antipsychotic medication

↓ Lower is better
This Facility6.1%
Better than Avg
Here
6.1%
US
15.4%
CA
11.6%
Orange
8.5%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility12.7%
Mixed vs Avgs
Here
12.7%
US
19.4%
CA
10.7%
Orange
10.0%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility99.8%
Better than Avg
Here
99.8%
US
93.4%
CA
98.6%
Orange
98.5%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility8.1%
Better than Avg
Here
8.1%
US
14.4%
CA
10.4%
Orange
9.6%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility99.9%
Better than Avg
Here
99.9%
US
81.8%
CA
94.2%
Orange
95.2%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility96.8%
Better than Avg
Here
96.8%
US
79.7%
CA
93.2%
Orange
94.4%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.8%
Better than Avg
Here
0.8%
US
1.6%
CA
1.5%
Orange
1.9%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

15deficiencies
2penalties
Near state avg (15.4)
55 complaint-triggered
$4,893 in fines

This facility has a troubling pattern with 127 deficiencies across 19 surveys, including 55 complaint-triggered issues where families reported problems. The most recurring problems involve medication management, nutrition and food safety, and care planning. While all deficiencies show correction dates, the high volume of family complaints and repeat issues in critical areas like pharmacy services and dietary care suggest ongoing operational challenges that warrant careful consideration.

Mar 24, 2025Routine
17
0694Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

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

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.

0584Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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.

0657Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0692Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide enough food/fluids to maintain a resident's health.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0698Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate dialysis care/services 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.

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.

0810Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Provide special eating equipment and utensils for residents who need them and appropriate assistance.

0842Potential for harm · IsolatedCorrected

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.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0353Potential for harm · IsolatedCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0363Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

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.

0806Minimal · PatternCorrected

Nutrition and Dietary Deficiencies

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Feb 14, 2025Complaint
1
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.

Oct 29, 2024Complaint
1
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.

Jul 17, 2024Complaint
1
0684Minimal · PatternCorrected

Quality of Life and Care Deficiencies

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

Jun 25, 2024Complaint
1
0842Potential for harm · IsolatedCorrected

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.

May 3, 2024Complaint
1
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.

Federal Penalties

Fine

Sep 18, 2023

$1,748

Fine

Aug 28, 2023

$3,145

Ownership & Operations

Who Operates This Facility

Owner / Operator

The Hills Post Acute

Organization Type

for profit

Chain Affiliation

Chain Name

The Ensign Group

Chain Size

338 facilities nationwide

Chain avg rating: 3.2/5 · Rank 246 of 328

Ownership & Management

Owners

Port, Barry

Individual is an Owner, Partner or Trustee of Any Adp of the Snf

Key personnel

Monette, CoryManaging Control - Governing BodySchreiman, RobertManaging Control - Governing BodyWillits, AdamOfficer / DirectorBurnam, SoonOfficer / DirectorKeetch, ChadOfficer / Director
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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