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Trabuco Hills Post Acute

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

25652 Old Trabuco Road, Lake Forest, CA 92630175 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
3.9/5

based on 85 Google reviews

5
4
3
2
1

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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)
  • Low staffing rating (2/5 stars)
  • Above-median deficiencies (42 vs median 13.0)

Below average in CA · Critically understaffed (RN) · Above recommended total nurse staffing · Below chain average · No penalties on record

Source: Medicare data

What this means for your family

This facility offers exceptional physical and occupational therapy that has led to remarkable recoveries for some patients. However, the presence of multiple reports regarding medication errors, hygiene neglect, and slow response to call lights is a serious concern. If you choose this facility, we strongly recommend daily visits and active monitoring of your loved one's hygiene and medication logs.

Google Reviews

Google Reviews

85 reviews on Google
Families considering Trabuco Hills Post Acute will find a facility with highly praised rehabilitation services and a compassionate therapy team. However, there are serious, recurring reports of medical neglect, including issues with wound care, medication errors, and delayed responses to call lights. While many reviewers laud the cleanliness and friendly atmosphere, others describe alarming instances of hygiene failures and lack of supervision.

Quality Themes

Tap a score for details
Food6.0Staff5.0Clean7.0Activities8.0Meds2.0MemoryN/AComms3.0ValueN/A

Strengths

  • Excellent physical and occupational therapy
  • Friendly and hardworking nursing assistants
  • Clean and well-maintained environment
  • Compassionate and professional medical staff

Concerns

  • Severe medical neglect and hygiene issues (mentioned by 3 reviewers)
  • Slow response to call lights and nursing assistance (mentioned by 2 reviewers)
  • Poor communication from administration and doctors (mentioned by 3 reviewers)
  • Inconsistent medication management (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2344.02023(4)3.32024(10)4.02025(54)3.72026(18)

Distribution · 86 analyzed

5
52
4
12
3
1
2
2
1
19

How They Respond to Reviews

60%response rate
Good

The owner provides personalized responses to 5-star reviews, often mentioning specific staff members or family members named in the review. For negative reviews, they use a consistent template to express regret and attempt to move the conversation to a private channel.

Questions for Your Tour

  • 1I've heard wonderful things about the physical and occupational therapy programs here; could you tell me more about how the therapists work with residents to reach their mobility goals?
  • 2How does the nursing team ensure that medication is administered accurately and on schedule every day?
  • 3What is the process for communicating important medical updates or changes in condition from the doctors and administration to the family?
  • 4With a large community of 175 residents, how does the staff ensure that call lights are answered promptly when someone needs assistance?
  • 5Can you describe the daily schedule and what types of social activities or outings are available to keep residents engaged?
  • 6In the event of a medical emergency during the night, what are the specific protocols for immediate care and notifying the family?

Personalized based on this facility's data


Key Review Excerpts

The PT are incredibly trained, the facility is clean, and they work miracles of rehab. My mom could not swallow, walk, sit-up and her left side didn’t move. Today she eats all foods, speaks, sits up, transfers to wheel chair, is walking again with aid, feeds herself, i

Rehab patient's family · 2024★★★★★

My father was visibly distressed — agitated, in pain, and not himself. His left eye was severely red and inflamed.

Rehab patient's family · 2026☆☆☆☆

The staff, nurses, food was great and facilities were clean. If you needed to go to a Physical Rehabilitation Center, go to Trabuco Hills Rehabilitation

Rehab patient · 2025★★★★★
Source: 85 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.40hrs
54%
Registered nurses for medical care
Total Nursing
4.12hrs
OK
All nurses + aides combined
Staff Turnover
35%
Lower is better (< 30% = good)
RN Turnover
38%
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
4/ 5
Better Than Avg

11

measures

Worse Than Avg

1

measures

Mixed Results

5

measures

Long-Stay Residents
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility11.3%
Mixed vs Avgs
Here
11.3%
US
19.4%
CA
10.7%
Orange
10.0%
😔

Residents with depression symptoms

↓ Lower is better
This Facility4.3%
Better than Avg
Here
4.3%
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 whose walking got worse

↓ Lower is better
This Facility7.6%
Better than Avg
Here
7.6%
US
15.3%
CA
10.5%
Orange
9.8%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility7.0%
Better than Avg
Here
7.0%
US
14.4%
CA
10.4%
Orange
9.6%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
CA
98.6%
Orange
98.5%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility9.0%
Mixed vs Avgs
Here
9.0%
US
15.4%
CA
11.6%
Orange
8.5%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility99.5%
Better than Avg
Here
99.5%
US
79.7%
CA
93.2%
Orange
94.4%
💉

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 Facility0.6%
Better than Avg
Here
0.6%
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

41deficiencies
Well above state avg (15.4)
32 complaint-triggered

This facility has significant recurring compliance problems with families filing numerous complaints over multiple years. The most persistent issues involve medication management, resident rights, and care quality, with repeated violations appearing across surveys from 2019 through 2025. While all violations show correction dates, the pattern of recurring deficiencies in core care areas like pharmacy services and treatment quality suggests systemic challenges that may impact resident care.

Jan 23, 2026Complaint
6
0757Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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

0583Minimal · PatternCorrected

Resident Rights Deficiencies

Keep residents' personal and medical records private and confidential.

0636Minimal · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

0686Minimal · PatternCorrected

Quality of Life and Care Deficiencies

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

0755Minimal · PatternCorrected

Pharmacy Service Deficiencies

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

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.

Sep 9, 2025Complaint
2
0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

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.

Aug 21, 2025Complaint
3
0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0580Minimal · PatternCorrected

Resident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

0770Minimal · PatternCorrected

Administration Deficiencies

Provide timely, quality laboratory services/tests to meet the needs of residents.

Aug 8, 2025Complaint
2
0656Potential for harm · IsolatedCorrected

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.

0554Minimal · PatternCorrected

Resident Rights Deficiencies

Allow residents to self-administer drugs if determined clinically appropriate.

Apr 24, 2025Complaint
2
0825Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide or get specialized rehabilitative services as required for a resident.

0825Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide or get specialized rehabilitative services as required for a resident.

Feb 19, 2025Complaint
1
0825Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide or get specialized rehabilitative services as required for a resident.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Trabuco Hills Post Acute

Organization Type

for profit

Chain Affiliation

Chain Name

David Johnson

Chain Size

47 facilities nationwide

Chain avg rating: 3.2/5 · Rank 33 of 45

Ownership & Management

Owners

Johnson, Frank

Owner

50%

Key personnel

Johnson, DavidAdp of the SnfKochek, JoshuaAdp of the SnfOxford, MichealAdp of the SnfJohnson, DavidManaging Control - Governing BodyJohnson, FrankManaging Control - Governing Body
Source: Medicare provider data

Contact

Get in Touch

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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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