SNF

MISSION PALMS HEALTHCARE CENTER

CCN: 056271 · WESTMINSTER, CA 92683 · Orange County

Overview

Address
240 HOSPITAL CIRCLE, WESTMINSTER, CA 92683
Phone
7148926686
Certified beds
99
Avg daily residents
92 (93% of beds filled)
Ownership
For-profit LLC
Provider type
Medicare and Medicaid
Medicare/Medicaid since
1971-02-22
Setting
Urban
4 /5
★★★★★
CMS Overall Rating

CMS 5-Star Ratings

CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.

Overall Rating
Composite of Health Inspection, Staffing, and Quality Measures.
★★★★★ 4/5
Health Inspection
Based on the three most recent standard surveys, with more weight on recent results.
★★★★★ 3/5
Staffing
Weighted combination of RN and total nurse staffing hours per resident per day, case-mix adjusted.
★★★★★ 3/5
Quality Measures
15 resident-level quality measures split between long-stay and short-stay (post-acute) residents.
★★★★★ 5/5
Quality Measures breakdown
Long-Stay Quality Measures ★★★★★ 5/5
Short-Stay Quality Measures ★★★★★ 5/5

Staffing & Workforce

Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.

Role Reported Case-mix expected Adjusted Federal floor
Total nurse
All nursing staff combined: RN + LPN + Aide
 4.02 4.49 3.46 ≥ 3.48
Registered Nurse (RN)
Licensed RN hours. Strongest driver of clinical outcomes.
 0.36 0.78 0.31 ≥ 0.55 Below floor
Licensed Practical Nurse (LPN)
LPN/LVN hours. Often handles medication administration.
 1.17 1.00 1.01 —
Nurse aide
CNA hours. Bulk of direct resident care — bathing, feeding, mobility.
 2.50 2.71 2.15 —
Licensed (RN + LPN)
Combined licensed nurse coverage.
 1.52 — — —
Physical therapist
Rehabilitation therapist hours — important for post-acute / rehab admissions.
 0.17 — — —

Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.

Weekend staffing

Total nurse (weekend)
3.74
hrs / resident / day
RN (weekend)
0.31
hrs / resident / day
Total nurse (adjusted, weekend)
3.22
hrs / resident / day

Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.

Staff turnover

Total nursing staff turnover
21.8%
annual
RN turnover
22.2%
annual
Administrators departed
0
last 12 months

Resident acuity

Nursing Case-Mix Index
1.59
higher acuity than avg
Case-Mix Index Ratio
1.15
facility / state ratio

Health Inspections

CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.

Cycle Date Total defs. Standard Complaint Deficiency score Revisits Total score
Cycle 1 (most recent) 2025-02-07 14 13 1 72 1 72
Cycle 2/3 (prior) 2023-03-23 13 10 3 80 1 80
Total weighted health score
74.0
lower is better

Deficiencies (39)

Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).

3 A/B/C No actual harm — minor
35 D/E/F Actual harm — potential for minor
1 G/H/I Actual harm
Tag Description Scope/Severity Survey date Corrected
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. D 2025-03-19 2025-04-03
0554 Allow residents to self-administer drugs if determined clinically appropriate. D 2025-02-07 2025-03-07
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. D 2025-02-07 2025-03-07
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. D 2025-02-07 2025-03-07
0692 Provide enough food/fluids to maintain a resident's health. D 2025-02-07 2025-03-07
0695 Provide safe and appropriate respiratory care for a resident when needed. E 2025-02-07 2025-03-07
0757 Ensure each resident’s drug regimen must be free from unnecessary drugs. D 2025-02-07 2025-03-07
0758 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. D 2025-02-07 2025-03-07
0761 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. D 2025-02-07 2025-03-07
0803 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. D 2025-02-07 2025-02-07
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. E 2025-02-07 2025-02-11
0813 Have a policy regarding use and storage of foods brought to residents by family and other visitors. D 2025-02-07 2025-03-07
0880 Provide and implement an infection prevention and control program. E 2025-02-07 2025-03-07
0881 Implement a program that monitors antibiotic use. E 2025-02-07 2025-03-07
0600 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. G 2024-08-27 2024-09-24
0558 Reasonably accommodate the needs and preferences of each resident. B 2024-01-24 2024-02-24
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. D 2024-01-24 2024-02-24
0552 Ensure that residents are fully informed and understand their health status, care and treatments. D 2023-03-23 2023-04-24
0558 Reasonably accommodate the needs and preferences of each resident. D 2023-03-23 2023-04-24
0641 Ensure each resident receives an accurate assessment. B 2023-03-23 2023-04-24
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. D 2023-03-23 2023-04-24
0755 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. D 2023-03-23 2023-04-24
0758 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. D 2023-03-23 2023-04-24
0761 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. F 2023-03-23 2023-04-24
0803 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. E 2023-03-23 2023-04-24
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. E 2023-03-23 2023-04-24
0880 Provide and implement an infection prevention and control program. D 2023-03-23 2023-04-24
0578 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. D 2019-12-06 2020-01-04
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. D 2019-12-06 2020-01-04
0686 Provide appropriate pressure ulcer care and prevent new ulcers from developing. D 2019-12-06 2020-01-04
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. D 2019-12-06 2020-01-04
0693 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. D 2019-12-06 2020-01-04
0755 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. D 2019-12-06 2020-01-04
0758 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. D 2019-12-06 2020-01-04
0803 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. E 2019-12-06 2020-01-04
0804 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. B 2019-12-06 2020-01-04
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. E 2019-12-06 2020-01-04
0849 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. D 2019-12-06 2020-01-04
0881 Implement a program that monitors antibiotic use. D 2019-12-06 2020-01-04

Penalties (1)

Fines issued
1
last 3 years
Total fines
$13,923
Date Type Fine amount
2024-08-27 Fine $13,923

Source: CMS Nursing Home Penalties.

Financial Health (FY 2023)

Payer mix (share of resident days)

Medicare 32.0% Medicaid 55.7% Other 12.3%

Operating performance

Operating Margin
10.6%
Total Margin
10.0%
Occupancy Rate
89.6%
Cost per Resident Day
$83

Revenue & costs

Net Patient Revenue
$15.7M
Total Costs
$2.7M
Net Income
$1.6M

Balance sheet

Total Assets
$15.2M
Total Liabilities
$1.5M
Fund Balance
$13.8M
Current Ratio
1.53

Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.

Ownership & Corporate Structure

Chain: ASPEN SKILLED HEALTHCARE

Chain ID
50
Facilities in chain
34
Legal business name
AWHC,LLC
Chain-average star ratings (for peer context)
Overall
3.5
Health
2.9
Staffing
3.4
QM
4.5

Owner / manager organizations (2)

Organization Role Association
AWHC,LLC OPERATIONAL/MANAGERIAL CONTROL since 01/14/2010
ASPEN SKILLED HEALTHCARE INC 5% OR GREATER MORTGAGE INTEREST since 07/31/2019

Owner / manager individuals (14)

Name Role Association
BRADSHAW, JEFFREY 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 11/01/2009
BRADY, VERN 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 11/01/2009
CASE, RYAN 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 11/01/2009
BRADSHAW, JEFFREY OPERATIONAL/MANAGERIAL CONTROL since 11/01/2009
BRADY, VERN OPERATIONAL/MANAGERIAL CONTROL since 11/01/2009
CASE, RYAN OPERATIONAL/MANAGERIAL CONTROL since 11/01/2009
CASLMON, TIMOTHY OPERATIONAL/MANAGERIAL CONTROL since 01/01/2023
THOMPSON, STEPHEN OPERATIONAL/MANAGERIAL CONTROL since 01/01/2023
BRADSHAW, JEFFREY CORPORATE DIRECTOR since 10/01/2009
BRADY, VERN CORPORATE DIRECTOR since 10/01/2009
CASE, RYAN CORPORATE DIRECTOR since 10/01/2009
BRADSHAW, JEFFREY CORPORATE OFFICER since 11/01/2009
BRADY, VERN CORPORATE OFFICER since 11/01/2009
CASE, RYAN CORPORATE OFFICER since 11/01/2009

Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.

Facility Features

CCRC
No
Hospital-based
No
Resident / family council
Both
Sprinkler systems
Yes
Abuse citation flag
No
Methodology & sources

Full methodology →

All Data

Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.

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Show 113 rows
Source Metric Value Raw key
Cost Report Cost per Resident Day ($) $83 metrics.cost_per_resident_day
Cost Report Current Ratio 1.53 metrics.current_ratio
Cost Report fiscal_year 2,023 fiscal_year
Cost Report Medicaid Day Share (%) 55.7% metrics.medicaid_day_share
Cost Report Medicare Day Share (%) 32.0% metrics.medicare_day_share
Cost Report Net Income ($) $1,575,925 metrics.net_income
Cost Report Net Patient Revenue ($) $15,748,855 metrics.net_patient_revenue
Cost Report Occupancy Rate (%) 89.6% metrics.occupancy_rate
Cost Report Operating Margin (%) 10.6% metrics.operating_margin
Cost Report Total Assets ($) $15,249,513 metrics.total_assets
Cost Report Total Costs ($) $2,671,567 metrics.total_costs
Cost Report Total Fund Balances ($) $13,784,506 metrics.fund_balance
Cost Report Total Liabilities ($) $1,495,475 metrics.total_liabilities
Cost Report Total Margin (%) 10.0% metrics.total_margin
Provider Information Abuse Icon N Abuse Icon
Provider Information Adjusted LPN Staffing Hours per Resident per Day 1.00551 Adjusted LPN Staffing Hours per Resident per Day
Provider Information Adjusted Nurse Aide Staffing Hours per Resident per Day 2.15143 Adjusted Nurse Aide Staffing Hours per Resident per Day
Provider Information Adjusted RN Staffing Hours per Resident per Day 0.30583 Adjusted RN Staffing Hours per Resident per Day
Provider Information Adjusted Total Nurse Staffing Hours per Resident per Day 3.46277 Adjusted Total Nurse Staffing Hours per Resident per Day
Provider Information Adjusted Weekend Total Nurse Staffing Hours per Resident per Day 3.22211 Adjusted Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Administrator turnover footnote — Administrator turnover footnote
Provider Information Automatic Sprinkler Systems in All Required Areas Yes Automatic Sprinkler Systems in All Required Areas
Provider Information Average Number of Residents per Day 91.9 Average Number of Residents per Day
Provider Information Average Number of Residents per Day Footnote — Average Number of Residents per Day Footnote
Provider Information Case-Mix LPN Staffing Hours per Resident per Day 0.99536 Case-Mix LPN Staffing Hours per Resident per Day
Provider Information Case-Mix Nurse Aide Staffing Hours per Resident per Day 2.70518 Case-Mix Nurse Aide Staffing Hours per Resident per Day
Provider Information Case-Mix RN Staffing Hours per Resident per Day 0.78457 Case-Mix RN Staffing Hours per Resident per Day
Provider Information Case-Mix Total Nurse Staffing Hours per Resident per Day 4.48511 Case-Mix Total Nurse Staffing Hours per Resident per Day
Provider Information Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day 3.95315 Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Chain Average Health Inspection Rating 2.9 Chain Average Health Inspection Rating
Provider Information Chain Average Overall 5-star Rating 3.5 Chain Average Overall 5-star Rating
Provider Information Chain Average QM Rating 4.5 Chain Average QM Rating
Provider Information Chain Average Staffing Rating 3.4 Chain Average Staffing Rating
Provider Information Chain ID 50 Chain ID
Provider Information Chain Name ASPEN SKILLED HEALTHCARE Chain Name
Provider Information City/Town WESTMINSTER City/Town
Provider Information CMS Certification Number (CCN) 056271 CMS Certification Number (CCN)
Provider Information Continuing Care Retirement Community N Continuing Care Retirement Community
Provider Information County/Parish Orange County/Parish
Provider Information Date First Approved to Provide Medicare and Medicaid Services 1971-02-22 Date First Approved to Provide Medicare and Medicaid Services
Provider Information Geocoding Footnote — Geocoding Footnote
Provider Information Health Inspection Rating 3 Health Inspection Rating
Provider Information Health Inspection Rating Footnote — Health Inspection Rating Footnote
Provider Information Latitude 33.7642 Latitude
Provider Information Legal Business Name AWHC,LLC Legal Business Name
Provider Information Location 240 HOSPITAL CIRCLE,WESTMINSTER,CA,92683 Location
Provider Information Long-Stay QM Rating 5 Long-Stay QM Rating
Provider Information Long-Stay QM Rating Footnote — Long-Stay QM Rating Footnote
Provider Information Longitude -118 Longitude
Provider Information Most Recent Health Inspection More Than 2 Years Ago N Most Recent Health Inspection More Than 2 Years Ago
Provider Information Number of administrators who have left the nursing home 0 Number of administrators who have left the nursing home
Provider Information Number of Certified Beds 99 Number of Certified Beds
Provider Information Number of Citations from Infection Control Inspections — Number of Citations from Infection Control Inspections
Provider Information Number of Facilities in Chain 34 Number of Facilities in Chain
Provider Information Number of Fines 1 Number of Fines
Provider Information Number of Payment Denials 0 Number of Payment Denials
Provider Information Nursing Case-Mix Index 1.58887 Nursing Case-Mix Index
Provider Information Nursing Case-Mix Index Ratio 1.15332 Nursing Case-Mix Index Ratio
Provider Information Overall Rating 4 Overall Rating
Provider Information Overall Rating Footnote — Overall Rating Footnote
Provider Information Ownership Type For profit - Limited Liability company Ownership Type
Provider Information Physical Therapist Staffing Footnote — Physical Therapist Staffing Footnote
Provider Information Processing Date 2026-03-01 Processing Date
Provider Information Provider Address 240 HOSPITAL CIRCLE Provider Address
Provider Information Provider Changed Ownership in Last 12 Months N Provider Changed Ownership in Last 12 Months
Provider Information Provider Name MISSION PALMS HEALTHCARE CENTER Provider Name
Provider Information Provider Resides in Hospital N Provider Resides in Hospital
Provider Information Provider SSA County Code 400 Provider SSA County Code
Provider Information Provider Type Medicare and Medicaid Provider Type
Provider Information QM Rating 5 QM Rating
Provider Information QM Rating Footnote — QM Rating Footnote
Provider Information Rating Cycle 1 Health Deficiency Score 72 Rating Cycle 1 Health Deficiency Score
Provider Information Rating Cycle 1 Health Revisit Score 0 Rating Cycle 1 Health Revisit Score
Provider Information Rating Cycle 1 Number of Complaint Health Deficiencies 1 Rating Cycle 1 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 1 Number of Health Revisits 1 Rating Cycle 1 Number of Health Revisits
Provider Information Rating Cycle 1 Number of Standard Health Deficiencies 13 Rating Cycle 1 Number of Standard Health Deficiencies
Provider Information Rating Cycle 1 Standard Survey Health Date 2025-02-07 Rating Cycle 1 Standard Survey Health Date
Provider Information Rating Cycle 1 Total Health Score 72 Rating Cycle 1 Total Health Score
Provider Information Rating Cycle 1 Total Number of Health Deficiencies 14 Rating Cycle 1 Total Number of Health Deficiencies
Provider Information Rating Cycle 2 Number of Standard Health Deficiencies 10 Rating Cycle 2 Number of Standard Health Deficiencies
Provider Information Rating Cycle 2 Standard Health Survey Date 2023-03-23 Rating Cycle 2 Standard Health Survey Date
Provider Information Rating Cycle 2/3 Health Deficiency Score 80 Rating Cycle 2/3 Health Deficiency Score
Provider Information Rating Cycle 2/3 Health Revisit Score 0 Rating Cycle 2/3 Health Revisit Score
Provider Information Rating Cycle 2/3 Number of Complaint Health Deficiencies 3 Rating Cycle 2/3 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 2/3 Number of Health Revisits 1 Rating Cycle 2/3 Number of Health Revisits
Provider Information Rating Cycle 2/3 Total Health Score 80 Rating Cycle 2/3 Total Health Score
Provider Information Rating Cycle 2/3 Total Number of Health Deficiencies 13 Rating Cycle 2/3 Total Number of Health Deficiencies
Provider Information Registered Nurse hours per resident per day on the weekend 0.30875 Registered Nurse hours per resident per day on the weekend
Provider Information Registered Nurse turnover 22.2 Registered Nurse turnover
Provider Information Registered Nurse turnover footnote — Registered Nurse turnover footnote
Provider Information Reported Licensed Staffing Hours per Resident per Day 1.52333 Reported Licensed Staffing Hours per Resident per Day
Provider Information Reported LPN Staffing Hours per Resident per Day 1.16806 Reported LPN Staffing Hours per Resident per Day
Provider Information Reported Nurse Aide Staffing Hours per Resident per Day 2.49925 Reported Nurse Aide Staffing Hours per Resident per Day
Provider Information Reported Physical Therapist Staffing Hours per Resident Per Day 0.17125 Reported Physical Therapist Staffing Hours per Resident Per Day
Provider Information Reported RN Staffing Hours per Resident per Day 0.35527 Reported RN Staffing Hours per Resident per Day
Provider Information Reported Staffing Footnote — Reported Staffing Footnote
Provider Information Reported Total Nurse Staffing Hours per Resident per Day 4.02258 Reported Total Nurse Staffing Hours per Resident per Day
Provider Information Short-Stay QM Rating 5 Short-Stay QM Rating
Provider Information Short-Stay QM Rating Footnote — Short-Stay QM Rating Footnote
Provider Information Special Focus Status — Special Focus Status
Provider Information Staffing Rating 3 Staffing Rating
Provider Information Staffing Rating Footnote — Staffing Rating Footnote
Provider Information State CA State
Provider Information Telephone Number 7148926686 Telephone Number
Provider Information Total Amount of Fines in Dollars 13923.00 Total Amount of Fines in Dollars
Provider Information Total number of nurse staff hours per resident per day on the weekend 3.74302 Total number of nurse staff hours per resident per day on the weekend
Provider Information Total Number of Penalties 1 Total Number of Penalties
Provider Information Total nursing staff turnover 21.8 Total nursing staff turnover
Provider Information Total nursing staff turnover footnote — Total nursing staff turnover footnote
Provider Information Total Weighted Health Survey Score 74.000 Total Weighted Health Survey Score
Provider Information Urban Y Urban
Provider Information With a Resident and Family Council Both With a Resident and Family Council
Provider Information ZIP Code 92683 ZIP Code