SNF
TRABUCO HILLS POST ACUTE
CCN: 555308 · LAKE FOREST, CA 92630 · Orange County
Overview
- Address
- 25652 OLD TRABUCO ROAD, LAKE FOREST, CA 92630
- Phone
- 9493809380
- Certified beds
- 175
- Avg daily residents
- 167 (95% of beds filled)
- Ownership
- For-profit LLC
- Provider type
- Medicare and Medicaid
- Medicare/Medicaid since
- 1988-06-28
- Setting
- Urban
2 /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.
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 | 4.14 | 4.96 | 3.23 | ≥ 3.48 | |
| Registered Nurse (RN) Licensed RN hours. Strongest driver of clinical outcomes. | 0.36 | 0.87 | 0.28 | ≥ 0.55 | Below floor |
| Licensed Practical Nurse (LPN) LPN/LVN hours. Often handles medication administration. | 1.24 | 1.10 | 0.97 | — | |
| Nurse aide CNA hours. Bulk of direct resident care — bathing, feeding, mobility. | 2.54 | 2.99 | 1.98 | — | |
| Licensed (RN + LPN) Combined licensed nurse coverage. | 1.60 | — | — | — | |
| Physical therapist Rehabilitation therapist hours — important for post-acute / rehab admissions. | 0.12 | — | — | — |
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)
3.75
hrs / resident / day
RN (weekend)
0.26
hrs / resident / day
Total nurse (adjusted, weekend)
2.92
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
37.2%
annual
RN turnover
41.2%
annual
Administrators departed
2
last 12 months
Resident acuity
Nursing Case-Mix Index
1.76
higher acuity than avg
Case-Mix Index Ratio
1.27
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) | 2024-10-11 | 42 | 28 | 17 | 132 | 1 | 132 |
| Cycle 2/3 (prior) | 2022-04-08 | 27 | 14 | 13 | 64 | 1 | 64 |
Total weighted health score
115.0
lower is better
Deficiencies (90)
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).
25 A/B/C No actual harm — minor
65 D/E/F Actual harm — potential for minor
| Tag | Description | Scope/Severity | Survey date | Corrected |
|---|---|---|---|---|
| 0583 | Keep residents' personal and medical records private and confidential. | B | 2026-01-23 | 2026-02-22 |
| 0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | B | 2026-01-23 | 2026-02-22 |
| 0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | B | 2026-01-23 | 2026-02-22 |
| 0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | B | 2026-01-23 | 2026-02-22 |
| 0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | 2026-01-23 | 2026-02-22 |
| 0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | B | 2026-01-23 | 2026-02-22 |
| 0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-09-09 | 2025-10-09 |
| 0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2025-09-09 | 2025-10-09 |
| 0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | B | 2025-08-21 | 2025-09-21 |
| 0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-08-21 | 2025-09-21 |
| 0770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | B | 2025-08-21 | 2025-09-21 |
| 0554 | Allow residents to self-administer drugs if determined clinically appropriate. | B | 2025-08-08 | 2025-09-08 |
| 0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2025-08-08 | 2025-09-08 |
| 0825 | Provide or get specialized rehabilitative services as required for a resident. | D | 2025-04-24 | 2025-05-24 |
| 0825 | Provide or get specialized rehabilitative services as required for a resident. | D | 2025-02-19 | 2025-03-10 |
| 0584 | 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. | B | 2024-11-15 | 2024-12-15 |
| 0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | B | 2024-10-11 | 2024-11-11 |
| 0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | 2024-10-11 | 2024-11-11 |
| 0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2024-10-11 | 2024-11-11 |
| 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 | 2024-10-11 | 2024-11-11 |
| 0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | 2024-10-11 | 2024-11-11 |
| 0583 | Keep residents' personal and medical records private and confidential. | D | 2024-10-11 | 2024-11-11 |
| 0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | 2024-10-11 | 2024-11-11 |
| 0679 | Provide activities to meet all resident's needs. | D | 2024-10-11 | 2024-11-11 |
| 0685 | Assist a resident in gaining access to vision and hearing services. | B | 2024-10-11 | 2024-11-11 |
| 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-10-11 | 2024-11-11 |
| 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 | 2024-10-11 | 2024-11-11 |
| 0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2024-10-11 | 2024-11-11 |
| 0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | 2024-10-11 | 2024-11-11 |
| 0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2024-10-11 | 2024-11-11 |
| 0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | 2024-10-11 | 2024-11-11 |
| 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 | 2024-10-11 | 2024-11-11 |
| 0759 | Ensure medication error rates are not 5 percent or greater. | D | 2024-10-11 | 2024-11-11 |
| 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 | 2024-10-11 | 2024-11-11 |
| 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 | 2024-10-11 | 2024-11-11 |
| 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2024-10-11 | 2024-11-11 |
| 0880 | Provide and implement an infection prevention and control program. | E | 2024-10-11 | 2024-11-11 |
| 0881 | Implement a program that monitors antibiotic use. | D | 2024-10-11 | 2024-11-11 |
| 0908 | Keep all essential equipment working safely. | D | 2024-10-11 | 2024-11-11 |
| 0909 | 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. | E | 2024-10-11 | 2024-11-11 |
| 0914 | Provide bedrooms that don't allow residents to see each other when privacy is needed. | B | 2024-10-11 | 2024-11-11 |
| 0700 | 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. | E | 2024-10-11 | 2024-11-11 |
| 0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | B | 2024-10-11 | 2024-11-11 |
| 0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | B | 2024-10-11 | 2024-11-11 |
| 0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | B | 2024-10-11 | 2024-11-11 |
| 0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-10-11 | 2024-11-11 |
| 0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | B | 2024-08-01 | 2024-09-01 |
| 0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-06-20 | 2024-07-20 |
| 0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | B | 2024-05-16 | 2024-06-16 |
| 0553 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | B | 2024-04-30 | 2024-05-30 |
Showing 50 most recent of 90. See the All Data CSV for the full list.
Ownership & Corporate Structure
Chain: DAVID & FRANK JOHNSON
- Chain ID
811- Facilities in chain
- 45
- Legal business name
- LAKE FOREST POST ACUTE LLC
Chain-average star ratings (for peer context)
Overall
3.2
Health
2.7
Staffing
3.1
QM
4.3
Owner / manager organizations (1)
| Organization | Role | Association |
|---|---|---|
| LAKE FOREST POST ACUTE LLC | OPERATIONAL/MANAGERIAL CONTROL | since 05/19/2023 |
Owner / manager individuals (10)
| Name | Role | Association |
|---|---|---|
| JOHNSON, DAVID | 5% OR GREATER DIRECT OWNERSHIP INTEREST | since 08/16/2022 |
| JOHNSON, FRANK | 5% OR GREATER DIRECT OWNERSHIP INTEREST | since 08/16/2022 |
| CLINE, TALMADGE | OPERATIONAL/MANAGERIAL CONTROL | since 09/09/2022 |
| JOHNSON, DAVID | OPERATIONAL/MANAGERIAL CONTROL | since 04/01/2022 |
| KOCHEK, JOSHUA | OPERATIONAL/MANAGERIAL CONTROL | since 04/01/2022 |
| OXFORD, MICHEAL | OPERATIONAL/MANAGERIAL CONTROL | since 01/03/2022 |
| DEHGHANMANESH, ADRIAN | CORPORATE OFFICER | since 08/16/2022 |
| FARRALES, MARY | CORPORATE OFFICER | since 01/01/2023 |
| KOCHEK, JOSHUA | CORPORATE OFFICER | since 04/01/2022 |
| OXFORD, MICHEAL | CORPORATE OFFICER | since 01/03/2022 |
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
- Resident
- Sprinkler systems
- Yes
- Abuse citation flag
- No
Methodology & sources
- Nursing Home Provider Info (
nh-provider-info), vintage 2026, downloaded 2026-04-14 , 14,703 rows. - Nursing Home Health Deficiencies (
nh-deficiencies), vintage 2026, downloaded 2026-04-14 , 418,972 rows. - Nursing Home Ownership (
nh-ownership), vintage 2026, downloaded 2026-04-14 , 160,393 rows.
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.
Show 99 rows
| Source | Metric | Value | Raw key |
|---|---|---|---|
| Provider Information | Abuse Icon | N | Abuse Icon |
| Provider Information | Adjusted LPN Staffing Hours per Resident per Day | 0.96688 | Adjusted LPN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Nurse Aide Staffing Hours per Resident per Day | 1.98174 | Adjusted Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Adjusted RN Staffing Hours per Resident per Day | 0.27951 | Adjusted RN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Total Nurse Staffing Hours per Resident per Day | 3.22813 | Adjusted Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day | 2.92008 | 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 | 167.1 | 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 | 1.09970 | Case-Mix LPN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Nurse Aide Staffing Hours per Resident per Day | 2.98875 | Case-Mix Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Case-Mix RN Staffing Hours per Resident per Day | 0.86681 | Case-Mix RN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Total Nurse Staffing Hours per Resident per Day | 4.95526 | Case-Mix Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day | 4.36754 | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Chain Average Health Inspection Rating | 2.7 | Chain Average Health Inspection Rating |
| Provider Information | Chain Average Overall 5-star Rating | 3.2 | Chain Average Overall 5-star Rating |
| Provider Information | Chain Average QM Rating | 4.3 | Chain Average QM Rating |
| Provider Information | Chain Average Staffing Rating | 3.1 | Chain Average Staffing Rating |
| Provider Information | Chain ID | 811 | Chain ID |
| Provider Information | Chain Name | DAVID & FRANK JOHNSON | Chain Name |
| Provider Information | City/Town | LAKE FOREST | City/Town |
| Provider Information | CMS Certification Number (CCN) | 555308 | 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 | 1988-06-28 | Date First Approved to Provide Medicare and Medicaid Services |
| Provider Information | Geocoding Footnote | — | Geocoding Footnote |
| Provider Information | Health Inspection Rating | 2 | Health Inspection Rating |
| Provider Information | Health Inspection Rating Footnote | — | Health Inspection Rating Footnote |
| Provider Information | Latitude | 33.6451 | Latitude |
| Provider Information | Legal Business Name | LAKE FOREST POST ACUTE LLC | Legal Business Name |
| Provider Information | Location | 25652 OLD TRABUCO ROAD,LAKE FOREST,CA,92630 | 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 | -117.68 | 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 | 2 | Number of administrators who have left the nursing home |
| Provider Information | Number of Certified Beds | 175 | 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 | 45 | Number of Facilities in Chain |
| Provider Information | Number of Fines | 0 | Number of Fines |
| Provider Information | Number of Payment Denials | 0 | Number of Payment Denials |
| Provider Information | Nursing Case-Mix Index | 1.75543 | Nursing Case-Mix Index |
| Provider Information | Nursing Case-Mix Index Ratio | 1.27422 | Nursing Case-Mix Index Ratio |
| Provider Information | Overall Rating | 2 | 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 | 25652 OLD TRABUCO ROAD | Provider Address |
| Provider Information | Provider Changed Ownership in Last 12 Months | N | Provider Changed Ownership in Last 12 Months |
| Provider Information | Provider Name | TRABUCO HILLS POST ACUTE | 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 | 4 | QM Rating |
| Provider Information | QM Rating Footnote | — | QM Rating Footnote |
| Provider Information | Rating Cycle 1 Health Deficiency Score | 132 | 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 | 17 | 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 | 28 | Rating Cycle 1 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 1 Standard Survey Health Date | 2024-10-11 | Rating Cycle 1 Standard Survey Health Date |
| Provider Information | Rating Cycle 1 Total Health Score | 132 | Rating Cycle 1 Total Health Score |
| Provider Information | Rating Cycle 1 Total Number of Health Deficiencies | 42 | Rating Cycle 1 Total Number of Health Deficiencies |
| Provider Information | Rating Cycle 2 Number of Standard Health Deficiencies | 14 | Rating Cycle 2 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 2 Standard Health Survey Date | 2022-04-08 | Rating Cycle 2 Standard Health Survey Date |
| Provider Information | Rating Cycle 2/3 Health Deficiency Score | 64 | 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 | 13 | 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 | 64 | Rating Cycle 2/3 Total Health Score |
| Provider Information | Rating Cycle 2/3 Total Number of Health Deficiencies | 27 | Rating Cycle 2/3 Total Number of Health Deficiencies |
| Provider Information | Registered Nurse hours per resident per day on the weekend | 0.25983 | Registered Nurse hours per resident per day on the weekend |
| Provider Information | Registered Nurse turnover | 41.2 | Registered Nurse turnover |
| Provider Information | Registered Nurse turnover footnote | — | Registered Nurse turnover footnote |
| Provider Information | Reported Licensed Staffing Hours per Resident per Day | 1.59966 | Reported Licensed Staffing Hours per Resident per Day |
| Provider Information | Reported LPN Staffing Hours per Resident per Day | 1.24093 | Reported LPN Staffing Hours per Resident per Day |
| Provider Information | Reported Nurse Aide Staffing Hours per Resident per Day | 2.54345 | Reported Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Reported Physical Therapist Staffing Hours per Resident Per Day | 0.11504 | Reported Physical Therapist Staffing Hours per Resident Per Day |
| Provider Information | Reported RN Staffing Hours per Resident per Day | 0.35873 | 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 | 4.14310 | Reported Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Short-Stay QM Rating | 4 | 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 | 2 | Staffing Rating |
| Provider Information | Staffing Rating Footnote | — | Staffing Rating Footnote |
| Provider Information | State | CA | State |
| Provider Information | Telephone Number | 9493809380 | Telephone Number |
| Provider Information | Total Amount of Fines in Dollars | 0.00 | Total Amount of Fines in Dollars |
| Provider Information | Total number of nurse staff hours per resident per day on the weekend | 3.74774 | Total number of nurse staff hours per resident per day on the weekend |
| Provider Information | Total Number of Penalties | 0 | Total Number of Penalties |
| Provider Information | Total nursing staff turnover | 37.2 | Total nursing staff turnover |
| Provider Information | Total nursing staff turnover footnote | — | Total nursing staff turnover footnote |
| Provider Information | Total Weighted Health Survey Score | 115.000 | Total Weighted Health Survey Score |
| Provider Information | Urban | Y | Urban |
| Provider Information | With a Resident and Family Council | Resident | With a Resident and Family Council |
| Provider Information | ZIP Code | 92630 | ZIP Code |