San Juan Hills Healthcare Center

Nursing Home · San Juan Capistrano, CA

CMS overall rating 4/5 For profit - Limited Liability company

CMS certification number555763

Contact & location

31741 Rancho Viejo Road
San Juan Capistrano, CA 92675
Orange County
Phone
(949) 248-8855
ZIP code
92675 – all care providers

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Facility details

Certified beds
45
Residents per day
42.4 (94% occupied)
Ownership
For profit - Limited Liability company
Legal name
Asrv LLC
Chain
Aspen Skilled Healthcare (35 facilities, avg 3.7★)
Medicare certified since
August 31, 2000
Participates in
Medicare
Continuing care
Part of a continuing care retirement community
Council
Resident council

CMS star ratings

Overall★★★★★ 4/5
State avg 3.2
Health inspections★★★★★ 3/5
State avg 2.8
Staffing★★★★★ 4/5
State avg 3.3
Quality measures★★★★★ 5/5
State avg 4.1
Long-stay qualityNot rated
Short-stay quality★★★★★ 5/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
5.08 (state 4.52 · U.S. 3.86)
Registered nurses (RN)
0.92 (state 0.67 · U.S. 0.69)
Licensed practical nurses
1.30 (state 1.20 · U.S. 0.86)
Nurse aides
2.86 (state 2.65 · U.S. 2.32)
Weekend total
4.50 (state 4.09 · U.S. 3.42)
Nursing staff turnover
36.8 (state 36.7 · U.S. 45.8)%
RN turnover
14.3 (state 38.1 · U.S. 42.9)%

Inspections

Last standard inspection
January 22, 2026
Health deficiencies (last cycle)
19.0 (state 15.7 · U.S. 9.3)
From complaints
5
Citations on record (3 years)
64 health · 16 fire safety · includes actual harm
DateCitationSeverityStatus
2026-05-26 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2026-06-11
2026-05-26 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.
F0761 · Pharmacy Service Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2026-06-11
2026-05-26 Post nurse staffing information every day.
F0732 · Nursing and Physician Services Deficiencies · complaint inspection
B
No actual harm, potential for minimal harm
Corrected 2026-06-11
2026-04-20 Ensure that residents are fully informed and understand their health status, care and treatments.
F0552 · Resident Rights Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2026-05-05
2026-01-22 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2026-03-03
2026-01-22 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2026-03-03
2026-01-22 Allow residents to self-administer drugs if determined clinically appropriate.
F0554 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-03-03
2026-01-22 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-03-03
2026-01-22 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
F0657 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-03-03
2026-01-22 Provide for the safe, appropriate administration of IV fluids for a resident when needed.
F0694 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-03-03
2026-01-22 Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-03-03
2026-01-22 Provide safe, appropriate dialysis care/services for a resident who requires such services.
F0698 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-03-03
2026-01-22 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.
F0700 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-03-03
2026-01-22 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
F0804 · Nutrition and Dietary Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-03-03
2026-01-22 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.
F0838 · Administration Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-03-03
2026-01-22 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.
F0909 · Environmental Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-03-03
2026-01-22 Reasonably accommodate the needs and preferences of each resident.
F0558 · Resident Rights Deficiencies
B
No actual harm, potential for minimal harm
Corrected 2026-03-03
2026-01-22 Dispose of garbage and refuse properly.
F0814 · Nutrition and Dietary Deficiencies
B
No actual harm, potential for minimal harm
Corrected 2026-03-03
2025-10-15 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
F0580 · Resident Rights Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-11-12
2025-07-15 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
F0690 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-08-02
2025-07-15 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection
B
No actual harm, potential for minimal harm
Corrected 2025-08-02
2025-07-15 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
F0657 · Resident Assessment and Care Planning Deficiencies · complaint inspection
B
No actual harm, potential for minimal harm
Corrected 2025-08-02
2025-05-23 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F0842 · Resident Assessment and Care Planning Deficiencies · complaint inspection
B
No actual harm, potential for minimal harm
Corrected 2025-06-19
2024-11-15 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-12-13
2024-11-15 Allow residents to self-administer drugs if determined clinically appropriate.
F0554 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-12-13
2024-11-15 Honor the resident's right to organize and participate in resident/family groups in the facility.
F0565 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-12-13
2024-11-15 PASARR screening for Mental disorders or Intellectual Disabilities
F0645 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-12-13
2024-11-15 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-12-13
2024-11-15 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
F0690 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-12-13
2024-11-15 Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-12-13
2024-11-15 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-12-13
2024-11-15 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.
F0758 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-12-13
2024-11-15 Ensure medication error rates are not 5 percent or greater.
F0759 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-12-13
2024-11-15 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.
F0761 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-12-13
2024-11-15 Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
F0801 · Nutrition and Dietary Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-12-13
2024-11-15 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.
F0803 · Nutrition and Dietary Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-12-13
2024-11-15 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
F0804 · Nutrition and Dietary Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-12-13
2024-11-15 Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
F0808 · Nutrition and Dietary Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-12-13
2024-11-15 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-12-13
2024-11-15 Implement a program that monitors antibiotic use.
F0881 · Infection Control Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-12-13
2024-11-15 Keep all essential equipment working safely.
F0908 · Environmental Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-12-13
2024-11-15 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.
F0909 · Environmental Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-12-13
2024-11-15 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550 · Resident Rights Deficiencies · complaint inspection
B
No actual harm, potential for minimal harm
Corrected 2024-12-13
2024-11-15 The resident has the right to receive notices in a format and a language he or she understands.
F0574 · Resident Rights Deficiencies · complaint inspection
B
No actual harm, potential for minimal harm
Corrected 2024-12-13
2024-11-15 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection
B
No actual harm, potential for minimal harm
Corrected 2024-12-13
2024-11-15 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F0842 · Resident Assessment and Care Planning Deficiencies
B
No actual harm, potential for minimal harm
Corrected 2024-12-13
2023-12-12 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection
G
Actual harm
Corrected 2024-01-02
2023-11-17 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2023-12-15
2023-11-17 Allow residents to self-administer drugs if determined clinically appropriate.
F0554 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-12-15
2023-11-17 Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
F0625 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-12-15

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

No federal fines or payment denials in the last three years.

Ownership & management

NameRoleSince
Aspen Healthcare Services LLC (organization)Administrator · NOT APPLICABLE
Asrv LLC (organization)Administrator · NOT APPLICABLE
Bradshaw, Jeffrey (individual)Administrator · NOT APPLICABLE
Brady, Vern (individual)Administrator · NOT APPLICABLE
Case, Ryan (individual)Administrator · NOT APPLICABLE
Caslmon, Timothy (individual)Administrator · NOT APPLICABLE
East West Bank (organization)Administrator · NOT APPLICABLE
Guu, Huan (individual)Administrator · NOT APPLICABLE
Jurado, Frank (individual)Administrator · NOT APPLICABLE
Nordfelt, Spencer (individual)Administrator · NOT APPLICABLE
Paxman, Marcus (individual)Administrator · NOT APPLICABLE
Sta Ana, Lanie (individual)Administrator · NOT APPLICABLE
Thompson, Stephen (individual)Administrator · NOT APPLICABLE
Asrv LLC (organization)Direct Ownership Interest · NOT APPLICABLE
Aspen Skilled Healthcare INC (organization)Indirect Ownership Interest · NOT APPLICABLE
Bradshaw, Jeffrey (individual)Indirect Ownership Interest · NOT APPLICABLE
Bradshaw, Peter (individual)Indirect Ownership Interest · NOT APPLICABLE
Brady, Vern (individual)Indirect Ownership Interest · NOT APPLICABLE
Case, Ryan (individual)Indirect Ownership Interest · NOT APPLICABLE
Elsner, Eric (individual)Indirect Ownership Interest · NOT APPLICABLE
Kirkwood, Jared (individual)Indirect Ownership Interest · NOT APPLICABLE
Orgill, Craig (individual)Indirect Ownership Interest · NOT APPLICABLE
Parti, Rajesh (individual)Indirect Ownership Interest · NOT APPLICABLE
Parti, Shruty (individual)Indirect Ownership Interest · NOT APPLICABLE
Paxman, Marcus (individual)Indirect Ownership Interest · NOT APPLICABLE
Sacc LLC (organization)Indirect Ownership Interest · NOT APPLICABLE
Bradshaw, Jeffrey (individual)Individual Is An Owner, Partner Or Trustee Of Any Administrator · NOT APPLICABLE
Bradshaw, Jeffrey (individual)Managing Control - Governing Body · NOT APPLICABLE
Caslmon, Timothy (individual)Managing Control - Governing Body · NOT APPLICABLE
Thompson, Stephen (individual)Managing Control - Governing Body · NOT APPLICABLE
Asrv LLC (organization)Operational/managerial Control · NOT APPLICABLE
Caslmon, Timothy (individual)Operational/managerial Control · NOT APPLICABLE
Nordfelt, Spencer (individual)Operational/managerial Control · NOT APPLICABLE
Sta Ana, Lanie (individual)Operational/managerial Control · NOT APPLICABLE
Thompson, Stephen (individual)Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of San Juan Hills Healthcare Center?

San Juan Hills Healthcare Center has a 4-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.2-star average in California.

How many beds does San Juan Hills Healthcare Center have?

It has 45 certified beds and cares for about 42 residents per day.

Has San Juan Hills Healthcare Center been fined?

CMS lists no federal fines or payment denials in the last three years.

Who owns San Juan Hills Healthcare Center?

It is part of Aspen Skilled Healthcare and is classified as for profit - limited liability company. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of San Juan Hills Healthcare Center?

(949) 248-8855. The facility is located at 31741 Rancho Viejo Road, San Juan Capistrano, CA 92675.

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.