All states › California › Lake Forest › Trabuco Hills Post Acute
25652 Old Trabuco Road Lake Forest, CA 92630 · Orange County
All 2 nursing homes in Lake Forest, CA (2 take Medicaid)
CMS certification number 555308 · See this home on Medicare Care Compare
Is Trabuco Hills Post Acute a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Trabuco Hills Post Acute as of October 2026.
CMS rates it 2 out of 5 stars overall, below the California average of 3.2.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 4.14 hours per resident per day at Trabuco Hills Post Acute, below the California median of 4.27 (US median: 3.72). About 0.35 of those hours are from registered nurses. On weekends it falls to 3.76 hours, 9% below its all-week average. 35.5% of nursing staff left within a year (California median 36%).
About this nursing home
Paying for care at Trabuco Hills Post Acute: Medicare and Medicaid
Trabuco Hills Post Acute is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet California's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on March 4, 2026 and found 38 deficiencies, plus 9 from complaint inspections in the same period. In total, inspectors issued 107 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 107 citations at Trabuco Hills Post Acute across 18 inspection dates, 30 of them from complaint investigations. None were at the actual-harm or immediate-jeopardy levels; 80 were "potential for more than minimal harm" (D–F) and 27 were minimal (A–C). The most common areas cited were quality of life and care (26) and resident rights (23). The most serious was cited under the CMS rule to "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" (tag F0803, level E, March 4, 2026). 2 citations were under CMS's abuse, neglect and exploitation rules.
June 24, 2026 · 1 citation · includes complaint inspection
DAllow residents to self-administer drugs if determined clinically appropriate.
May 27, 2026 · 2 citations · includes complaint inspection
DHonor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
DDevelop and implement policies and procedures to prevent abuse, neglect, and theft.
March 4, 2026 · 38 citations
EEnsure 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.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EArrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
EProvide and implement an infection prevention and control program.
EKeep all essential equipment working safely.
EMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.
DAllow residents to self-administer drugs if determined clinically appropriate.
DHonor 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.
DKeep residents' personal and medical records private and confidential.
DPrevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
DEnsure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
DProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
DCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DAssist a resident in gaining access to vision and hearing services.
DProvide appropriate pressure ulcer care and prevent new ulcers from developing.
DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
DEnsure 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.
DProvide for the safe, appropriate administration of IV fluids for a resident when needed.
DProvide safe and appropriate respiratory care for a resident when needed.
DProvide safe, appropriate pain management for a resident who requires such services.
DProvide safe, appropriate dialysis care/services for a resident who requires such services.
DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
DEnsure medication error rates are not 5 percent or greater.
DEnsure 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.
DProvide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
DEnsure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
DHave a policy regarding use and storage of foods brought to residents by family and other visitors.
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
DHave a plan that describes the process for conducting QAPI and QAA activities.
DImplement a program that monitors antibiotic use.
DDevelop and implement policies and procedures for flu and pneumonia vaccinations.
DEducate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
DMake sure that a working call system is available in each resident's bathroom and bathing area.
DEnsure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
BEnsure each resident receives an accurate assessment.
BConduct 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.
January 23, 2026 · 6 citations · includes complaint inspection
DEnsure each resident’s drug regimen must be free from unnecessary drugs.
BKeep residents' personal and medical records private and confidential.
BAssess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
BProvide appropriate pressure ulcer care and prevent new ulcers from developing.
BProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
BSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
September 9, 2025 · 2 citations · includes complaint inspection
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
August 21, 2025 · 3 citations · includes complaint inspection
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
BImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
BProvide timely, quality laboratory services/tests to meet the needs of residents.
August 8, 2025 · 2 citations · includes complaint inspection
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
BAllow residents to self-administer drugs if determined clinically appropriate.
April 24, 2025 · 1 citation · includes complaint inspection
DProvide or get specialized rehabilitative services as required for a resident.
February 19, 2025 · 1 citation · includes complaint inspection
DProvide or get specialized rehabilitative services as required for a resident.
November 15, 2024 · 1 citation · includes complaint inspection
BHonor 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.
October 11, 2024 · 30 citations · includes complaint inspection
ETry 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.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EProvide and implement an infection prevention and control program.
ERegularly 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.
DAllow residents to self-administer drugs if determined clinically appropriate.
DReasonably accommodate the needs and preferences of each resident.
DHonor 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.
DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
DKeep residents' personal and medical records private and confidential.
DProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
DProvide activities to meet all resident's needs.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DEnsure 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.
DProvide safe and appropriate respiratory care for a resident when needed.
DProvide safe, appropriate dialysis care/services for a resident who requires such services.
DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
DEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
DImplement 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.
DEnsure medication error rates are not 5 percent or greater.
DEnsure 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.
DEnsure 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.
DImplement a program that monitors antibiotic use.
DKeep all essential equipment working safely.
BHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
BDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
BAssist a resident in gaining access to vision and hearing services.
BEnsure each resident’s drug regimen must be free from unnecessary drugs.
BSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
BProvide bedrooms that don't allow residents to see each other when privacy is needed.
August 1, 2024 · 1 citation · includes complaint inspection
BImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
June 20, 2024 · 1 citation · includes complaint inspection
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
May 16, 2024 · 1 citation · includes complaint inspection
BProvide appropriate treatment and care according to orders, resident’s preferences and goals.
April 30, 2024 · 1 citation · includes complaint inspection
BAllow resident to participate in the development and implementation of his or her person-centered plan of care.
March 20, 2024 · 1 citation · includes complaint inspection
BSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
March 7, 2024 · 1 citation · includes complaint inspection
BEnsure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
April 8, 2022 · 14 citations
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DReasonably accommodate the needs and preferences of each resident.
DHonor 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.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DProvide safe and appropriate respiratory care for a resident when needed.
DEnsure 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.
DHave a policy regarding use and storage of foods brought to residents by family and other visitors.
DProvide and implement an infection prevention and control program.
BHonor 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.
BEnsure 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.
BEnsure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
BDispose of garbage and refuse properly.
BSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Questions to ask on a tour of Trabuco Hills Post Acute
- CMS cited the home under its abuse and neglect rules on May 27, 2026. How are staff trained, and how are concerns reported?
- CMS rates staffing 2 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
CMS reports no fines or payment denials for this home in the last three years.
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 2/5 | 1/5 | 2/5 | 5/5 |
| August 2026 | 2/5 | 1/5 | 2/5 | 5/5 |
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Location
Hospitals near Trabuco Hills Post Acute
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
-
3.0 mi
Saddleback Memorial Medical Center Laguna HillsEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 3h 26m for patients treated and sent home
- 5.4 mi
-
5.8 mi
Mission Hospital Regional Med Center Mission ViejoEmergency room ★★★★★ Medicare overall 5 of 5Median ER visit 3h 54m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near Trabuco Hills Post Acute › All nursing homes in Lake Forest ›
Compare Trabuco Hills Post Acute with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- Freedom Village Healthcare Center · Lake Forest · 5 stars · 1.9 mi
- Orchards Skilled Nursing · Rancho Mission Viejo · 5 stars · 6.2 mi
- Villa Valencia Healthcare Center · Laguna Hills · 4 stars · 3.2 mi
- Palm Terrace Healthcare & Rehabilitation Center · Laguna Hills · 4 stars · 3.6 mi
Other David Johnson nursing homes in California
- Mission Care Center · Riverside · 5 stars
- Pacific Post Acute · Santa Monica · 5 stars
- Victoria Care Center · Baldwin Park · 5 stars
- Mountain View Post Acute · Barstow · 5 stars
- Sun Mar Nursing Center · Anaheim · 5 stars
- Del Mar Convalescent Hospital · Rosemead · 5 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 50 David Johnson nursing homes ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.