Nursing home

Trabuco Hills Post Acute

25652 Old Trabuco Road, Lake Forest, CA 92630

★★★★★Overall Medicare rating
★★★★★Health inspections
★★★★★Staffing
★★★★★Quality measures

Medicare rates every nursing home from 1 to 5 stars. 5 is much above average, 1 is much below.

Findings, latest cycle47
Findings with harm or immediate jeopardy, 3 cycles0
Fines, 3 years$0
Beds175

Inspection findings

Inspectors recorded 107 findings in the last three inspection cycles.

80 No harm, but a risk of harm27 No harm, minimal risk

Each entry below is a requirement that inspectors found the home did not meet on that date, in the regulator's own English wording.

Inspection dateAreaRequirement the home did not meet (official wording, in English)SeverityCorrected
Jun 24, 2026Resident rightsAllow residents to self-administer drugs if determined clinically appropriate. (F0554)No harm, but a risk of harm
isolated · from a complaint
Corrected: Jul 23, 2026
May 27, 2026Abuse, neglect and exploitationDevelop and implement policies and procedures to prevent abuse, neglect, and theft. (F0607)No harm, but a risk of harm
isolated · from a complaint
Corrected: Jun 26, 2026
May 27, 2026Resident rightsHonor the resident's right to be treated with respect and dignity and to retain and use personal possessions. (F0557)No harm, but a risk of harm
isolated · from a complaint
Corrected: Jun 26, 2026
Mar 4, 2026Nursing and physician servicesEnsure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. (F0947)No harm, but a risk of harm
isolated
Corrected: Apr 3, 2026
Mar 4, 2026Building and environmentMake sure there is a pest control program to prevent/deal with mice, insects, or other pests. (F0925)No harm, but a risk of harm
pattern
Corrected: Apr 3, 2026
Mar 4, 2026Building and environmentMake sure that a working call system is available in each resident's bathroom and bathing area. (F0919)No harm, but a risk of harm
isolated
Corrected: Apr 3, 2026
Mar 4, 2026Building and environmentKeep all essential equipment working safely. (F0908)No harm, but a risk of harm
pattern
Corrected: Apr 3, 2026
Mar 4, 2026Infection controlEducate 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. (F0887)No harm, but a risk of harm
isolated
Corrected: Apr 3, 2026
Mar 4, 2026Infection controlDevelop and implement policies and procedures for flu and pneumonia vaccinations. (F0883)No harm, but a risk of harm
isolated
Corrected: Apr 3, 2026
Mar 4, 2026Infection controlImplement a program that monitors antibiotic use. (F0881)No harm, but a risk of harm
isolated
Corrected: Apr 3, 2026
Mar 4, 2026Infection controlProvide and implement an infection prevention and control program. (F0880)No harm, but a risk of harm
pattern
Corrected: Apr 3, 2026
Mar 4, 2026AdministrationHave a plan that describes the process for conducting QAPI and QAA activities. (F0865)No harm, but a risk of harm
isolated
Corrected: Apr 3, 2026
Mar 4, 2026AdministrationArrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. (F0849)No harm, but a risk of harm
pattern
Corrected: Apr 3, 2026
Mar 4, 2026Resident assessment and care planningSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (F0842)No harm, but a risk of harm
isolated
Corrected: Apr 3, 2026
Mar 4, 2026AdministrationConduct 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)No harm, minimal risk
pattern
Corrected: Apr 3, 2026
Mar 4, 2026Food and nutritionHave a policy regarding use and storage of foods brought to residents by family and other visitors. (F0813)No harm, but a risk of harm
isolated
Corrected: Apr 3, 2026
Mar 4, 2026Food and nutritionProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (F0812)No harm, but a risk of harm
pattern
Corrected: Apr 3, 2026
Mar 4, 2026Food and nutritionEnsure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. (F0806)No harm, but a risk of harm
isolated
Corrected: Apr 3, 2026
Mar 4, 2026Food and nutritionEnsure 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)No harm, but a risk of harm
pattern
Corrected: Apr 3, 2026
Mar 4, 2026Food and nutritionProvide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. (F0802)No harm, but a risk of harm
isolated
Corrected: Apr 3, 2026
Mar 4, 2026Pharmacy and medicationsEnsure 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)No harm, but a risk of harm
isolated
Corrected: Apr 3, 2026
Mar 4, 2026Pharmacy and medicationsEnsure medication error rates are not 5 percent or greater. (F0759)No harm, but a risk of harm
isolated
Corrected: Apr 3, 2026
Mar 4, 2026Pharmacy and medicationsProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (F0755)No harm, but a risk of harm
isolated
Corrected: Apr 3, 2026
Mar 4, 2026Quality of life and careProvide safe, appropriate dialysis care/services for a resident who requires such services. (F0698)No harm, but a risk of harm
isolated
Corrected: Apr 3, 2026
Mar 4, 2026Quality of life and careProvide safe, appropriate pain management for a resident who requires such services. (F0697)No harm, but a risk of harm
isolated
Corrected: Apr 3, 2026
Mar 4, 2026Quality of life and careProvide safe and appropriate respiratory care for a resident when needed. (F0695)No harm, but a risk of harm
isolated
Corrected: Apr 3, 2026
Mar 4, 2026Quality of life and careProvide for the safe, appropriate administration of IV fluids for a resident when needed. (F0694)No harm, but a risk of harm
isolated
Corrected: Apr 3, 2026
Mar 4, 2026Quality of life and careEnsure 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. (F0693)No harm, but a risk of harm
isolated
Corrected: Apr 3, 2026
Mar 4, 2026Quality of life and careProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. (F0690)No harm, but a risk of harm
isolated
Corrected: Apr 3, 2026
Mar 4, 2026Quality of life and careProvide appropriate pressure ulcer care and prevent new ulcers from developing. (F0686)No harm, but a risk of harm
isolated
Corrected: Apr 3, 2026
Mar 4, 2026Quality of life and careAssist a resident in gaining access to vision and hearing services. (F0685)No harm, but a risk of harm
isolated
Corrected: Apr 3, 2026
Mar 4, 2026Quality of life and careProvide appropriate treatment and care according to orders, resident’s preferences and goals. (F0684)No harm, but a risk of harm
isolated
Corrected: Apr 3, 2026
Mar 4, 2026Resident assessment and care planningDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (F0656)No harm, but a risk of harm
isolated
Corrected: Apr 3, 2026
Mar 4, 2026Resident assessment and care planningCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. (F0644)No harm, but a risk of harm
isolated
Corrected: Apr 3, 2026
Mar 4, 2026Resident assessment and care planningEnsure each resident receives an accurate assessment. (F0641)No harm, minimal risk
pattern
Corrected: Apr 3, 2026
Mar 4, 2026Resident rightsProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. (F0628)No harm, but a risk of harm
isolated
Corrected: Apr 3, 2026
Mar 4, 2026Resident rightsEnsure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. (F0627)No harm, but a risk of harm
isolated
Corrected: Apr 3, 2026
Mar 4, 2026Abuse, neglect and exploitationPrevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. (F0605)No harm, but a risk of harm
isolated
Corrected: Apr 3, 2026
Mar 4, 2026Resident rightsKeep residents' personal and medical records private and confidential. (F0583)No harm, but a risk of harm
isolated
Corrected: Apr 3, 2026
Mar 4, 2026Resident rightsHonor 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. (F0578)No harm, but a risk of harm
isolated
Corrected: Apr 3, 2026
Mar 4, 2026Resident rightsAllow residents to self-administer drugs if determined clinically appropriate. (F0554)No harm, but a risk of harm
isolated
Corrected: Apr 3, 2026
Earlier inspections (66)
Inspection dateAreaRequirement the home did not meet (official wording, in English)SeverityCorrected
Jan 23, 2026Resident assessment and care planningSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (F0842)No harm, minimal risk
pattern · from a complaint
Corrected: Feb 22, 2026
Jan 23, 2026Pharmacy and medicationsEnsure each resident’s drug regimen must be free from unnecessary drugs. (F0757)No harm, but a risk of harm
isolated · from a complaint
Corrected: Feb 22, 2026
Jan 23, 2026Pharmacy and medicationsProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (F0755)No harm, minimal risk
pattern · from a complaint
Corrected: Feb 22, 2026
Jan 23, 2026Quality of life and careProvide appropriate pressure ulcer care and prevent new ulcers from developing. (F0686)No harm, minimal risk
pattern · from a complaint
Corrected: Feb 22, 2026
Jan 23, 2026Resident assessment and care planningAssess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. (F0636)No harm, minimal risk
pattern · from a complaint
Corrected: Feb 22, 2026
Jan 23, 2026Resident rightsKeep residents' personal and medical records private and confidential. (F0583)No harm, minimal risk
pattern · from a complaint
Corrected: Feb 22, 2026
Sep 9, 2025Pharmacy and medicationsProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (F0755)No harm, but a risk of harm
isolated · from a complaint
Corrected: Oct 9, 2025
Sep 9, 2025Quality of life and careProvide appropriate treatment and care according to orders, resident’s preferences and goals. (F0684)No harm, but a risk of harm
isolated · from a complaint
Corrected: Oct 9, 2025
Aug 21, 2025AdministrationProvide timely, quality laboratory services/tests to meet the needs of residents. (F0770)No harm, minimal risk
pattern · from a complaint
Corrected: Sep 21, 2025
Aug 21, 2025Quality of life and careProvide appropriate treatment and care according to orders, resident’s preferences and goals. (F0684)No harm, but a risk of harm
isolated · from a complaint
Corrected: Sep 21, 2025
Aug 21, 2025Resident rightsImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (F0580)No harm, minimal risk
pattern · from a complaint
Corrected: Sep 21, 2025
Aug 8, 2025Resident assessment and care planningDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (F0656)No harm, but a risk of harm
isolated · from a complaint
Corrected: Sep 8, 2025
Aug 8, 2025Resident rightsAllow residents to self-administer drugs if determined clinically appropriate. (F0554)No harm, minimal risk
pattern · from a complaint
Corrected: Sep 8, 2025
Apr 24, 2025Quality of life and careProvide or get specialized rehabilitative services as required for a resident. (F0825)No harm, but a risk of harm
isolated · from a complaint
Corrected: May 24, 2025
Feb 19, 2025Quality of life and careProvide or get specialized rehabilitative services as required for a resident. (F0825)No harm, but a risk of harm
isolated · from a complaint
Corrected: Mar 10, 2025
Nov 15, 2024Resident rightsHonor 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. (F0584)No harm, minimal risk
pattern · from a complaint
Corrected: Dec 15, 2024
Oct 11, 2024Building and environmentProvide bedrooms that don't allow residents to see each other when privacy is needed. (F0914)No harm, minimal risk
pattern
Corrected: Nov 11, 2024
Oct 11, 2024Building and environmentRegularly 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)No harm, but a risk of harm
pattern
Corrected: Nov 11, 2024
Oct 11, 2024Building and environmentKeep all essential equipment working safely. (F0908)No harm, but a risk of harm
isolated
Corrected: Nov 11, 2024
Oct 11, 2024Infection controlImplement a program that monitors antibiotic use. (F0881)No harm, but a risk of harm
isolated
Corrected: Nov 11, 2024
Oct 11, 2024Infection controlProvide and implement an infection prevention and control program. (F0880)No harm, but a risk of harm
pattern
Corrected: Nov 11, 2024
Oct 11, 2024Resident assessment and care planningSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (F0842)No harm, minimal risk
pattern · from a complaint
Corrected: Nov 11, 2024
Oct 11, 2024Food and nutritionProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (F0812)No harm, but a risk of harm
pattern
Corrected: Nov 11, 2024
Oct 11, 2024Food and nutritionEnsure 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)No harm, but a risk of harm
isolated
Corrected: Nov 11, 2024
Oct 11, 2024Pharmacy and medicationsEnsure 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)No harm, but a risk of harm
isolated
Corrected: Nov 11, 2024
Oct 11, 2024Pharmacy and medicationsEnsure medication error rates are not 5 percent or greater. (F0759)No harm, but a risk of harm
isolated
Corrected: Nov 11, 2024
Oct 11, 2024Pharmacy and medicationsImplement 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)No harm, but a risk of harm
isolated
Corrected: Nov 11, 2024
Oct 11, 2024Pharmacy and medicationsEnsure each resident’s drug regimen must be free from unnecessary drugs. (F0757)No harm, minimal risk
pattern · from a complaint
Corrected: Nov 11, 2024
Oct 11, 2024Pharmacy and medicationsEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. (F0756)No harm, but a risk of harm
isolated
Corrected: Nov 11, 2024
Oct 11, 2024Pharmacy and medicationsProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (F0755)No harm, but a risk of harm
isolated
Corrected: Nov 11, 2024
Oct 11, 2024Quality of life and careTry 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)No harm, but a risk of harm
pattern · from a complaint
Corrected: Nov 11, 2024
Oct 11, 2024Quality of life and careProvide safe, appropriate dialysis care/services for a resident who requires such services. (F0698)No harm, but a risk of harm
isolated
Corrected: Nov 11, 2024
Oct 11, 2024Quality of life and careProvide safe and appropriate respiratory care for a resident when needed. (F0695)No harm, but a risk of harm
isolated
Corrected: Nov 11, 2024
Oct 11, 2024Quality of life and careEnsure 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. (F0693)No harm, but a risk of harm
isolated
Corrected: Nov 11, 2024
Oct 11, 2024Quality of life and careEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (F0689)No harm, but a risk of harm
isolated
Corrected: Nov 11, 2024
Oct 11, 2024Quality of life and careAssist a resident in gaining access to vision and hearing services. (F0685)No harm, minimal risk
pattern
Corrected: Nov 11, 2024
Oct 11, 2024Quality of life and careProvide appropriate treatment and care according to orders, resident’s preferences and goals. (F0684)No harm, but a risk of harm
isolated · from a complaint
Corrected: Nov 11, 2024
Oct 11, 2024Quality of life and careProvide activities to meet all resident's needs. (F0679)No harm, but a risk of harm
isolated
Corrected: Nov 11, 2024
Oct 11, 2024Resident assessment and care planningDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (F0656)No harm, minimal risk
pattern · from a complaint
Corrected: Nov 11, 2024
Oct 11, 2024Resident rightsProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. (F0623)No harm, but a risk of harm
isolated
Corrected: Nov 11, 2024
Oct 11, 2024Resident rightsKeep residents' personal and medical records private and confidential. (F0583)No harm, but a risk of harm
isolated
Corrected: Nov 11, 2024
Oct 11, 2024Resident rightsImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (F0580)No harm, but a risk of harm
isolated
Corrected: Nov 11, 2024
Oct 11, 2024Resident rightsHonor 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. (F0578)No harm, but a risk of harm
isolated
Corrected: Nov 11, 2024
Oct 11, 2024Resident rightsReasonably accommodate the needs and preferences of each resident. (F0558)No harm, but a risk of harm
isolated
Corrected: Nov 11, 2024
Oct 11, 2024Resident rightsAllow residents to self-administer drugs if determined clinically appropriate. (F0554)No harm, but a risk of harm
isolated
Corrected: Nov 11, 2024
Oct 11, 2024Resident rightsHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (F0550)No harm, minimal risk
pattern
Corrected: Nov 11, 2024
Aug 1, 2024Resident rightsImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (F0580)No harm, minimal risk
pattern · from a complaint
Corrected: Sep 1, 2024
Jun 20, 2024Quality of life and careProvide appropriate treatment and care according to orders, resident’s preferences and goals. (F0684)No harm, but a risk of harm
isolated · from a complaint
Corrected: Jul 20, 2024
May 16, 2024Quality of life and careProvide appropriate treatment and care according to orders, resident’s preferences and goals. (F0684)No harm, minimal risk
pattern · from a complaint
Corrected: Jun 16, 2024
Apr 30, 2024Resident rightsAllow resident to participate in the development and implementation of his or her person-centered plan of care. (F0553)No harm, minimal risk
pattern · from a complaint
Corrected: May 30, 2024
Mar 20, 2024Resident assessment and care planningSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (F0842)No harm, minimal risk
pattern · from a complaint
Corrected: Apr 20, 2024
Mar 7, 2024Food and nutritionEnsure 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. (F0809)No harm, minimal risk
pattern · from a complaint
Corrected: Apr 6, 2024
Apr 8, 2022Infection controlProvide and implement an infection prevention and control program. (F0880)No harm, but a risk of harm
isolated
Corrected: May 8, 2022
Apr 8, 2022Resident assessment and care planningSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (F0842)No harm, minimal risk
pattern
Corrected: May 8, 2022
Apr 8, 2022Food and nutritionDispose of garbage and refuse properly. (F0814)No harm, minimal risk
pattern
Corrected: May 8, 2022
Apr 8, 2022Food and nutritionHave a policy regarding use and storage of foods brought to residents by family and other visitors. (F0813)No harm, but a risk of harm
isolated
Corrected: May 8, 2022
Apr 8, 2022Food and nutritionProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (F0812)No harm, but a risk of harm
pattern
Corrected: May 8, 2022
Apr 8, 2022Food and nutritionEnsure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. (F0806)No harm, minimal risk
pattern
Corrected: May 8, 2022
Apr 8, 2022Food and nutritionEnsure 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)No harm, minimal risk
pattern
Corrected: May 8, 2022
Apr 8, 2022Pharmacy and medicationsEnsure 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)No harm, but a risk of harm
isolated
Corrected: May 8, 2022
Apr 8, 2022Quality of life and careProvide safe and appropriate respiratory care for a resident when needed. (F0695)No harm, but a risk of harm
isolated
Corrected: May 8, 2022
Apr 8, 2022Quality of life and careEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (F0689)No harm, but a risk of harm
isolated
Corrected: May 8, 2022
Apr 8, 2022Resident assessment and care planningDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (F0656)No harm, but a risk of harm
isolated
Corrected: May 8, 2022
Apr 8, 2022Resident rightsHonor 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. (F0584)No harm, minimal risk
pattern
Corrected: May 8, 2022
Apr 8, 2022Resident rightsHonor 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. (F0578)No harm, but a risk of harm
isolated
Corrected: May 8, 2022
Apr 8, 2022Resident rightsReasonably accommodate the needs and preferences of each resident. (F0558)No harm, but a risk of harm
isolated
Corrected: May 8, 2022

Fines and payment denials

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

Staffing

Nurse staff hours per resident per day4.14California median: 4.27
Registered nurse hours per resident per day0.35California median: 0.52
Nurse staff hours on weekends3.76California median: 3.85
Nursing staff who left within a year35.5%California median: 36.0%

About this home

Beds175
Residents per day, average159.2
OwnershipFor-profit, limited liability company
Legal business nameLake Forest Post Acute LLC
ChainDavid Johnson (50 homes)
In Medicare/Medicaid sinceJun 28, 1988

Questions to ask when you call

Source. Medicare Care Compare (CMS Provider Data), data dated Oct 1, 2026. Open this home on Medicare.gov

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