Advanced Rehab Center of Tustin
2210 E. First Street · Santa Ana, CA · 92705 · 7145477091
99 certified beds For profit - Limited Liability company Chain: Abraham Bak & Menachem Gastwirth
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 3 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 4.38 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.34 | 0.55–0.75 |
| Weekend hours / resident-day | 4.01 | ≈ weekday level |
| Nursing turnover / year | 30% | median 45% |
| Fines (3-yr window) | 1 · $37,182 |
Inspection citations (98 in the current record)
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Potential for harm · D November 13, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected December 13, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D November 13, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected December 13, 2025 · Quality of Life and Care
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Potential for harm · D August 5, 2025 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected September 4, 2025 · Quality of Life and Care
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No harm found · B August 5, 2025 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected September 4, 2025 · Resident Assessment and Care Planning
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No harm found · B August 5, 2025 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected September 4, 2025 · Resident Assessment and Care Planning
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Potential for harm · D July 9, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected August 8, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D July 9, 2025 · found via complaint
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected August 8, 2025 · Pharmacy Service
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Potential for harm · D April 16, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected May 16, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D April 16, 2025 · found via complaint
Plan the resident's discharge to meet the resident's goals and needs.
Corrected May 16, 2025 · Resident Assessment and Care Planning
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Potential for harm · D March 24, 2025
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected April 24, 2025 · Quality of Life and Care
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Potential for harm · D March 24, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 24, 2025 · Quality of Life and Care
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Potential for harm · D March 24, 2025
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected April 24, 2025 · Quality of Life and Care
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Potential for harm · D March 24, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected April 24, 2025 · Quality of Life and Care
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Potential for harm · D March 24, 2025
Provide safe, appropriate pain management for a resident who requires such services.
Corrected April 24, 2025 · Quality of Life and Care
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Potential for harm · D March 24, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected April 24, 2025 · Pharmacy Service
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Potential for harm · D March 24, 2025
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.
Corrected April 24, 2025 · Pharmacy Service
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Potential for harm · D March 24, 2025
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.
Corrected April 24, 2025 · Pharmacy Service
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Potential for harm · D March 24, 2025
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.
Corrected April 24, 2025 · Nutrition and Dietary
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Potential for harm · D March 24, 2025
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected April 24, 2025 · Nutrition and Dietary
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Potential for harm · D March 24, 2025
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected April 24, 2025 · Nutrition and Dietary
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Potential for harm · E March 24, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected April 24, 2025 · Nutrition and Dietary
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Potential for harm · D March 24, 2025
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Corrected April 24, 2025 · Nutrition and Dietary
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Potential for harm · D March 24, 2025
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.
Corrected April 24, 2025 · Administration
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Potential for harm · E March 24, 2025
Provide and implement an infection prevention and control program.
Corrected April 24, 2025 · Infection Control
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Potential for harm · D March 24, 2025
Implement a program that monitors antibiotic use.
Corrected April 24, 2025 · Infection Control
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| July 12, 2024 | Fine | $37,182 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 055330 · certified since January 1, 1967. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.