Pacific Haven Subacute and Healthcare Center

12072 Trask Ave. · Garden Grove, CA · 92843 · 7145341942

99 certified beds For profit - Limited Liability company Chain: The Ensign Group

Why this verdict

  • Inspection results are getting worse cycle over cycle, not better.
  • Staffing hours comfortably above national benchmarks.
  • No federal fines or payment denials in CMS’s 3-year window.

The composite number cleared 71 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.

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Red flags

2 actual-harm citations in the most recent cycle

Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.

Score breakdown

Inspection record 30% of score 43
Serious harm & abuse 20% 88
Staffing 20% 91
Federal penalties 15% 100
Trend 10% 26
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 4 of 5 Inspections: 3 of 5 Staffing: 2 of 5 Quality measures: 5 of 5

Total nurse hours / resident-day5.423.48 min · 4.1 strong
RN hours / resident-day0.970.55–0.75
Weekend hours / resident-day5.05≈ weekday level
Nursing turnover / year45%median 45%
Fines (3-yr window)none

Inspection citations (36 in the current record)

  • Potential for harm · D April 17, 2026 · found via complaint

    Respond appropriately to all alleged violations.

    Corrected April 26, 2026 · Freedom from Abuse, Neglect, and Exploitation

  • Actual harm · G November 4, 2025 · found via complaint

    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

    Corrected December 16, 2025 · Nursing and Physician Services

  • Actual harm · G November 4, 2025 · found via complaint

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected December 16, 2025 · Pharmacy Service

  • Potential for harm · D June 12, 2025 · found via complaint

    Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

    Corrected July 1, 2025 · Nutrition and Dietary

  • Potential for harm · D May 5, 2025

    Allow residents to self-administer drugs if determined clinically appropriate.

    Corrected June 1, 2025 · Resident Rights

  • Potential for harm · D May 5, 2025

    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

    Corrected June 1, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D May 5, 2025

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected June 1, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D May 5, 2025

    Provide activities to meet all resident's needs.

    Corrected June 1, 2025 · Quality of Life and Care

  • Potential for harm · D May 5, 2025

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected June 1, 2025 · Quality of Life and Care

  • Potential for harm · D May 5, 2025

    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

    Corrected June 1, 2025 · Quality of Life and Care

  • Potential for harm · D May 5, 2025

    Provide enough food/fluids to maintain a resident's health.

    Corrected June 1, 2025 · Quality of Life and Care

  • Potential for harm · D May 5, 2025

    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.

    Corrected June 1, 2025 · Quality of Life and Care

  • Potential for harm · D May 5, 2025

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected June 1, 2025 · Quality of Life and Care

  • Potential for harm · D May 5, 2025

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected June 1, 2025 · Pharmacy Service

  • Potential for harm · E May 5, 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 June 1, 2025 · Pharmacy Service

  • Potential for harm · D May 5, 2025

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected June 1, 2025 · Nutrition and Dietary

  • Potential for harm · E May 5, 2025

    Provide and implement an infection prevention and control program.

    Corrected June 1, 2025 · Infection Control

  • Potential for harm · D May 5, 2025

    Keep all essential equipment working safely.

    Corrected June 1, 2025 · Environmental

  • No harm found · B May 5, 2025

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected June 1, 2025 · Resident Assessment and Care Planning

  • No harm found · B May 5, 2025 · found via complaint

    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.

    Corrected June 1, 2025 · Resident Rights

  • No harm found · B May 5, 2025 · found via complaint

    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 June 1, 2025 · Nutrition and Dietary

  • No harm found · B May 5, 2025 · found via complaint

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Corrected June 1, 2025 · Nutrition and Dietary

  • Potential for harm · D April 11, 2024

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected May 2, 2024 · Quality of Life and Care

  • Potential for harm · E April 11, 2024

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected May 7, 2024 · Nutrition and Dietary

  • Potential for harm · D April 11, 2024

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected May 9, 2024 · Resident Assessment and Care Planning

Showing the 25 most recent. The Safety Report includes every citation with full findings.

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 055575 · certified since January 1, 1980. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.