Trabuco Hills Post Acute
Nursing Home Facility
25652 Old Trabuco Road, Lake Forest, CA 92630
Trabuco Hills Post Acute is a senior care community located in Lake Forest, CA. It provides nursing home care and senior living for older adults in the Lake Forest area. To learn more or schedule a tour, call (949) 380-9380.
Operated by David Johnson, which runs 45 communities in our directory.
With 175 beds, Trabuco Hills Post Acute is one of the larger communities in the area, senior care communities in Lake Forest average about 19 beds. Larger communities more often keep clinical staff on site around the clock and can offer a wider range of on-site therapy and activities, though some families prefer the quieter feel of a smaller setting.
Federal reporting puts occupancy at about 94% of its licensed beds, which is high; communities this full often maintain a waiting list, so it is worth calling well before you need a place.
Medicare rates this community 2 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. Its most recent standard health inspection was in March 2026 and recorded 54 deficiencies.
Residents receive about 4.2 hours of nursing care per day on average, including 0.4 hours from a registered nurse. Nursing staff turnover over the past year was about 30%.
The community is located in Orange County, CA.
Inspection record
In its last three standard inspections and any complaint visits, federal inspectors cited 107 problems at Trabuco Hills Post Acute. None of them caused harm to a resident. 30 came from investigating complaints by residents or families.
Findings from the most recent inspection cycle
-
Could cause more than minimal harm, one or a few residents
Resident Rights
Allow residents to self-administer drugs if determined clinically appropriate.
-
Could cause more than minimal harm, one or a few residents
Resident Rights
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
-
Could cause more than minimal harm, one or a few residents
Freedom from Abuse, Neglect, and Exploitation
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
-
Could cause more than minimal harm, a pattern
Nutrition and Dietary
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.
-
Could cause more than minimal harm, a pattern
Nutrition and Dietary
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
-
Could cause more than minimal harm, a pattern
Administration
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
-
Could cause more than minimal harm, a pattern
Infection Control
Provide and implement an infection prevention and control program.
-
Could cause more than minimal harm, a pattern
Environmental
Keep all essential equipment working safely.
Show 46 more
-
Could cause more than minimal harm, a pattern
Environmental
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
-
Could cause more than minimal harm, one or a few residents
Resident Rights
Allow residents to self-administer drugs if determined clinically appropriate.
-
Could cause more than minimal harm, one or a few residents
Resident Rights
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.
-
Could cause more than minimal harm, one or a few residents
Resident Rights
Keep residents' personal and medical records private and confidential.
-
Could cause more than minimal harm, one or a few residents
Freedom from Abuse, Neglect, and Exploitation
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
-
Could cause more than minimal harm, one or a few residents
Resident Rights
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
-
Could cause more than minimal harm, one or a few residents
Resident Rights
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
-
Could cause more than minimal harm, one or a few residents
Resident Assessment and Care Planning
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
-
Could cause more than minimal harm, one or a few residents
Resident Assessment and Care Planning
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
-
Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
-
Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Assist a resident in gaining access to vision and hearing services.
-
Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
-
Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
-
Could cause more than minimal harm, one or a few residents
Quality of Life and Care
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.
-
Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
-
Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Provide safe and appropriate respiratory care for a resident when needed.
-
Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Provide safe, appropriate pain management for a resident who requires such services.
-
Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Provide safe, appropriate dialysis care/services for a resident who requires such services.
-
Could cause more than minimal harm, one or a few residents
Pharmacy Service
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
-
Could cause more than minimal harm, one or a few residents
Pharmacy Service
Ensure medication error rates are not 5 percent or greater.
-
Could cause more than minimal harm, one or a few residents
Pharmacy Service
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.
-
Could cause more than minimal harm, one or a few residents
Nutrition and Dietary
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
-
Could cause more than minimal harm, one or a few residents
Nutrition and Dietary
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
-
Could cause more than minimal harm, one or a few residents
Nutrition and Dietary
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
-
Could cause more than minimal harm, one or a few residents
Resident Assessment and Care Planning
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
-
Could cause more than minimal harm, one or a few residents
Administration
Have a plan that describes the process for conducting QAPI and QAA activities.
-
Could cause more than minimal harm, one or a few residents
Infection Control
Implement a program that monitors antibiotic use.
-
Could cause more than minimal harm, one or a few residents
Infection Control
Develop and implement policies and procedures for flu and pneumonia vaccinations.
-
Could cause more than minimal harm, one or a few residents
Infection Control
Educate 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.
-
Could cause more than minimal harm, one or a few residents
Environmental
Make sure that a working call system is available in each resident's bathroom and bathing area.
-
Could cause more than minimal harm, one or a few residents
Nursing and Physician Services
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
-
Could cause more than minimal harm, one or a few residents
Pharmacy Service
Ensure each resident’s drug regimen must be free from unnecessary drugs.
-
Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
-
Could cause more than minimal harm, one or a few residents
Pharmacy Service
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
-
Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
-
Could cause more than minimal harm, one or a few residents
Resident Assessment and Care Planning
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
-
Minimal harm or the potential for it, a pattern
Resident Assessment and Care Planning
Ensure each resident receives an accurate assessment.
-
Minimal harm or the potential for it, a pattern
Administration
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.
-
Minimal harm or the potential for it, a pattern
Resident Rights
Keep residents' personal and medical records private and confidential.
-
Minimal harm or the potential for it, a pattern
Resident Assessment and Care Planning
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
-
Minimal harm or the potential for it, a pattern
Quality of Life and Care
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
-
Minimal harm or the potential for it, a pattern
Pharmacy Service
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
-
Minimal harm or the potential for it, a pattern
Resident Assessment and Care Planning
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
-
Minimal harm or the potential for it, a pattern
Resident Rights
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
-
Minimal harm or the potential for it, a pattern
Administration
Provide timely, quality laboratory services/tests to meet the needs of residents.
-
Minimal harm or the potential for it, a pattern
Resident Rights
Allow residents to self-administer drugs if determined clinically appropriate.
A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.
Trabuco Hills Post Acute offers nursing home care and senior living.
Facility details
- Organization type For profit - Partnership
- Beds / units 175
- Occupancy 94%
- Nursing hours per resident/day 4.2
- Annual staff turnover 30%
- Last health inspection March 2026
Resident & family reviews
This facility should be on the federal safety watch list if not already. Bugs found in plain site. Notified cleaner, but said that nothing she can do about it because it was time for her to go home!
There is no sense of urgency for the patients at this facility. Average wait time for a nurse to come to the room is 5 beeps, after 20 minutes. The staff looks nice, but their actions are not. You'd have to tell the nurses to do everything, even though they know they should but they don't even after 5-6 times telling them. And that's just the top of the iceberg!
by livesincar@yahoo.com, Apr 2017