THE HILLS POST ACUTE – SANTA ANA, CA

CMS Verified | 2026-03-01

The Hills Post Acute

1800 OLD TUSTIN AVENUE, Santa Ana, CA 92705
(714) 835-4900
174 beds
All Santa Ana facilities
2.0*
Overall
2.0*
Health Inspection
3.0*
Quality Care
3.0*
Staffing
59.22
Score /100
#12269
National Rank

#12269
of 14703 facilities
National
16.6% position
#1071
of 1162 in CA
State Rank
#71
of 72 in Orange
County Rank
#7
of 8 in Santa Ana
City Rank
#2
of 2 in ZIP 92705
ZIP Rank






About The Hills Post AcuteThe Hills Post Acute is located at 1800 Old Tustin Avenue, Santa Ana, CA, reachable at (714) 835-4900. This For profit – Corporation facility operates 174.0 certified beds and serves an average of 160 residents per day. It is part of the The Ensign Group network (329 facilities nationwide). Medicare and Medicaid services have been provided since 2000-12-01. The facility currently holds a below average (2-star) overall CMS rating — families are encouraged to review inspection reports carefully before making a decision.
Facility

The Hills Post Acute

Address

1800 Old Tustin Avenue, Santa Ana, CA 92705

Care Offered
  • Long-Term Care
  • Rehab / Short-Term Care
Medicare & Medicaid
  • Accepts Medicare
  • Accepts Medicaid
Facility Details
  • 174 Certified Beds
  • Ownership: For profit – Corporation
  • Resident Council: Resident
  • Automatic Sprinklers: Yes
  • Network: THE ENSIGN GROUP

Quick Verdict

Overall Quality
⚠️ Below Average (2★) overall rating
Health Inspection
⚠️ Below Average (2★) health inspection
Staffing
⚠️ Average (3★) staffing rating
Quality of Care
⚠️ Average (3★) quality of care
Compliance
❌ 11 fine(s) over 5 years
5-Year Trend
➡️ Stable over 5 years
59.22
Composite quality score out of 100 – how we calculate this
0 – Poor50 – Average100 – Best

#12269 of 14703 nationally – #1071 of 1162 in California

Who Is This Facility Best For?

The Hills Post Acute may be considered for families with limited options in Santa Ana, CA, but its lower CMS ratings suggest careful due diligence is warranted. It is particularly well-suited for long-term residents based on its Quality Measure scores.

Overall Rating 2022-2026

Total Nurse Hours/Day 2022-2026

Current Ratings (2026)

Overall Rating

2 / 5
Health Inspection

2 / 5
Staffing Rating

3 / 5
Quality Measures (QM)

3 / 5
Long-Stay QM Rating

5 / 5
Short-Stay QM Rating

2 / 5

5-Year Rating Trends

Overall Rating

Health Inspection Rating

Quality of Care (QM)

Staffing Rating

Average Residents per Day

Occupancy % (Residents / Beds)

Staffing InsightThe Hills Post Acute currently provides 4 hours 4 minutes of total nurse staffing per resident per day, including 24 minutes of Registered Nurse (RN) coverage. The CMS Staffing Rating is 3 out of 5 (average). Total nursing staff turnover stands at 40.3% — above the national average of ~35%.

Current Staffing Hours Per Resident Per Day (2026)

Total Nurse Staffing4 hours 4 minutes
Nurse Aide Hours2 hours 30 minutes
Licensed Practical Nurse (LPN) Hours1 hour 10 minutes
Registered Nurse (RN) Hours24 minutes
Physical Therapist Hours6 minutes

National average total nurse staffing is approximately 3.5 hours per day

Weekend Staffing Hours Per Resident Per Day (2026)

Weekend Total Nurse Hours3 hours 41 minutes
Weekend Registered Nurse (RN) Hours18 minutes

Weekend staffing is typically lower than weekday levels. Ask the facility about their weekend nurse-to-resident ratios.

5-Year Staffing Trends

Total Nurse Hours/Day

Registered Nurse (RN) Hours/Day

Licensed Practical Nurse (LPN) Hours/Day

Nurse Aide Hours/Day

Total Staff Turnover %

Registered Nurse (RN) Turnover %

Compliance SummaryIn the current reporting period, the facility received 2 fine(s) totaling $4,893. 120 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings.
Number of Fines (current period) 2
Total Fines Amount $4893.0
Payment Denials 0
Total Penalties 2
Abuse Flag on Record N
Total Weighted Health Survey Score 130.0 (lower = better)

Substantiated Complaints / Year

Fines Issued ($) / Year

Composite Quality Rankings

#12,269
of 14,703
National
Bottom 17%
#1,071
CA State
Bottom 10% in CA
#71
of 72
️ Orange County
#71 of 72
#7
of 8
️ Santa Ana
#7 of 8
#2
of 2
ZIP 92705
#2 of 2

Nationally, The Hills Post Acute ranks 12269th out of 14,703 facilities (composite score: 59.2/100), placing it in the bottom 25% nationwide. Within CA, it ranks 1071st out of 1,162 nursing homes. In Santa Ana, it ranks 7th out of 8 facilities. Among facilities sharing its ZIP code, it ranks 2nd of 2. For 2026 staffing: total nurse hours rank #4,410 nationally and RN hours rank #10,810 nationally (#725 in CA).

How do we calculate these rankings?

Total Nurse Staffing – Year-by-Year National and State Ranks

Year Hours/Day National Rank CA State Rank Note
2022 3.88 #5,060 / 14,703 #733 / 1,162 Above average
2023 3.86 #4,965 / 14,703 #762 / 1,162 Above average
2024 3.47 #8,519 / 14,703 #1,061 / 1,162 Below average
2025 4.02 #4,488 / 14,703 #733 / 1,162 Above average
2026 4.06 #4,410 / 14,703 #769 / 1,162 Above average

Registered Nurse (RN) Hours – Year-by-Year National and State Ranks

Year Hours/Day National Rank CA State Rank Note
2022 0.44 #9,979 / 14,703 #649 / 1,162 Below average
2023 0.31 #11,990 / 14,703 #865 / 1,162 ⚠️ Bottom 25%
2024 0.32 #11,973 / 14,703 #819 / 1,162 ⚠️ Bottom 25%
2025 0.41 #10,371 / 14,703 #645 / 1,162 Below average
2026 0.40 #10,810 / 14,703 #725 / 1,162 Below average

Total Nurse Rank – National (lower number = better)

Registered Nurse Rank – National (lower number = better)

Frequently Asked Questions

The Hills Post Acute is certified as a Medicare and Medicaid facility and has been approved to provide these services since 2000-12-01. Medicare covers short-term skilled nursing care (typically up to 100 days after a qualifying hospital stay). Medicaid covers long-term care for residents who meet financial eligibility requirements. Contact the facility at (714) 835-4900 or your local Medicaid office to verify current eligibility.

The Hills Post Acute holds an overall CMS (Centers for Medicare & Medicaid Services) rating of 2 out of 5 stars. This is made up of three components: Health Inspection (2★), Staffing (3★), and Quality of Resident Care (3★). Our independent composite quality score — which uses the raw underlying CMS numbers to break ties between similarly-rated facilities — is 59.2/100, placing it #12269 of 14703 facilities nationally and #1071 of 1162 in California. Star ratings are a useful starting point, but the composite score and individual sub-ratings give a more complete picture for families comparing facilities.

Each resident at The Hills Post Acute receives a reported average of 4 hours 4 minutes of total nurse staffing per day. This breaks down as: Registered Nurse (RN) coverage — 24 minutes; Licensed Practical Nurse (LPN) — 1 hour 10 minutes; Nurse Aide — 2 hours 30 minutes. On weekends, total nurse staffing is 3 hours 41 minutes per resident per day. The CMS Staffing Rating for this facility is 3 out of 5. The national average for total nursing hours is approximately 3.5 hrs/day. Total nursing staff turnover is 40.3%. Families are encouraged to ask about current staffing schedules during their facility visit.

In the current reporting period, the facility received 2 fine(s) totaling $4,893. 120 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings. In the most recent CMS reporting period, the facility received 2 fine(s) totaling $4,893, and 0 Medicare payment denial(s). Total penalties: 2. The Total Weighted Health Survey Score is 130.0 (lower scores are better). Full inspection history and complaint details are available at medicare.gov/care-compare.

Nationally, The Hills Post Acute ranks 12269th out of 14,703 facilities (composite score: 59.2/100), placing it in the bottom 25% nationwide. Within CA, it ranks 1071st out of 1,162 nursing homes. In Santa Ana, it ranks 7th out of 8 facilities. Among facilities sharing its ZIP code, it ranks 2nd of 2. For 2026 staffing: total nurse hours rank #4,410 nationally and RN hours rank #10,810 nationally (#725 in CA). Our composite quality score of 59.2/100 weighs health inspections, quality of resident care, staffing hours, compliance record, and five-year performance trends — giving a more complete picture than CMS star ratings alone, which can place hundreds of facilities in the same 5-star bucket. To browse and compare all nursing homes in Santa Ana, visit: https://nursinghomesnearme.org/california/santa-ana/

Contact and Location

ADR
Address

1800 OLD TUSTIN AVENUE, Santa Ana, CA 92705
Get directions on Google Maps

TEL
LLC
Legal Name

TUSTIN HILLS HEALTHCARE, INC.

MAP
Browse by Location

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Orange County ·
Santa Ana ·
ZIP 92705

Facility Details

Number of Certified Beds 174
Average Residents / Day 160 (92% occupancy)
Ownership Type For profit – Corporation
Provider Type Medicare and Medicaid
County Orange County, CA
City Santa Ana, CA
ZIP Code 92705
Approved Since December 1, 2000
Resident Council ✅ Yes
Automatic Sprinklers ✅ All required areas
Ownership Changed (12 mo.) No
CMS Certification Number 555765
Data Processing Date March 1, 2026
Data Disclaimer: All data on this page is sourced exclusively from the official CMS (Centers for Medicare and Medicaid Services) Nursing Home Compare dataset, covering reporting periods from 2022 through 2026. This includes facility ratings, staffing hours, inspection scores, fines, complaints, and geographic coordinates. NursingHomesNearMe.org does not independently verify, collect, or alter this data. Composite scores and rankings are calculated by NursingHomesNearMe.org – learn how rankings are calculated. Information may not reflect current facility conditions. Always contact the facility directly and verify at medicare.gov/care-compare before making care decisions.
Data: CMS Nursing Home Compare – Processing Date: 2026-03-01 –
Rankings across 14703 U.S. facilities –
Ranking Methodology
NursingHomesNearMe.org

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