County: Orange

City: Anaheim

Anaheim Crest Nursing Center
(714) 827-2440 — 3067 West Orange Avenue — Anaheim, CA 92804

Services
How to interpret services information.

Cap.= 83 Type = SNF Medi-Cal: yes Medicare: yes

From CANHR questionnaire returned 4/27/2005:
"Alzheimer's Unit": NoWanderer alert: No
Locked Ward: No
Types of Residents Accepted: A D E F I L R U V
Types of Residents Not Accepted: B J M N O P Q S T
Languages spoken by direct-care staff: F I
Family Council: No Family Council

Violations Record
From Dept. of Public Health as of 2/25/2008;
Citations as of 4/23/2008.
Last DHS Certification Inspection = 7/25/2007.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2002 0 0 0 10 12.7 6 5.8
2003 0 0 0 12 15 7 8.5
2004 0 0 0 30 17.8 3 9.2
2005 0 0 0 14 19.6 2 10.4
2006 0 0 0 21 20.8 15 12.5
2007 0 0 0 25 21.2 10 14.7

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City: Anaheim

Anaheim Healthcare Center, LLC
(714) 816-0540 — 501 S. Beach Blvd. — Anaheim, CA 92804

Services
How to interpret services information.

Cap.= 250 Type = SNF Medi-Cal: yes Medicare: yes

From CANHR questionnaire returned 5/5/2005:
"Alzheimer's Unit": YesWanderer alert: Yes
Locked Ward: Yes
Types of Residents Accepted: A B D E F I L M O P Q R S T U V
Types of Residents Not Accepted: J N
Languages spoken by direct-care staff: A
Family Council: Yes

Violations Record
From Dept. of Public Health as of 2/25/2008;
Citations as of 4/23/2008.
Last DHS Certification Inspection = 12/4/2007.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2002 0 0 0 0 12.7 0 5.8
2003 0 0 0 11 15 9 8.5
2004 0 0 0 19 17.8 1 9.2
2005 0 0 0 22 19.6 2 10.4
2006 0 0 0 26 20.8 20 12.5
2007 0 0 0 39 21.2 28 14.7

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City: Anaheim

Anaheim Terrace Care Center
(714) 821-7310 — 141 South Knott Avenue — Anaheim, CA 92804

Services
How to interpret services information.

Cap.= 99 Type = SNF Medi-Cal: yes Medicare: yes

From CANHR questionnaire returned 4/4/2001:
"Alzheimer's Unit": Unk.Wanderer alert: Unk.
Locked Ward: Unk.
Types of Residents Accepted: A D F I J L N O Q R S T U V
Types of Residents Not Accepted: P
Languages spoken by direct-care staff:
Family Council: Not Specified

Violations Record
From Dept. of Public Health as of 2/25/2008;
Citations as of 4/23/2008.
Last DHS Certification Inspection = 4/4/2007.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2002 0 0 0 13 12.7 2 5.8
2003 0 0 0 12 15 4 8.5
2004 0 0 0 27 17.8 5 9.2
2005 0 0 0 29 19.6 6 10.4
2006 0 0 0 11 20.8 6 12.5
2007 0 0 0 30 21.2 3 14.7

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City: Anaheim

Buena Vista Care Center
(714) 535-7264 — 1440 South Euclid Street — Anaheim, CA 92802

Services
How to interpret services information.

Cap.= 99 Type = SNF Medi-Cal: yes Medicare: yes

From CANHR questionnaire returned 4/23/2002:
"Alzheimer's Unit": YesWanderer alert: Yes
Locked Ward: Yes
Types of Residents Accepted: A B D E F I J L M O S U V
Types of Residents Not Accepted: N P Q R T
Languages spoken by direct-care staff: A G I
Family Council: Not Specified

Violations Record
From Dept. of Public Health as of 2/25/2008;
Citations as of 4/23/2008.
Last DHS Certification Inspection = 10/11/2007.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2002 0 0 0 22 12.7 9 5.8
2003 0 0 1 5 15 10 8.5
2004 0 0 0 14 17.8 1 9.2
2005 0 0 0 26 19.6 2 10.4
2006 0 0 0 20 20.8 8 12.5
2007 0 0 1 30 21.2 12 14.7

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City: Anaheim

Coventry Court Health Center
(714) 636-2800 — 2040 S. Euclid Avenue — Anaheim, CA 92802

Services
How to interpret services information.

Cap.= 97 Type = SNF Medi-Cal: yes Medicare: yes

From CANHR questionnaire returned 5/22/2001:
"Alzheimer's Unit": NoWanderer alert: Yes
Locked Ward: No
Types of Residents Accepted: A D E F I J L P Q S T U V
Types of Residents Not Accepted: N O R
Languages spoken by direct-care staff: A C I
Family Council: Not Specified

Violations Record
From Dept. of Public Health as of 2/25/2008;
Citations as of 4/23/2008.
Last DHS Certification Inspection = 6/13/2007.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2002 0 0 1 1 12.7 8 5.8
2003 0 0 0 9 15 3 8.5
2004 0 0 0 13 17.8 2 9.2
2005 0 0 0 6 19.6 0 10.4
2006 0 0 0 11 20.8 6 12.5
2007 0 0 0 22 21.2 5 14.7

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City: Anaheim

Harbor Villa Care Center
(714) 635-8131 — 861 S. Harbor Blvd. — Anaheim, CA 92805

Services
How to interpret services information.

Cap.= 99 Type = SNF Medi-Cal: yes Medicare: yes

From CANHR questionnaire returned 4/24/2002:
"Alzheimer's Unit": NoWanderer alert: Yes
Locked Ward: No
Types of Residents Accepted: D E F I L M S T U V
Types of Residents Not Accepted: A B J N O P Q R
Languages spoken by direct-care staff: A I
Family Council: Not Specified

Violations Record
From Dept. of Public Health as of 2/25/2008;
Citations as of 4/23/2008.
Last DHS Certification Inspection = 1/10/2007.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2002 0 0 0 20 12.7 2 5.8
2003 0 0 0 13 15 8 8.5
2004 0 0 0 22 17.8 10 9.2
2005 0 0 1 14 19.6 0 10.4
2006 0 0 0 18 20.8 12 12.5
2007 0 0 0 2 21.2 14 14.7

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City: Anaheim

La Palma Nursing Center
(714) 772-7480 — 1130 W. La Palma Avenue — Anaheim, CA 92801

Services
How to interpret services information.

Cap.= 72 Type = SNF Medi-Cal: yes Medicare: yes

From CANHR questionnaire returned 10/29/2003:
"Alzheimer's Unit": NoWanderer alert: Unk.
Locked Ward: No
Types of Residents Accepted: A D E F I L M P Q R S U V
Types of Residents Not Accepted: B J N O T
Languages spoken by direct-care staff: A I
Family Council: Yes

Violations Record
From Dept. of Public Health as of 2/25/2008;
Citations as of 4/23/2008.
Last DHS Certification Inspection = 7/5/2007.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2002 0 0 0 5 12.7 10 5.8
2003 0 0 0 9 15 16 8.5
2004 0 0 1 8 17.8 6 9.2
2005 0 0 0 15 19.6 2 10.4
2006 0 0 0 12 20.8 6 12.5
2007 0 0 0 45 21.2 5 14.7

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City: Anaheim

Leisure Court Nursing Center
(714) 772-1353 — 1135 Leisure Court — Anaheim, CA 92801

Services
How to interpret services information.

Cap.= 115 Type = SNF Medi-Cal: yes Medicare: yes

From CANHR questionnaire returned 5/9/2005:
"Alzheimer's Unit": YesWanderer alert: Yes
Locked Ward: No
Types of Residents Accepted: A B D E F I J L O P Q R S T U V
Types of Residents Not Accepted: N
Languages spoken by direct-care staff: A I
Family Council: No Family Council

Violations Record
From Dept. of Public Health as of 2/25/2008;
Citations as of 4/23/2008.
Last DHS Certification Inspection = 4/19/2007.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2002 0 0 1 15 12.7 13 5.8
2003 0 0 0 9 15 31 8.5
2004 0 0 0 0 17.8 3 9.2
2005 0 0 0 17 19.6 3 10.4
2006 0 0 1 36 20.8 13 12.5
2007 0 0 1 32 21.2 12 14.7

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City: Anaheim

Park Anaheim Healthcare Center
(714) 827-5880 — 3435 W. Ball Road — Anaheim, CA 92804

Services
How to interpret services information.

Cap.= 115 Type = SNF Medi-Cal: yes Medicare: yes

From CANHR questionnaire returned 9/12/2003:
"Alzheimer's Unit": NoWanderer alert: Yes
Locked Ward: No
Types of Residents Accepted: A D E F I L M N P Q S T U V
Types of Residents Not Accepted: B J O R
Languages spoken by direct-care staff: A I ee
Family Council: No Family Council

Violations Record
From Dept. of Public Health as of 2/25/2008;
Citations as of 4/23/2008.
Last DHS Certification Inspection = 5/8/2007.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2002 0 0 1 23 12.7 8 5.8
2003 0 0 0 3 15 2 8.5
2004 0 0 0 15 17.8 2 9.2
2005 0 0 0 32 19.6 0 10.4
2006 0 0 1 32 20.8 12 12.5
2007 0 1 0 139 21.2 12 14.7

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City: Anaheim

Parkview Healthcare Center
(714) 774-2222 — 1514 E. Lincoln Avenue — Anaheim, CA 92805

Services
How to interpret services information.

Cap.= 41 Type = SNF Medi-Cal: yes Medicare: yes

From CANHR questionnaire returned 3/23/1993:
"Alzheimer's Unit": NoWanderer alert: No
Locked Ward: No
Types of Residents Accepted: I S
Types of Residents Not Accepted: A F J N O
Languages spoken by direct-care staff: I
Family Council: Not Specified

Violations Record
From Dept. of Public Health as of 2/25/2008;
Citations as of 4/23/2008.
Last DHS Certification Inspection = 11/7/2007.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2002 0 0 0 11 12.7 3 5.8
2003 0 0 0 9 15 3 8.5
2004 0 0 0 9 17.8 2 9.2
2005 0 0 0 14 19.6 1 10.4
2006 0 0 0 24 20.8 1 12.5
2007 0 0 0 18 21.2 1 14.7

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City: Anaheim

Sun Mar Nursing Center
(714) 776-1720 — 1720 W. Orange Avenue — Anaheim, CA 92804

Services
How to interpret services information.

Cap.= 69 Type = SNF Medi-Cal: yes Medicare: yes

From CANHR questionnaire returned 8/21/2003:
"Alzheimer's Unit": NoWanderer alert: Yes
Locked Ward: No
Types of Residents Accepted: D E F I L Q S T U V
Types of Residents Not Accepted: B J M N O P R
Languages spoken by direct-care staff: A F I
Family Council: Not Specified

Violations Record
From Dept. of Public Health as of 2/25/2008;
Citations as of 4/23/2008.
Last DHS Certification Inspection = 6/19/2007.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2002 0 0 0 3 12.7 2 5.8
2003 0 0 0 0 15 2 8.5
2004 0 0 0 1 17.8 0 9.2
2005 0 0 0 17 19.6 1 10.4
2006 0 0 0 20 20.8 0 12.5
2007 0 0 0 20 21.2 2 14.7

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City: Anaheim

Walnut Manor Care Center
(714) 776-7150 — 1401 Ball Road — Anaheim, CA 92802

Services
How to interpret services information.

Cap.= 99 Type = SNF / CCRC Medi-Cal: yes Medicare: yes

From CANHR questionnaire returned 1/1/1996:
"Alzheimer's Unit": YesWanderer alert: No
Locked Ward: Yes
Types of Residents Accepted: B D E F I L N O
Types of Residents Not Accepted: A J M
Languages spoken by direct-care staff: I pp
Family Council: No Family Council

Violations Record
From Dept. of Public Health as of 2/25/2008;
Citations as of 4/23/2008.
Last DHS Certification Inspection = 2/27/2007.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2002 0 0 0 9 12.7 4 5.8
2003 0 0 0 4 15 5 8.5
2004 0 0 0 24 17.8 1 9.2
2005 0 0 0 8 19.6 0 10.4
2006 0 0 0 13 20.8 5 12.5
2007 0 0 0 28 21.2 9 14.7

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City: Anaheim

West Anaheim Extended Care
(714) 821-1993 — 645 South Beach Blvd. — Anaheim, CA 92804

Services
How to interpret services information.

Cap.= 138 Type = SNF Medi-Cal: yes Medicare: yes

From CANHR questionnaire returned 4/27/2005:
"Alzheimer's Unit": NoWanderer alert: Yes
Locked Ward: No
Types of Residents Accepted: A D E F I L P Q R S T U V
Types of Residents Not Accepted: B J M N O
Languages spoken by direct-care staff: A I
Family Council: No Family Council

Violations Record
From Dept. of Public Health as of 2/25/2008;
Citations as of 4/23/2008.
Last DHS Certification Inspection = 12/20/2007.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2002 0 0 0 6 12.7 4 5.8
2003 0 0 1 9 15 9 8.5
2004 0 0 0 19 17.8 3 9.2
2005 0 0 0 26 19.6 2 10.4
2006 0 0 1 23 20.8 12 12.5
2007 0 0 0 34 21.2 15 14.7

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City: Anaheim

West Anaheim Medical Center D/P Snf
(714) 827-3000 — 3033 W. Orange Avenue — Anaheim, CA 92804

Services
How to interpret services information.

Cap.= 22 Type = D/P SNF Medi-Cal: yes Medicare: yes

From CANHR questionnaire returned 1/1/1990:
"Alzheimer's Unit": Unk.Wanderer alert: Unk.
Locked Ward: Unk.
Types of Residents Accepted:
Types of Residents Not Accepted:
Languages spoken by direct-care staff:
Family Council: Not Specified

Violations Record
From Dept. of Public Health as of 2/25/2008;
Citations as of 4/23/2008.
Last DHS Certification Inspection = 6/9/2005.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2002 0 0 0 1 12.7 1 5.8
2003 0 0 0 0 15 0 8.5
2004 0 0 0 2 17.8 0 9.2
2005 0 0 0 12 19.6 1 10.4
2006 0 0 0 0 20.8 0 12.5
2007 0 0 0 0 21.2 0 14.7

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City: Anaheim

Windsor Gardens Convalescent Center of Anaheim
(714) 826-8950 — 3415 West Ball Road — Anaheim, CA 92804

Services
How to interpret services information.

Cap.= 154 Type = SNF Medi-Cal: yes Medicare: yes

From CANHR questionnaire returned 3/13/2001:
"Alzheimer's Unit": YesWanderer alert: No
Locked Ward: No
Types of Residents Accepted: B D E F I J L O Q R S T U V
Types of Residents Not Accepted: A N P
Languages spoken by direct-care staff: A I gg kk
Family Council: Yes

Violations Record
From Dept. of Public Health as of 2/25/2008;
Citations as of 4/23/2008.
Last DHS Certification Inspection = 2/28/2007.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2002 0 0 1 35 12.7 15 5.8
2003 0 0 0 16 15 8 8.5
2004 0 0 0 22 17.8 4 9.2
2005 0 0 1 31 19.6 5 10.4
2006 0 0 1 5 20.8 11 12.5
2007 0 0 1 43 21.2 29 14.7

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City: Buena Park

Anaheim General Hospital-Buena Park Campus-D/P Snf
(714) 521-4770 — 5742 Beach Boulevard — Buena Park, Ca 90621

Services
How to interpret services information.

Cap.= 21 Type = D/P SNF Medi-Cal: yes Medicare: yes

From CANHR questionnaire returned 10/18/2002:
"Alzheimer's Unit": NoWanderer alert: No
Locked Ward: No
Types of Residents Accepted: D F I M N P U V
Types of Residents Not Accepted: A B E J L O Q R S T
Languages spoken by direct-care staff: A I
Family Council: No Family Council

Violations Record
From Dept. of Public Health as of 2/25/2008;
Citations as of 4/23/2008.
Last DHS Certification Inspection = 8/22/2007.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2002 0 0 0 6 12.7 8 5.8
2003 0 0 0 6 15 4 8.5
2004 0 0 0 6 17.8 3 9.2
2005 0 0 0 18 19.6 2 10.4
2006 0 0 0 13 20.8 4 12.5
2007 0 0 1 53 21.2 11 14.7

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City: Buena Park

Buena Park Nursing Center
(714) 828-8222 — 8520 Western Avenue — Buena Park, CA 90620

Services
How to interpret services information.

Cap.= 143 Type = SNF Medi-Cal: yes Medicare: yes

From CANHR questionnaire returned 3/9/2001:
"Alzheimer's Unit": NoWanderer alert: Yes
Locked Ward: No
Types of Residents Accepted: A D E F I L Q S T U V
Types of Residents Not Accepted: J N O P R
Languages spoken by direct-care staff: A I
Family Council: Yes

Violations Record
From Dept. of Public Health as of 2/25/2008;
Citations as of 4/23/2008.
Last DHS Certification Inspection = 12/27/2006.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2002 0 0 0 10 12.7 8 5.8
2003 0 0 0 3 15 12 8.5
2004 0 0 0 16 17.8 1 9.2
2005 0 0 0 29 19.6 8 10.4
2006 0 0 1 44 20.8 22 12.5
2007 0 1 0 15 21.2 17 14.7

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City: Buena Park

Knott Avenue Care Center
(714) 826-2330 — 9021 Knott Avenue — Buena Park, CA 90620

Services
How to interpret services information.

Cap.= 99 Type = SNF Medi-Cal: yes Medicare: yes

From CANHR questionnaire returned 4/25/2005:
"Alzheimer's Unit": NoWanderer alert: No
Locked Ward: No
Types of Residents Accepted: A D E F I J L M N P Q R S T U V
Types of Residents Not Accepted: B O
Languages spoken by direct-care staff: A B F I ee
Family Council: No Family Council

Violations Record
From Dept. of Public Health as of 2/25/2008;
Citations as of 4/23/2008.
Last DHS Certification Inspection = 3/13/2007.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2002 0 0 0 11 12.7 4 5.8
2003 0 0 0 4 15 11 8.5
2004 0 0 1 19 17.8 3 9.2
2005 0 0 0 6 19.6 4 10.4
2006 0 0 0 6 20.8 5 12.5
2007 0 0 0 26 21.2 6 14.7

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City: Capistrano Beach

Capistrano Beach Care Center
(949) 496-5786 — 35410 Del Rey — Capistrano Beach, CA 92624

Services
How to interpret services information.

Cap.= 93 Type = SNF Medi-Cal: yes Medicare: yes

From CANHR questionnaire returned 5/21/2005:
"Alzheimer's Unit": NoWanderer alert: No
Locked Ward: No
Types of Residents Accepted: A D E F I L P Q R S U V
Types of Residents Not Accepted: B J M N O T
Languages spoken by direct-care staff: A E I ll
Family Council: No Family Council

Violations Record
From Dept. of Public Health as of 2/25/2008;
Citations as of 4/23/2008.
Last DHS Certification Inspection = 9/11/2007.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2002 0 0 2 16 12.7 13 5.8
2003 0 0 2 6 15 21 8.5
2004 0 0 0 14 17.8 5 9.2
2005 0 1 0 20 19.6 7 10.4
2006 0 0 1 22 20.8 10 12.5
2007 0 0 0 33 21.2 11 14.7

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City: Costa Mesa

Fairview Developmental Center D/P SNF
(714) 957-5000 — 2501 Harbor Blvd. — Costa Mesa, CA 92626

Services
How to interpret services information.

Cap.= 396 Type = D/P SNF Medi-Cal: yes Medicare: no

From CANHR questionnaire returned 1/1/1990:
"Alzheimer's Unit": Unk.Wanderer alert: Unk.
Locked Ward: Unk.
Types of Residents Accepted:
Types of Residents Not Accepted:
Languages spoken by direct-care staff:
Family Council: Not Specified

Violations Record
From Dept. of Public Health as of 2/25/2008;
Citations as of 4/23/2008.
Last DHS Certification Inspection = 3/6/2007.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2002 0 0 0 9 12.7 6 5.8
2003 1 0 0 8 15 9 8.5
2004 0 0 1 28 17.8 34 9.2
2005 0 0 2 29 19.6 41 10.4
2006 0 0 1 34 20.8 40 12.5
2007 0 0 0 45 21.2 41 14.7

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City: Costa Mesa

Mesa Verde Convalescent Hospital
(949) 548-5585 — 661 Center Street — Costa Mesa, Ca 92627

Services
How to interpret services information.

Cap.= 80 Type = SNF Medi-Cal: Withdrawn Medicare: yes

From CANHR questionnaire returned 10/23/2002:
"Alzheimer's Unit": NoWanderer alert: Yes
Locked Ward: No
Types of Residents Accepted: A B D E F I L O Q R S T U V
Types of Residents Not Accepted: J M N
Languages spoken by direct-care staff: A I pp
Family Council: No Family Council

Violations Record
From Dept. of Public Health as of 2/25/2008;
Citations as of 4/23/2008.
Last DHS Certification Inspection = 11/15/2007.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2002 0 0 0 2 12.7 1 5.8
2003 0 0 0 5 15 1 8.5
2004 0 0 0 15 17.8 1 9.2
2005 0 0 0 11 19.6 1 10.4
2006 0 0 0 21 20.8 0 12.5
2007 0 1 0 12 21.2 1 14.7

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City: Costa Mesa

Newport Subacute Healthcare Center
(949) 631-4282 — 2570 Newport Blvd. — Costa Mesa, Ca 92627

Services
How to interpret services information.

Cap.= 137 Type = SNF Medi-Cal: yes Medicare: yes

From CANHR questionnaire returned 5/25/2001:
"Alzheimer's Unit": NoWanderer alert: Yes
Locked Ward: No
Types of Residents Accepted: A D E F I L O Q R S T U V
Types of Residents Not Accepted: J N P
Languages spoken by direct-care staff: A I
Family Council: Not Specified

Violations Record
From Dept. of Public Health as of 2/25/2008;
Citations as of 4/23/2008.
Last DHS Certification Inspection = 7/3/2007.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2002 0 0 0 23 12.7 13 5.8
2003 0 0 1 32 15 10 8.5
2004 0 0 0 19 17.8 6 9.2
2005 0 0 0 30 19.6 7 10.4
2006 0 1 1 28 20.8 7 12.5
2007 0 0 0 58 21.2 17 14.7

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City: Costa Mesa

Victoria Healthcare Center
(949) 642-0387 — 340 Victoria Street — Costa Mesa, Ca 92627

Services
How to interpret services information.

Cap.= 79 Type = SNF Medi-Cal: yes Medicare: yes

From CANHR questionnaire returned 8/31/2003:
"Alzheimer's Unit": Unk.Wanderer alert: Unk.
Locked Ward: Unk.
Types of Residents Accepted: D E U V
Types of Residents Not Accepted:
Languages spoken by direct-care staff: A C I
Family Council: Yes

Violations Record
From Dept. of Public Health as of 2/25/2008;
Citations as of 4/23/2008.
Last DHS Certification Inspection = 2/27/2007.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2002 0 0 1 10 12.7 4 5.8
2003 0 0 0 8 15 6 8.5
2004 0 0 0 0 17.8 1 9.2
2005 0 0 0 16 19.6 0 10.4
2006 0 0 0 12 20.8 1 12.5
2007 0 0 0 37 21.2 4 14.7

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City: El Toro

Freedom Village Healthcare Center
(949) 472-4700 — 23442 El Toro Road — El Toro, CA 92630

Services
How to interpret services information.

Cap.= 52 Type = SNF / CCRC Medi-Cal: no Medicare: yes

From CANHR questionnaire returned 3/25/2003:
"Alzheimer's Unit": NoWanderer alert: Yes
Locked Ward: No
Types of Residents Accepted: B D E F I L U
Types of Residents Not Accepted: A J N O P Q R S T V
Languages spoken by direct-care staff: A I
Family Council: No Family Council

Violations Record
From Dept. of Public Health as of 2/25/2008;
Citations as of 4/23/2008.
Last DHS Certification Inspection = 12/22/2006.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2002 0 0 1 6 12.7 3 5.8
2003 0 0 0 4 15 5 8.5
2004 0 0 0 15 17.8 2 9.2
2005 0 1 0 9 19.6 0 10.4
2006 0 0 0 29 20.8 4 12.5
2007 0 0 0 1 21.2 3 14.7

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City: Fountain Valley

Manorcare Health Services - Fountain Valley
(714) 241-9800 — 11680 Warner Avenue — Fountain Valley, CA 92708

Services
How to interpret services information.

Cap.= 151 Type = SNF Medi-Cal: yes Medicare: yes

From CANHR questionnaire returned 4/29/2005:
"Alzheimer's Unit": NoWanderer alert: Yes
Locked Ward: No
Types of Residents Accepted: A D E F I P Q S T U V
Types of Residents Not Accepted: B J L M N O R
Languages spoken by direct-care staff: A I
Family Council: Not Specified

Violations Record
From Dept. of Public Health as of 2/25/2008;
Citations as of 4/23/2008.
Last DHS Certification Inspection = 12/18/2007.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2002 0 0 0 3 12.7 4 5.8
2003 0 0 0 7 15 13 8.5
2004 0 0 0 18 17.8 6 9.2
2005 0 0 0 36 19.6 2 10.4
2006 0 0 0 28 20.8 4 12.5
2007 0 0 1 37 21.2 11 14.7

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City: Fullerton

Evergreen Fullerton Healthcare
(714) 992-5701 — 2222 N. Harbor Blvd. — Fullerton, Ca 92835

Services
How to interpret services information.

Cap.= 300 Type = SNF Medi-Cal: yes Medicare: yes

From CANHR questionnaire returned 3/20/2001:
"Alzheimer's Unit": NoWanderer alert: No
Locked Ward: No
Types of Residents Accepted: A D E F I J L N P Q R S T U V
Types of Residents Not Accepted: O
Languages spoken by direct-care staff:
Family Council: Yes

Violations Record
From Dept. of Public Health as of 2/25/2008;
Citations as of 4/23/2008.
Last DHS Certification Inspection = 12/13/2006.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2002 0 0 0 11 12.7 6 5.8
2003 0 0 0 10 15 5 8.5
2004 0 0 1 19 17.8 4 9.2
2005 0 0 0 23 19.6 3 10.4
2006 0 0 0 47 20.8 17 12.5
2007 0 0 0 1 21.2 14 14.7

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City: Fullerton

Gordon Lane Care Center
(714) 879-7301 — 1821 E. Chapman Avenue — Fullerton, Ca 92831

Services
How to interpret services information.

Cap.= 99 Type = SNF Medi-Cal: yes Medicare: yes

From CANHR questionnaire returned 2/8/2001:
"Alzheimer's Unit": NoWanderer alert: No
Locked Ward: No
Types of Residents Accepted: E I L P Q R S T U V
Types of Residents Not Accepted: A F J N O
Languages spoken by direct-care staff: A I U V Y ee
Family Council: No Family Council

Violations Record
From Dept. of Public Health as of 2/25/2008;
Citations as of 4/23/2008.
Last DHS Certification Inspection = 5/29/2007.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2002 0 0 0 15 12.7 2 5.8
2003 0 0 1 18 15 21 8.5
2004 0 0 0 19 17.8 1 9.2
2005 0 0 0 19 19.6 2 10.4
2006 0 0 0 34 20.8 4 12.5
2007 0 0 1 30 21.2 7 14.7

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City: Fullerton

Greenfield Care Center of Fullerton, LLC
(714) 879-4511 — 330 W. Bastanchury — Fullerton, Ca 92835

Services
How to interpret services information.

Cap.= 99 Type = SNF Medi-Cal: yes Medicare: yes

From CANHR questionnaire returned 5/13/2005:
"Alzheimer's Unit": NoWanderer alert: No
Locked Ward: No
Types of Residents Accepted: B D E F I J L M Q R S U V
Types of Residents Not Accepted: A N O P T
Languages spoken by direct-care staff: A I
Family Council: No Family Council

Violations Record
From Dept. of Public Health as of 2/25/2008;
Citations as of 4/23/2008.
Last DHS Certification Inspection = 2/7/2007.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2002 0 0 0 16 12.7 6 5.8
2003 0 0 0 5 15 8 8.5
2004 0 1 0 32 17.8 3 9.2
2005 0 0 0 27 19.6 4 10.4
2006 0 0 0 8 20.8 13 12.5
2007 0 0 2 16 21.2 19 14.7

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City: Fullerton

Park Vista At Morningside
(714) 256-1000 — 2525 Brea Boulevard — Fullerton, Ca 92835

Services
How to interpret services information.

Cap.= 99 Type = SNF / CCRC Medi-Cal: no Medicare: yes

From CANHR questionnaire returned 6/27/2002:
"Alzheimer's Unit": YesWanderer alert: Yes
Locked Ward: Yes
Types of Residents Accepted: A B D E F I L O Q R S T U V
Types of Residents Not Accepted: J M N
Languages spoken by direct-care staff: A C F I
Family Council: Not Specified

Violations Record
From Dept. of Public Health as of 2/25/2008;
Citations as of 4/23/2008.
Last DHS Certification Inspection = 5/9/2007.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2002 0 0 2 12 12.7 5 5.8
2003 0 0 0 9 15 7 8.5
2004 0 0 0 19 17.8 0 9.2
2005 0 0 0 12 19.6 1 10.4
2006 0 0 0 15 20.8 8 12.5
2007 0 0 0 34 21.2 8 14.7

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City: Fullerton

St. Elizabeth Healthcare Center
(714) 871-9202 — 2800 N. Harbor Blvd — Fullerton, Ca 92835

Services
How to interpret services information.

Cap.= 59 Type = SNF Medi-Cal: yes Medicare: yes

From CANHR questionnaire returned 1/1/1990:
"Alzheimer's Unit": Unk.Wanderer alert: Unk.
Locked Ward: Unk.
Types of Residents Accepted:
Types of Residents Not Accepted:
Languages spoken by direct-care staff:
Family Council: Not Specified

Violations Record
From Dept. of Public Health as of 2/25/2008;
Citations as of 4/23/2008.
Last DHS Certification Inspection = 7/6/2007.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2002 0 0 0 3 12.7 1 5.8
2003 0 0 0 8 15 15 8.5
2004 0 0 0 8 17.8 0 9.2
2005 0 0 0 15 19.6 4 10.4
2006 0 0 0 13 20.8 1 12.5
2007 0 0 0 16 21.2 3 14.7

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City: Fullerton

St. Jude Medical Center D/P Snf
(714) 871-3280 — 101 E. Valencia Mesa Drive — Fullerton, Ca 92835

Services
How to interpret services information.

Cap.= 37 Type = D/P SNF Medi-Cal: no Medicare: yes

From CANHR questionnaire returned 1/1/1990:
"Alzheimer's Unit": Unk.Wanderer alert: Unk.
Locked Ward: Unk.
Types of Residents Accepted:
Types of Residents Not Accepted:
Languages spoken by direct-care staff:
Family Council: Not Specified

Violations Record
From Dept. of Public Health as of 2/25/2008;
Citations as of 4/23/2008.
Last DHS Certification Inspection = 11/14/2007.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2002 0 0 0 4 12.7 4 5.8
2003 0 0 0 5 15 1 8.5
2004 0 0 0 9 17.8 0 9.2
2005 0 0 0 10 19.6 0 10.4
2006 0 0 0 11 20.8 1 12.5
2007 0 0 0 21 21.2 3 14.7

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City: Fullerton

Terrace View Care Center
(714) 870-0060 — 201 E. Bastanchury — Fullerton, Ca 92835

Services
How to interpret services information.

Cap.= 59 Type = SNF Medi-Cal: yes Medicare: yes

From CANHR questionnaire returned 4/26/1993:
"Alzheimer's Unit": NoWanderer alert: No
Locked Ward: No
Types of Residents Accepted: L S
Types of Residents Not Accepted: A F J M N O
Languages spoken by direct-care staff: I
Family Council: Yes

Violations Record
From Dept. of Public Health as of 2/25/2008;
Citations as of 4/23/2008.
Last DHS Certification Inspection = 9/14/2007.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2002 0 0 0 11 12.7 3 5.8
2003 0 0 0 8 15 5 8.5
2004 0 0 0 5 17.8 0 9.2
2005 0 0 0 6 19.6 0 10.4
2006 0 0 0 16 20.8 2 12.5
2007 0 0 0 27 21.2 3 14.7

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City: Fullerton

Windsor Gardens Care Center of Fullerton
(714) 871-6020 — 245 E. Wilshire Ave. — Fullerton, CA 92632

Services
How to interpret services information.

Cap.= 99 Type = SNF Medi-Cal: yes Medicare: yes

From CANHR questionnaire returned 8/28/2003:
"Alzheimer's Unit": YesWanderer alert: Yes
Locked Ward: Yes
Types of Residents Accepted: A B D E F I J L M N O P Q R S T U V
Types of Residents Not Accepted:
Languages spoken by direct-care staff: A F I
Family Council: No Family Council

Violations Record
From Dept. of Public Health as of 2/25/2008;
Citations as of 4/23/2008.
Last DHS Certification Inspection = 5/23/2007.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2002 0 0 0 18 12.7 3 5.8
2003 0 0 1 30 15 29 8.5
2004 0 0 1 2 17.8 6 9.2
2005 0 0 0 18 19.6 1 10.4
2006 0 0 3 30 20.8 15 12.5
2007 0 0 1 42 21.2 11 14.7

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City: Garden Grove

Alta Gardens Care Center
(714) 530-6322 — 13075 Blackbird Street — Garden Grove, Ca 92843

Services
How to interpret services information.

Cap.= 129 Type = Snf Medi-Cal: yes Medicare: yes

From CANHR questionnaire returned 3/24/1998:
"Alzheimer's Unit": YesWanderer alert: No
Locked Ward: Yes
Types of Residents Accepted: B D E F I L O
Types of Residents Not Accepted: A J M N
Languages spoken by direct-care staff: G I
Family Council: Yes

Violations Record
From Dept. of Public Health as of 2/25/2008;
Citations as of 4/23/2008.
Last DHS Certification Inspection = 12/11/2006.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2002 0 0 2 58 12.7 14 5.8
2003 0 0 0 18 15 13 8.5
2004 0 0 0 25 17.8 8 9.2
2005 0 0 0 16 19.6 5 10.4
2006 0 0 0 30 20.8 17 12.5
2007 0 0 1 2 21.2 8 14.7

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City: Garden Grove

Chapman Care Center
(714) 971-5517 — 12232 Chapman Avenue — Garden Grove, Ca 92840

Services
How to interpret services information.

Cap.= 99 Type = SNF Medi-Cal: yes Medicare: yes

From CANHR questionnaire returned 6/2/2005:
"Alzheimer's Unit": NoWanderer alert: No
Locked Ward: No
Types of Residents Accepted: A D E F I L R S T U V
Types of Residents Not Accepted: B J N O P
Languages spoken by direct-care staff: A G I ee
Family Council: Not Specified

Violations Record
From Dept. of Public Health as of 2/25/2008;
Citations as of 4/23/2008.
Last DHS Certification Inspection = 4/3/2007.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2002 0 0 1 24 12.7 10 5.8
2003 0 0 0 21 15 20 8.5
2004 0 0 0 32 17.8 1 9.2
2005 0 0 0 18 19.6 3 10.4
2006 0 0 0 2 20.8 12 12.5
2007 0 0 0 43 21.2 8 14.7

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City: Garden Grove

Garden Grove Convalescent Hospital
(714) 638-9470 — 12882 Shackelford Lane — Garden Grove, Ca 92841

Services
How to interpret services information.

Cap.= 99 Type = SNF Medi-Cal: yes Medicare: yes

From CANHR questionnaire returned 4/21/1995:
"Alzheimer's Unit": NoWanderer alert: No
Locked Ward: No
Types of Residents Accepted: F I L
Types of Residents Not Accepted: A J M N O
Languages spoken by direct-care staff: I
Family Council: Yes

Violations Record
From Dept. of Public Health as of 2/25/2008;
Citations as of 4/23/2008.
Last DHS Certification Inspection = 12/28/2006.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2002 0 0 0 1 12.7 0 5.8
2003 0 0 1 5 15 8 8.5
2004 0 0 0 7 17.8 1 9.2
2005 0 0 0 0 19.6 0 10.4
2006 0 0 0 46 20.8 9 12.5
2007 0 0 0 1 21.2 5 14.7

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City: Garden Grove

Garden Park Care Center
(714) 971-2153 — 12681 Haster Street — Garden Grove, Ca 92840

Services
How to interpret services information.

Cap.= 124 Type = SNF Medi-Cal: yes Medicare: yes

From CANHR questionnaire returned 6/1/2005:
"Alzheimer's Unit": NoWanderer alert: No
Locked Ward: No
Types of Residents Accepted: A D E F I L M N P Q R S T U V
Types of Residents Not Accepted: B J O
Languages spoken by direct-care staff: A C G W Y
Family Council: Yes

Violations Record
From Dept. of Public Health as of 2/25/2008;
Citations as of 4/23/2008.
Last DHS Certification Inspection = 5/31/2007.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2002 0 0 1 2 12.7 5 5.8
2003 0 0 0 2 15 3 8.5
2004 0 0 1 20 17.8 1 9.2
2005 0 0 0 15 19.6 0 10.4