The Hills Post Acute: Staffing, Turnover, and Inspection Record
The Hills Post Acute is a 174-bed for-profit nursing home in Santa Ana, California, part of The Ensign Group. In the CMS August 2026 release it reported 2.49 nurse aide hours per resident per day, 6% below the California average of 2.65, and 34.8% nursing staff turnover (California average 36.7%).
The Hills Post Acute
1800 Old Tustin AvenueSanta Ana, CA 92705
Orange County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At The Hills Post Acute, nurse aides logged 2.49 hours per resident per day, 6% below the California average. With about 161 residents a day, that works out to roughly 402 aide hours a day, or about 50 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 8% below the all-days figure.
| Hours per resident per day | This home | California avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.49 | 2.65 | 2.32 |
| Licensed practical nurses | 1.15 | 1.20 | 0.86 |
| Registered nurses | 0.38 | 0.67 | 0.69 |
| All nursing staff | 4.03 | 4.52 | 3.86 |
| All nursing staff, weekends | 3.69 | 4.09 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
34.8% of nursing staff at The Hills Post Acute left over the year CMS measured, against a California average of 36.7% and a US average of 45.8%. Registered nurse turnover was 38.9%. No administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on May 6, 2026. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 28 health deficiencies (California average 15.7). CMS lists 2 fines totaling $4,893 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Sep 18, 2023 | Fine | $1,748 |
| Aug 28, 2023 | Fine | $3,145 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. The Hills Post Acute holds 1 of 5 overall; the California average is 3.2.
About The Hills Post Acute
- Ownership: For profit - Limited Liability company
- Chain: The Ensign Group, 342 homes
- Legal name: Tustin Hills Healthcare, Inc.
- Medicare and Medicaid certified since: Dec 1, 2000
- Councils: resident council
- Area: urban
Nursing homes near The Hills Post Acute
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Advanced Rehab Center of Tustin Santa Ana | 1.2 | 99 | 2.54 | 4.27 | 24.5% | 1 | $37,182 |
| French Park Care Center Santa Ana | 1.3 | 202 | 2.57 | 4.48 | 38.5% | 1 | $26,135 |
| Healthbridge Children's Hospital - Orange D/P SNF Orange | 1.3 | 21 | 3.66 | 10.57 | — | 3 | None |
| Town & Country Santa Ana | 1.3 | 96 | 3.21 | 5.47 | 31.5% | 5 | None |
| Orange Healthcare & Wellness Centre, LLC Orange | 1.6 | 112 | 2.63 | 4.29 | — | 3 | None |
| Chapman Global Medical Center D/P SNF Orange | 1.8 | 27 | 3.53 | 8.45 | 21.2% | 3 | None |
| Mainplace Post Acute Orange | 2.1 | 169 | 2.53 | 4.16 | 26.7% | 2 | $16,988 |
| Foothill Regional Medical Center D/P SNF Tustin | 2.3 | 42 | — | — | — | 4 | None |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.