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Complaint Investigation

Trabuco Hills Post Acute

May 27, 2026 · Lake Forest, CA · 25652 Old Trabuco Road
Citations 2
CMS Rating 2/5
Beds 175
Provider ID 555308
Healthcare Facility
Trabuco Hills Post Acute
Lake Forest, CA  ·  View full profile →
Source Document
Official CMS Inspection Report (Medicare.gov)
Downloaded from CMS/Medicare.gov. Reflects what state inspectors documented and does not include the facility's plan of correction, which is submitted separately. Facilities may have taken corrective actions since this report was released.
Inspection Summary

TRABUCO HILLS POST ACUTE in LAKE FOREST, CA — inspection on May 27, 2026.

Found 2 citations. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

Inspection Findings

FF0557
Resident Rights Deficiencies

Review of Resident 1's Resident's Clothing and Possessions form dated 5/7/26, the section for On Admission showed the resident's clothing, cellphone and eyeglasses.

However, the form did not indicate the wallet with the driver's license.

The section for On Discharge showed blank entries.

Review of Resident 1's eINTERACT Transfer Form V5 dated 5/11/26, showed the resident was transferred to the acute care hospital at 1340 hours.

The form showed a section for Personal belongings sent with resident/patient.

There were multiple boxes to select on which items to were sent, including a box for other with a space provided to specify.

However, there were no check marks on any of the boxes. On 5/22/26 at 1557 hours, an interview was conducted with SSD 3.

SSD 3 stated she had been in contact with Resident 1's family about the resident's belongings. SSD 3 stated she was unable to locate any but was still checking around the facility and trying to locate Resident 1's belongings.

The SSD stated she informed the resident's family the facility will try and locate the items indicated in the resident's Clothing and Possessions form and would reimburse the resident for any items they were unable to locate. On 5/27/26 at 1252 hours, an interview and concurrent record review was conducted with the DON.

The DON stated the facility would reimburse any missing resident belongings that were listed on the inventory list.

The DON stated she was aware the SSD was attempting to locate Resident 1's reported missing items.

Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.

For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.

LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE

555308 05/27/2026

Trabuco Hills Post Acute 25652 Old Trabuco Road Lake Forest, CA 92630

also the facility's abuse coordinator. On 5/22/26 at 1228 hours, an interview was conducted with the

5/22/26 at 1509 hours, a follow up interview was conducted with LVN 1. LVN1 verified after Resident

was the CNA she was talking about. LVN 1 stated the resident pointed at the CNA and stated yes, it was him. On 5/22/26 at 1637 hours, an interview was conducted with the Administrator.

The Administrator stated in the afternoon of 5/7/26, the ADON and SSD 1 spoke to Resident 2.

The Administrator stated the ADON informed him but it was not clear what allegations were being made by Resident 2 and rape had not been mentioned by the resident.

The Administrator stated he went upstairs to talk to Resident 2 and her story was not very clear, but she eventually stated CNA 1 raped her.

The Administrator stated to his knowledge, that was the first time the resident mentioned being raped.

The Administrator stated he was not informed Resident 2 made a rape allegation in the morning.

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in LAKE FOREST, CA, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from TRABUCO HILLS POST ACUTE or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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About This Inspection Report

Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.

Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.

Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.