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EXTENDED CARE HOSPITAL OF WESTMINSTER

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EXTENDED CARE HOSPITAL OF WESTMINSTER is a for profit - partnership facility in WESTMINSTER, CA with 99 certified beds and a 5-star overall CMS rating. The facility has 48 deficiency records on file.

206 HOSPITAL CIRCLE, WESTMINSTER, CA 92683

Phone: 7148912769

Overall Rating

5/5

Health Inspection

4/5

Staffing

4/5

Quality Measures

5/5

Long-Stay Quality

5/5

Facility Information

Provider Number
555211
Ownership
For profit - Partnership
Provider Type
Medicare and Medicaid
Beds
99
Residents
97
In Hospital
No
County
Orange
Last Inspection
Jul 1, 2025

Staffing Data

RN Hours
0.26 (nat'l avg: 0.68)
LPN Hours
1.07
CNA Hours
2.41
Total Nursing Hours
3.74 (nat'l avg: 3.89)
PT Hours
0.01
Nursing Turnover
18.2%
RN Turnover
0.0%

What the CMS Record Reveals About EXTENDED CARE HOSPITAL OF WESTMINSTER

EXTENDED CARE HOSPITAL OF WESTMINSTER operates 99 certified beds in WESTMINSTER, CA with approximately 97 residents currently in care, and carries a CMS overall rating of 5 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (4★), staffing levels (4★), and quality measures (5★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone — a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

The inspection file contains 48 deficiency records from recent surveys, all falling in the no-harm or minimal-harm bands of the CMS scope-and-severity grid. No fines or payment denials have been assessed against this provider, suggesting issues — if any — did not rise to the enforcement threshold. Staffing is reported at 3.74 total nursing hours per resident day (national average 3.89), with RN coverage at 0.26 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "For profit - Partnership" ownership and operating as a "Medicare and Medicaid" provider, EXTENDED CARE HOSPITAL OF WESTMINSTER falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes — ratings and fines are lagging indicators of those upstream choices. Reported nursing turnover at this facility is 18.2%, within a range generally associated with stable care teams. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report — the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (48 most recent)

D — Isolated - Minimal harm Nov 5, 2025 Tag: 0552

Ensure that residents are fully informed and understand their health status, care and treatments.

Category: Resident Rights Deficiencies

Corrected: Dec 5, 2025

B — Pattern - No harm Jul 1, 2025 Tag: 0803

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.

Category: Nutrition and Dietary Deficiencies

Corrected: Jul 28, 2025

D — Isolated - Minimal harm Jul 1, 2025 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jul 28, 2025

D — Isolated - Minimal harm Jul 1, 2025 Tag: 0552

Ensure that residents are fully informed and understand their health status, care and treatments.

Category: Resident Rights Deficiencies

Corrected: Jul 28, 2025

D — Isolated - Minimal harm Jul 1, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Jul 28, 2025

D — Isolated - Minimal harm Jul 1, 2025 Tag: 0813

Have a policy regarding use and storage of foods brought to residents by family and other visitors.

Category: Nutrition and Dietary Deficiencies

Corrected: Jul 28, 2025

D — Isolated - Minimal harm Jul 1, 2025 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Jul 28, 2025

D — Isolated - Minimal harm Jul 1, 2025 Tag: 0761

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.

Category: Pharmacy Service Deficiencies

Corrected: Jul 28, 2025

D — Isolated - Minimal harm Jul 1, 2025 Tag: 0755

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Category: Pharmacy Service Deficiencies

Corrected: Jul 28, 2025

D — Isolated - Minimal harm Jul 1, 2025 Tag: 0726

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Category: Nursing and Physician Services Deficiencies

Corrected: Jul 28, 2025

D — Isolated - Minimal harm Jul 1, 2025 Tag: 0697

Provide safe, appropriate pain management for a resident who requires such services.

Category: Quality of Life and Care Deficiencies

Corrected: Jul 28, 2025

D — Isolated - Minimal harm Jul 1, 2025 Tag: 0693

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.

Category: Quality of Life and Care Deficiencies

Corrected: Jul 28, 2025

D — Isolated - Minimal harm Jul 1, 2025 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Jul 28, 2025

D — Isolated - Minimal harm Jul 1, 2025 Tag: 0679

Provide activities to meet all resident's needs.

Category: Quality of Life and Care Deficiencies

Corrected: Jul 28, 2025

D — Isolated - Minimal harm Jul 1, 2025 Tag: 0605

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jul 28, 2025

D — Isolated - Minimal harm Jul 1, 2025 Tag: 0550

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Category: Resident Rights Deficiencies

Corrected: Jul 28, 2025

D — Isolated - Minimal harm Aug 6, 2024 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Aug 16, 2024

D — Isolated - Minimal harm Aug 6, 2024 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Sep 4, 2024

B — Pattern - No harm May 23, 2024 Tag: 0908

Keep all essential equipment working safely.

Category: Environmental Deficiencies

Corrected: May 25, 2024

E — Pattern - Minimal harm May 23, 2024 Tag: 0883

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Category: Infection Control Deficiencies

Corrected: Jun 6, 2024

E — Pattern - Minimal harm May 23, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Jun 10, 2024

D — Isolated - Minimal harm May 23, 2024 Tag: 0849

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.

Category: Administration Deficiencies

Corrected: Jun 6, 2024

D — Isolated - Minimal harm May 23, 2024 Tag: 0842

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jun 6, 2024

C — Widespread - No harm May 23, 2024 Tag: 0814

Dispose of garbage and refuse properly.

Category: Nutrition and Dietary Deficiencies

Corrected: Jun 7, 2024

E — Pattern - Minimal harm May 23, 2024 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: May 30, 2024

D — Isolated - Minimal harm May 23, 2024 Tag: 0770

Provide timely, quality laboratory services/tests to meet the needs of residents.

Category: Administration Deficiencies

Corrected: Jun 8, 2024

D — Isolated - Minimal harm May 23, 2024 Tag: 0761

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.

Category: Pharmacy Service Deficiencies

Corrected: Jun 11, 2024

D — Isolated - Minimal harm May 23, 2024 Tag: 0758

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Category: Pharmacy Service Deficiencies

Corrected: Jun 9, 2024

D — Isolated - Minimal harm May 23, 2024 Tag: 0757

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Category: Pharmacy Service Deficiencies

Corrected: Jun 9, 2024

D — Isolated - Minimal harm May 23, 2024 Tag: 0755

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Category: Pharmacy Service Deficiencies

Corrected: Jun 9, 2024

D — Isolated - Minimal harm May 23, 2024 Tag: 0727

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Category: Nursing and Physician Services Deficiencies

Corrected: May 24, 2024

D — Isolated - Minimal harm May 23, 2024 Tag: 0700

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

Category: Quality of Life and Care Deficiencies

Corrected: Jun 6, 2024

B — Pattern - No harm May 23, 2024 Tag: 0695

Provide safe and appropriate respiratory care for a resident when needed.

Category: Quality of Life and Care Deficiencies

Corrected: Jun 6, 2024

D — Isolated - Minimal harm May 23, 2024 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Jun 9, 2024

D — Isolated - Minimal harm May 23, 2024 Tag: 0644

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jun 6, 2024

B — Pattern - No harm Sep 28, 2023 Tag: 0550

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Category: Resident Rights Deficiencies

Corrected: Oct 11, 2023

D — Isolated - Minimal harm Feb 2, 2023 Tag: 0755

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Category: Pharmacy Service Deficiencies

Corrected: Mar 2, 2023

D — Isolated - Minimal harm Sep 7, 2022 Tag: 0921

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Category: Environmental Deficiencies

Corrected: Oct 7, 2022

E — Pattern - Minimal harm Sep 7, 2022 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Oct 7, 2022

D — Isolated - Minimal harm Sep 7, 2022 Tag: 0842

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Oct 7, 2022

B — Pattern - No harm Sep 7, 2022 Tag: 0814

Dispose of garbage and refuse properly.

Category: Nutrition and Dietary Deficiencies

Corrected: Oct 7, 2022

E — Pattern - Minimal harm Sep 7, 2022 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Oct 7, 2022

D — Isolated - Minimal harm Sep 7, 2022 Tag: 0804

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Category: Nutrition and Dietary Deficiencies

Corrected: Oct 7, 2022

D — Isolated - Minimal harm Sep 7, 2022 Tag: 0758

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Category: Pharmacy Service Deficiencies

Corrected: Oct 7, 2022

D — Isolated - Minimal harm Sep 7, 2022 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Oct 7, 2022

D — Isolated - Minimal harm Sep 7, 2022 Tag: 0657

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Oct 7, 2022

D — Isolated - Minimal harm Sep 7, 2022 Tag: 0641

Ensure each resident receives an accurate assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Oct 7, 2022

D — Isolated - Minimal harm Sep 7, 2022 Tag: 0578

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.

Category: Resident Rights Deficiencies

Corrected: Oct 7, 2022

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 3.9% Yes
Percentage of long-stay residents who lose too much weight Long Stay 3.3% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.0% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 0.3% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 0.6% No
Percentage of long-stay residents who were physically restrained Long Stay 1.1% No
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 0.3% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 97.6% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 90.3% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay N/A Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 4.1% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 10.8% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 96.1% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 92.0% No
Percentage of long-stay residents with pressure ulcers Long Stay 1.4% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 3.5% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 34.6% Yes

Penalty History

No penalties on record.

Frequently Asked Questions

What is the overall CMS rating for EXTENDED CARE HOSPITAL OF WESTMINSTER?
EXTENDED CARE HOSPITAL OF WESTMINSTER has an overall CMS rating of 5 out of 5 stars. This rating combines health inspection results (4★), staffing levels (4★), and quality measures (5★).
What are the staffing levels at EXTENDED CARE HOSPITAL OF WESTMINSTER?
EXTENDED CARE HOSPITAL OF WESTMINSTER reports 3.74 total nursing hours per resident day (national average: 3.89). RN hours are 0.26 per resident day (national average: 0.68). Nursing staff turnover is 18.2%.
How many beds does EXTENDED CARE HOSPITAL OF WESTMINSTER have?
EXTENDED CARE HOSPITAL OF WESTMINSTER has 99 certified beds with approximately 97 residents. The facility is located at 206 HOSPITAL CIRCLE, WESTMINSTER, CA 92683.
Does EXTENDED CARE HOSPITAL OF WESTMINSTER have any deficiencies on record?
Yes, EXTENDED CARE HOSPITAL OF WESTMINSTER has 48 deficiencies on record from recent inspections. Most deficiencies are classified as no harm or minimal harm.
Has EXTENDED CARE HOSPITAL OF WESTMINSTER received any fines or penalties?
No, EXTENDED CARE HOSPITAL OF WESTMINSTER has no fines or penalties on record.
Who owns EXTENDED CARE HOSPITAL OF WESTMINSTER?
EXTENDED CARE HOSPITAL OF WESTMINSTER is classified as "For profit - Partnership" ownership. The facility type is "Medicare and Medicaid".
When was EXTENDED CARE HOSPITAL OF WESTMINSTER last inspected?
The most recent health inspection for EXTENDED CARE HOSPITAL OF WESTMINSTER was on Jul 1, 2025. The facility received a health inspection rating of 4 out of 5 stars.
What quality measures are tracked for EXTENDED CARE HOSPITAL OF WESTMINSTER?
EXTENDED CARE HOSPITAL OF WESTMINSTER is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.

Related

Data sourced from official U.S. government datasets. See our methodology for details. Retrieved and formatted by PlainNursing Editorial