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Fountain Valley Post Acute

11680 Warner Avenue, Fountain Valley, CA 92708
7142419800
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Overall CMS Rating

3.0/5

vs State Average: 3.2 stars

2.0/5

Health Inspections

vs State Average: 2.8/5

3.0/5

Staffing Level

vs State Average: 3.1/5

5.0/5

Quality Measures

vs State Average: 4.1/5

0 penalties in last 3 years
Penalties
vs State Average: 1.3 penalties

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Ratings Deep Dive

Score
2.0
State Average
2.8
National Average
2.8
5 Deficiencies found in last inspections
0 Penalties in last 3 years
0 Fines issued
Citation Date Description Severity
Nov 25, 2025 Provide safe and appropriate respiratory care for a resident when needed. B
Apr 10, 2025 Provide appropriate treatment and care according to orders, resident’s preferences and goals. D
Feb 12, 2025 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. D
Feb 12, 2025 Respond appropriately to all alleged violations. D
Nov 7, 2024 Allow residents to self-administer drugs if determined clinically appropriate. B
Score
3.0
State Average
3.1
National Average
2.9
0.4 RN Hours / Resident / Day
4.1 Total Nurse Hours / Resident / Day
35.3% RN Turnover Rate
Score
5.0
State Average
4.1
National Average
3.6
5.0 Long-Stay QM Rating
4.0 Short-Stay QM Rating
139.4 Avg Residents Per Day
Measure Score Type
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay
Percentage of long-stay residents who lose too much weight Long Stay
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay
Percentage of long-stay residents with a urinary tract infection Long Stay
Percentage of long-stay residents who have depressive symptoms Long Stay
Percentage of long-stay residents who were physically restrained Long Stay
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay

Ownership & Compliance

Ownership Info
5% OR GREATER DIRECT OWNERSHIP INTEREST PROVIDENCE GROUP NH, LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST PACS GROUP, INC.
5% OR GREATER INDIRECT OWNERSHIP INTEREST PACS HOLDINGS, LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST HANCOCK, MARK
5% OR GREATER INDIRECT OWNERSHIP INTEREST MURRAY, JASON
OPERATIONAL/MANAGERIAL CONTROL NIELSEN, CHAD
CORPORATE OFFICER APT, FREDERICK
CORPORATE OFFICER JERGENSEN, JOSHUA
CORPORATE OFFICER MITCHELL, JOHN
W-2 MANAGING EMPLOYEE NIELSEN, CHAD
Recent Penalties

No penalty records found.

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