01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2026-05-08 | 39 | 2026-05-08 | 14 |
| Cycle 2 | 2025-03-24 | 40 | 2025-03-24 | 3 |
| Cycle 3 | 2023-11-09 | 45 | 2023-11-09 | 1 |
CMS CCN 0553302026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Advanced Rehab Center Of Tustin
2210 E. First Street · Santa Ana, CA 92705 · Orange County
Certified beds99CMS provider file
Recent citation rows142current CMS citation release
Penalty rows1current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
142 rows in the current release
2 rows carry G–L scope/severity codes; 0 carry J–L. 28 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-06-26 · HEALTHF0584Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Correction field: Deficient, Provider has date of correction · 2026-07-19 · complaint2026-05-08 · FIREE0006Severity C · widespread; potential for minimal harm
Emergency Preparedness Deficiencies
Conduct risk assessment and an All-Hazards approach.
Correction field: Deficient, Provider has date of correction · 2026-06-122026-05-08 · FIREE0031Severity C · widespread; potential for minimal harm
Emergency Preparedness Deficiencies
Provide emergency officials' contact information.
Correction field: Deficient, Provider has date of correction · 2026-06-112026-05-08 · FIREE0039Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Conduct testing and exercise requirements.
Correction field: Deficient, Provider has date of correction · 2026-06-112026-05-08 · HEALTHF0550Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Correction field: Deficient, Provider has date of correction · 2026-06-072026-05-08 · HEALTHF0552Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Ensure that residents are fully informed and understand their health status, care and treatments.
Correction field: Deficient, Provider has date of correction · 2026-06-072026-05-08 · HEALTHF0554Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
Correction field: Deficient, Provider has date of correction · 2026-06-072026-05-08 · HEALTHF0558Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Correction field: Deficient, Provider has date of correction · 2026-06-072026-05-08 · HEALTHF0578Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2026-06-072026-05-08 · HEALTHF0580Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Correction field: Deficient, Provider has date of correction · 2026-06-072026-05-08 · HEALTHF0583Severity B · pattern; potential for minimal harm
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
Correction field: Deficient, Provider has date of correction · 2026-06-072026-05-08 · HEALTHF0605Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Correction field: Deficient, Provider has date of correction · 2026-06-072026-05-08 · HEALTHF0636Severity B · pattern; potential for minimal harm
Resident Assessment and Care Planning Deficiencies
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Correction field: Deficient, Provider has date of correction · 2026-06-072026-05-08 · HEALTHF0645Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
Correction field: Deficient, Provider has date of correction · 2026-06-072026-05-08 · HEALTHF0656Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Correction field: Deficient, Provider has date of correction · 2026-06-072026-05-08 · HEALTHF0684Severity E · pattern; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Deficient, Provider has date of correction · 2026-06-072026-05-08 · HEALTHF0685Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Assist a resident in gaining access to vision and hearing services.
Correction field: Deficient, Provider has date of correction · 2026-06-072026-05-08 · HEALTHF0689Severity E · pattern; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2026-06-072026-05-08 · HEALTHF0694Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Correction field: Deficient, Provider has date of correction · 2026-06-072026-05-08 · HEALTHF0695Severity E · pattern; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Correction field: Deficient, Provider has date of correction · 2026-06-072026-05-08 · HEALTHF0697Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
Correction field: Deficient, Provider has date of correction · 2026-06-072026-05-08 · HEALTHF0730Severity B · pattern; potential for minimal harm
Nursing and Physician Services Deficiencies
Observe each nurse aide's job performance and give regular training.
Correction field: Deficient, Provider has date of correction · 2026-06-07 · complaint2026-05-08 · HEALTHF0755Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Correction field: Deficient, Provider has date of correction · 2026-06-072026-05-08 · HEALTHF0756Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Correction field: Deficient, Provider has date of correction · 2026-06-0703 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| 2024-07-12 | Fine | $37,182 | 0 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- LEHMANN, KENNETHIndividual · 5% OR GREATER DIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED · since 01/02/2014
- BAK, ABRAHAMIndividual · CORPORATE OFFICERNOT APPLICABLE · since 03/01/2021
- GASTWIRTH, MENACHEMIndividual · CORPORATE OFFICERNOT APPLICABLE · since 03/01/2014
- ARELLANES, WILLIAMIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 10/31/2018
- AZZAM, SAMIRIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 06/04/2024
- BAK, ABRAHAMIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 01/02/2014
- GASTWIRTH, MENACHEMIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 01/02/2014
- ARELLANES, WILLIAMIndividual · ADP OF THE SNFNOT APPLICABLE · since 09/12/2025
- AZZAM, SAMIRIndividual · ADP OF THE SNFNOT APPLICABLE · since 06/04/2024
- BAK, ABRAHAMIndividual · ADP OF THE SNFNOT APPLICABLE · since 12/27/2021
- GASTWIRTH, MENACHEMIndividual · ADP OF THE SNFNOT APPLICABLE · since 12/27/2021
- GEWIRTZ, CHONOCHIndividual · ADP OF THE SNFNOT APPLICABLE · since 01/02/2014
- LEHMANN, KENNETHIndividual · ADP OF THE SNFNOT APPLICABLE · since 01/02/2014
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours4.27per resident day
RN hours0.33per resident day
Weekend nurse hours3.88per resident day
Staff turnover24.5%CMS reported field
06 / LOCAL RECORDS
Open the Santa Ana ledger →Other published facilities nearby
Citrus Post-Acute144 beds · CMS overall 2/5110 citation rowsFrench Park Care Center202 beds · CMS overall 1/5144 citation rowsPlaza Healthcare Center145 beds · CMS overall 1/5185 citation rowsSouth Coast Global Medical Center D/P Snf46 beds · CMS overall 3/568 citation rowsSouth Coast Post Acute255 beds · CMS overall 2/5116 citation rowsThe Hills Post Acute174 beds · CMS overall 1/5135 citation rowsTown & Country96 beds · CMS overall 5/568 citation rows