California ›Garden Grove

Garden Grove Post Acute

12882 Shackelford Lane, Garden Grove, CA 92841 · Orange County · 99 certified beds · avg 93 residents/day · certified since Jan 1, 1971

Part of chain: THE MANDELBAUM FAMILY (18 facilities, chain avg rating 3.2★)

3/5
Health inspection rating (on-site)
0
Serious findings on record
$0
Fines, last 3 years
4.87
Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 4/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (56)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

DateSeverityWhat the facility was cited for
Jun 25, 2026E · Potential for harm, repeatedThe facility did not make sure a transfer or discharge met the resident's needs and preferences, or did not properly prepare the resident to leave safely.
Jun 25, 2026E · Potential for harm, repeatedThe facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care.
Jun 25, 2026E · Potential for harm, repeatedThe facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Jun 25, 2026E · Potential for harm, repeatedThe facility did not dispose of garbage and refuse properly.
Jun 25, 2026E · Potential for harm, repeatedThe facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards.
Jun 25, 2026E · Potential for harm, repeatedThe facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Jun 25, 2026D · Potential for harm, one-offThe facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand.
Jun 25, 2026D · Potential for harm, one-offThe facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
Jun 25, 2026D · Potential for harm, one-offThe facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Jun 25, 2026D · Potential for harm, one-offThe facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.
Jun 25, 2026D · Potential for harm, one-offThe facility did not safely and appropriately administer IV fluids (fluids given through a vein) for residents who needed them.
Jun 25, 2026D · Potential for harm, one-offThe facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems.
Jun 25, 2026D · Potential for harm, one-offThe facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Jun 25, 2026D · Potential for harm, one-offThe facility did not arrange hospice services for a resident who needed them, or help the resident move to a facility that could arrange hospice. Hospice provides comfort-focused care for people nearing the end of life.
Jun 25, 2026B · Minimal risk, repeatedThe facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
Jun 25, 2026B · Minimal risk, repeatedThe facility did not make sure the resident's doctor reviewed their care and wrote, signed, and dated progress notes and orders at each required visit.
Aug 28, 2025D · Potential for harm, one-offThe facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint
Aug 28, 2025D · Potential for harm, one-offThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
Aug 28, 2025D · Potential for harm, one-offThe facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes. · from a complaint
Aug 28, 2025B · Minimal risk, repeatedThe facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. · from a complaint
May 8, 2025D · Potential for harm, one-offThe facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason. · from a complaint
May 8, 2025B · Minimal risk, repeatedThe facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · from a complaint
Apr 16, 2025B · Minimal risk, repeatedThe facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · from a complaint
Mar 10, 2025E · Potential for harm, repeatedThe facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Mar 10, 2025E · Potential for harm, repeatedThe facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Mar 10, 2025D · Potential for harm, one-offThe facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Mar 10, 2025D · Potential for harm, one-offThe facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline.
Mar 10, 2025D · Potential for harm, one-offThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Mar 10, 2025D · Potential for harm, one-offThe facility did not safely and appropriately administer IV fluids (fluids given through a vein) for residents who needed them.
Mar 10, 2025D · Potential for harm, one-offThe facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
Mar 10, 2025D · Potential for harm, one-offThe facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail.
Mar 10, 2025D · Potential for harm, one-offThe facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Mar 10, 2025D · Potential for harm, one-offThe facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits.
Mar 10, 2025D · Potential for harm, one-offThe facility did not have a policy covering how food brought in by family and visitors is used and stored safely.
Mar 10, 2025B · Minimal risk, repeatedThe facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate.
Mar 10, 2025B · Minimal risk, repeatedThe facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Mar 10, 2025B · Minimal risk, repeatedThe facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
Mar 10, 2025B · Minimal risk, repeatedThe facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Mar 10, 2025B · Minimal risk, repeatedThe facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards.
Mar 10, 2025B · Minimal risk, repeatedThe facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations.
Oct 3, 2024D · Potential for harm, one-offThe facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint
Apr 15, 2024D · Potential for harm, one-offThe facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint
Mar 5, 2024D · Potential for harm, one-offThe facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint
Sep 21, 2023E · Potential for harm, repeatedThe facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Sep 21, 2023E · Potential for harm, repeatedThe facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Sep 21, 2023D · Potential for harm, one-offThe facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Sep 21, 2023D · Potential for harm, one-offThe facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Sep 21, 2023D · Potential for harm, one-offThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Sep 21, 2023D · Potential for harm, one-offThe facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
Sep 21, 2023D · Potential for harm, one-offThe facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident.
Sep 21, 2023D · Potential for harm, one-offThe facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Sep 21, 2023D · Potential for harm, one-offThe facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason.
Sep 21, 2023D · Potential for harm, one-offThe facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits.
Sep 21, 2023D · Potential for harm, one-offThe facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time.
Sep 21, 2023B · Minimal risk, repeatedThe facility did not fully assess residents on time — a complete assessment of health, abilities, and needs is required when a resident is first admitted and at least once every 12 months after that.
Sep 21, 2023B · Minimal risk, repeatedThe facility did not dispose of garbage and refuse properly.

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (17 → 16).

YearCitationsSerious (G–L)Worst severity that year
2023130E
202430D
2025240E
2026160E

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

MeasureThis facilityCalifornia avgU.S. avgWhere it stands
Total nurse staffing (hours per resident per day)4.874.313.95top 18% in California; top 15% in the U.S.
Registered Nurse hours0.490.610.69top 48% in California; bottom 37% in the U.S.
Weekend total nurse staffing4.283.903.50top 21% in California; top 16% in the U.S.
Weekend RN hours (not acuity-adjusted)0.300.510.48bottom 33% in California; bottom 31% in the U.S.
Total nursing staff turnover (%)28.336.745.8top 25% in California; top 11% in the U.S.
RN turnover (%)25.038.142.9top 26% in California; top 20% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.71, RN 0.47, weekend 4.14. Staffing rating: 4/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 4/5

Who owns this facility

For profit - Corporation

Owner / managerTypeRoleStakeSince
Mandelbaum, BrendaIndividual5% or Greater Indirect Ownership Interest100%01/01/2020
Castro-Garcia, MariaIndividualCorporate OfficerNOT APPLICABLE01/01/2023
Castro-Garcia, MariaIndividualOperational/Managerial ControlNOT APPLICABLE01/01/2023
Castro-Garcia, MariaIndividualADP of the SNFNOT APPLICABLE11/06/2019
Christensen, LilyIndividualOperational/Managerial ControlNOT APPLICABLE03/01/2024
Christensen, LilyIndividualADP of the SNFNOT APPLICABLE03/01/2024
Diaz, HollyIndividualOperational/Managerial ControlNOT APPLICABLE01/27/2025
Diaz, HollyIndividualADP of the SNFNOT APPLICABLE01/27/2025
Hall, DwayneIndividualOperational/Managerial ControlNOT APPLICABLE03/08/2023
Hall, DwayneIndividualADP of the SNFNOT APPLICABLE03/08/2023
Kelley, ConnorIndividualOperational/Managerial ControlNOT APPLICABLE08/26/2024
Kelley, ConnorIndividualADP of the SNFNOT APPLICABLE08/26/2024
Mandelbaum, JanetIndividualCorporate DirectorNOT APPLICABLE01/01/2023
Mandelbaum, JanetIndividualCorporate OfficerNOT APPLICABLE01/02/2019
Mandelbaum, SimchaIndividualOperational/Managerial ControlNOT APPLICABLE03/01/2026
Mandelbaum, SimchaIndividualADP of the SNFNOT APPLICABLE03/01/2026
Nacar, RuthIndividualOperational/Managerial ControlNOT APPLICABLE08/03/2022
Nacar, RuthIndividualADP of the SNFNOT APPLICABLE08/03/2022
Pham, JulieIndividualOperational/Managerial ControlNOT APPLICABLE03/16/2000
Pham, JulieIndividualADP of the SNFNOT APPLICABLE03/16/2000

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

Nearby facilities (within 20 miles)

FacilityDistanceCityOverallInspectionFlags
Rowntree Gardens1.0 miStanton, CA★★★★☆3/5
Extended Care Hospital of Westminster1.4 miWestminster, CA★★★★☆3/5
Mission Palms Healthcare Center1.9 miWestminster, CA★★★☆☆2/5
Coventry Court Health Center2.7 miAnaheim, CA★★★★☆3/5
The Grove Post Acute2.9 miGarden Grove, CA★★★★★4/5
Pacific Haven Subacute and Healthcare Center2.9 miGarden Grove, CA★★★★☆3/5
Chapman Care Center3.0 miGarden Grove, CA★★★★☆4/5
Buena Vista Care Center3.1 miAnaheim, CA★★★☆☆3/5
Stanley Healthcare Center3.1 miWestminster, CA★★★☆☆3/5
Alta Gardens Care Center3.5 miGarden Grove, CA★★★☆☆2/5
Garden Park Care Center3.5 miGarden Grove, CA★★★★☆3/5
Beach Creek Post-Acute3.6 miAnaheim, CA★★★☆☆3/5

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Facility data as of CMS processing date 2026-08-01. CCN 056145.