Leisure Court Nursing Center
1135 Leisure Court, Anaheim, CA 92801 · Orange County · 115 certified beds · avg 109 residents/day · certified since Sep 15, 1992
Part of chain: THE MANDELBAUM FAMILY (18 facilities, chain avg rating 3.2★)
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 (46)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| May 6, 2026 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Jan 23, 2026 | D · Potential for harm, one-off | The 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 |
| Jan 23, 2026 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint |
| Jan 23, 2026 | D · Potential for harm, one-off | The 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 |
| Jan 27, 2025 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Jan 27, 2025 | D · Potential for harm, one-off | The 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. |
| Jan 27, 2025 | D · Potential for harm, one-off | The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. |
| Jan 27, 2025 | D · Potential for harm, one-off | The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services. |
| Jan 27, 2025 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Jan 27, 2025 | D · Potential for harm, one-off | The 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. |
| Jan 27, 2025 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Jan 27, 2025 | D · Potential for harm, one-off | The 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. |
| Jan 27, 2025 | D · Potential for harm, one-off | The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. |
| Jan 27, 2025 | D · Potential for harm, one-off | The facility used bed rails without first trying safer alternatives, or without assessing the resident's safety risk, discussing the risks and benefits with the resident or family, getting consent, and installing the rails correctly. |
| Jan 27, 2025 | D · Potential for harm, one-off | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
| Jan 27, 2025 | D · Potential for harm, one-off | The 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. |
| Jan 27, 2025 | D · Potential for harm, one-off | The 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. |
| Jan 27, 2025 | D · Potential for harm, one-off | The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. |
| Jan 27, 2025 | D · Potential for harm, one-off | The 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. |
| Jan 27, 2025 | D · Potential for harm, one-off | The facility did not have enough support staff to safely and effectively run its food and nutrition service. |
| Jan 27, 2025 | D · Potential for harm, one-off | The facility did not provide food that accounts for each resident's allergies, intolerances, and personal preferences, or did not offer appealing alternatives. |
| Jan 27, 2025 | D · Potential for harm, one-off | The facility did not have a policy covering how food brought in by family and visitors is used and stored safely. |
| Jan 27, 2025 | D · Potential for harm, one-off | The 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. |
| Jan 27, 2025 | D · Potential for harm, one-off | The 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. |
| Jan 27, 2025 | D · Potential for harm, one-off | The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices. |
| Jan 27, 2025 | D · Potential for harm, one-off | The facility did not regularly inspect bed frames, mattresses, and bed rails for safety, or the rails and mattresses were not attached safely to the frames. |
| Jan 27, 2025 | B · Minimal risk, repeated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| Jan 27, 2025 | B · Minimal risk, repeated | The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal. |
| Jan 27, 2025 | B · Minimal risk, repeated | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. |
| Jan 24, 2024 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Oct 24, 2023 | D · Potential for harm, one-off | The 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. · from a complaint |
| Apr 22, 2022 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Apr 22, 2022 | D · Potential for harm, one-off | The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. |
| Apr 22, 2022 | D · Potential for harm, one-off | The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. |
| Apr 22, 2022 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Apr 22, 2022 | D · Potential for harm, one-off | The facility used bed rails without first trying safer alternatives, or without assessing the resident's safety risk, discussing the risks and benefits with the resident or family, getting consent, and installing the rails correctly. |
| Apr 22, 2022 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. |
| Apr 22, 2022 | D · Potential for harm, one-off | The 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. |
| Apr 22, 2022 | D · Potential for harm, one-off | The facility did not regularly inspect bed frames, mattresses, and bed rails for safety, or the rails and mattresses were not attached safely to the frames. |
| Dec 20, 2019 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Dec 20, 2019 | D · Potential for harm, one-off | The 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. |
| Dec 20, 2019 | D · Potential for harm, one-off | The facility did not safely and appropriately administer IV fluids (fluids given through a vein) for residents who needed them. |
| Dec 20, 2019 | D · Potential for harm, one-off | The 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. |
| Dec 20, 2019 | D · Potential for harm, one-off | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
| Dec 20, 2019 | D · Potential for harm, one-off | The 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. |
| Dec 20, 2019 | D · Potential for harm, one-off | The 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. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (8 → 25).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2019 | 7 | 0 | E |
| 2022 | 8 | 0 | E |
| 2023 | 1 | 0 | D |
| 2024 | 1 | 0 | D |
| 2025 | 25 | 0 | E |
| 2026 | 4 | 0 | D |
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)
| Measure | This facility | California avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 5.15 | 4.31 | 3.95 | top 12% in California; top 11% in the U.S. |
| Registered Nurse hours | 0.40 | 0.61 | 0.69 | bottom 34% in California; bottom 23% in the U.S. |
| Weekend total nurse staffing | 4.74 | 3.90 | 3.50 | top 10% in California; top 9% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.25 | 0.51 | 0.48 | bottom 21% in California; bottom 21% in the U.S. |
| Total nursing staff turnover (%) | 28.2 | 36.7 | 45.8 | top 24% in California; top 11% in the U.S. |
| RN turnover (%) | 54.5 | 38.1 | 42.9 | bottom 21% in California; bottom 29% 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 4.50, RN 0.35, 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: 4/5 · short-stay residents: 5/5
Who owns this facility
For profit - Individual
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Ambrosio LLC | Organization | ADP of the SNF | NOT APPLICABLE | 01/01/2023 |
| Castro-Garcia, Maria | Individual | Corporate Director | NOT APPLICABLE | 11/06/2019 |
| Castro-Garcia, Maria | Individual | Corporate Officer | NOT APPLICABLE | 11/06/2019 |
| Castro-Garcia, Maria | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/02/2019 |
| Castro-Garcia, Maria | Individual | ADP of the SNF | NOT APPLICABLE | 11/06/2019 |
| Chueh, Daniel | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/01/2023 |
| Chueh, Daniel | Individual | ADP of the SNF | NOT APPLICABLE | 08/01/2023 |
| Escalante, Janety | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/17/2014 |
| Escalante, Janety | Individual | ADP of the SNF | NOT APPLICABLE | 06/17/2014 |
| Hansen | Organization | ADP of the SNF | NOT APPLICABLE | 01/01/2023 |
| Insunsa, Jesse | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/23/2007 |
| Insunsa, Jesse | Individual | ADP of the SNF | NOT APPLICABLE | 03/23/2007 |
| Mandelbaum, Brenda | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 04/27/2026 |
| Mandelbaum, Janet | Individual | Corporate Director | NOT APPLICABLE | 01/02/2019 |
| Mandelbaum, Janet | Individual | Corporate Officer | NOT APPLICABLE | 01/02/2019 |
| Mandelbaum, Simcha | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/01/2026 |
| Mandelbaum, Simcha | Individual | ADP of the SNF | NOT APPLICABLE | 03/01/2026 |
| Marquez, Imcy | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/15/2024 |
| Marquez, Imcy | Individual | ADP of the SNF | NOT APPLICABLE | 07/15/2024 |
| Mondragon, Martin | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/19/2020 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "If my family member is able to manage their own medications, would you allow it, and how is that decided?"
- "How do you identify and arrange specialized services for residents with mental health conditions or disabilities?"
- "How do you screen new residents for mental health and disability-related needs, and how do you provide the specialized services they require?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| La Palma Nursing Center | 0.0 mi | Anaheim, CA | ★★★★★ | 3/5 | |
| Sun Mar Nursing Center | 1.6 mi | Anaheim, CA | ★★★★★ | 5/5 | |
| Harbor Villa Care Center | 1.8 mi | Anaheim, CA | ★★☆☆☆ | 2/5 | |
| Parkview Healthcare Center | 1.8 mi | Anaheim, CA | ★★★★☆ | 3/5 | |
| St. Catherine Healthcare | 1.8 mi | Fullerton, CA | ★★★☆☆ | 3/5 | |
| Gordon Lane Care Center | 2.5 mi | Fullerton, CA | ★★☆☆☆ | 2/5 | abuse |
| Buena Vista Care Center | 2.6 mi | Anaheim, CA | ★★★☆☆ | 3/5 | |
| Coventry Court Health Center | 3.0 mi | Anaheim, CA | ★★★★☆ | 3/5 | |
| Terrace View Care Center | 3.3 mi | Fullerton, CA | ★★★★☆ | 3/5 | |
| Greenfield Care Center of Fullerton, LLC | 3.3 mi | Fullerton, CA | ★★★★★ | 4/5 | |
| The Pavilion at Sunny Hills | 3.4 mi | Fullerton, CA | ★★☆☆☆ | 2/5 | |
| Park Vista at Morningside | 3.6 mi | Fullerton, CA | ★★★★☆ | 3/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 555520.