The Orchard - Post Acute Care

Name: The Orchard - Post Acute Care
Address: 12385 E. WASHINGTON BLVD, Whittier, CA, 90606, US
Telephone: 5626937701

12385 E. Washington Blvd, Whittier, CA 90606 · Los Angeles County · 162 certified beds · avg 150 residents/day · certified since Dec 31, 1971

Part of chain: THE ENSIGN GROUP (342 facilities, chain avg rating 3.2★)

2/5

Health inspection rating (on-site)

Serious findings on record

$14,950

Fines, last 3 years

4.14

Nurse hours/resident/day (adjusted)

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

Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5

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.

Most serious findings (actual harm or immediate jeopardy)

▲ Actual harm, one-off · Apr 29, 2025 · F-0686 · triggered by a complaint

The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.

Why it matters: Bedsores are painful, can become deeply infected, and in serious cases can be life-threatening.

Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.

Corrected: May 23, 2025 (Deficient, Provider has date of correction)

▲ Actual harm, one-off · Jul 26, 2024 · F-0689 · triggered by a complaint

The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.

Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.

Corrected: Aug 15, 2024 (Deficient, Provider has date of correction)

All citations in the current public record (55)

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
Mar 11, 2026	D · Potential for harm, one-off	The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. · from a complaint
Mar 11, 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
Nov 19, 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. · from a complaint
Aug 7, 2025	E · Potential for harm, repeated	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Aug 7, 2025	E · Potential for harm, repeated	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.
Aug 7, 2025	E · Potential for harm, repeated	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.
Aug 7, 2025	E · Potential for harm, repeated	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards.
Aug 7, 2025	E · Potential for harm, repeated	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.
Aug 7, 2025	E · Potential for harm, repeated	The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors.
Aug 7, 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.
Aug 7, 2025	D · Potential for harm, one-off	The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away.
Aug 7, 2025	D · Potential for harm, one-off	The facility allowed residents to lose the ability to do daily activities — like bathing, dressing, and eating — when there was no medical reason for the decline. Good care helps residents keep the abilities they have.
Aug 7, 2025	D · Potential for harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Aug 7, 2025	D · Potential for harm, one-off	The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections.
Aug 7, 2025	D · Potential for harm, one-off	The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.
Aug 7, 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.
Aug 7, 2025	D · Potential for harm, one-off	The facility did not provide routine dental care and 24-hour emergency dental care for residents.
Aug 7, 2025	D · Potential for harm, one-off	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.
Jul 11, 2025	D · Potential for harm, one-off	The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint
Jul 11, 2025	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · from a complaint
Jul 11, 2025	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
Jul 11, 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. · from a complaint
Jul 11, 2025	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. · from a complaint
Apr 29, 2025	▲ G · Actual harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · from a complaint
Jul 26, 2024	▲ G · Actual 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
Jul 26, 2024	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.
Jul 26, 2024	E · Potential for harm, repeated	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.
Jul 26, 2024	E · Potential for harm, repeated	The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors.
Jul 26, 2024	D · Potential for harm, one-off	The facility did not treat residents with respect and dignity, or did not let them keep and use their own personal belongings.
Jul 26, 2024	D · Potential for harm, one-off	The 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.
Jul 26, 2024	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.
Jul 26, 2024	D · Potential for harm, one-off	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own.
Jul 26, 2024	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.
Jul 26, 2024	D · Potential for harm, one-off	The facility did not provide safe and appropriate pain management for a resident who needed it.
Jul 26, 2024	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.
Jul 26, 2024	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.
Jul 26, 2024	D · Potential for harm, one-off	The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature.
Sep 28, 2023	D · Potential for harm, one-off	The facility did not provide or obtain x-rays and other imaging tests when ordered, or did not promptly tell the ordering doctor the results. · from a complaint
Aug 18, 2023	E · Potential for harm, repeated	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · from a complaint
Aug 18, 2023	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. · from a complaint
Aug 18, 2023	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
Dec 9, 2021	E · Potential for harm, repeated	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 9, 2021	E · Potential for harm, repeated	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.
Dec 9, 2021	E · Potential for harm, repeated	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Dec 9, 2021	E · Potential for harm, repeated	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Dec 9, 2021	E · Potential for harm, repeated	The 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.
Dec 9, 2021	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 9, 2021	E · Potential for harm, repeated	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.
Dec 9, 2021	E · Potential for harm, repeated	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.
Dec 9, 2021	E · Potential for harm, repeated	The facility did not perform required COVID-19 testing on residents and staff.
Dec 9, 2021	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.
Dec 9, 2021	D · Potential for harm, one-off	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
Dec 9, 2021	D · Potential for harm, one-off	The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle.
Dec 9, 2021	D · Potential for harm, one-off	The facility did not provide safe and appropriate pain management for a resident who needed it.
Dec 9, 2021	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 stayed about the same across the last two inspection cycles (13 → 15).

Year	Citations	Serious (G–L)	Worst severity that year
2021	14	0	E
2023	4	0	E
2024	13	1	G ▲
2025	22	1	G ▲
2026	2	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)

1 fine totaling $14,950.

Date	Type	Amount / length
Apr 29, 2025	Fine	$14,950

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)	4.14	4.31	3.95	top 49% in California; top 34% in the U.S.
Registered Nurse hours	0.28	0.61	0.69	bottom 8% in California; bottom 7% in the U.S.
Weekend total nurse staffing	3.83	3.90	3.50	top 44% in California; top 28% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.21	0.51	0.48	bottom 12% in California; bottom 14% in the U.S.
Total nursing staff turnover (%)	30.9	36.7	45.8	top 32% in California; top 16% in the U.S.
RN turnover (%)	28.6	38.1	42.9	top 33% in California; top 26% 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 4.34, RN 0.29, weekend 4.02. 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 · long-stay residents: —/5 · short-stay residents: 4/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Burnam, Soon	Individual	Managing Control - Governing Body	NOT APPLICABLE	01/01/2022
Burnam, Soon	Individual	Corporate Officer	NOT APPLICABLE	01/01/2022
Ensign Services INC	Organization	ADP of the SNF	NOT APPLICABLE	01/01/2022
Huefner, Matthew	Individual	Managing Control - Governing Body	NOT APPLICABLE	01/07/2019
Huefner, Matthew	Individual	Operational/Managerial Control	NOT APPLICABLE	01/07/2019
Huefner, Matthew	Individual	ADP of the SNF	NOT APPLICABLE	01/07/2019
Keetch, Chad	Individual	Corporate Officer	NOT APPLICABLE	03/01/2011
Keetch, Chad	Individual	Operational/Managerial Control	NOT APPLICABLE	03/01/2011
Keetch, Chad	Individual	ADP of the SNF	NOT APPLICABLE	03/01/2011
Khan, Ausim	Individual	Managing Control - Governing Body	NOT APPLICABLE	01/01/2016
Khan, Ausim	Individual	Operational/Managerial Control	NOT APPLICABLE	01/01/2016
Khan, Ausim	Individual	ADP of the SNF	NOT APPLICABLE	01/01/2016
Kim, Jesse	Individual	Corporate Director	NOT APPLICABLE	01/01/2023
Madison Health Holdings LLC	Organization	ADP of the SNF	NOT APPLICABLE	01/01/2022
Port, Barry	Individual	Individual Is an Owner, Partner or Trustee of Any ADP of the SNF	NOT APPLICABLE	02/12/2026
Standard Bearer Healthcare Op, LP	Organization	ADP of the SNF	NOT APPLICABLE	01/01/2022
The Ensign Group INC	Organization	ADP of the SNF	NOT APPLICABLE	01/01/2022

Questions to ask on your visit

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

"How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
"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?"
"Who completes resident assessments here, and how do you check them for accuracy?"
"Can you show me an example care plan, and how are families included when it's created and updated?"
"Can you show me how medications are stored and secured on the units, including controlled drugs?"
"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
Presbyterian Intercomm Hosp DP/SNF	0.0 mi	Whittier, CA	★★★★★	5/5
Whittier Pacific Care Center	0.6 mi	Whittier, CA	★★☆☆☆	2/5
Whittier Nursing and Wellness Center, INC	1.2 mi	Whittier, CA	★★★★★	4/5
Socal Post-Acute Care	1.5 mi	Whittier, CA	★★★☆☆	3/5
Pico Rivera Healthcare Center	2.8 mi	Pico Rivera, CA	★★★★★	4/5
Dept of State Hospitals - Metropolitan SNF	2.8 mi	Norwalk, CA	★★☆☆☆	1/5	abuseSFF
El Rancho Vista Health Care Center	2.9 mi	Pico Rivera, CA	★★★★☆	3/5
Whittier Hospital Medical Ctr D/P SNF	2.9 mi	Whittier, CA	★★★★★	4/5
Brookfield Healthcare Center	3.0 mi	Downey, CA	★★★★★	4/5
Colonial Gardens Nursing Home	3.0 mi	Pico Rivera, CA	★☆☆☆☆	1/5
Riviera Healthcare Center	3.4 mi	Pico Rivera, CA	★☆☆☆☆	2/5
Imperial Healthcare Center	3.9 mi	La Mirada, CA	★★★☆☆	2/5

Compare this facility with the 3 closest →

All facilities in Whittier →

Facility data as of CMS processing date 2026-08-01. CCN 055706.

The Care File

Visit checklist — The Orchard - Post Acute Care

12385 E. Washington Blvd, Whittier, CA 90606 · 5626937701

Health inspection rating 2/5 · CMS overall 2/5· Fines (3y): $14,950

Most serious findings on record:

▲ Apr 29, 2025 (F-0686, Actual harm, one-off): The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
▲ Jul 26, 2024 (F-0689, Actual 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.

Questions for the administrator:

☐ "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
☐ "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?"
☐ "Who completes resident assessments here, and how do you check them for accuracy?"
☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "Can you show me how medications are stored and secured on the units, including controlled drugs?"
☐ "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?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 055706 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)