4/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
4/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Capistrano Senior Living in San Juan Capistrano, CA, has seven care types on its list. Skilled nursing, nursing home care, and hospice care are three, and independent living, assisted living, memory care, and respite care make up the rest.
An independent living resident has a private residence and access to community services but no daily care. For assisted living residents, staff take on bathing, dressing, medication, and the rest of a day’s tasks. Memory care puts supervision around wandering risk in a secured area. Skilled nursing brings licensed nurses who stay on through the night.
Hospice is the end-of-life level. A short-term respite stay is available for the time a caregiver at home must be elsewhere. With the levels all here, a change in need happens inside the community, which is what someone wanting several options in one place is after.
All 125 beds are occupied, so an opening is not something to count on. Housing starts at a studio, which is a single private room, and runs to layouts of one and two bedrooms. Two bedrooms make sense for a couple or for someone wanting a companion. A resident’s pet may live there too.
Each resident averages 3h 42m of nursing daily. Rehabilitation services and Short-Term Rehab cover recovery during a temporary stay. The community features a fitness center, a library, a spa, a courtyard, a patio, and transportation services.
Medicare covers skilled care for a limited period once someone leaves the hospital, not a long residence, and everything else is private pay, with the family paying its own way. Walk Score’s 68 means somewhat walkable, which leaves some nearby errands within reach for a resident without a car. Bryan Hadley administers the community, and Asrv LLC operates it.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Data period: Q4 2025 (October 1 – December 31, 2025).
This nursing home is ranked 208th out of 280 nursing homes we track in California for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
3h 42mStandout metric: RN, weekends is +61% above California average
3 of 5 metrics below California average
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes. All 6 are the facility's own employees; no agency contractors work in this role.
6 staff · 7.5-hour shifts
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care. All 13 are the facility's own employees; no agency contractors work in this role.
13 staff · 7.7-hour shifts
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life. 57 total: 35 of the facility's own employees and 22 agency contractors.
57 staff · 7.3-hour shifts
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
RN + LPN + aide · Sat–Sun
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
Sat–Sun
Every person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.
110
88 employees · 22 contractors · 42 on an average day
Average hours one staff member works on a day they are on shift, across every role.
7.1 h
↓ 8% · CA 7.7 hThis facility: 7.1 h, 8% below the California average of 7.7 h (among California facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
27,468 staff hours this quarter
See full California ranking →98% of staff hours were worked by the facility's own employees
California average: 95.3% · Contractors this quarter: Certified Nursing Assistant (22)
Why it matters: employees work here week after week and get to know each resident's routines and needs. Agency contractors often rotate between facilities, so a higher employee share usually means more consistent care.
A mid-sized community that may balance personal attention with shared amenities and social activities.
125
Rank #124 / 321Bed count — State benchmarked This nursing home is ranked 124th out of 321 nursing homes we track in California for bed count. Shows this facility's certified or reported bed count compared to other California facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in California that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Medium-capacity home · Offers a balance of services and community atmosphere.
An established community with some operational experience and growing routines. This is the number of years in operation under current management.
Rank #147 / 179Years in operation — State benchmarked This nursing home is ranked 147th out of 179 nursing homes we track in California for years in operation. Shows how long this facility has been in operation compared to other California facilities. Longer operating histories may benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in California that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Somewhat walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
Rank #146 / 344Walk Score — State benchmarked This nursing home is ranked 146th out of 344 nursing homes we track in California for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across California facilities. Higher scores benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in California that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Occupancy higher than 95% suggests steady demand, but availability may be limited.
Rank #1 / 282Occupancy rate — State benchmarked This nursing home is ranked 1st out of 282 nursing homes we track in California for occupancy. Shows this facility's occupancy rate versus the California average, with its Statewide rank out of 282. Higher occupancy signals strong local demand and financial stability. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in California that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Based on 125 residents and 125 beds. Source: state inspection report (Jan 2026)
Higher than the California average: 83%
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
Capistrano Senior Living is legally operated by Asrv LLC, and administered by Bryan Hadley.
This profile shows two inspection records, and their totals often differ. Inspection History and the Inspection Scorecard below are state data — the figures the state publishes and the state inspection reports we hold on file — covering the entire facility. CMS Health Inspection History covers only this home's Medicare and Medicaid-certified nursing beds, from federal certification surveys.
In California, the Department of Social Services (for assisted living facilities) and the Department of Public Health (for nursing homes) conduct inspections to ensure resident safety and regulatory compliance.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the California state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Citations
| This Facility | CA Average | vs. CA Avg |
|---|---|---|---|
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Total citations
Formal regulatory issues recorded by inspectors across all inspection types.
| 5 | 9.0 | This facility has 44% fewer total citations than a typical California nursing home (5 vs. CA avg 9).↓ 44% better |
|
Serious citations (Type A)
Citations that pose an immediate risk to resident health or safety. Type A citations are the most serious and typically require prompt corrective action.
| 4 | 3.0 | This facility has 33% more serious citations (type a) than a typical California nursing home (4 vs. CA avg 3).↑ 33% worse Rank #159 / 283 Serious citations (Type A) — State benchmarked This nursing home is ranked 159th out of 283 nursing homes we track in California for # of serious citations. Shows this facility's # of serious citations compared to the California average among the 283 nursing homes in the ranking pool. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in California that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. |
|
Moderate citations (Type B)
Citations that do not pose an immediate risk but still represent a departure from required care or operational standards.
| 1 | 4.0 | This facility has 75% fewer moderate citations (type b) than a typical California nursing home (1 vs. CA avg 4).↓ 75% better |
|
Citations per inspection
Average citations per inspection.
| 0.3 | 0.6 | This facility has 50% fewer citations per inspection than a typical California nursing home (0.3 vs. CA avg 0.6).↓ 50% better |
Inspections & Visits
| This Facility | CA Average | vs. CA Avg |
|---|---|---|---|
|
Total inspections
Combined count of official scheduled inspections, complaint visits and other regulatory visits. California counts each evaluation report, so one trip can count twice when it serves two purposes.
| 15 | 19.0 | This facility has had 21% fewer total inspections than the California average (15 vs. CA avg 19). More inspections can mean more regulatory scrutiny rather than worse care.↓ 21% fewer |
|
Complaint visits
On-site visits triggered by formal complaints filed by residents, families, or staff.
| 4 | 6.0 | This facility has had 33% fewer complaint visits than the California average (4 vs. CA avg 6). More inspections can mean more regulatory scrutiny rather than worse care.↓ 33% fewer |
|
Other visits
Regulatory visits that are neither routine inspections nor complaint investigations — administrative check-ins, follow-up reviews, licensing-related visits.
| 8 | 4.0 | This facility has had 100% more other visits than the California average (8 vs. CA avg 4). More inspections can mean more regulatory scrutiny rather than worse care.↑ 100% more |
|
Official inspections
Routine, scheduled inspections conducted by state regulators to evaluate whether the facility meets federal and state standards.
| 3 | 4.0 | This facility has had 25% fewer official inspections than the California average (3 vs. CA avg 4). More inspections can mean more regulatory scrutiny rather than worse care.↓ 25% fewer |
|
Complaint investigations
On-site investigations triggered by complaints filed with California regulators.
| 3 | 8.0 | This facility has had 63% fewer complaint investigations than the California average (3 vs. CA avg 8). More inspections can mean more regulatory scrutiny rather than worse care.↓ 63% fewer |
Federal inspection data published by CMS, covering this home's Medicare and/or Medicaid-certified skilled-nursing/nursing beds only.
100% corrected
64 of 64 citations corrected Latest inspection: May 26, 2026 · 3 citations, all corrected
Most cited category: Quality of Life & Care, 14 of 64 citations · 9 categories in total
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Showing the 50 most recent of 64 citations.
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
50 of 64 citations resulted from standard inspections; 10 of 64 resulted from complaint investigations; and 4 of 64 came from combined inspections (standard and complaint).
Includes all CMS health inspection records for this property, which could include management/ownership changes.
Data sourced from CMS Health Deficiencies reports, which cover the Medicare and/or Medicaid-certified skilled-nursing and nursing beds and no other part of the community. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
How residents at this home fare on health outcomes and preventive care, compared with the California average.
CMS star rating for the care of short-stay residents, mostly people recovering after a hospital stay for under 100 days. It is built from the short-stay quality measures below. 5 stars is the best.
5
/ 5
Significantly above average3 short-stay measures: 3 better
Rehab and recovery after a hospital stay · 3 measures
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
↓ 100% · CA 1.5This facility: 0.0, 100% below the CA average of 1.5 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
99.2%
↑ 5% · CA 94.4This facility: 99.2, 5% above the CA average of 94.4 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
98.6%
↑ 6% · CA 93.2This facility: 98.6, 6% above the CA average of 93.2 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Arrows show whether a figure is above or below the average. Green is better for residents, red is worse, and yellow means within 5% of the average. The line on each bar marks the average.
Quality measures are calculated by CMS from Minimum Data Set (MDS) resident assessments and Medicare claims.
58% of new residents, usually for short-term rehab.
42% of new residents, often for short stays.
Historical financial and operational data for Capistrano Senior Living from 2011–2024, based on CMS SNF Cost Reports. Includes all financial data for this property, which could include management/ownership changes.
Key figures below are for fiscal year ending in 12/2024.
Based on CMS SNF Cost Report for fiscal year ending in 12/2024.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Rank #227 / 252Payroll costs — State benchmarked This nursing home is ranked 227th out of 252 nursing homes we track in California. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the California average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in California that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Rank #182 / 252Payroll % of net patient revenue — State benchmarked This nursing home is ranked 182nd out of 252 nursing homes we track in California. Shows payroll as a percentage of net patient revenue versus the California average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in California that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
Most residents typically stay for a few weeks or months before returning home or moving on.
Most new residents arrive under Medicare (58% of admissions), and a typical Medicare stay runs around 1 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
0.7 miles from city center
Estimated distance in miles from San Juan Capistrano's city center to Capistrano Senior Living's address, calculated via Google Maps.
— 4.2 miles to nearest hospital (Providence Mission Hospital Mission Viejo)
Add your location
Capistrano Senior Living is located in San Juan Capistrano, California.
Here are the financial assistance programs available to residents in California.
Capistrano Senior Living is legally operated by Asrv LLC, and administered by Bryan Hadley.
Capistrano Senior Living has a walk score of 68. Somewhat walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
Capistrano Senior Living's occupancy is 100%.
Capistrano Senior Living has been operating for approximately 5 years, based on available licensing and registration records.
Yes — see the floorplan options available at Capistrano Senior Living on this page.
Yes, Capistrano Senior Living allows residents to bring their pets.
The team at Capistrano Senior Living can be reached at reports@lighthouse-services.com.
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