The Pavilion At Sunny Hills - 3-Star Rehab Facility in Fullerton, CA | PlacetClinical Quality Indicators
Long-stay residents — lower is better
Antipsychotic medication use 18.41%Falls causing major injury 1.44%Pressure ulcers (high-risk) 1.71%Admissions Contacts
No admissions contacts on file yet.
CMS Star Ratings
Last inspected: Jul 2025 (289 days ago)🔍 Health Inspection
3/5
★★★☆☆
📊 Quality Measures
4/5
★★★★☆
Source: CMS MDS Quality Measures. Updated quarterly.
State avg: 39 min · US avg: 41 min
Total Nurse / Resident / Day
4h 25m
State avg: 4h 31m · US avg: 3h 53m
8 min
State avg: 5 min · US avg: 4 min
41 per 100
State avg: 38 per 100 · US avg: 46 per 100
Weekend Staffing (PBJ Q3 2024)
Weekend vs. Weekday RN
53%below avg
US avg: 64%
Total Nurse Weekend
3h 36m
Federal Penalties
No federal penalties in the past 3 years.
✅ No penalty records on file
Inspection Citations
Survey: July 10, 2025(3 citations)
🟡 Potential for HarmFreedom from Abuse, Neglect, and Exploitation DeficienciesComplaint
🟡 Potential for HarmFreedom from Abuse, Neglect, and Exploitation DeficienciesComplaint
🟡 Potential for HarmFreedom from Abuse, Neglect, and Exploitation DeficienciesComplaint
Survey: May 28, 2025(3 citations)
⚪ MinimalResident Assessment and Care Planning DeficienciesComplaint
⚪ MinimalResident Assessment and Care Planning DeficienciesComplaint
⚪ MinimalResident Assessment and Care Planning DeficienciesComplaint
Survey: April 28, 2025(75 citations)
🟡 Potential for HarmResident Rights Deficiencies
⚪ MinimalResident Rights Deficiencies
⚪ MinimalResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
Survey: March 18, 2025(6 citations)
🟡 Potential for HarmQuality of Life and Care DeficienciesComplaint
⚪ MinimalAdministration DeficienciesComplaint
🟡 Potential for HarmQuality of Life and Care DeficienciesComplaint
⚪ MinimalAdministration DeficienciesComplaint
🟡 Potential for HarmQuality of Life and Care DeficienciesComplaint
⚪ Minimal
Survey: July 30, 2024(3 citations)
🟡 Potential for HarmQuality of Life and Care DeficienciesComplaint
🟡 Potential for HarmQuality of Life and Care DeficienciesComplaint
🟡 Potential for HarmQuality of Life and Care DeficienciesComplaint
+ 7 more survey(s) not shown in snapshot
26.1 per 100
State avg: 23.2 · US avg: 23.9
14.7 per 100
State avg: 11.2 · US avg: 12.0
1.4 per 100
State avg: 1.6 · US avg: 3.3
1.7 per 100
State avg: 4.7 · US avg: 5.1
1.3 per 100
State avg: 1.5 · US avg: 1.6
99.1 per 100
State avg: 93.2 · US avg: 79.7
Rates shown per 100 patients · Green = better than average · Amber = average · Red = below average
VBP Performance Score
29/100
Incentive Payment
-1.47% penalty
Healthcare-Assoc. Infections
7.7 per 100
Higher performance scores lead to payment bonuses. Lower scores indicate risk of readmission penalties.
Medicare Patients/Year
284
Avg Length of Stay
25.2 days
Avg Payment / Stay
$17,689.86
Patient Complexity
3.15 × avg
Avg LOS 15-30 days is typical for short-term rehab · Patient complexity = HCC risk score (1.0 = national average; higher = sicker patient mix)
🟡 Potential for Harm
Quality of Life and Care Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmPharmacy Service Deficiencies
🟡 Potential for HarmPharmacy Service Deficiencies
🟡 Potential for HarmPharmacy Service Deficiencies
🟡 Potential for HarmPharmacy Service Deficiencies
🟡 Potential for HarmNutrition and Dietary Deficiencies
🟡 Potential for HarmNutrition and Dietary Deficiencies
🟡 Potential for HarmNutrition and Dietary Deficiencies
⚪ MinimalNutrition and Dietary Deficiencies
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmInfection Control Deficiencies
🟡 Potential for HarmEnvironmental Deficiencies
🟡 Potential for HarmResident Rights DeficienciesComplaint
⚪ MinimalResident Rights DeficienciesComplaint
🟡 Potential for HarmResident Rights Deficiencies
⚪ MinimalResident Rights Deficiencies
⚪ MinimalResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmPharmacy Service Deficiencies
🟡 Potential for HarmPharmacy Service Deficiencies
🟡 Potential for HarmPharmacy Service Deficiencies
🟡 Potential for HarmPharmacy Service Deficiencies
🟡 Potential for HarmNutrition and Dietary Deficiencies
🟡 Potential for HarmNutrition and Dietary Deficiencies
🟡 Potential for HarmNutrition and Dietary Deficiencies
⚪ MinimalNutrition and Dietary Deficiencies
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmInfection Control Deficiencies
🟡 Potential for HarmEnvironmental Deficiencies
🟡 Potential for HarmResident Rights DeficienciesComplaint
⚪ MinimalResident Rights DeficienciesComplaint
🟡 Potential for HarmResident Rights Deficiencies
⚪ MinimalResident Rights Deficiencies
⚪ MinimalResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmPharmacy Service Deficiencies
🟡 Potential for HarmPharmacy Service Deficiencies
🟡 Potential for HarmPharmacy Service Deficiencies
🟡 Potential for HarmPharmacy Service Deficiencies
🟡 Potential for HarmNutrition and Dietary Deficiencies
🟡 Potential for HarmNutrition and Dietary Deficiencies
🟡 Potential for HarmNutrition and Dietary Deficiencies
⚪ MinimalNutrition and Dietary Deficiencies
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmInfection Control Deficiencies
🟡 Potential for HarmEnvironmental Deficiencies
🟡 Potential for HarmResident Rights DeficienciesComplaint
⚪ MinimalResident Rights DeficienciesComplaint
Administration Deficiencies
Complaint