Pricing ranges from
    $4,956 – 5,947/month

    The Hills

    1800 Old Tustin Ave, Santa Ana, CA 92705
    • Assisted Living
    • Skilled Nursing

    Pricing

    Prices shown are estimates and subject to change. Contact your senior living advisor for current pricing.

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    Tour Type

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Coordination with health care providers
    • Medication management

    Healthcare staffing

    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Special dietary restrictions

    Room

    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Telephone
    • Wifi

    Transportation

    • Transportation arrangement (medical)
    • Transportation to doctors appointments

    Community services

    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Scheduled daily activities

    Reviews

    4.17·(104)

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      4.0
    • Staff

      4.1
    • Meals

      2.8
    • Amenities

      3.0
    • Value

      2.2

    Pros

    • Compassionate, attentive nursing staff
    • Strong rehabilitation and physical/occupational therapy program
    • Engaging activities and entertainment options
    • Accommodating administration and effective case management
    • Pleasant, remodeled dining room and positive meal experiences
    • Spanish-speaking administrator and bilingual communication
    • Transportation services for residents
    • Updated security cameras and visible campus security
    • Clean, well-maintained grounds and spacious rooms
    • Flexible visitation and 24/7 family access
    • Smooth hospital-to-facility transition processes
    • Pet-therapy (dog) program

    Cons

    • Inconsistent wound-care and complex-clinical management
    • Gaps in monitoring and timely response for acute needs
    • Understaffing and variable weekend coverage
    • Incontinence-care delays
    • Variable cleanliness and housekeeping quality (bathrooms and trash)
    • Inconsistent meal quality and food-service continuity
    • Poor family communication and unreliable callbacks
    • Security and belongings-management weaknesses (missing items, room-access controls)
    • Management responsiveness and complaint-handling concerns
    • Infection-control performance variability during outbreak periods
    • Challenges coordinating outside medical appointments and pharmacy services
    • Plumbing and environmental maintenance issues

    Summary of reviews

    Reviews of The Hills present a mixed picture: the facility is frequently praised for its rehabilitation services, many individual staff members, and aspects of the physical environment, while also showing recurring operational weaknesses that families should evaluate before placement.

    Care quality and clinical services: Therapy and rehab are consistently highlighted as strengths — reviewers mention effective, hands-on physical and occupational therapy that supported return-to-home goals. Nursing staff also receive frequent praise for attentive, compassionate care. Counterbalancing those positives are recurrent concerns about the management of complex clinical needs, notably inconsistent wound-care practices, gaps in monitoring for acute changes, and delayed responses to resident needs. Reviewers describe situations that point to weaknesses in clinical follow-up and handoff processes; prospective families should clarify protocols for wound management, neurologic monitoring, and escalation of changes in condition.

    Staff and management: Many frontline caregivers, therapists, and named staff members are described as caring and helpful, and several accounts highlight an accommodating, bilingual administrator and effective case managers. At the same time, there are consistent comments about understaffing (especially on weekends), lapses in communication, and instances where families perceived management as dismissive or punitive when complaints were raised. There are also notes about recent leadership change and improvement initiatives; however, perceptions of management responsiveness remain variable.

    Dining and activities: Reviews are divided on food and programming. Several reviewers commend the dining room, meal quality, and flexible food policies, while others report cold meals, limited menu variety (particularly for some cultural preferences), and interruptions to meal service. Activity programming receives mixed feedback as well: engaging entertainment and social events are reported by many, yet some residents found offerings limited or uninspiring. Observing a mealtime and an activity session during a tour is advisable.

    Facilities and operations: The campus and grounds receive positive remarks for cleanliness and pleasant outdoor space; security camera upgrades and transportation services are noted as operational strengths. Conversely, reviewers cite plumbing and maintenance issues, bedside amenity problems (for example, TV functionality), and inconsistent housekeeping attention in certain areas. There are also serious operational concerns around handling of personal belongings and room access controls that families should explore further.

    Safety, infection control, and regulatory context: Several reviewers referenced infection-control challenges during outbreak periods and a COVID-era event; the facility reports having an infection-control program in place. There are also reports of regulatory attention and at least one complaint filed with state authorities. Given these safety-related themes, families should request documentation of infection-control policies, outbreak history, staffing ratios during infectious periods, and any recent regulatory findings or corrective actions.

    Bottom line and recommendations: The Hills appears to offer strong rehabilitation services and many compassionate staff, making it a reasonable option for residents needing intensive therapy. However, operational inconsistencies — in wound and complex-care management, staffing stability, communication, housekeeping, and personal-property controls — are recurring themes. Prospective residents and families should conduct an on-site evaluation, observe care and mealtime processes, ask for current staffing ratios and wound-care protocols, review infection-control and regulatory records, and request references from recent families with similar care needs to ensure the facility’s strengths align with the resident’s clinical and personal priorities.

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    Medicare Ratings

    2·/ 5
    • Overall

    • Health Inspection

    • Staffing

    • Quality Measures

    Ratings from the U.S. Centers for Medicare & Medicaid Services (Care Compare). View on Medicare.gov

    Location

    The Hills is located at 1800 Old Tustin Ave, Santa Ana, CA, 92705.

    About The Hills

    Nothing Hills Guest Home LLC is dedicated to providing accommodations for seniors in a comfortable, supportive, and loving environment. The focus at this care home is on meeting the unique needs of each resident, ensuring they receive personalized attention with daily living activities and medical management. Residents can expect a comprehensive approach to their well-being, where the atmosphere is both welcoming and homelike.

    The care at Nothing Hills Guest Home centers on helping seniors with daily tasks that may have become challenging, such as bathing, dressing, and mobility. In addition to the core caregiving services, the home provides three nutritious meals every day, supplemented by snacks to ensure residents are well nourished and satisfied throughout the day. Regular laundry and daily housekeeping services are provided to maintain both personal comfort and a clean, organized living space.

    Within the residence, seniors can enjoy thoughtfully designed shared spaces, including a living room for relaxation, a kitchen where meals are prepared, and a patio area for enjoying fresh air. The shared rooms are arranged with comfort and accessibility in mind, fostering a sense of community within the home. Every detail, from the interior amenities to the outdoor spaces, reflects a commitment to creating a safe and engaging environment for residents.

    Nothing Hills Guest Home is well-regarded for its focus on attentive, compassionate care. Staff work diligently to provide medication management as part of their health services, ensuring that residents receive their medications accurately and on time. By taking a holistic approach to both physical and social needs, Nothing Hills Guest Home aims to offer seniors a positive experience, peace of mind, and genuine companionship as they continue this chapter of their lives.

    People often ask...

    The Hills offers competitive pricing, with rates starting at a cost of $4,956 per month.

    The Hills offers assisted living, board and care, and skilled nursing.

    There are 11 photos of The Hills on Mirador.

    The full address for this community is 1800 Old Tustin Ave, Santa Ana, CA 92705.

    No, The Hills does not offer respite care. Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.

    Safety & Compliance

    In California, the Department of Social Services' Community Care Licensing Division licenses residential care facilities for the elderly, conducting inspections and investigating complaints.

    License number306005840
    StatusLicensed
    Facility typeResidential Care Elderly
    Capacity6 residents
    LicenseeNOTHING HILLS GUEST HOME LLC
    EffectiveAugust 28th, 2020
    View the official license record

    Inspection Reports

    7

    Reports

    4

    Type A Citations

    0

    Type B Citations

    0

    Complaints

    6

    Years

    13 Aug 2026Inspection
    Found safety deficiencies including unsecured sharp items, improper hot water temperatures in resident bathrooms, and incomplete staff criminal record clearance, with penalties issued.
    • Type ACCR87303(e)(2)Hot water must be delivered at 105-120°F by faucets used for personal care
    • Type ACCR87309(a)Storage space and access: dangerous items must be locked
    • Type ACCR87355(e)(3)Criminal record clearance: transfer/association required before employment
    24 Jul 2025Inspection
    Observed six residents with two staff present; no licensing deficiencies were cited.
    20 Aug 2024Inspection
    Observed an unannounced visit with six residents and two staff. No deficiencies were identified, and safety features and supplies were in order.
    15 Aug 2022Inspection
    Found hot water in two restrooms exceeded the allowed temperature range. A deficiency was noted and an advisory issued.
    • Type A878303(e)(2)
    25 Aug 2021Inspection
    Observed infection-control measures and PPE supplies in place. No deficiencies were noted.
    18 Aug 2020Inspection
    Found a one-story residence with four resident bedrooms, three bathrooms, a staff bedroom, and a large yard; the pre-licensing visit was conducted via FaceTime due to the pandemic. No deficiencies were identified, and licensing will proceed after final review.
    06 Aug 2020Inspection
    Confirmed that the applicant and administrator successfully completed the required training via telephone, demonstrating understanding of facility operations, staff responsibilities, resident care, and licensing requirements.

    Disclaimer

    Mirador Living is not affiliated with the owner or operator(s) of The Hills. The information above has not been verified or approved by the owner or operator. For exact information, please contact The Hills directly. There is no cost for this service. We are compensated by the community you select.

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