Skilled nursing facility · CMS certification number 055448
DINUBA HEALTHCARE
DINUBA, California · Medicare and Medicaid · 97 certified beds in Care Compare
Download DINUBA HEALTHCARE’s record (CSV, each figure with its worksheet, line and column)
DINUBA HEALTHCARE: its citable report, full history — $295 · an email when it changes — $99/month
What stands out
- Its latest cost report on file is for fiscal year 2024, covering January 1, 2024 to December 31, 2024 (365 days), and CMS processed it on May 15, 2026.
- Net patient revenue rose from $12.1M in fiscal year 2023 to $13.5M in fiscal year 2024.
- Its result from service to patients: $306K (2022), $670K (2023), $1.1M (2024).
- Its cost reports on file run from fiscal year 1996 to fiscal year 2024.
- Its net patient revenue of $13.5M ranks 553rd of the 951 nursing facilities in California whose latest cost report on file is fiscal year 2024.
- 3 of the 5 nursing facilities in California closest in size to it, whose latest cost report on file is fiscal year 2024, also report a gain on service to patients.
DINUBA HEALTHCARE: Medicare cost reports
Form CMS-2540-10: every report is settled.
| Form CMS-2540-10 | 2024 · report 1449865 | 2023 · report 1426930 | 2022 · report 1390650 | 2021 · report 1334280 | 2020 · report 1305261 | 2019 · report 1274082 | 2018 · report 1253662 | 2017 · report 1208350 | 2016 · report 1174897 | 2015 · report 1142165 | 2014 · report 1122124 | 2013 · report 1060276 | 2012 · report 1027345 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Period began | January 1, 2024 | January 1, 2023 | January 1, 2022 | January 1, 2021 | January 1, 2020 | January 1, 2019 | January 1, 2018 | January 1, 2017 | January 1, 2016 | January 1, 2015 | October 1, 2014 | October 1, 2012 | October 1, 2011 |
| Period ended | December 31, 2024 | December 31, 2023 | December 31, 2022 | December 31, 2021 | December 31, 2020 | December 31, 2019 | December 31, 2018 | December 31, 2017 | December 31, 2016 | December 31, 2015 | December 31, 2014 | September 30, 2013 | September 30, 2012 |
| Days, where not a full year | — | — | — | — | — | — | — | — | — | — | 91 | — | — |
| Processed by CMS | May 15, 2026 | June 12, 2025 | July 31, 2024 | September 28, 2022 | November 24, 2021 | November 20, 2020 | April 15, 2020 | August 21, 2018 | August 24, 2017 | August 22, 2016 | April 20, 2016 | May 20, 2014 | April 19, 2013 |
| Total patient revenue | $17,875,093 | $12,996,896 | $10,909,735 | $9,994,592 | $8,951,574 | $10,423,240 | $9,628,603 | $9,323,405 | $9,873,750 | $9,932,145 | $2,371,504 | $7,581,557 | $6,240,413 |
| Contractual allowances and discounts | $4,378,825 | $847,761 | −$549,504 | $81,178 | $1,180,837 | $3,328,752 | $2,906,468 | $2,505,235 | $2,846,335 | $2,994,158 | $734,638 | $1,574,070 | $415,458 |
| Net patient revenue | $13,496,268 | $12,149,135 | $11,459,239 | $9,913,414 | $7,770,737 | $7,094,488 | $6,722,135 | $6,818,170 | $7,027,415 | $6,937,987 | $1,636,866 | $6,007,487 | $5,824,955 |
| Total operating expenses | $12,361,239 | $11,479,554 | $11,152,980 | $10,072,303 | $8,407,481 | $7,449,329 | $6,607,200 | $6,369,772 | $6,273,011 | $6,446,063 | $1,622,530 | $6,070,504 | $6,210,091 |
| Net income from service to patients | $1,135,029 | $669,581 | $306,259 | −$158,889 | −$636,744 | −$354,841 | $114,935 | $448,398 | $754,404 | $491,924 | $14,336 | −$63,017 | −$385,136 |
| Total other income | $190,457 | $75,460 | $1,301,399 | $129,810 | $71,079 | $63,985 | $29,432 | $2,076 | $13,125 | $9,426 | $10,830 | $109,948 | $38,480 |
| Net income after other income | $1,325,486 | $745,041 | $1,607,658 | −$29,079 | −$565,665 | −$290,856 | $144,367 | $450,474 | $767,529 | $501,350 | $25,166 | $46,931 | −$346,656 |
| Net income | $1,325,486 | $740,041 | $1,607,658 | −$29,079 | −$565,665 | −$290,856 | $144,367 | $450,474 | $767,529 | $501,351 | $25,166 | $46,931 | −$346,656 |
| Total facility beds, all components | 94 | 94 | 94 | 94 | 94 | 94 | 94 | 94 | 94 | 94 | 94 | 94 | 94 |
| Bed days available, all components | 34,404 | — | — | — | — | — | — | — | — | — | — | — | — |
| Medicare (Title XVIII) patient days | 1,969 | — | — | — | — | — | — | — | — | — | — | — | — |
| Medicaid (Title XIX) patient days | 2,195 | — | — | — | — | — | — | — | — | — | — | — | — |
| Other-payer patient days | 28,403 | — | — | — | — | — | — | — | — | — | — | — | — |
| Total patient days, all components | 32,567 | 31,569 | 30,966 | 29,651 | 27,687 | 32,242 | 31,199 | 31,187 | 31,530 | 32,342 | 8,155 | 30,857 | 30,657 |
| Medicare discharges | 35 | — | — | — | — | — | — | — | — | — | — | — | — |
| Other-payer discharges | 105 | — | — | — | — | — | — | — | — | — | — | — | — |
| Total discharges, all components | 140 | 154 | 226 | — | 292 | 329 | 170 | 144 | 95 | 183 | 106 | 97 | 79 |
| Average length of stay, Medicare, in days | 56.26 | 105.41 | 87.1 | — | 59.07 | 39.98 | 33.34 | 39.56 | 74.17 | 50.56 | 54.15 | 82.35 | 78.31 |
| Average length of stay, Medicaid, in days | — | 589.5 | 238.06 | — | 199.38 | 164.23 | 760.67 | 662.36 | 710.29 | 249.19 | — | 598.33 | 913.9 |
| Average length of stay, all patients, in days | 232.62 | 204.99 | 137.02 | — | 94.82 | 98 | 183.52 | 216.58 | 331.89 | 176.73 | 76.93 | 318.11 | 388.06 |
Net income, fiscal years 2024, 2023, 2022, 2021, 2020, 2019, 2018, 2017, 2016, 2015, 2014, 2013, 2012. Checked against the form’s own arithmetic: what that check shows.
| Form CMS-2540-96 | 2011 · report 426921 | 2010 · report 398289 | 2009 · report 366149 | 2008 · report 336349 | 2007 · report 305196 | 2006 · report 277237 | 2005 · report 247470 | 2004 · report 210257 | 2003 · report 173752 | 2002 · report 196080 | 2001 · report 146379 | 2000 · report 80865 | 1999 · report 80863 | 1998 · report 80862 | 1997 · report 80860 | 1996 · report 80858 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Period began | October 1, 2010 | October 1, 2009 | October 1, 2008 | October 1, 2007 | October 1, 2006 | October 1, 2005 | October 1, 2004 | October 1, 2003 | October 1, 2002 | October 1, 2001 | October 1, 2000 | October 1, 1999 | October 1, 1998 | October 1, 1997 | October 1, 1996 | October 1, 1995 |
| Period ended | September 30, 2011 | September 30, 2010 | September 30, 2009 | September 30, 2008 | September 30, 2007 | September 30, 2006 | September 30, 2005 | September 30, 2004 | September 30, 2003 | September 30, 2002 | September 30, 2001 | September 30, 2000 | September 30, 1999 | September 30, 1998 | September 30, 1997 | September 30, 1996 |
| Report status | settled | settled | settled | settled | settled | settled | settled | settled | settled | reopened | settled | settled | settled | as submitted | settled | settled |
| Processed by CMS | March 30, 2012 | April 29, 2011 | March 18, 2010 | March 30, 2009 | March 21, 2008 | May 1, 2007 | April 18, 2006 | March 9, 2005 | April 27, 2004 | September 29, 2004 | May 29, 2003 | December 12, 2001 | May 7, 2001 | April 21, 2000 | March 11, 1999 | March 24, 1998 |
| Net patient revenue | $6,105,370 | $5,971,377 | $5,527,543 | $5,119,080 | $5,083,893 | $4,902,233 | $4,747,961 | $4,801,664 | $4,481,365 | $4,406,238 | $3,915,205 | $3,352,731 | $3,250,099 | $3,187,678 | $2,787,178 | $2,737,705 |
| Total operating expenses | $5,931,105 | $5,725,093 | $5,418,301 | $5,269,880 | $5,138,137 | $4,857,487 | $4,917,981 | $4,644,441 | $4,401,889 | $4,137,006 | $3,710,356 | $3,399,906 | $3,282,030 | $3,173,902 | $3,078,707 | $2,778,680 |
| Net income from service to patients | $174,265 | $246,284 | $109,242 | −$150,800 | −$54,244 | $44,746 | −$170,020 | $157,223 | $79,476 | $269,232 | $204,849 | −$47,175 | −$31,931 | $13,776 | −$291,529 | −$40,975 |
| Total other income | $39,860 | $9,259 | $9,078 | $9,835 | $12,069 | $14,554 | $239,972 | $22,579 | $10,878 | $5,824 | $9,226 | $26,877 | $8,120 | $98,195 | $6,217 | −$56,344 |
| Total other expenses | — | $34,108 | $235,304 | $258,268 | $5,006 | $3,029 | $17,441 | $242 | — | $239 | — | $1,834 | $21,749 | — | — | — |
| Net income | $214,125 | $221,435 | −$116,984 | −$399,233 | −$47,181 | $56,271 | $52,511 | $179,560 | $90,354 | $274,817 | $214,075 | −$22,132 | −$45,560 | $111,971 | −$285,312 | −$97,319 |
| Total facility beds, all components | 94 | 99 | 99 | 99 | 99 | 99 | 99 | 99 | 99 | 99 | 99 | 99 | 99 | 99 | 99 | 99 |
| Total patient days, all components | 31,271 | 31,792 | 32,694 | 30,633 | 32,603 | 33,073 | 32,163 | 33,156 | 33,120 | 33,424 | 29,884 | 28,290 | 28,715 | 30,862 | 28,382 | 29,787 |
| Total discharges, all components | 77 | 74 | 74 | 68 | 88 | 381 | 130 | 97 | 110 | 79 | 135 | 183 | 141 | 147 | 176 | 150 |
| Average length of stay, Medicare, in days | 395.83 | 86.89 | 57.09 | 85.52 | 34.04 | 62.03 | 58.68 | 81.92 | 37.49 | 32.82 | 31.92 | 37.45 | 21.98 | 29.55 | 24.53 | 41.98 |
| Average length of stay, Medicaid, in days | 405.99 | — | — | — | 1,028 | 123.9 | 316.59 | — | — | — | 275 | 349.59 | 447.8 | 340.68 | 276.36 | 473.3 |
| Average length of stay, all patients, in days | 406.12 | 429.62 | 441.81 | 450.49 | 370.49 | 86.81 | 247.41 | 341.81 | 301.09 | 423.09 | 221.36 | 154.59 | 203.65 | 209.95 | 161.26 | 198.58 |
Net income, fiscal years 2011, 2010, 2009, 2008, 2007, 2006, 2005, 2004, 2003, 2002, 2001, 2000, 1999, 1998, 1997, 1996. Checked against the form’s own arithmetic: what that check shows.
DINUBA HEALTHCARE: nurse staffing hours by quarter →
Who owns DINUBA HEALTHCARE, as filed with CMS
Care Compare
- ADP OF THE SNF: BIGELOW, BRANDON (individual), since 10/29/2020; CHRISTENSEN, COVEY (individual), since 10/28/2014; CLEGG, MICHAEL (individual), since 06/26/2023; HOPKINS, AMBER (individual), since 12/01/2021; MADISON CREEK PARTNERS LLC (organization), since 07/11/2025; SWEHLI, EHAB (individual), since 04/01/2023
- CORPORATE OFFICER: CHRISTENSEN, COVEY (individual), since 10/28/2014; CLEGG, MICHAEL (individual), since 06/26/2023
- OPERATIONAL/MANAGERIAL CONTROL: BIGELOW, BRANDON (individual), since 10/29/2020; CHRISTENSEN, COVEY (individual), since 10/28/2014; CLEGG, MICHAEL (individual), since 06/26/2023; HOPKINS, AMBER (individual), since 12/01/2021; MADISON CREEK PARTNERS LLC (organization), since 10/28/2014; SWEHLI, EHAB (individual), since 04/01/2023
Ownership percentage for each: NOT APPLICABLE.
Medicare enrollment
As filed in the CMS file dated October 1, 2026 (Medicare enrollment ownership), under the enrollment of COLLEGE OPERATIONS LLC (enrollment ID O20141218001594).
- 5% OR GREATER DIRECT OWNERSHIP INTEREST: MADISON CREEK PARTNERS LLC (organization), 100.00%, since 10/28/2014
- 5% OR GREATER INDIRECT OWNERSHIP INTEREST: COVEY C CHRISTENSEN (individual), 100.00%, since 10/28/2014
- ADP OF THE SNF: AMBER M HOPKINS (individual), since 12/01/2021; BRANDON D BIGELOW (individual), since 10/29/2020; COVEY C CHRISTENSEN (individual), since 10/28/2014; EHAB A SWEHLI (individual), since 04/01/2023; MADISON CREEK PARTNERS LLC (organization), since 07/11/2025; MICHAEL JOSEPH CLEGG (individual), since 06/26/2023; No owner named in the filing (organization), since 10/28/2014; No owner named in the filing (organization), since 10/28/2014
- CORPORATE OFFICER: COVEY C CHRISTENSEN (individual), since 10/28/2014; MICHAEL JOSEPH CLEGG (individual), since 06/26/2023
- OPERATIONAL/MANAGERIAL CONTROL: AMBER M HOPKINS (individual), since 12/01/2021; BRANDON D BIGELOW (individual), since 10/29/2020; COVEY C CHRISTENSEN (individual), since 10/28/2014; EHAB A SWEHLI (individual), since 04/01/2023; MADISON CREEK PARTNERS LLC (organization), since 10/28/2014; MICHAEL JOSEPH CLEGG (individual), since 06/26/2023
Paused by CMS: Form CMS-855A, December 11, 2025.
Private equity company, real estate investment trust and holding company: No: MADISON CREEK PARTNERS LLC; MADISON CREEK PARTNERS LLC; No owner named in the filing; MADISON CREEK PARTNERS LLC.
Private equity company, real estate investment trust and holding company: Paused by CMS: COVEY C CHRISTENSEN; AMBER M HOPKINS; BRANDON D BIGELOW; COVEY C CHRISTENSEN; EHAB A SWEHLI; MICHAEL JOSEPH CLEGG; COVEY C CHRISTENSEN; MICHAEL JOSEPH CLEGG; AMBER M HOPKINS; BRANDON D BIGELOW; COVEY C CHRISTENSEN; EHAB A SWEHLI; MICHAEL JOSEPH CLEGG.
Private equity company: No, Real estate investment trust: No, Holding company: Yes: No owner named in the filing.
Changes in ownership
- April 1, 2026, enrollment ownership file; no longer listed: MADISON CREEK PARTNERS LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST); COLLEGE OPERATIONS LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST); first listed: BRANDON D BIGELOW (ADP OF THE SNF), associated since October 29, 2020; BRANDON D BIGELOW (OPERATIONAL/MANAGERIAL CONTROL), associated since October 29, 2020; MICHAEL JOSEPH CLEGG (ADP OF THE SNF), associated since June 26, 2023; MICHAEL JOSEPH CLEGG (OPERATIONAL/MANAGERIAL CONTROL), associated since June 26, 2023; MICHAEL JOSEPH CLEGG (CORPORATE OFFICER), associated since June 26, 2023; AMBER M HOPKINS (ADP OF THE SNF), associated since December 1, 2021; AMBER M HOPKINS (OPERATIONAL/MANAGERIAL CONTROL), associated since December 1, 2021; EHAB A SWEHLI (ADP OF THE SNF), associated since April 1, 2023; EHAB A SWEHLI (OPERATIONAL/MANAGERIAL CONTROL), associated since April 1, 2023; a listing under ADP OF THE SNF with no owner named, associated since October 28, 2014; MADISON CREEK PARTNERS LLC (ADP OF THE SNF), associated since July 11, 2025; MADISON CREEK PARTNERS LLC (OPERATIONAL/MANAGERIAL CONTROL), associated since October 28, 2014; MADISON CREEK PARTNERS LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST), associated since October 28, 2014; COVEY C CHRISTENSEN (ADP OF THE SNF), associated since October 28, 2014. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
Inspections of DINUBA HEALTHCARE
- Cycle 1: health January 8, 2026 (10 deficiencies), fire safety January 8, 2026 (7)
- Cycle 2: health July 18, 2024 (6 deficiencies), fire safety July 18, 2024 (22)
- Cycle 3: health May 12, 2022 (9 deficiencies), fire safety May 12, 2022 (6)
Deficiencies cited at DINUBA HEALTHCARE
26 deficiencies on file, by tag, newest citation first
every one from a health inspection; every one marked “Deficient, Provider has date of correction”; 3 cited from a complaint, marked below. Letter after a date: scope and severity grade.
- F 0656, resident assessment and care planning: February 9, 2026 (D, from a complaint, corrected March 12, 2026); May 12, 2022 (E, corrected June 13, 2022).
- F 0550, resident rights: January 8, 2026 (D, corrected February 25, 2026); May 12, 2022 (D, corrected June 13, 2022).
- F 0578, resident rights: January 8, 2026 (E, corrected March 2, 2026); May 12, 2022 (D, corrected June 13, 2022).
- F 0640, resident assessment and care planning: January 8, 2026 (D, corrected February 27, 2026).
- F 0676, quality of life and care: January 8, 2026 (D, corrected February 25, 2026).
- F 0679, quality of life and care: January 8, 2026 (D, corrected February 27, 2026); May 12, 2022 (E, corrected June 13, 2022).
- F 0689, quality of life and care: January 8, 2026 (D, corrected February 27, 2026); August 18, 2023 (G, from a complaint, corrected August 23, 2023).
- F 0761, pharmacy service: January 8, 2026 (D, corrected February 27, 2026).
- F 0804, nutrition and dietary: January 8, 2026 (D, corrected February 25, 2026); July 18, 2024 (F, corrected August 11, 2024).
- F 0921, environmental: January 8, 2026 (D, corrected February 27, 2026).
- F 0745, quality of life and care: October 1, 2024 (D, from a complaint, corrected November 15, 2024).
- F 0582, resident rights: July 18, 2024 (E, corrected August 11, 2024).
- F 0641, resident assessment and care planning: July 18, 2024 (D, corrected August 11, 2024); May 12, 2022 (D, corrected June 13, 2022).
- F 0732, nursing and physician services: July 18, 2024 (C, corrected August 11, 2024).
- F 0812, nutrition and dietary: July 18, 2024 (F, corrected August 11, 2024); May 12, 2022 (F, corrected June 13, 2022).
- F 0880, infection control: January 3, 2024 (D, corrected January 17, 2024).
- F 0636, resident assessment and care planning: May 12, 2022 (D, corrected June 13, 2022).
- F 0658, resident assessment and care planning: May 12, 2022 (D, corrected June 13, 2022).
DINUBA HEALTHCARE in Care Compare
- Ownership Type: For profit - Partnership
- Legal Business Name: COLLEGE OPERATIONS LLC
- Date First Approved to Provide Medicare and Medicaid Services: 1967-01-01
- Provider Resides in Hospital: N
- Continuing Care Retirement Community: N
- Urban: Y
- County/Parish: Tulare
- Telephone Number: 5595913300
- Chain Name: MADISON CREEK PARTNERS
- Chain ID: 328
- Provider Changed Ownership in Last 12 Months: N
- With a Resident and Family Council: Resident
- Automatic Sprinkler Systems in All Required Areas: Yes
- Average Number of Residents per Day: 90.0
- Overall Rating: 4
- Health Inspection Rating: 4
- QM Rating: 4
- Long-Stay QM Rating: 4
- Short-Stay QM Rating: 3
Care Compare, October 1, 2026: provider information NH_ProviderInfo_Oct2026.csv · inspections NH_SurveySummary_Oct2026.csv · citations NH_HealthCitations_Oct2026.csv · ownership NH_Ownership_Oct2026.csv.
Nothing on file for DINUBA HEALTHCARE: no penalty in Care Compare.
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Report a figure on DINUBA HEALTHCARE’s record that differs from its CMS file, quoting 055448.