Skilled nursing facility · CMS certification number 056104
ROSE VILLA HEALTH CARE CENTER
BELLFLOWER, California · Medicare and Medicaid · 53 certified beds in Care Compare
ROSE VILLA HEALTH CARE CENTER: 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 August 28, 2025.
- Net patient revenue rose from $10.6M in fiscal year 2023 to $11.3M in fiscal year 2024.
- Its result from service to patients: $2.1M (2022), $2.0M (2023), $2.1M (2024).
- Its cost reports on file run from fiscal year 1996 to fiscal year 2024.
- Its net patient revenue of $11.3M ranks 686th of the 951 nursing facilities in California whose latest cost report on file is fiscal year 2024.
- 4 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.
ROSE VILLA HEALTH CARE CENTER: Medicare cost reports
Form CMS-2540-10: each report covers January 1 to December 31 of its year; every report is settled.
| Form CMS-2540-10 | 2024 · report 1433054 | 2023 · report 1392467 | 2022 · report 1397594 | 2021 · report 1368548 | 2020 · report 1312332 | 2019 · report 1309765 | 2018 · report 1239226 | 2017 · report 1211165 | 2016 · report 1171063 | 2015 · report 1141643 | 2014 · report 1104182 | 2013 · report 1108638 | 2012 · report 1040533 | 2011 · report 1022077 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Processed by CMS | August 28, 2025 | August 19, 2024 | October 21, 2024 | November 23, 2023 | March 17, 2022 | February 2, 2022 | August 2, 2019 | August 31, 2018 | July 28, 2017 | August 17, 2016 | July 25, 2015 | August 24, 2015 | June 28, 2013 | December 17, 2012 |
| Total patient revenue | $13,355,881 | $12,840,546 | $11,304,127 | $9,446,395 | $9,287,819 | $7,963,523 | $7,169,982 | $6,570,447 | $6,857,708 | $6,893,708 | $5,766,079 | $5,336,532 | $5,167,983 | $4,286,400 |
| Contractual allowances and discounts | $2,064,311 | $2,272,968 | $422,904 | $312,760 | — | — | $221,626 | $387,460 | $531,451 | $766,169 | $120,684 | −$55,431 | −$551,364 | −$740,245 |
| Net patient revenue | $11,291,570 | $10,567,578 | $10,881,223 | $9,133,635 | $9,287,819 | $7,963,523 | $6,948,356 | $6,182,987 | $6,326,257 | $6,127,539 | $5,645,395 | $5,391,963 | $5,719,347 | $5,026,645 |
| Total operating expenses | $9,194,057 | $8,591,067 | $8,799,702 | $7,823,695 | $7,315,020 | $7,165,434 | $6,509,917 | $5,948,598 | $6,160,200 | $5,672,114 | $5,091,885 | $4,760,223 | $4,862,190 | $4,342,642 |
| Net income from service to patients | $2,097,513 | $1,976,511 | $2,081,521 | $1,309,940 | $1,972,799 | $798,089 | $438,439 | $234,389 | $166,057 | $455,425 | $553,510 | $631,740 | $857,157 | $684,003 |
| Total other income | $2,856 | $596 | $7,349 | $2,509 | $3,310 | $2,920 | $3,351 | $2,003 | $4,469 | $7,512 | $2,838 | $1,768 | $1,952 | $1,677 |
| Net income after other income | $2,100,369 | $1,977,107 | $2,088,870 | $1,312,449 | $1,976,109 | $801,009 | $441,790 | $236,392 | $170,526 | $462,937 | $556,348 | $633,508 | $859,109 | $685,680 |
| Net income | $2,100,369 | $1,977,107 | $2,088,870 | $1,312,449 | $1,976,109 | $801,009 | $441,790 | $236,392 | $170,526 | $462,937 | $556,345 | $633,508 | $859,109 | $685,680 |
| Total facility beds, all components | 53 | 53 | 53 | 53 | 53 | 53 | 53 | 53 | 53 | 53 | 53 | 53 | 53 | 53 |
| Bed days available, all components | 19,398 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Medicare (Title XVIII) patient days | 7,760 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Medicaid (Title XIX) patient days | 8,472 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Other-payer patient days | 1,390 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Total patient days, all components | 17,622 | 16,998 | 17,510 | 16,884 | 17,467 | 18,005 | 17,468 | 17,914 | 17,400 | 17,816 | 16,853 | 16,367 | 17,348 | 16,573 |
| Medicare discharges | 143 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Medicaid discharges | 21 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Other-payer discharges | 48 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Total discharges, all components | 212 | 183 | 231 | 229 | 212 | 316 | 483 | 404 | 398 | 480 | 416 | 336 | 280 | 169 |
| Average length of stay, Medicare, in days | 54.27 | 64.3 | 47.95 | 43.14 | 50.81 | 35.99 | 32.63 | 25.55 | 37.64 | 30.58 | 31.59 | 31.5 | 31.46 | 35.47 |
| Average length of stay, Medicaid, in days | 403.43 | 719.91 | 915.5 | 739.25 | 924.78 | 356.18 | 283.83 | 105.66 | 468.75 | 273.34 | 147.95 | 271.85 | 328.17 | 425.12 |
| Average length of stay, all patients, in days | 83.12 | 92.89 | 75.8 | 73.73 | 82.39 | 56.98 | 36.17 | 44.34 | 43.72 | 37.12 | 40.51 | 48.71 | 61.96 | 98.07 |
Net income, fiscal years 2024, 2023, 2022, 2021, 2020, 2019, 2018, 2017, 2016, 2015, 2014, 2013, 2012, 2011. Checked against the form’s own arithmetic: what that check shows.
| Form CMS-2540-96 | 2010 · report 414177 | 2009 · report 384540 | 2008 · report 350419 | 2007 · report 323308 | 2006 · report 296394 | 2005 · report 266679 | 2004 · report 236371 | 2003 · report 192701 | 2002 · report 161306 | 2001 · report 140712 | 2000 · report 126327 | 1999 · report 63276 | 1997 · report 81866 | 1996 · report 81865 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Period began | January 1, 2010 | January 1, 2009 | January 1, 2008 | January 1, 2007 | January 1, 2006 | January 1, 2005 | January 1, 2004 | June 1, 2003 | January 1, 2002 | January 1, 2001 | January 1, 2000 | January 1, 1999 | January 1, 1997 | January 1, 1996 |
| Period ended | December 31, 2010 | December 31, 2009 | December 31, 2008 | December 31, 2007 | December 31, 2006 | December 31, 2005 | December 31, 2004 | December 31, 2003 | December 31, 2002 | December 31, 2001 | December 31, 2000 | December 31, 1999 | December 31, 1997 | December 31, 1996 |
| Days, where not a full year | — | — | — | — | — | — | — | 213 | — | — | — | — | — | — |
| Report status | settled | settled | settled | settled | settled | settled | settled | settled | settled | settled | settled | as submitted | settled | settled |
| Processed by CMS | August 1, 2011 | August 2, 2010 | July 14, 2009 | August 8, 2008 | November 15, 2007 | November 17, 2006 | November 8, 2005 | September 1, 2004 | October 1, 2003 | April 7, 2003 | February 13, 2003 | August 1, 2000 | August 26, 1999 | March 24, 1998 |
| Net patient revenue | $4,856,674 | $4,754,861 | $4,302,228 | $3,375,513 | $3,442,553 | $2,988,368 | $2,426,522 | $1,423,044 | $2,125,356 | $2,197,516 | $2,039,243 | $1,815,421 | $2,029,903 | $2,884,377 |
| Total operating expenses | $3,964,828 | $3,938,561 | $3,629,484 | $3,183,639 | $3,121,462 | $2,705,034 | $2,354,675 | $1,387,394 | $2,446,502 | $2,346,572 | $2,214,972 | $2,319,326 | $1,951,559 | $1,994,658 |
| Net income from service to patients | $891,846 | $816,300 | $672,744 | $191,874 | $321,091 | $283,334 | $71,847 | $35,650 | −$321,146 | −$149,056 | −$175,729 | −$503,905 | $78,344 | $889,719 |
| Total other income | $2,401 | $2,585 | $2,985 | $3,092 | $3,622 | $3,071 | $3,013 | $1,994 | $604 | $519 | $2,275 | $755 | $2,199 | −$810 |
| Total other expenses | — | $2,129 | — | — | — | — | — | — | — | — | — | — | — | — |
| Net income | $894,247 | $816,756 | $675,729 | $194,966 | $324,713 | $286,405 | $74,860 | $37,644 | −$320,542 | −$148,537 | −$173,454 | −$503,150 | $80,543 | $888,909 |
| Total facility beds, all components | 53 | 53 | 53 | 53 | 53 | 53 | 53 | 53 | 53 | 53 | 53 | 53 | 53 | 53 |
| Total patient days, all components | 16,798 | 17,113 | 16,923 | 16,331 | 16,512 | 16,911 | 16,601 | 9,363 | 16,336 | 17,272 | 16,109 | 16,305 | 17,949 | 13,934 |
| Total discharges, all components | 106 | 156 | 160 | 127 | 115 | 99 | 77 | 54 | 129 | 90 | 142 | 106 | 97 | 204 |
| Average length of stay, Medicare, in days | 124.38 | 77.37 | 71.57 | 64.41 | 77.95 | 57.4 | 119.19 | 31.93 | 28.44 | 32.47 | 36.84 | 30.64 | 46.46 | 35 |
| Average length of stay, Medicaid, in days | 185.05 | 147.58 | 158.41 | 191.16 | 322.26 | 312.05 | 262.67 | 279.85 | — | — | — | — | — | 225.8 |
| Average length of stay, all patients, in days | 158.47 | 109.7 | 105.77 | 128.59 | 143.58 | 170.82 | 215.6 | 173.39 | 126.64 | 191.91 | 113.44 | 153.82 | 185.04 | 68.3 |
Net income, fiscal years 2010, 2009, 2008, 2007, 2006, 2005, 2004, 2003, 2002, 2001, 2000, 1999, 1997, 1996. Checked against the form’s own arithmetic: what that check shows.
ROSE VILLA HEALTH CARE CENTER: nurse staffing hours by quarter →
Who owns ROSE VILLA HEALTH CARE CENTER, as filed with CMS
Care Compare
- ADP OF THE SNF: BURNAM, SOON (individual), since 07/07/2025; CARETRUST GP LLC (organization), since 06/01/2003; CARETRUST REIT INC (organization), since 06/01/2003; CTR PARTNERSHIP LP (organization), since 06/01/2003; ENSIGN BELLFLOWER LLC (organization), since 06/01/2003; ENSIGN SERVICES INC (organization), since 09/14/2011; HOWELL, DAVID (individual), since 07/07/2025; POLE, SHIVANAND (individual), since 07/07/2025
- CORPORATE DIRECTOR: WILLITS, ADAM (individual), since 04/29/2019
- CORPORATE OFFICER: BURNAM, SOON (individual), since 01/30/2006; KEETCH, CHAD (individual), since 03/01/2011
- DIRECT OWNERSHIP INTEREST: FLAGSTONE HEALTHCARE SOUTH LLC (organization), since 01/30/2006
- INDIRECT OWNERSHIP INTEREST: THE ENSIGN GROUP INC (organization), since 01/30/2006
- INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF: PORT, BARRY (individual), since 07/07/2025
- MANAGING CONTROL - GOVERNING BODY: HOWELL, DAVID (individual), since 06/05/2013; POLE, SHIVANAND (individual), since 03/01/2024
- OPERATIONAL/MANAGERIAL CONTROL: HOWELL, DAVID (individual), since 06/05/2013; POLE, SHIVANAND (individual), since 03/01/2024
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 BELL VILLA CARE ASSOCIATES LLC (enrollment ID O20030510000002).
- ADP OF THE SNF: CARETRUST GP LLC (organization), since 06/01/2003; CARETRUST REIT INC (organization), since 06/01/2003; CTR PARTNERSHIP LP (organization), since 06/01/2003; DAVID HOWELL (individual), since 07/07/2025; ENSIGN BELLFLOWER LLC (organization), since 06/01/2003; ENSIGN SERVICES INC (organization), since 09/14/2011; SHIVANAND RAO POLE (individual), since 07/07/2025; SOON BURNAM (individual), since 07/07/2025
- CORPORATE DIRECTOR: ADAM WILLITS (individual), 0.00%, since 04/29/2019
- CORPORATE OFFICER: CHAD KEETCH (individual), since 03/01/2011; SOON BURNAM (individual), 0.00%, since 01/30/2006
- DIRECT OWNERSHIP INTEREST: FLAGSTONE HEALTHCARE SOUTH LLC (organization), 100.00%, since 01/30/2006
- INDIRECT OWNERSHIP INTEREST: THE ENSIGN GROUP INC (organization), 100.00%, since 01/30/2006
- MANAGING CONTROL - GOVERNING BODY: DAVID HOWELL (individual), since 06/05/2013; SHIVANAND RAO POLE (individual), since 03/01/2024
- OPERATIONAL/MANAGERIAL CONTROL: DAVID HOWELL (individual), 0.00%, since 06/05/2013; SHIVANAND RAO POLE (individual), since 03/01/2024
Paused by CMS: Form CMS-855A, December 11, 2025.
Private equity company, real estate investment trust and holding company: No: CARETRUST GP LLC; CARETRUST REIT INC; CTR PARTNERSHIP LP; ENSIGN BELLFLOWER LLC; ENSIGN SERVICES INC; FLAGSTONE HEALTHCARE SOUTH LLC; THE ENSIGN GROUP INC.
Private equity company, real estate investment trust and holding company: Paused by CMS: DAVID HOWELL; SHIVANAND RAO POLE; SOON BURNAM; ADAM WILLITS; CHAD KEETCH; SOON BURNAM; DAVID HOWELL; SHIVANAND RAO POLE; DAVID HOWELL; SHIVANAND RAO POLE.
Changes in ownership
- April 1, 2026, enrollment ownership file; no longer listed: FLAGSTONE HEALTHCARE SOUTH LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST); ADAM WILLITS (CORPORATE OFFICER); THE ENSIGN GROUP INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST); DAVID HOWELL (W-2 MANAGING EMPLOYEE); first listed: SOON BURNAM (ADP OF THE SNF), associated since July 7, 2025; CHAD A KEETCH (CORPORATE OFFICER), associated since March 1, 2011; CARETRUST REIT INC (ADP OF THE SNF), associated since June 1, 2003; CARETRUST GP LLC (ADP OF THE SNF), associated since June 1, 2003; CTR PARTNERSHIP LP (ADP OF THE SNF), associated since June 1, 2003; SHIVANAND RAO POLE (ADP OF THE SNF), associated since July 7, 2025; SHIVANAND RAO POLE (MANAGING CONTROL - GOVERNING BODY), associated since March 1, 2024; SHIVANAND RAO POLE (OPERATIONAL/MANAGERIAL CONTROL), associated since March 1, 2024; FLAGSTONE HEALTHCARE SOUTH LLC (DIRECT OWNERSHIP INTEREST), associated since January 30, 2006; ADAM WILLITS (CORPORATE DIRECTOR), associated since April 29, 2019; ENSIGN SERVICES INC (ADP OF THE SNF), associated since September 14, 2011; THE ENSIGN GROUP INC (INDIRECT OWNERSHIP INTEREST), associated since January 30, 2006; DAVID HOWELL (ADP OF THE SNF), associated since July 7, 2025; DAVID HOWELL (MANAGING CONTROL - GOVERNING BODY), associated since June 5, 2013; ENSIGN BELLFLOWER LLC (ADP OF THE SNF), associated since June 1, 2003. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
Recent changes on this record
- August 7, 2026: A deficiency was cited under tag F 0761, scope and severity D. NH_HealthCitations_Oct2026.csv
- August 7, 2026: A deficiency was cited under tag F 0759, scope and severity D. NH_HealthCitations_Oct2026.csv
- August 7, 2026: A deficiency was cited under tag F 0698, scope and severity D. NH_HealthCitations_Oct2026.csv
- August 7, 2026: A deficiency was cited under tag F 0689, scope and severity D. NH_HealthCitations_Oct2026.csv
- August 7, 2026: A deficiency was cited under tag F 0684, scope and severity D. NH_HealthCitations_Oct2026.csv
- August 7, 2026: A deficiency was cited under tag F 0605, scope and severity D. NH_HealthCitations_Oct2026.csv
- August 7, 2026: A deficiency was cited under tag F 0812, scope and severity E. NH_HealthCitations_Oct2026.csv
- August 7, 2026: A deficiency was cited under tag F 0803, scope and severity E. NH_HealthCitations_Oct2026.csv
- August 7, 2026: A deficiency was cited under tag F 0755, scope and severity E. NH_HealthCitations_Oct2026.csv
- August 7, 2026: A deficiency was cited under tag F 0697, scope and severity E. NH_HealthCitations_Oct2026.csv
- August 7, 2026: An inspection was recorded in inspection cycle 1. NH_SurveySummary_Oct2026.csv
Inspections of ROSE VILLA HEALTH CARE CENTER
- Cycle 1: health August 7, 2026 (16 deficiencies), fire safety August 7, 2026 (6)
- Cycle 2: health April 24, 2025 (10 deficiencies), fire safety April 24, 2025 (9)
- Cycle 3: health April 7, 2024 (19 deficiencies), fire safety April 7, 2024 (0)
- Cycle 3: health April 8, 2022 (17 deficiencies), fire safety April 8, 2022 (2)
Deficiencies cited at ROSE VILLA HEALTH CARE CENTER
60 deficiencies on file, by tag, newest citation first
every one from a health inspection; every one marked “Deficient, Provider has date of correction”; 8 cited from a complaint, marked below. Letter after a date: scope and severity grade.
- F 0605, freedom from abuse, neglect, and exploitation: August 7, 2026 (D, corrected September 4, 2026).
- F 0684, quality of life and care: August 7, 2026 (D, corrected September 4, 2026); April 7, 2024 (D, corrected May 7, 2024).
- F 0689, quality of life and care: August 7, 2026 (D, corrected September 4, 2026).
- F 0697, quality of life and care: August 7, 2026 (E, corrected September 4, 2026).
- F 0698, quality of life and care: August 7, 2026 (D, corrected September 4, 2026).
- F 0755, pharmacy service: August 7, 2026 (E, corrected September 4, 2026); February 13, 2026 (D, from a complaint, corrected March 17, 2026); April 24, 2025 (D, corrected May 23, 2025); April 8, 2022 (D, corrected May 6, 2022).
- F 0759, pharmacy service: August 7, 2026 (D, corrected September 4, 2026).
- F 0761, pharmacy service: August 7, 2026 (D, corrected September 4, 2026); April 24, 2025 (D, corrected May 23, 2025); April 7, 2024 (E, corrected May 7, 2024); April 8, 2022 (D, corrected May 6, 2022).
- F 0803, nutrition and dietary: August 7, 2026 (E, corrected September 4, 2026); April 7, 2024 (D, corrected May 7, 2024).
- F 0812, nutrition and dietary: August 7, 2026 (E, corrected September 4, 2026); April 8, 2022 (D, corrected May 6, 2022).
- F 0676, quality of life and care: February 13, 2026 (D, from a complaint, corrected March 17, 2026).
- F 0690, quality of life and care: February 13, 2026 (E, from a complaint, corrected March 17, 2026); April 24, 2025 (D, corrected May 23, 2025).
- F 0842, resident assessment and care planning: February 13, 2026 (D, from a complaint, corrected March 17, 2026); April 24, 2025 (D, corrected May 23, 2025).
- F 0656, resident assessment and care planning: January 16, 2026 (E, from a complaint, corrected February 7, 2026); April 24, 2025 (E, corrected May 23, 2025); April 7, 2024 (E, corrected May 7, 2024); March 5, 2024 (D, from a complaint, corrected March 29, 2024).
- F 0760, pharmacy service: November 26, 2025 (E, from a complaint, corrected December 22, 2025); April 8, 2022 (D, corrected May 6, 2022).
- F 0604, freedom from abuse, neglect, and exploitation: April 24, 2025 (D, corrected May 23, 2025).
- F 0641, resident assessment and care planning: April 24, 2025 (E, corrected May 23, 2025).
- F 0758, pharmacy service: April 24, 2025 (D, corrected May 23, 2025); April 7, 2024 (E, corrected May 7, 2024); April 8, 2022 (E, corrected May 6, 2022).
- F 0880, infection control: April 24, 2025 (D, corrected May 23, 2025).
- F 0881, infection control: April 24, 2025 (E, corrected May 23, 2025); April 8, 2022 (D, corrected May 6, 2022).
- F 0550, resident rights: April 7, 2024 (D, corrected May 7, 2024).
- F 0625, resident rights: April 7, 2024 (D, corrected May 7, 2024).
- F 0658, resident assessment and care planning: April 7, 2024 (D, corrected May 7, 2024).
- F 0688, quality of life and care: April 7, 2024 (E, corrected May 7, 2024); April 8, 2022 (D, corrected May 6, 2022).
- F 0693, quality of life and care: April 7, 2024 (D, corrected May 7, 2024).
- F 0711, nursing and physician services: April 7, 2024 (D, corrected May 7, 2024).
- F 0756, pharmacy service: April 7, 2024 (E, corrected May 7, 2024); April 8, 2022 (D, corrected May 6, 2022).
- F 0757, pharmacy service: April 7, 2024 (E, corrected May 7, 2024).
- F 0776, administration: April 7, 2024 (D, corrected May 7, 2024).
- F 0868, administration: April 7, 2024 (D, corrected May 7, 2024).
- F 0883, infection control: April 7, 2024 (D, corrected May 7, 2024); April 8, 2022 (D, corrected May 6, 2022).
- F 0887, infection control: April 7, 2024 (D, corrected May 7, 2024).
- F 0626, resident rights: October 13, 2023 (D, from a complaint, corrected November 6, 2023).
- F 0677, quality of life and care: April 8, 2022 (D, corrected May 6, 2022).
- F 0679, quality of life and care: April 8, 2022 (D, corrected May 6, 2022).
- F 0726, nursing and physician services: April 8, 2022 (D, corrected May 6, 2022).
- F 0825, quality of life and care: April 8, 2022 (D, corrected May 6, 2022).
- F 0907, environmental: April 8, 2022 (E, corrected May 6, 2022).
- F 0908, environmental: April 8, 2022 (E, corrected May 6, 2022).
ROSE VILLA HEALTH CARE CENTER in Care Compare
- Ownership Type: For profit - Corporation
- Legal Business Name: BELL VILLA CARE ASSOCIATES LLC
- Date First Approved to Provide Medicare and Medicaid Services: 1971-11-01
- Provider Resides in Hospital: N
- Continuing Care Retirement Community: N
- Urban: Y
- County/Parish: Los Angeles
- Telephone Number: 5629254252
- Chain Name: THE ENSIGN GROUP
- Chain ID: 507
- Provider Changed Ownership in Last 12 Months: N
- With a Resident and Family Council: Both
- Automatic Sprinkler Systems in All Required Areas: Yes
- Average Number of Residents per Day: 43.6
- Overall Rating: 3
- Health Inspection Rating: 3
- QM Rating: 4
- Long-Stay QM Rating: 4
- Short-Stay QM Rating: 5
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 ROSE VILLA HEALTH CARE CENTER: no penalty in Care Compare.
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Report a figure on ROSE VILLA HEALTH CARE CENTER’s record that differs from its CMS file, quoting 056104.