Skilled nursing facility · CMS certification number 056401
MISSION HILLS POST ACUTE CARE
SAN DIEGO, California · Medicare and Medicaid · 75 certified beds in Care Compare
MISSION HILLS POST ACUTE CARE: 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 fell from $14.8M in fiscal year 2023 to $13.1M in fiscal year 2024.
- Its result from service to patients: $2.4M (2022), $2.8M (2023), $562K (2024).
- Its cost reports on file run from fiscal year 1996 to fiscal year 2024.
- Its net patient revenue of $13.1M ranks 571st 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.
MISSION HILLS POST ACUTE CARE: Medicare cost reports
| Form CMS-2540-10 | 2024 · report 1433079 | 2023 · report 1392746 | 2022 · report 1364246 | 2021 · report 1332671 | 2020 · report 1315003 | 2019 · report 1277096 | 2018 · report 1239466 | 2017 · report 1209342 | 2016 · report 1173255 | 2015 · report 1141838 | 2014 · report 1132886 | 2013 · report 1069516 | 2012 · report 1042397 | 2011 · report 1022767 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 | January 1, 2014 | January 1, 2013 | January 1, 2012 | January 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 | November 30, 2014 | December 31, 2013 | December 31, 2012 | December 31, 2011 |
| Report status | settled | settled | settled | settled | settled | settled | settled | settled | settled | settled | settled | as submitted | settled | settled |
| Processed by CMS | August 28, 2025 | August 21, 2024 | September 9, 2023 | September 19, 2022 | April 29, 2022 | December 23, 2020 | August 5, 2019 | August 21, 2018 | August 15, 2017 | August 18, 2016 | June 27, 2016 | June 28, 2014 | July 23, 2013 | December 31, 2012 |
| Total patient revenue | $15,283,203 | $15,467,630 | $12,565,056 | $12,557,243 | $12,787,400 | $13,228,073 | $11,547,879 | $11,927,854 | $11,210,620 | $11,494,251 | $14,848,382 | $16,542,574 | $15,548,584 | $12,431,230 |
| Contractual allowances and discounts | $2,164,377 | $714,571 | −$758,614 | $2,476 | $699,015 | $2,215,606 | $2,249,879 | $2,349,025 | $2,319,623 | $2,533,365 | $6,934,275 | $8,002,139 | $6,067,329 | $3,259,116 |
| Net patient revenue | $13,118,826 | $14,753,059 | $13,323,670 | $12,554,767 | $12,088,385 | $11,012,467 | $9,298,000 | $9,578,829 | $8,890,997 | $8,960,886 | $7,914,107 | $8,540,435 | $9,481,255 | $9,172,114 |
| Total operating expenses | $12,556,534 | $11,991,167 | $10,893,950 | $10,102,954 | $9,620,976 | $9,216,277 | $8,559,794 | $9,025,754 | $8,339,894 | $8,224,828 | $8,297,444 | $8,469,866 | $9,110,847 | $8,881,478 |
| Net income from service to patients | $562,292 | $2,761,892 | $2,429,720 | $2,451,813 | $2,467,409 | $1,796,190 | $738,206 | $553,075 | $551,103 | $736,058 | −$383,337 | $70,569 | $370,408 | $290,636 |
| Total other income | $8,489 | $2,579 | $10,827 | $3,716 | $44,642 | $61,589 | $4,402 | $13,298 | $5,067 | $4,353 | $15,066 | $129,635 | $45,593 | $8,829 |
| Net income after other income | $570,781 | $2,764,471 | $2,440,547 | $2,455,529 | $2,512,051 | $1,857,779 | $742,608 | $566,373 | $556,170 | $740,411 | −$368,271 | $200,204 | $416,001 | $299,465 |
| Net income | $570,768 | $2,764,471 | $2,438,916 | $2,455,529 | $2,512,051 | $1,857,779 | $742,608 | $566,373 | $556,170 | $740,411 | −$368,271 | $200,204 | $416,001 | $299,465 |
| Total facility beds, all components | 75 | 75 | 75 | 75 | 75 | 75 | 75 | 75 | 75 | 75 | 75 | 75 | 75 | 75 |
| Bed days available, all components | 27,450 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Medicare (Title XVIII) patient days | 3,620 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Medicaid (Title XIX) patient days | 11,589 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Other-payer patient days | 11,194 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Total patient days, all components | 26,403 | 26,290 | 25,565 | 25,446 | 24,620 | 26,265 | 25,052 | 24,877 | 22,378 | 21,834 | 19,064 | 20,090 | 22,112 | 21,272 |
| Medicare discharges | 121 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Medicaid discharges | 58 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Other-payer discharges | 436 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Total discharges, all components | 615 | 517 | 460 | 465 | 503 | 611 | 710 | 759 | 793 | 818 | 949 | 1,119 | 830 | 751 |
| Average length of stay, Medicare, in days | 29.92 | 28.74 | 27.23 | 29.51 | 27.53 | 22.28 | 21.53 | 22.23 | 23.89 | 25.54 | 21.63 | 23.52 | 25.71 | 28.97 |
| Average length of stay, Medicaid, in days | 199.81 | 232.56 | 302.79 | 317.11 | 309.94 | 237.16 | 260.43 | 459 | 947 | 542.64 | 137.08 | 87.71 | 76.35 | 79.18 |
| Average length of stay, all patients, in days | 42.93 | 50.85 | 55.58 | 54.72 | 48.95 | 42.99 | 35.28 | 32.78 | 28.22 | 26.69 | 20.09 | 17.95 | 26.64 | 28.32 |
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: each report covers January 1 to December 31 of its year.
| Form CMS-2540-96 | 2010 · report 411402 | 2009 · report 383722 | 2008 · report 353940 | 2007 · report 323392 | 2006 · report 301891 | 2005 · report 268526 | 2004 · report 247548 | 2003 · report 193738 | 2002 · report 186605 | 2001 · report 158996 | 2000 · report 125481 | 1999 · report 74198 | 1998 · report 230538 | 1997 · report 5686 | 1996 · report 5685 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Report status | settled | settled | settled | settled | settled | settled | settled | settled | settled | settled | settled | settled | reopened | settled | settled with audit |
| Processed by CMS | July 19, 2011 | July 27, 2010 | August 5, 2009 | August 8, 2008 | February 7, 2008 | December 12, 2006 | April 19, 2006 | September 1, 2004 | July 16, 2004 | September 9, 2003 | February 13, 2003 | September 6, 2001 | August 10, 2005 | January 18, 2000 | October 15, 1998 |
| Net patient revenue | $8,914,762 | $8,270,367 | $7,448,244 | $6,975,091 | $6,217,086 | $5,614,489 | $4,986,646 | $4,661,476 | $4,156,709 | $4,281,832 | $4,133,033 | $3,689,078 | $3,741,557 | $3,839,638 | $3,143,483 |
| Total operating expenses | $8,038,544 | $7,244,151 | $6,679,826 | $6,210,410 | $5,558,963 | $4,985,678 | $4,359,916 | $4,239,765 | $3,874,964 | $3,855,371 | $3,865,482 | $3,394,934 | $3,686,778 | $3,475,636 | $2,957,684 |
| Net income from service to patients | $876,218 | $1,026,216 | $768,418 | $764,681 | $658,123 | $628,811 | $626,730 | $421,711 | $281,745 | $426,461 | $267,551 | $294,144 | $54,779 | $364,002 | $185,799 |
| Total other income | $23,741 | $60,838 | $51,532 | $40,211 | $27,870 | $28,166 | $32,682 | $29,332 | $29,858 | $40,644 | $33,528 | $39,326 | $23,525 | $19,646 | $20,911 |
| Net income | $899,959 | $1,087,054 | $819,950 | $804,892 | $685,993 | $656,977 | $659,412 | $451,043 | $311,603 | $467,105 | $301,079 | $333,470 | $78,304 | $383,648 | $206,710 |
| Total facility beds, all components | 75 | 75 | 75 | 75 | 75 | 75 | 75 | 75 | 75 | 75 | 75 | 75 | 75 | 75 | 75 |
| Total patient days, all components | 21,318 | 22,065 | 22,550 | 24,636 | 24,809 | 23,090 | 22,731 | 22,503 | 21,422 | 21,003 | 20,648 | 22,079 | 24,468 | 24,785 | 25,563 |
| Total discharges, all components | 704 | 624 | 505 | 580 | 476 | 488 | 485 | 535 | 464 | 530 | 458 | 441 | 460 | 412 | 219 |
| Average length of stay, Medicare, in days | 32.08 | 30.67 | 30.45 | 23.52 | 26.84 | 24.06 | 22.58 | 21.38 | 20 | 17.74 | 31.28 | 26.74 | 19.85 | 27.46 | 17.46 |
| Average length of stay, Medicaid, in days | 138.77 | 107.5 | 125 | 116.94 | 659.25 | 674.38 | 520 | 287.77 | 580.89 | 288.47 | 342.42 | 895.5 | 795 | 209.86 | 1,110.7 |
| Average length of stay, all patients, in days | 30.28 | 35.36 | 44.65 | 42.48 | 52.12 | 47.32 | 46.87 | 42.06 | 46.17 | 39.63 | 45.08 | 50.07 | 53.19 | 60.16 | 116.73 |
Net income, fiscal years 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.
MISSION HILLS POST ACUTE CARE: nurse staffing hours by quarter →
Who owns MISSION HILLS POST ACUTE CARE, as filed with CMS
Care Compare
- ADP OF THE SNF: AFSHAR, POUYA (individual), since 03/09/2016; ENSIGN SERVICES INC (organization), since 09/10/2025; RAPP, DAMIEN (individual), since 12/01/2014; TWOMAGNETS LLC (organization), since 07/16/2025
- CORPORATE DIRECTOR: OH, KATHERINE (individual), since 06/01/2025; SATO, AMI (individual), since 09/09/2024; WILLITS, ADAM (individual), since 09/25/2018
- CORPORATE OFFICER: BURNAM, SOON (individual), since 09/10/2014; KEETCH, CHAD (individual), since 03/01/2011
- INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF: PORT, BARRY (individual), since 07/02/2025
- MANAGING CONTROL - GOVERNING BODY: AFSHAR, POUYA (individual), since 01/26/2022; RAPP, DAMIEN (individual), since 12/01/2014
- OPERATIONAL/MANAGERIAL CONTROL: AFSHAR, POUYA (individual), since 01/26/2022; RAPP, DAMIEN (individual), since 12/01/2014; TWOMAGNETS LLC (organization), since 06/01/2025
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 PORTSIDE HEALTHCARE INC (enrollment ID O20150105002196).
- 5% OR GREATER DIRECT OWNERSHIP INTEREST: FLAGSTONE HEALTHCARE SOUTH LLC (organization), 100.00%, since 09/10/2014
- 5% OR GREATER INDIRECT OWNERSHIP INTEREST: THE ENSIGN GROUP INC (organization), 100.00%, since 01/30/2006
- ADP OF THE SNF: DAMIEN RAPP (individual), since 12/01/2014; ENSIGN SERVICES INC (organization), since 09/10/2025; POUYA AFSHAR (individual), since 03/09/2016; TWOMAGNETS LLC (organization), since 07/16/2025
- CORPORATE DIRECTOR: ADAM WILLITS (individual), since 09/25/2018; AMI SATO (individual), since 09/09/2024; KATHERINE OH (individual), since 06/01/2025
- CORPORATE OFFICER: CHAD KEETCH (individual), since 03/01/2011; SOON BURNAM (individual), 0.00%, since 09/10/2014
- MANAGING CONTROL - GOVERNING BODY: DAMIEN RAPP (individual), since 12/01/2014; POUYA AFSHAR (individual), since 01/26/2022
- OPERATIONAL/MANAGERIAL CONTROL: DAMIEN RAPP (individual), 0.00%, since 12/01/2014; POUYA AFSHAR (individual), since 01/26/2022; TWOMAGNETS LLC (organization), since 06/01/2025
Paused by CMS: Form CMS-855A, December 11, 2025.
Private equity company, real estate investment trust and holding company: No: FLAGSTONE HEALTHCARE SOUTH LLC; THE ENSIGN GROUP INC; ENSIGN SERVICES INC; TWOMAGNETS LLC; TWOMAGNETS LLC.
Private equity company, real estate investment trust and holding company: Paused by CMS: DAMIEN RAPP; POUYA AFSHAR; ADAM WILLITS; AMI SATO; KATHERINE OH; CHAD KEETCH; SOON BURNAM; DAMIEN RAPP; POUYA AFSHAR; DAMIEN RAPP; POUYA AFSHAR.
Changes in ownership
- September 1, 2025, enrollment ownership file; no longer listed: DAMIEN RAPP (W-2 MANAGING EMPLOYEE); CRAIG FITCH (CORPORATE OFFICER); MATTHEW FLAKE (CORPORATE OFFICER); listed: ENSIGN SERVICES INC (ADP OF THE SNF); first listed: DAMIEN RAPP (ADP OF THE SNF), associated since December 1, 2014; DAMIEN RAPP (MANAGING CONTROL - GOVERNING BODY), associated since December 1, 2014; CHAD A KEETCH (CORPORATE OFFICER), associated since March 1, 2011; AMI SATO (CORPORATE DIRECTOR), associated since September 9, 2024; TWOMAGNETS LLC (ADP OF THE SNF), associated since July 16, 2025; TWOMAGNETS LLC (OPERATIONAL/MANAGERIAL CONTROL), associated since June 1, 2025; KATHERINE OH (CORPORATE DIRECTOR), associated since June 1, 2025; POUYA AFSHAR (ADP OF THE SNF), associated since March 9, 2016; POUYA AFSHAR (MANAGING CONTROL - GOVERNING BODY), associated since January 26, 2022; POUYA AFSHAR (OPERATIONAL/MANAGERIAL CONTROL), associated since January 26, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
Recent changes on this record
- August 13, 2026: A deficiency was cited under tag F 0881, scope and severity D. NH_HealthCitations_Oct2026.csv
- August 13, 2026: A deficiency was cited under tag F 0842, scope and severity D. NH_HealthCitations_Oct2026.csv
- August 13, 2026: A deficiency was cited under tag F 0812, scope and severity D. NH_HealthCitations_Oct2026.csv
- August 13, 2026: A deficiency was cited under tag F 0755, scope and severity D. NH_HealthCitations_Oct2026.csv
- August 13, 2026: A deficiency was cited under tag F 0698, scope and severity D. NH_HealthCitations_Oct2026.csv
- August 13, 2026: A deficiency was cited under tag F 0695, scope and severity D. NH_HealthCitations_Oct2026.csv
- August 13, 2026: A deficiency was cited under tag F 0880, scope and severity E. NH_HealthCitations_Oct2026.csv
- August 13, 2026: A deficiency was cited under tag F 0656, scope and severity E. NH_HealthCitations_Oct2026.csv
- August 13, 2026: A deficiency was cited under tag F 0584, scope and severity E. NH_HealthCitations_Oct2026.csv
- August 13, 2026: A deficiency was cited under tag F 0578, scope and severity E. NH_HealthCitations_Oct2026.csv
- August 13, 2026: An inspection was recorded in inspection cycle 1. NH_SurveySummary_Oct2026.csv
Inspections of MISSION HILLS POST ACUTE CARE
- Cycle 1: health August 13, 2026 (11 deficiencies), fire safety August 13, 2026 (3)
- Cycle 2: health June 19, 2025 (17 deficiencies), fire safety June 19, 2025 (1)
- Cycle 3: health January 27, 2022 (20 deficiencies), fire safety January 27, 2022 (5)
- Cycle 3: health October 10, 2019 (18 deficiencies), fire safety October 10, 2019 (2)
Deficiencies cited at MISSION HILLS POST ACUTE CARE
59 deficiencies on file, by tag, newest citation first
every one from a health inspection; every one marked “Deficient, Provider has date of correction”; 12 cited from a complaint, marked below. Letter after a date: scope and severity grade.
- F 0578, resident rights: August 13, 2026 (E, corrected September 14, 2026); January 27, 2022 (D, corrected February 24, 2022).
- F 0584, resident rights: August 13, 2026 (E, corrected September 14, 2026); January 27, 2022 (D, corrected February 24, 2022); October 10, 2019 (D, corrected November 10, 2019).
- F 0656, resident assessment and care planning: August 13, 2026 (E, corrected September 14, 2026); June 19, 2025 (D, corrected July 18, 2025).
- F 0695, quality of life and care: August 13, 2026 (D, corrected September 14, 2026); April 17, 2024 (E, from a complaint, corrected April 30, 2024).
- F 0698, quality of life and care: August 13, 2026 (D, corrected September 14, 2026).
- F 0755, pharmacy service: August 13, 2026 (D, corrected September 14, 2026).
- F 0812, nutrition and dietary: August 13, 2026 (D, corrected September 14, 2026); June 19, 2025 (E, corrected July 18, 2025); January 27, 2022 (F, corrected February 24, 2022); October 10, 2019 (E, corrected November 10, 2019).
- F 0842, resident assessment and care planning: August 13, 2026 (D, corrected September 14, 2026); March 14, 2024 (D, from a complaint, corrected March 21, 2024); October 10, 2019 (D, corrected November 10, 2019).
- F 0880, infection control: August 13, 2026 (E, corrected September 14, 2026); June 19, 2025 (D, corrected July 18, 2025); April 17, 2024 (D, from a complaint, corrected April 30, 2024); October 10, 2019 (D, corrected November 10, 2019).
- F 0881, infection control: August 13, 2026 (D, corrected September 14, 2026).
- F 0627, resident rights: June 18, 2026 (D, from a complaint, corrected July 17, 2026).
- F 0550, resident rights: June 19, 2025 (D, corrected July 18, 2025); October 8, 2024 (E, from a complaint, corrected October 31, 2024).
- F 0641, resident assessment and care planning: June 19, 2025 (D, corrected July 18, 2025).
- F 0679, quality of life and care: June 19, 2025 (D, corrected July 18, 2025).
- F 0690, quality of life and care: June 19, 2025 (D, corrected July 18, 2025).
- F 0692, quality of life and care: June 19, 2025 (D, corrected July 18, 2025); January 27, 2022 (G, corrected February 24, 2022).
- F 0725, nursing and physician services: June 19, 2025 (E, corrected July 18, 2025); October 8, 2024 (E, from a complaint, corrected October 31, 2024).
- F 0726, nursing and physician services: June 19, 2025 (E, corrected July 18, 2025).
- F 0741, quality of life and care: June 19, 2025 (D, corrected July 18, 2025).
- F 0759, pharmacy service: June 19, 2025 (D, corrected July 18, 2025); January 27, 2022 (D, corrected February 24, 2022).
- F 0761, pharmacy service: June 19, 2025 (E, corrected July 18, 2025); March 14, 2024 (D, from a complaint, corrected March 21, 2024); October 10, 2019 (D, corrected November 10, 2019).
- F 0600, freedom from abuse, neglect, and exploitation: March 4, 2025 (D, from a complaint, corrected April 1, 2025).
- F 0655, resident assessment and care planning: January 28, 2025 (D, from a complaint, corrected February 28, 2025); October 10, 2019 (D, corrected November 10, 2019).
- F 0689, quality of life and care: July 2, 2024 (D, from a complaint, corrected July 26, 2024); March 14, 2024 (D, from a complaint, corrected March 21, 2024).
- F 0554, resident rights: March 14, 2024 (D, from a complaint, corrected March 21, 2024).
- F 0684, quality of life and care: January 27, 2022 (D, corrected February 24, 2022).
- F 0688, quality of life and care: January 27, 2022 (E, corrected February 24, 2022).
- F 0693, quality of life and care: January 27, 2022 (D, corrected February 24, 2022).
- F 0800, nutrition and dietary: January 27, 2022 (F, corrected February 24, 2022).
- F 0802, nutrition and dietary: January 27, 2022 (E, corrected February 24, 2022); October 10, 2019 (D, corrected November 10, 2019).
- F 0803, nutrition and dietary: January 27, 2022 (E, corrected February 24, 2022).
- F 0806, nutrition and dietary: January 27, 2022 (D, corrected February 24, 2022).
- F 0809, nutrition and dietary: January 27, 2022 (F, corrected February 24, 2022).
- F 0740, quality of life and care: October 10, 2019 (D, corrected November 10, 2019).
- F 0742, quality of life and care: October 10, 2019 (D, corrected November 10, 2019).
- F 0801, nutrition and dietary: October 10, 2019 (D, corrected November 10, 2019).
- F 0813, nutrition and dietary: October 10, 2019 (D, corrected November 10, 2019).
MISSION HILLS POST ACUTE CARE in Care Compare
- Ownership Type: For profit - Corporation
- Legal Business Name: PORTSIDE HEALTHCARE INC
- Date First Approved to Provide Medicare and Medicaid Services: 1973-07-01
- Provider Resides in Hospital: N
- Continuing Care Retirement Community: N
- Urban: Y
- County/Parish: San Diego
- Telephone Number: 6192974484
- Chain Name: THE ENSIGN GROUP
- Chain ID: 507
- 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: 69.5
- Overall Rating: 4
- Health Inspection Rating: 3
- QM Rating: 5
- Long-Stay QM Rating: 5
- 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 MISSION HILLS POST ACUTE CARE: no penalty in Care Compare.
Other nursing facilities in SAN DIEGO
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