Skilled nursing facility · CMS certification number 555257
Palm Terrace Healthcare & Rehabilitation Center
LAGUNA HILLS, California · Medicare and Medicaid · 99 certified beds in Care Compare
In Care Compare’s provider information: Penalties: 0 · Fines: 0 · Fines, total amount: $0.00 · Payment denials: 0. The most recent penalty on file: February 9, 2026, Fine, $25,475. Every penalty on file ↓
Palm Terrace Healthcare & Rehabilitation 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 $18.0M in fiscal year 2023 to $19.4M in fiscal year 2024.
- Its result from service to patients: $2.1M (2022), $1.9M (2023), $2.4M (2024).
- Its cost reports on file run from fiscal year 1997 to fiscal year 2024.
- Its net patient revenue of $19.4M ranks 258th 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.
Palm Terrace Healthcare & Rehabilitation Center: Medicare cost reports
Form CMS-2540-10: each report covers January 1 to December 31 of its year.
| Form CMS-2540-10 | 2024 · report 1435890 | 2023 · report 1392205 | 2022 · report 1364223 | 2021 · report 1333720 | 2020 · report 1301324 | 2019 · report 1310887 | 2018 · report 1239380 | 2017 · report 1281820 | 2016 · report 1211891 | 2015 · report 1181563 | 2014 · report 1106617 | 2013 · report 1087737 | 2012 · report 1042422 | 2011 · report 1040645 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Report status | settled | settled | settled | settled | settled | settled | settled | reopened | settled | settled | settled | settled | settled | settled |
| Processed by CMS | August 28, 2025 | August 14, 2024 | September 9, 2023 | September 22, 2022 | September 28, 2021 | February 24, 2022 | August 2, 2019 | March 29, 2021 | September 17, 2018 | December 29, 2017 | August 3, 2015 | March 25, 2015 | July 23, 2013 | June 28, 2013 |
| Total patient revenue | $22,585,169 | $21,779,195 | $16,690,665 | $16,556,031 | $13,605,225 | $15,276,335 | $15,441,309 | $15,819,078 | $15,937,355 | $16,245,674 | $15,534,644 | $15,636,339 | $16,280,267 | $15,319,572 |
| Contractual allowances and discounts | $3,179,678 | $3,809,998 | −$1,167,684 | −$1,476,250 | −$821,391 | $984,433 | $1,766,821 | $2,003,314 | $2,218,345 | $2,499,254 | $2,129,013 | $2,314,939 | $2,813,016 | $1,316,235 |
| Net patient revenue | $19,405,491 | $17,969,197 | $17,858,349 | $18,032,281 | $14,426,616 | $14,291,902 | $13,674,488 | $13,815,764 | $13,719,010 | $13,746,420 | $13,405,631 | $13,321,400 | $13,467,251 | $14,003,337 |
| Total operating expenses | $17,024,975 | $16,042,631 | $15,725,571 | $15,327,631 | $12,377,647 | $12,877,974 | $12,904,135 | $12,801,009 | $12,700,019 | $12,371,406 | $12,296,354 | $11,858,201 | $11,725,570 | $11,472,244 |
| Net income from service to patients | $2,380,516 | $1,926,566 | $2,132,778 | $2,704,650 | $2,048,969 | $1,413,928 | $770,353 | $1,014,755 | $1,018,991 | $1,375,014 | $1,109,277 | $1,463,199 | $1,741,681 | $2,531,093 |
| Total other income | $3,818 | $1,708 | $1,217 | $1,794 | $87 | $1,257 | $1,342 | $6,954 | $2,689 | $25,353 | $4,576 | $5,609 | $1,606 | $1,190 |
| Net income after other income | $2,384,334 | $1,928,274 | $2,133,995 | $2,706,444 | $2,049,056 | $1,415,185 | $771,695 | $1,021,709 | $1,021,680 | $1,400,367 | $1,113,853 | $1,468,808 | $1,743,287 | $2,532,283 |
| Net income | $2,384,334 | $1,928,274 | $2,133,995 | $2,706,444 | $2,049,056 | $1,415,185 | $771,695 | $1,021,709 | $1,021,680 | $1,400,370 | $1,113,783 | $1,468,808 | $1,743,287 | $2,529,925 |
| Total facility beds, all components | 99 | 99 | 99 | 99 | 99 | 99 | 99 | 99 | 99 | 99 | 99 | 99 | 99 | 99 |
| Bed days available, all components | 36,234 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Medicare (Title XVIII) patient days | 9,937 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Medicaid (Title XIX) patient days | 13,428 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Other-payer patient days | 9,892 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Total patient days, all components | 33,257 | 31,835 | 32,272 | 32,353 | 28,457 | 31,743 | 30,132 | 29,615 | 28,320 | 30,485 | 31,399 | 32,077 | 32,661 | 30,159 |
| Medicare discharges | 301 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Medicaid discharges | 9 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Other-payer discharges | 479 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Total discharges, all components | 789 | 880 | 727 | 837 | 579 | 805 | 1,007 | 1,319 | 1,309 | 1,206 | 1,035 | 1,025 | 924 | 1,018 |
| Average length of stay, Medicare, in days | 33.01 | 33 | 34.17 | 39.37 | 38.1 | 29.29 | 26.99 | 23.88 | 24 | 24.26 | 25.06 | 24.78 | 26.52 | 26.85 |
| Average length of stay, Medicaid, in days | 1,492 | 842.07 | — | 4,454.67 | 3,341.5 | 3,567 | 1,272.5 | 640.45 | 5,612 | 779.89 | 654.85 | 1,010 | 514.71 | 220.88 |
| Average length of stay, all patients, in days | 42.15 | 36.18 | 44.39 | 38.65 | 49.15 | 39.43 | 29.92 | 22.45 | 21.63 | 25.28 | 30.34 | 31.29 | 35.35 | 29.63 |
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 415715 | 2009 · report 405287 | 2008 · report 358407 | 2007 · report 324292 | 2006 · report 291790 | 2005 · report 261568 | 2004 · report 243143 | 2003 · report 207327 | 2002 · report 169743 | 2001 · report 139893 | 2000 · report 28288 | 1999 · report 213562 | 1998 · report 367407 | 1997 · report 364494 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Period began | January 1, 2010 | January 1, 2009 | January 1, 2008 | January 1, 2007 | January 1, 2006 | January 1, 2005 | June 1, 2004 | June 1, 2002 | June 1, 2001 | June 1, 2000 | June 1, 1999 | June 1, 1998 | June 1, 1997 | June 1, 1996 |
| Period ended | December 31, 2010 | December 31, 2009 | December 31, 2008 | December 31, 2007 | December 31, 2006 | December 31, 2005 | October 31, 2004 | May 31, 2003 | May 31, 2002 | May 31, 2001 | May 31, 2000 | May 31, 1999 | May 31, 1998 | May 31, 1997 |
| Days, where not a full year | — | — | — | — | — | — | 152 | — | — | — | — | — | — | — |
| Report status | settled | settled | settled | settled | settled | settled | settled | settled | settled | settled | settled | reopened | reopened | reopened |
| Processed by CMS | August 17, 2011 | June 17, 2011 | October 29, 2009 | August 18, 2008 | August 13, 2007 | August 21, 2006 | February 17, 2006 | February 11, 2005 | March 1, 2004 | April 7, 2003 | March 22, 2002 | April 18, 2005 | April 13, 2010 | February 24, 2010 |
| Net patient revenue | $13,515,826 | $12,366,159 | $11,713,530 | $10,491,676 | $10,260,905 | $8,004,957 | $2,933,389 | $7,133,707 | $7,197,302 | $6,511,866 | $4,574,044 | $5,582,755 | $4,215,613 | $2,579,542 |
| Total operating expenses | $10,844,624 | $10,322,261 | $9,750,653 | $8,983,656 | $8,714,481 | $7,841,849 | $2,703,733 | $7,756,516 | $7,181,607 | $5,862,930 | $4,783,572 | $4,876,509 | $3,924,708 | $4,539,289 |
| Net income from service to patients | $2,671,202 | $2,043,898 | $1,962,877 | $1,508,020 | $1,546,424 | $163,108 | $229,656 | −$622,809 | $15,695 | $648,936 | −$209,528 | $706,246 | $290,905 | −$1,959,747 |
| Total other income | $2,559 | $1,176 | $783 | $2,405 | $6,678 | $984 | $2,954 | $7,754 | $21,992 | $20,034 | $18,211 | $34,365 | $106,745 | $30,853 |
| Total other expenses | — | — | — | — | — | — | — | — | $122 | $83,851 | −$298,933 | $149,262 | — | — |
| Net income | $2,673,761 | $2,045,074 | $1,963,660 | $1,510,425 | $1,553,102 | $164,092 | $232,610 | −$615,055 | $37,565 | $585,119 | $107,616 | $591,349 | $397,650 | −$1,928,894 |
| Total facility beds, all components | 99 | 99 | 99 | 99 | 99 | 99 | 99 | 99 | 99 | 99 | 99 | 99 | 99 | 99 |
| Total patient days, all components | 31,975 | 31,780 | 32,984 | 32,409 | 31,237 | 27,608 | 10,406 | 27,298 | 27,870 | 29,464 | 24,216 | 26,578 | 20,373 | 21,783 |
| Total discharges, all components | 914 | 878 | 780 | 637 | 748 | 753 | 375 | 464 | 576 | 590 | 648 | 531 | 504 | 810 |
| Average length of stay, Medicare, in days | 28.05 | 28.27 | 29.74 | 38.4 | 40.51 | 36.76 | 52.65 | 39.7 | 51.13 | 30.06 | 16.06 | 31.08 | 15.14 | 14.88 |
| Average length of stay, Medicaid, in days | 221.02 | 311.76 | 465.62 | 467.27 | 249.12 | 135.2 | 416.4 | 261.13 | 994.8 | 1,018 | 208.77 | 98.73 | — | — |
| Average length of stay, all patients, in days | 34.98 | 36.2 | 42.29 | 50.88 | 41.76 | 36.66 | 27.75 | 58.83 | 48.39 | 49.94 | 37.37 | 50.05 | 40.42 | 26.89 |
Net income, fiscal years 2010, 2009, 2008, 2007, 2006, 2005, 2004, 2003, 2002, 2001, 2000, 1999, 1998, 1997. Checked against the form’s own arithmetic: what that check shows.
Palm Terrace Healthcare & Rehabilitation Center: nurse staffing hours by quarter →
Who owns Palm Terrace Healthcare & Rehabilitation Center, as filed with CMS
Care Compare
- ADP OF THE SNF: ENSIGN SERVICES INC (organization), since 11/01/2004; ESKANDARI, HAMID (individual), since 02/01/2021; LINDSEY, BRYCE (individual), since 04/02/2019; WELLTOWER VICTORY II LANDLORD LP (organization), since 08/31/2016
- CORPORATE DIRECTOR: WILLITS, ADAM (individual), since 07/30/2018
- CORPORATE OFFICER: BURNAM, SOON (individual), since 01/30/2006; KEETCH, CHAD (individual), since 03/01/2011
- 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 10/14/2025
- MANAGING CONTROL - GOVERNING BODY: ESKANDARI, HAMID (individual), since 02/01/2021; LINDSEY, BRYCE (individual), since 04/02/2019
- OPERATIONAL/MANAGERIAL CONTROL: ESKANDARI, HAMID (individual), since 02/01/2021; LINDSEY, BRYCE (individual), since 04/02/2019
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 GATE THREE HEALTHCARE, LLC (enrollment ID O20041004000138).
- 5% OR GREATER DIRECT OWNERSHIP INTEREST: FLAGSTONE HEALTHCARE SOUTH LLC (organization), 100.00%, since 01/30/2006
- ADP OF THE SNF: BRYCE LINDSEY (individual), since 04/02/2019; ENSIGN SERVICES INC (organization), since 11/01/2004; HAMID ESKANDARI (individual), since 02/01/2021; WELLTOWER VICTORY II LANDLORD LP (organization), since 08/31/2016
- CORPORATE DIRECTOR: ADAM WILLITS (individual), 0.00%, since 07/30/2018
- CORPORATE OFFICER: CHAD KEETCH (individual), 0.00%, since 03/01/2011; SOON BURNAM (individual), 0.00%, since 01/30/2006
- INDIRECT OWNERSHIP INTEREST: THE ENSIGN GROUP INC (organization), 100.00%, since 01/30/2006
- MANAGING CONTROL - GOVERNING BODY: BRYCE LINDSEY (individual), since 04/02/2019; HAMID ESKANDARI (individual), since 02/01/2021
- OPERATIONAL/MANAGERIAL CONTROL: BRYCE LINDSEY (individual), 0.00%, since 04/02/2019; HAMID ESKANDARI (individual), since 02/01/2021
Paused by CMS: Form CMS-855A, December 11, 2025.
Private equity company, real estate investment trust and holding company: No: FLAGSTONE HEALTHCARE SOUTH LLC; ENSIGN SERVICES INC; WELLTOWER VICTORY II LANDLORD LP; THE ENSIGN GROUP INC.
Private equity company, real estate investment trust and holding company: Paused by CMS: BRYCE LINDSEY; HAMID ESKANDARI; ADAM WILLITS; CHAD KEETCH; SOON BURNAM; BRYCE LINDSEY; HAMID ESKANDARI; BRYCE LINDSEY; HAMID ESKANDARI.
Changes in ownership
- July 1, 2026, enrollment ownership file; no longer listed: BRYCE LINDSEY (W-2 MANAGING EMPLOYEE); ADAM WILLITS (CORPORATE OFFICER); THE ENSIGN GROUP INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST); first listed: CHAD KEETCH (CORPORATE OFFICER), associated since March 1, 2011; BRYCE LINDSEY (ADP OF THE SNF), associated since April 2, 2019; BRYCE LINDSEY (MANAGING CONTROL - GOVERNING BODY), associated since April 2, 2019; WELLTOWER VICTORY II LANDLORD LP (ADP OF THE SNF), associated since August 31, 2016; HAMID ESKANDARI (ADP OF THE SNF), associated since February 1, 2021; HAMID ESKANDARI (MANAGING CONTROL - GOVERNING BODY), associated since February 1, 2021; HAMID ESKANDARI (OPERATIONAL/MANAGERIAL CONTROL), associated since February 1, 2021; ADAM WILLITS (CORPORATE DIRECTOR), associated since July 30, 2018; ENSIGN SERVICES INC (ADP OF THE SNF), associated since November 1, 2004; THE ENSIGN GROUP INC (INDIRECT OWNERSHIP INTEREST), associated since January 30, 2006. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
Inspections of Palm Terrace Healthcare & Rehabilitation Center
- Cycle 1: health February 9, 2026 (23 deficiencies), fire safety February 9, 2026 (2)
- Cycle 2: health February 3, 2025 (11 deficiencies), fire safety February 3, 2025 (2)
- Cycle 3: health May 24, 2022 (15 deficiencies), fire safety May 24, 2022 (6)
Deficiencies cited at Palm Terrace Healthcare & Rehabilitation Center
50 deficiencies on file, by tag, newest citation first
every one from a health inspection; 12 cited from a complaint, marked below. Letter after a date: scope and severity grade.
- F 0842, resident assessment and care planning: February 26, 2026 (B, from a complaint, Deficient, Provider has date of correction, corrected March 10, 2026); February 3, 2025 (B, Deficient, Provider has date of correction, corrected February 21, 2025); September 8, 2023 (B, from a complaint, Deficient, Provider has date of correction, corrected September 22, 2023); May 24, 2022 (D, Deficient, Provider has date of correction, corrected June 24, 2022).
- F 0552, resident rights: February 9, 2026 (D, Deficient, Provider has plan of correction, corrected March 10, 2026).
- F 0584, resident rights: February 9, 2026 (D, Deficient, Provider has plan of correction, corrected March 10, 2026).
- F 0605, freedom from abuse, neglect, and exploitation: February 9, 2026 (E, Deficient, Provider has plan of correction, corrected March 10, 2026).
- F 0645, resident assessment and care planning: February 9, 2026 (D, Deficient, Provider has plan of correction, corrected March 10, 2026).
- F 0656, resident assessment and care planning: February 9, 2026 (D, Deficient, Provider has plan of correction, corrected March 10, 2026).
- F 0657, resident assessment and care planning: February 9, 2026 (D, from a complaint, Deficient, Provider has plan of correction, corrected March 10, 2026).
- F 0684, quality of life and care: February 9, 2026 (D, Deficient, Provider has plan of correction, corrected March 10, 2026).
- F 0689, quality of life and care: February 9, 2026 (D, Deficient, Provider has plan of correction, corrected March 10, 2026); November 30, 2023 (D, from a complaint, Deficient, Provider has date of correction, corrected December 30, 2023).
- F 0694, quality of life and care: February 9, 2026 (D, Deficient, Provider has plan of correction, corrected March 10, 2026); February 3, 2025 (D, Deficient, Provider has date of correction, corrected February 21, 2025).
- F 0697, quality of life and care: February 9, 2026 (D, from a complaint, Deficient, Provider has plan of correction, corrected March 10, 2026).
- F 0726, nursing and physician services: February 9, 2026 (D, from a complaint, Deficient, Provider has plan of correction, corrected March 10, 2026); May 24, 2022 (D, Deficient, Provider has date of correction, corrected June 24, 2022).
- F 0755, pharmacy service: February 9, 2026 (D, from a complaint, Deficient, Provider has plan of correction, corrected March 10, 2026); August 13, 2025 (D, from a complaint, Deficient, Provider has date of correction, corrected August 27, 2025); February 3, 2025 (B, Deficient, Provider has date of correction, corrected February 21, 2025); September 3, 2024 (D, from a complaint, Deficient, Provider has date of correction, corrected September 18, 2024).
- F 0757, pharmacy service: February 9, 2026 (D, Deficient, Provider has plan of correction, corrected March 10, 2026).
- F 0759, pharmacy service: February 9, 2026 (D, Deficient, Provider has plan of correction, corrected March 10, 2026).
- F 0761, pharmacy service: February 9, 2026 (D, Deficient, Provider has plan of correction, corrected March 10, 2026); February 3, 2025 (B, Deficient, Provider has date of correction, corrected February 21, 2025); May 24, 2022 (D, Deficient, Provider has date of correction, corrected June 24, 2022).
- F 0803, nutrition and dietary: February 9, 2026 (D, Deficient, Provider has plan of correction, corrected March 10, 2026); February 3, 2025 (D, Deficient, Provider has date of correction, corrected February 21, 2025); May 24, 2022 (D, Deficient, Provider has date of correction, corrected June 24, 2022).
- F 0804, nutrition and dietary: February 9, 2026 (D, Deficient, Provider has plan of correction, corrected March 10, 2026); September 3, 2024 (D, from a complaint, Deficient, Provider has date of correction, corrected September 18, 2024); May 24, 2022 (D, Deficient, Provider has date of correction, corrected June 24, 2022).
- F 0812, nutrition and dietary: February 9, 2026 (E, Deficient, Provider has plan of correction, corrected March 10, 2026); February 3, 2025 (D, Deficient, Provider has date of correction, corrected February 21, 2025); May 24, 2022 (F, Deficient, Provider has date of correction, corrected June 24, 2022).
- F 0814, nutrition and dietary: February 9, 2026 (B, Deficient, Provider has plan of correction, corrected March 10, 2026).
- F 0849, administration: February 9, 2026 (D, Deficient, Provider has plan of correction, corrected March 10, 2026).
- F 0880, infection control: February 9, 2026 (D, Deficient, Provider has plan of correction, corrected March 10, 2026).
- F 0908, environmental: February 9, 2026 (D, Deficient, Provider has plan of correction, corrected March 10, 2026).
- F 0655, resident assessment and care planning: February 3, 2025 (B, Deficient, Provider has date of correction, corrected February 21, 2025).
- F 0695, quality of life and care: February 3, 2025 (D, Deficient, Provider has date of correction, corrected February 21, 2025).
- F 0760, pharmacy service: February 3, 2025 (D, Deficient, Provider has date of correction, corrected February 21, 2025); October 10, 2024 (D, from a complaint, Deficient, Provider has date of correction, corrected November 9, 2024).
- F 0580, resident rights: November 30, 2023 (D, from a complaint, Deficient, Provider has date of correction, corrected December 30, 2023).
- F 0578, resident rights: May 24, 2022 (D, Deficient, Provider has date of correction, corrected June 24, 2022).
- F 0679, quality of life and care: May 24, 2022 (D, Deficient, Provider has date of correction, corrected June 24, 2022).
- F 0692, quality of life and care: May 24, 2022 (D, Deficient, Provider has date of correction, corrected June 24, 2022).
- F 0698, quality of life and care: May 24, 2022 (D, Deficient, Provider has date of correction, corrected June 24, 2022).
- F 0925, environmental: May 24, 2022 (F, Deficient, Provider has date of correction, corrected June 24, 2022).
Penalties
| Penalty date | Type | Fine amount | Payment denial began | Payment denial, days | Fine ID |
|---|---|---|---|---|---|
| February 9, 2026 | Fine | $25,475 | 137225 | ||
| February 9, 2026 | Fine | $25,475 | 137803 |
From the Care Compare penalties file NH_Penalties_Sep2026_2.csv, processed on September 1, 2026.
Palm Terrace Healthcare & Rehabilitation Center in Care Compare
- Ownership Type: For profit - Limited Liability company
- Legal Business Name: GATE THREE HEALTHCARE, LLC
- Date First Approved to Provide Medicare and Medicaid Services: 1987-04-09
- Provider Resides in Hospital: N
- Continuing Care Retirement Community: N
- Urban: Y
- County/Parish: Orange
- Telephone Number: 9495879000
- 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: 91.5
- Overall Rating: 4
- Health Inspection Rating: 3
- QM Rating: 5
- Long-Stay QM Rating: 5
- Short-Stay QM Rating: 5
Care Compare: provider information NH_ProviderInfo_Oct2026.csv, October 1, 2026 · inspections NH_SurveySummary_Oct2026.csv, October 1, 2026 · citations NH_HealthCitations_Oct2026.csv, October 1, 2026 · penalties NH_Penalties_Sep2026_2.csv, September 1, 2026 · ownership NH_Ownership_Oct2026.csv, October 1, 2026.
Other nursing facilities in LAGUNA HILLS and California
- LAGUNA HILLS HEALTH AND REHABILITATION CENTER
- VILLA VALENCIA HEALTHCARE CENTER
- VALLEY OF THE MOON POST ACUTE SONOMA
- MAINPLACE POST ACUTE ORANGE
- BAKERSFIELD POST ACUTE BAKERSFIELD
- ACC CARE CENTER SACRAMENTO
- CASTLE MANOR NURSING & REHABILITATION CENTER NATIONAL CITY
- University Post-Acute Rehab Sacramento
Report a figure on Palm Terrace Healthcare & Rehabilitation Center’s record that differs from its CMS file, quoting 555257.