Skilled nursing facility · CMS certification number 555259

MAINPLACE POST ACUTE

ORANGE, California · Medicare and Medicaid · 169 certified beds in Care Compare

Download MAINPLACE POST ACUTE’s record (CSV, each figure with its worksheet, line and column)

In Care Compare’s provider information: Penalties: 1 · Fines: 1 · Fines, total amount: $16,988.00 · Payment denials: 0. The most recent penalty on file: March 11, 2026, Fine, $16,988. Every penalty on file ↓

MAINPLACE POST ACUTE: 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 September 11, 2025.
Net patient revenue rose from $22.5M in fiscal year 2023 to $27.1M in fiscal year 2024.
Its result from service to patients: $1.7M (2022), $1.8M (2023), $2.8M (2024).
Its cost reports on file run from fiscal year 1996 to fiscal year 2024.
Its net patient revenue of $27.1M ranks 76th of the 951 nursing facilities in California whose latest cost report on file is fiscal year 2024.
2 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.

MAINPLACE POST ACUTE: Medicare cost reports

Form CMS-2540-10: every report is settled.

Cost reports on form CMS-2540-10, fiscal years 2011 to 2024
Form CMS-2540-10	2024 · report 1438987	2023 · report 1392716	2022 · report 1365389	2021 · report 1332864	2020 · report 1339442	2019 · report 1422967	2018 · report 1275374	2017 · report 1221292	2016 · report 1188572	2015 · report 1142099	2014 · report 1107008	2013 · report 1077421	2012 · report 1087148	2011 · report 1050911
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	April 30, 2019	December 31, 2018	December 31, 2017	December 31, 2016	December 31, 2015	December 31, 2014	December 31, 2013	December 31, 2012	December 31, 2011
Days, where not a full year	—	—	—	—	—	119	—	—	—	—	—	—	—	—
Processed by CMS	September 11, 2025	August 20, 2024	September 25, 2023	September 19, 2022	January 17, 2023	May 1, 2025	December 8, 2020	March 14, 2019	May 2, 2018	August 22, 2016	August 6, 2015	August 29, 2014	March 13, 2015	November 20, 2013
Total patient revenue	$28,829,548	$26,377,333	$26,011,636	$23,642,372	$23,086,171	$7,863,256	$23,247,427	$23,005,488	$21,453,645	$23,317,175	$23,299,933	$22,653,210	$21,682,802	$20,569,867
Contractual allowances and discounts	$1,694,640	$3,850,000	$3,284,425	$2,921,153	$3,753,770	$2,668,592	$7,492,275	$7,642,303	$7,050,656	$8,778,183	$9,311,722	$9,148,715	$8,501,978	$7,962,916
Net patient revenue	$27,134,908	$22,527,333	$22,727,211	$20,721,219	$19,332,401	$5,194,664	$15,755,152	$15,363,185	$14,402,989	$14,538,992	$13,988,211	$13,504,495	$13,180,824	$12,606,951
Total operating expenses	$24,348,195	$20,726,140	$21,067,448	$18,860,329	$17,741,528	$5,529,488	$14,827,657	$14,477,483	$14,019,439	$14,309,235	$13,910,911	$13,850,761	$13,315,456	$12,855,667
Net income from service to patients	$2,786,713	$1,801,193	$1,659,763	$1,860,890	$1,590,873	−$334,824	$927,495	$885,702	$383,550	$229,757	$77,300	−$346,266	−$134,632	−$248,716
Total other income	$5,741	$5,628	$3,537	$4,106	$4,452	—	—	—	—	$99	—	$3,398	$2,162	$634
Net income after other income	$2,792,454	$1,806,821	$1,663,300	$1,864,996	$1,595,325	−$334,824	$927,495	$885,702	$383,550	$229,856	$77,300	−$342,868	−$132,470	−$248,082
Net income	$2,792,454	$1,806,821	$1,663,300	$1,864,996	$1,595,325	−$334,824	$927,495	$885,702	$383,550	$229,856	$77,300	−$342,868	−$132,470	−$248,082
Total facility beds, all components	163	163	163	163	163	169	169	169	169	169	169	169	169	169
Bed days available, all components	59,658	—	—	—	—	—	—	—	—	—	—	—	—	—
Medicare (Title XVIII) patient days	9,207	—	—	—	—	—	—	—	—	—	—	—	—	—
Medicaid (Title XIX) patient days	36,153	—	—	—	—	—	—	—	—	—	—	—	—	—
Other-payer patient days	10,391	—	—	—	—	—	—	—	—	—	—	—	—	—
Total patient days, all components	55,751	51,974	51,954	50,930	51,044	18,082	54,007	53,451	53,027	50,824	51,540	50,412	50,063	48,457
Medicare discharges	208	—	—	—	—	—	—	—	—	—	—	—	—	—
Medicaid discharges	118	—	—	—	—	—	—	—	—	—	—	—	—	—
Other-payer discharges	342	—	—	—	—	—	—	—	—	—	—	—	—	—
Total discharges, all components	668	621	602	538	483	211	748	750	766	590	960	842	800	807
Average length of stay, Medicare, in days	44.26	38.43	41.37	46.52	46.25	33.68	28.11	37.4	30.33	34.05	35.4	35.86	36.5	34.61
Average length of stay, Medicaid, in days	306.38	312.66	373.76	294.24	379.78	248.27	163.68	131.31	127.57	517.34	214.86	236.64	181.61	175.76
Average length of stay, all patients, in days	83.46	83.69	86.3	94.67	105.68	85.7	72.2	71.27	69.23	86.14	53.69	59.87	62.58	60.05

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.

Cost reports on form CMS-2540-96, fiscal years 1996 to 2010
Form CMS-2540-96	2010 · report 415716	2009 · report 385675	2008 · report 354830	2007 · report 315050	2006 · report 305886	2005 · report 269760	2004 · report 244311	2003 · report 212863	2002 · report 175269	2001 · report 159029	2000 · report 152944	1999 · report 74889	1998 · report 7558	1997 · report 7557	1996 · report 7555
Period began	January 1, 2010	January 1, 2009	January 1, 2008	January 1, 2007	January 1, 2006	January 1, 2005	January 1, 2004	August 15, 2003	July 1, 2001	July 1, 2000	July 1, 1999	July 1, 1998	July 1, 1997	July 1, 1996	July 1, 1995
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	June 30, 2002	June 30, 2001	June 30, 2000	June 30, 1999	June 30, 1998	June 30, 1997	June 30, 1996
Days, where not a full year	—	—	—	—	—	—	—	138	—	—	—	—	—	—	—
Report status	settled	settled	settled	settled	settled	settled	settled	settled	settled	settled	settled	settled	settled	settled with audit	settled with audit
Processed by CMS	August 17, 2011	August 13, 2010	August 17, 2009	June 17, 2008	March 28, 2008	December 28, 2006	March 3, 2006	April 14, 2005	May 5, 2004	September 9, 2003	July 8, 2003	September 6, 2001	October 11, 2000	August 16, 2000	June 9, 1998
Net patient revenue	$12,395,532	$12,306,363	$12,478,135	$8,004,728	$5,929,409	$6,294,615	$6,175,157	$2,541,754	$8,488,239	$9,114,675	$9,474,336	$9,242,555	$8,752,051	$8,992,812	$8,206,324
Total operating expenses	$12,150,450	$11,765,411	$11,661,442	$11,517,053	$12,089,537	$11,443,722	$11,514,168	$4,139,888	$7,381,236	$8,158,137	$8,116,191	$7,805,094	$8,494,703	$9,269,163	$7,685,269
Net income from service to patients	$245,082	$540,952	$816,693	−$3,512,325	−$6,160,128	−$5,149,107	−$5,339,011	−$1,598,134	$1,107,003	$956,538	$1,358,145	$1,437,461	$257,348	−$276,351	$521,055
Total other income	$2,855	$3,800	$4,117	—	—	—	—	—	$3,945	$11,399	$44,222	$31,346	$43,342	$52,863	$32,967
Net income	$247,937	$544,752	$820,810	−$3,512,325	−$6,160,128	−$5,149,107	−$5,339,011	−$1,598,134	$1,110,948	$967,937	$1,402,367	$1,468,807	$300,690	−$223,488	$554,022
Total facility beds, all components	169	169	169	169	169	169	169	169	169	169	169	169	169	179	179
Total patient days, all components	50,686	49,674	49,926	49,122	53,182	52,791	51,995	19,891	47,448	50,338	52,260	56,935	57,929	58,499	59,976
Total discharges, all components	618	795	658	796	1,071	399	430	233	738	890	883	1,259	725	623	326
Average length of stay, Medicare, in days	27.3	25.13	30.55	31.85	24.65	31.32	34.36	34.69	31.73	34.39	34.5	48.81	29.2	50.96	44.95
Average length of stay, Medicaid, in days	528.35	476.46	442.81	266.33	316.14	371.68	372.36	137.18	248.88	197.17	196.62	118.33	283.37	416.78	995.02
Average length of stay, all patients, in days	82.02	62.48	75.88	61.71	49.66	132.31	120.92	85.37	64.29	56.56	59.18	45.22	79.9	93.9	183.98

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.

MAINPLACE POST ACUTE: nurse staffing hours by quarter →

Who owns MAINPLACE POST ACUTE, as filed with CMS

Care Compare

ADP OF THE SNF: ENSIGN SERVICES INC (organization), since 01/15/2019; RUGGLES, MARC (individual), since 05/01/2019; TALEBI DOLOUEI, REZA (individual), since 03/01/2022
CORPORATE DIRECTOR: WILLITS, ADAM (individual), since 01/15/2019
CORPORATE OFFICER: BURNAM, SOON (individual), since 01/15/2019; KEETCH, CHAD (individual), since 03/01/2011; LOOPER, WILLIAM (individual), since 02/01/2023; SATO, AMI (individual), since 09/09/2024
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF: PORT, BARRY (individual), since 07/30/2025
MANAGING CONTROL - GOVERNING BODY: RUGGLES, MARC (individual), since 05/01/2019; TALEBI DOLOUEI, REZA (individual), since 03/01/2022
OPERATIONAL/MANAGERIAL CONTROL: RUGGLES, MARC (individual), since 05/01/2019; TALEBI DOLOUEI, REZA (individual), since 03/01/2022

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 LA VETA HEALTHCARE, INC. (enrollment ID O20190606001257).

5% OR GREATER DIRECT OWNERSHIP INTEREST: FLAGSTONE HEALTHCARE SOUTH LLC (organization), 100.00%, since 01/15/2019
5% OR GREATER INDIRECT OWNERSHIP INTEREST: THE ENSIGN GROUP INC (organization), 100.00%, since 01/15/2019
ADP OF THE SNF: ENSIGN SERVICES INC (organization), since 01/15/2019; MARC RUGGLES (individual), since 05/01/2019; REZA TALEBI DOLOUEI (individual), since 03/01/2022
CORPORATE DIRECTOR: ADAM WILLITS (individual), 0.00%, since 01/15/2019
CORPORATE OFFICER: AMI SATO (individual), since 09/09/2024; CHAD KEETCH (individual), since 03/01/2011; SOON BURNAM (individual), 0.00%, since 01/15/2019; WILLIAM RAND LOOPER (individual), since 02/01/2023
MANAGING CONTROL - GOVERNING BODY: MARC RUGGLES (individual), since 05/01/2019; REZA TALEBI DOLOUEI (individual), since 03/01/2022
OPERATIONAL/MANAGERIAL CONTROL: MARC RUGGLES (individual), 0.00%, since 05/01/2019; REZA TALEBI DOLOUEI (individual), since 03/01/2022

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.

Private equity company, real estate investment trust and holding company: Paused by CMS: MARC RUGGLES; REZA TALEBI DOLOUEI; ADAM WILLITS; AMI SATO; CHAD KEETCH; SOON BURNAM; WILLIAM RAND LOOPER; MARC RUGGLES; REZA TALEBI DOLOUEI; MARC RUGGLES; REZA TALEBI DOLOUEI.

Changes in ownership

September 1, 2025, enrollment ownership file; no longer listed: CRAIG FITCH (CORPORATE OFFICER); MARC RUGGLES (W-2 MANAGING EMPLOYEE); TYLER ALBRECHTSEN (CORPORATE OFFICER); first listed: WILLIAM RAND LOOPER (CORPORATE OFFICER), associated since February 1, 2023; REZA TALEBI DOLOUEI (ADP OF THE SNF), associated since March 1, 2022; REZA TALEBI DOLOUEI (MANAGING CONTROL - GOVERNING BODY), associated since March 1, 2022; REZA TALEBI DOLOUEI (OPERATIONAL/MANAGERIAL CONTROL), associated since March 1, 2022; CHAD A KEETCH (CORPORATE OFFICER), associated since March 1, 2011; MARC RUGGLES (ADP OF THE SNF), associated since May 1, 2019; MARC RUGGLES (MANAGING CONTROL - GOVERNING BODY), associated since May 1, 2019; AMI SATO (CORPORATE OFFICER), associated since September 9, 2024; ENSIGN SERVICES INC (ADP OF THE SNF), associated since January 15, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv

Inspections of MAINPLACE POST ACUTE

Cycle 1: health March 11, 2026 (27 deficiencies), fire safety March 11, 2026 (2)
Cycle 2: health October 24, 2024 (21 deficiencies), fire safety October 24, 2024 (3)
Cycle 3: health March 25, 2022 (18 deficiencies), fire safety March 25, 2022 (11)

Deficiencies cited at MAINPLACE POST ACUTE

67 deficiencies on file, by tag, newest citation first

every one from a health inspection; every one marked “Deficient, Provider has date of correction”; 16 cited from a complaint, marked below. Letter after a date: scope and severity grade.

F 0842, resident assessment and care planning: April 27, 2026 (D, from a complaint, corrected May 4, 2026); December 18, 2024 (D, from a complaint, corrected December 23, 2024).
F 0552, resident rights: March 11, 2026 (B, corrected April 2, 2026); May 3, 2024 (D, from a complaint, corrected May 24, 2024).
F 0565, resident rights: March 11, 2026 (D, corrected April 2, 2026).
F 0574, resident rights: March 11, 2026 (B, corrected April 2, 2026).
F 0578, resident rights: March 11, 2026 (D, corrected April 2, 2026).
F 0584, resident rights: March 11, 2026 (D, corrected April 2, 2026); October 24, 2024 (B, corrected November 15, 2024); January 16, 2024 (B, from a complaint, corrected February 7, 2024); December 20, 2023 (B, from a complaint, corrected December 27, 2023); March 25, 2022 (D, corrected May 17, 2022).
F 0605, freedom from abuse, neglect, and exploitation: March 11, 2026 (D, corrected April 2, 2026).
F 0609, freedom from abuse, neglect, and exploitation: March 11, 2026 (D, corrected April 2, 2026).
F 0610, freedom from abuse, neglect, and exploitation: March 11, 2026 (D, corrected April 2, 2026).
F 0656, resident assessment and care planning: March 11, 2026 (D, corrected April 2, 2026); December 1, 2025 (D, from a complaint, corrected December 14, 2025); October 24, 2024 (B, corrected November 15, 2024); August 8, 2024 (B, from a complaint, corrected August 12, 2024).
F 0686, quality of life and care: March 11, 2026 (D, corrected April 2, 2026); October 24, 2024 (D, corrected November 15, 2024); January 16, 2024 (D, from a complaint, corrected February 7, 2024).
F 0689, quality of life and care: March 11, 2026 (G, corrected April 2, 2026); October 24, 2024 (D, corrected November 15, 2024); March 25, 2022 (D, corrected May 17, 2022).
F 0693, quality of life and care: March 11, 2026 (D, corrected April 2, 2026).
F 0695, quality of life and care: March 11, 2026 (D, corrected April 2, 2026); October 24, 2024 (E, corrected November 15, 2024); March 25, 2022 (D, corrected May 17, 2022).
F 0697, quality of life and care: March 11, 2026 (D, corrected April 2, 2026); October 24, 2024 (D, corrected November 15, 2024).
F 0698, quality of life and care: March 11, 2026 (E, corrected April 2, 2026).
F 0726, nursing and physician services: March 11, 2026 (G, corrected April 2, 2026).
F 0756, pharmacy service: March 11, 2026 (D, corrected April 2, 2026); October 24, 2024 (D, corrected November 15, 2024).
F 0759, pharmacy service: March 11, 2026 (E, corrected April 2, 2026).
F 0760, pharmacy service: March 11, 2026 (D, corrected April 2, 2026); April 7, 2025 (D, from a complaint, corrected April 30, 2025).
F 0761, pharmacy service: March 11, 2026 (D, corrected April 2, 2026); October 24, 2024 (D, corrected November 15, 2024).
F 0812, nutrition and dietary: March 11, 2026 (E, corrected April 2, 2026); October 24, 2024 (E, corrected November 15, 2024); March 25, 2022 (D, corrected May 17, 2022).
F 0813, nutrition and dietary: March 11, 2026 (D, corrected April 2, 2026); March 25, 2022 (D, corrected May 17, 2022).
F 0814, nutrition and dietary: March 11, 2026 (D, corrected April 2, 2026); October 24, 2024 (B, corrected November 15, 2024); March 25, 2022 (B, corrected May 17, 2022).
F 0880, infection control: March 11, 2026 (E, corrected April 2, 2026); October 24, 2024 (D, corrected November 15, 2024); January 16, 2024 (D, from a complaint, corrected February 7, 2024); March 25, 2022 (F, corrected May 17, 2022).
F 0684, quality of life and care: December 1, 2025 (D, from a complaint, corrected December 14, 2025); October 24, 2024 (D, corrected November 15, 2024); January 16, 2024 (D, from a complaint, corrected February 7, 2024).
F 0567, resident rights: December 18, 2024 (D, from a complaint, corrected December 23, 2024).
F 0554, resident rights: October 24, 2024 (D, corrected November 15, 2024).
F 0758, pharmacy service: October 24, 2024 (E, corrected November 15, 2024).
F 0804, nutrition and dietary: October 24, 2024 (E, corrected November 15, 2024); March 25, 2022 (D, corrected May 17, 2022).
F 0881, infection control: October 24, 2024 (E, corrected November 15, 2024).
F 0883, infection control: October 24, 2024 (D, corrected November 15, 2024).
F 0907, environmental: October 24, 2024 (B, corrected November 15, 2024).
F 0773, administration: May 3, 2024 (D, from a complaint, corrected May 24, 2024).
F 0660, resident assessment and care planning: March 29, 2024 (D, from a complaint, corrected April 2, 2024).
F 0553, resident rights: September 13, 2023 (B, from a complaint, corrected October 3, 2023).
F 0921, environmental: March 25, 2022 (B, corrected May 17, 2022).

Penalties

Penalty date	Type	Fine amount	Payment denial began	Payment denial, days	Fine ID
March 11, 2026	Fine	$16,988			138065

From the Care Compare penalties file NH_Penalties_Oct2026.csv, processed on October 1, 2026.

MAINPLACE POST ACUTE in Care Compare

Ownership Type: For profit - Corporation
Legal Business Name: LA VETA HEALTHCARE, INC.
Date First Approved to Provide Medicare and Medicaid Services: 1987-03-04
Provider Resides in Hospital: N
Continuing Care Retirement Community: N
Urban: Y
County/Parish: Orange
Telephone Number: 7149786800
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: 151.7
Overall Rating: 2
Health Inspection Rating: 2
QM Rating: 4
Long-Stay QM Rating: 4
Short-Stay QM Rating: 4

Care Compare, October 1, 2026: provider information NH_ProviderInfo_Oct2026.csv · inspections NH_SurveySummary_Oct2026.csv · citations NH_HealthCitations_Oct2026.csv · penalties NH_Penalties_Oct2026.csv · ownership NH_Ownership_Oct2026.csv.

Other nursing facilities in ORANGE and California

Report a figure on MAINPLACE POST ACUTE’s record that differs from its CMS file, quoting 555259.