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Skilled nursing facility · CMS certification number 555286

NEW ORANGE HILLS

ORANGE, California · Medicare and Medicaid · 145 certified beds in Care Compare

Download NEW ORANGE HILLS’s record (CSV, each figure with its worksheet, line and column)

In Care Compare’s provider information: Penalties: 2 · Fines: 1 · Fines, total amount: $8,425.00 · Payment denials: 1. The most recent penalty on file: November 10, 2025, Fine, $8,425. Every penalty on file ↓

NEW ORANGE HILLS: 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 29, 2025.
  • Net patient revenue rose from $23.3M in fiscal year 2023 to $25.5M in fiscal year 2024.
  • Its result from service to patients: −$2.4M (2022), $1.5M (2023), $1.6M (2024).
  • Its cost reports on file run from fiscal year 1996 to fiscal year 2024.
  • Its net patient revenue of $25.5M ranks 117th 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.

NEW ORANGE HILLS: Medicare cost reports

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

Cost reports on form CMS-2540-10, fiscal years 2012 to 2024
Form CMS-2540-102024 · report 14382662023 · report 14002032022 · report 13560072021 · report 13936692020 · report 13381422019 · report 12709802018 · report 12242352017 · report 11886172016 · report 11569762015 · report 11236362014 · report 10917312013 · report 10610632012 · report 1028404
Period beganJanuary 1, 2024February 1, 2023November 1, 2021November 1, 2020November 1, 2019November 1, 2018November 1, 2017November 1, 2016November 1, 2015November 1, 2014November 1, 2013November 1, 2012November 1, 2011
Period endedDecember 31, 2024December 31, 2023October 31, 2022October 31, 2021October 31, 2020October 31, 2019October 31, 2018October 31, 2017October 31, 2016October 31, 2015October 31, 2014October 31, 2013October 31, 2012
Processed by CMSAugust 29, 2025December 5, 2024June 30, 2023August 30, 2024December 13, 2022October 14, 2020May 13, 2019May 2, 2018May 10, 2017May 12, 2016May 27, 2015May 28, 2014May 1, 2013
Total patient revenue$31,685,118$29,922,879$28,146,387$30,239,379$25,698,144$33,227,873$38,269,269$37,349,500$34,797,601$32,350,883$34,017,400$34,538,903$36,549,278
Contractual allowances and discounts$6,231,983$6,607,536$5,044,143$5,774,542$4,926,459$11,374,189$16,122,119$15,745,686$14,594,862$12,681,641$13,767,284$13,969,705$15,671,451
Net patient revenue$25,453,135$23,315,343$23,102,244$24,464,837$20,771,685$21,853,684$22,147,150$21,603,814$20,202,739$19,669,242$20,250,116$20,569,198$20,877,827
Total operating expenses$23,884,318$21,829,428$25,475,585$24,695,821$20,724,144$23,225,262$21,922,566$20,962,349$19,902,335$18,977,869$19,288,433$20,251,883$19,439,498
Net income from service to patients$1,568,817$1,485,915−$2,373,341−$230,984$47,541−$1,371,578$224,584$641,465$300,404$691,373$961,683$317,315$1,438,329
Total other income$12,559−$1,375$27,817$815,903$474,683$3,183$46,111$11,832$254,240$24,236$31,587$18,070$15,427
Net income after other income$1,581,376$1,484,540−$2,345,524$584,919$522,224−$1,368,395$270,695$653,297$554,644$715,609$993,270$335,385$1,453,756
Net income$1,581,376$1,484,540−$2,393,399$586,387$522,833−$1,370,653$270,695$653,297$554,644$715,609$993,270$335,385$1,453,756
Total facility beds, all components143145130130130130145145145145145145145
Bed days available, all components52,338————————————
Medicare (Title XVIII) patient days3,681————————————
Medicaid (Title XIX) patient days40,522————————————
Other-payer patient days5,728————————————
Total patient days, all components49,93144,97932,94040,35137,53145,83745,31745,00242,67041,25941,39542,40244,270
Medicare discharges78————————————
Medicaid discharges78————————————
Other-payer discharges292————————————
Total discharges, all components4484055156831,0219741,0571,0431,0289408341,0811,916
Average length of stay, Medicare, in days47.1937.537.4235.1432.2632.19317.2527.0421.3422.6520.2123.4619.98
Average length of stay, Medicaid, in days519.51489.9120.98156.5396.863.96350.49537.44354.81454.541,2801,981.322.98
Average length of stay, all patients, in days111.45111.0663.9659.0836.7647.0642.8743.1541.5143.8949.6339.2223.11

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.

Cost reports on form CMS-2540-96, fiscal years 1996 to 2011
Form CMS-2540-962011 · report 4285192010 · report 3983092009 · report 3695322008 · report 3393492007 · report 3071882006 · report 2986662005 · report 2497412004 · report 2430142003 · report 1975912002 · report 1732072001 · report 1194022000 · report 1174021999 · report 282971998 · report 282951997 · report 282931996 · report 28291
Period beganNovember 1, 2010November 1, 2009November 1, 2008November 1, 2007November 1, 2006November 1, 2005November 1, 2004November 1, 2003January 1, 2003June 1, 2002January 1, 2001January 1, 2000January 1, 1999January 1, 1998January 1, 1997January 1, 1996
Period endedOctober 31, 2011October 31, 2010October 31, 2009October 31, 2008October 31, 2007October 31, 2006October 31, 2005October 31, 2004October 31, 2003December 31, 2002December 31, 2001December 31, 2000December 31, 1999December 31, 1998December 31, 1997December 31, 1996
Days, where not a full year—————————213——————
Report statussettledsettledsettledsettledsettledsettledsettledsettledsettledsettledas submittedsettledsettledsettledsettledreopened
Processed by CMSMay 2, 2012April 29, 2011May 12, 2010May 15, 2009April 23, 2008December 14, 2007May 18, 2006February 15, 2006October 18, 2004April 27, 2004February 12, 2003February 12, 2003September 24, 2001September 5, 2000July 3, 2001January 18, 2000
Net patient revenue$20,643,155$20,713,513$20,303,094$19,261,730$19,219,774$17,054,730$16,666,099$15,665,155$12,364,803$8,128,842$11,825,270$11,082,789$11,295,012$11,140,411$9,172,695$7,775,172
Total operating expenses$18,962,235$19,041,875$18,276,986$18,642,722$18,376,706$16,629,440$15,841,836$14,680,065$11,451,383$7,448,525$11,680,010$11,065,496$10,791,816$10,434,863$10,143,841$8,877,480
Net income from service to patients$1,680,920$1,671,638$2,026,108$619,008$843,068$425,290$824,263$985,090$913,420$680,317$145,260$17,293$503,196$705,548−$971,146−$1,102,308
Total other income$87,294$48,400$42,467$91,400$58,479$208,220$46,718$50,854$36,164$21,322$28,175$11,230$24,053$7,632$201,520$205,396
Total other expenses$1,000—$16,372$20,736$139,392———————————
Net income$1,767,214$1,720,038$2,052,203$689,672$762,155$633,510$870,981$1,035,944$949,584$701,639$173,435$28,523$527,249$713,180−$769,626−$896,912
Total facility beds, all components145145145145145145145145145145145145145145143140
Total patient days, all components43,84345,19443,88445,21146,42243,61843,22343,08137,27429,95942,00241,75642,54245,42042,20336,965
Total discharges, all components1,3751,4271,4921,7122,3841,5921,6081,9331,4351,5401,4111,4541,4291,4591,2581,068
Average length of stay, Medicare, in days23.821.9722.8318.2917.4519.8118.1419.4116.1115.3416.2815.9420.9919.2217.7719.87
Average length of stay, Medicaid, in days173.9180.28210.89175.15149.65318.89447.3334.85464.48418.56276.26513.934,363.67818.1520.5580.02
Average length of stay, all patients, in days31.8931.6729.4126.4119.4727.426.8822.2925.9719.4529.7728.7229.7731.1333.5534.61

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.

NEW ORANGE HILLS: nurse staffing hours by quarter →

Who owns NEW ORANGE HILLS, as filed with CMS

Care Compare

  • ADP OF THE SNF: BABU, JOOBY (individual), since 02/01/2023; ENSIGN SERVICES INC (organization), since 11/01/2022; VILLAFANIA, JAMES (individual), since 02/01/2023
  • CORPORATE DIRECTOR: WILLITS, ADAM (individual), since 02/01/2023
  • CORPORATE OFFICER: BURNAM, SOON (individual), since 11/08/2022; 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 06/27/2025
  • MANAGING CONTROL - GOVERNING BODY: BABU, JOOBY (individual), since 02/01/2023; VILLAFANIA, JAMES (individual), since 02/01/2023
  • OPERATIONAL/MANAGERIAL CONTROL: BABU, JOOBY (individual), since 02/01/2023; VILLAFANIA, JAMES (individual), since 02/01/2023

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 HOLLYLEAF HEALTHCARE, INC. (enrollment ID O20230306002077).

  • 5% OR GREATER DIRECT OWNERSHIP INTEREST: FLAGSTONE HEALTHCARE SOUTH LLC (organization), 100.00%, since 11/08/2022
  • 5% OR GREATER INDIRECT OWNERSHIP INTEREST: THE ENSIGN GROUP INC (organization), 100.00%, since 02/01/2023
  • ADP OF THE SNF: ENSIGN SERVICES INC (organization), since 11/01/2022; JAMES VILLAFANIA (individual), since 02/01/2023; JOOBY BABU (individual), since 02/01/2023
  • CORPORATE DIRECTOR: ADAM WILLITS (individual), 0.00%, since 02/01/2023
  • CORPORATE OFFICER: AMI SATO (individual), since 09/09/2024; CHAD KEETCH (individual), since 03/01/2011; SOON BURNAM (individual), 0.00%, since 11/08/2022; WILLIAM RAND LOOPER (individual), 0.00%, since 02/01/2023
  • MANAGING CONTROL - GOVERNING BODY: JAMES VILLAFANIA (individual), since 02/01/2023; JOOBY BABU (individual), since 02/01/2023
  • OPERATIONAL/MANAGERIAL CONTROL: JAMES VILLAFANIA (individual), 0.00%, since 02/01/2023; JOOBY BABU (individual), since 02/01/2023

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: JAMES VILLAFANIA; JOOBY BABU; ADAM WILLITS; AMI SATO; CHAD KEETCH; SOON BURNAM; WILLIAM RAND LOOPER; JAMES VILLAFANIA; JOOBY BABU; JAMES VILLAFANIA; JOOBY BABU.

Changes in ownership

  • May 1, 2026, enrollment ownership file; no longer listed: JAMES VILLAFANIA (W-2 MANAGING EMPLOYEE); CRAIG FITCH (CORPORATE OFFICER); first listed: JOOBY BABU (ADP OF THE SNF), associated since February 1, 2023; JOOBY BABU (MANAGING CONTROL - GOVERNING BODY), associated since February 1, 2023; JOOBY BABU (OPERATIONAL/MANAGERIAL CONTROL), associated since February 1, 2023; JAMES VILLAFANIA (ADP OF THE SNF), associated since February 1, 2023; JAMES VILLAFANIA (MANAGING CONTROL - GOVERNING BODY), associated since February 1, 2023; CHAD KEETCH (CORPORATE OFFICER), associated since March 1, 2011; AMI SATO (CORPORATE OFFICER), associated since September 9, 2024; ENSIGN SERVICES INC (ADP OF THE SNF), associated since November 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
  • October 1, 2024, enrollment ownership file; no longer listed: MARC JOHNSON (OFFICER); JEREMY D JERGENSEN (DIRECTOR); JAMES ELLIS-SHERINIAN (DIRECTOR); NAHS HOLDING INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST); BRENDEN Q DAHL (DIRECTOR); TALMADGE CLINE (OPERATIONAL/MANAGERIAL CONTROL); TALMADGE CLINE (W-2 MANAGING EMPLOYEE); TALMADGE CLINE (DIRECTOR); TALMADGE CLINE (OFFICER); NAHS SOUTHEAST, INC. (5% OR GREATER DIRECT OWNERSHIP INTEREST); NAHS EMPLOYEE STOCK OWNERSHIP TRUST (5% OR GREATER INDIRECT OWNERSHIP INTEREST); JEFFREY A DALY (OFFICER); first listed: SOON E BURNAM (OFFICER), associated since November 8, 2022; JAMES VILLAFANIA (OPERATIONAL/MANAGERIAL CONTROL), associated since February 1, 2023; JAMES VILLAFANIA (W-2 MANAGING EMPLOYEE), associated since February 1, 2023; WILLIAM RAND LOOPER (OFFICER), associated since February 1, 2023; CRAIG FITCH (OFFICER), associated since February 1, 2023; FLAGSTONE HEALTHCARE SOUTH LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST), associated since November 8, 2022; ADAM WILLITS (DIRECTOR), associated since February 1, 2023; THE ENSIGN GROUP INC (5% OR GREATER INDIRECT OWNERSHIP INTEREST), associated since February 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-10-01.csv
  • September 1, 2024, enrollment ownership file; no longer listed: VICTOR G LUNDQUIST (OFFICER); first listed: MARC JOHNSON (OFFICER), associated since November 20, 2022. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
  • October 31, 2022, enrollment ownership file; no longer listed: JOELEAN CHAVES (W-2 MANAGING EMPLOYEE); first listed: JAMES ELLIS-SHERINIAN (DIRECTOR), associated since October 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv

Recent changes on this record

Inspections of NEW ORANGE HILLS

  • Cycle 1: health February 18, 2026 (25 deficiencies), fire safety February 18, 2026 (1)
  • Cycle 2: health November 15, 2024 (30 deficiencies), fire safety November 15, 2024 (7)
  • Cycle 3: health May 16, 2022 (26 deficiencies), fire safety May 16, 2022 (22)

Deficiencies cited at NEW ORANGE HILLS

84 deficiencies on file, by tag, newest citation first

every one from a health inspection; every one marked “Deficient, Provider has date of correction”; 33 cited from a complaint, marked below. Letter after a date: scope and severity grade.

  • F 0657, resident assessment and care planning: July 29, 2026 (D, from a complaint, corrected August 14, 2026).
  • F 0690, quality of life and care: July 8, 2026 (D, from a complaint, corrected July 23, 2026); February 18, 2026 (D, corrected March 13, 2026); November 15, 2024 (D, corrected December 14, 2024); May 16, 2022 (D, corrected June 16, 2022).
  • F 0554, resident rights: February 18, 2026 (D, corrected March 13, 2026).
  • F 0583, resident rights: February 18, 2026 (D, corrected March 13, 2026).
  • F 0584, resident rights: February 18, 2026 (D, corrected March 13, 2026); November 15, 2024 (D, corrected December 14, 2024).
  • F 0605, freedom from abuse, neglect, and exploitation: February 18, 2026 (D, corrected March 13, 2026).
  • F 0656, resident assessment and care planning: February 18, 2026 (E, corrected March 13, 2026); March 21, 2024 (D, from a complaint, corrected April 13, 2024); May 16, 2022 (D, corrected June 16, 2022).
  • F 0686, quality of life and care: February 18, 2026 (B, corrected March 13, 2026); May 14, 2025 (D, from a complaint, corrected June 4, 2025); February 28, 2025 (D, from a complaint, corrected March 20, 2025); November 15, 2024 (D, corrected December 14, 2024); May 16, 2022 (D, corrected June 16, 2022).
  • F 0687, quality of life and care: February 18, 2026 (D, corrected March 13, 2026).
  • F 0693, quality of life and care: February 18, 2026 (D, corrected March 13, 2026); November 15, 2024 (D, corrected December 14, 2024).
  • F 0695, quality of life and care: February 18, 2026 (E, corrected March 13, 2026); November 15, 2024 (D, corrected December 14, 2024).
  • F 0726, nursing and physician services: February 18, 2026 (D, corrected March 13, 2026); July 10, 2025 (D, from a complaint, corrected July 30, 2025).
  • F 0730, nursing and physician services: February 18, 2026 (B, corrected March 13, 2026).
  • F 0755, pharmacy service: February 18, 2026 (D, corrected March 13, 2026); November 15, 2024 (D, corrected December 14, 2024); January 24, 2024 (D, from a complaint, corrected February 15, 2024); December 13, 2023 (D, from a complaint, corrected December 29, 2023).
  • F 0756, pharmacy service: February 18, 2026 (D, corrected March 13, 2026).
  • F 0761, pharmacy service: February 18, 2026 (D, corrected March 13, 2026); November 15, 2024 (D, corrected December 14, 2024); May 16, 2022 (D, corrected June 16, 2022).
  • F 0804, nutrition and dietary: February 18, 2026 (D, corrected March 13, 2026).
  • F 0812, nutrition and dietary: February 18, 2026 (E, corrected March 13, 2026); November 15, 2024 (E, corrected December 14, 2024); May 16, 2022 (D, corrected June 16, 2022).
  • F 0842, resident assessment and care planning: February 18, 2026 (B, corrected March 13, 2026); November 26, 2025 (B, from a complaint, corrected December 8, 2025); May 14, 2025 (B, from a complaint, corrected June 4, 2025); November 15, 2024 (D, corrected December 14, 2024); January 24, 2024 (D, from a complaint, corrected February 15, 2024); May 16, 2022 (D, corrected June 16, 2022).
  • F 0880, infection control: February 18, 2026 (E, corrected March 13, 2026); August 6, 2025 (D, from a complaint, corrected August 13, 2025); May 14, 2025 (D, from a complaint, corrected June 4, 2025); November 15, 2024 (D, corrected December 14, 2024); August 1, 2024 (B, from a complaint, corrected August 12, 2024); March 21, 2024 (D, from a complaint, corrected April 12, 2024); May 16, 2022 (D, corrected June 16, 2022).
  • F 0925, environmental: February 18, 2026 (D, corrected March 13, 2026).
  • F 0684, quality of life and care: November 26, 2025 (D, from a complaint, corrected December 8, 2025); September 18, 2025 (D, from a complaint, corrected October 10, 2025); May 14, 2025 (D, from a complaint, corrected June 4, 2025); January 7, 2025 (B, from a complaint, corrected January 28, 2025); November 15, 2024 (D, corrected December 14, 2024); January 24, 2024 (D, from a complaint, corrected February 15, 2024); May 16, 2022 (D, corrected June 16, 2022).
  • F 0689, quality of life and care: November 10, 2025 (G, from a complaint, corrected December 23, 2025); February 28, 2025 (D, from a complaint, corrected March 20, 2025); November 15, 2024 (D, corrected December 14, 2024); March 12, 2024 (D, from a complaint, corrected March 27, 2024); December 13, 2023 (D, from a complaint, corrected December 29, 2023); May 16, 2022 (D, corrected June 16, 2022).
  • F 0550, resident rights: November 15, 2024 (B, from a complaint, corrected December 14, 2024).
  • F 0558, resident rights: November 15, 2024 (D, corrected December 14, 2024); May 30, 2024 (B, from a complaint, corrected June 14, 2024); May 16, 2022 (D, corrected June 16, 2022).
  • F 0580, resident rights: November 15, 2024 (D, corrected December 14, 2024).
  • F 0700, quality of life and care: November 15, 2024 (D, corrected December 14, 2024).
  • F 0758, pharmacy service: November 15, 2024 (D, corrected December 14, 2024).
  • F 0759, pharmacy service: November 15, 2024 (D, corrected December 14, 2024).
  • F 0773, administration: November 15, 2024 (D, corrected December 14, 2024).
  • F 0881, infection control: November 15, 2024 (D, from a complaint, corrected December 14, 2024).
  • F 0757, pharmacy service: March 21, 2024 (D, from a complaint, corrected April 13, 2024); November 17, 2023 (D, from a complaint, corrected December 5, 2023).
  • F 0661, resident assessment and care planning: October 23, 2023 (D, from a complaint, corrected November 7, 2023).
  • F 0610, freedom from abuse, neglect, and exploitation: August 30, 2023 (D, from a complaint, corrected September 12, 2023).
  • F 0658, resident assessment and care planning: August 30, 2023 (D, from a complaint, corrected September 12, 2023).
  • F 0909, environmental: August 30, 2023 (D, from a complaint, corrected September 12, 2023).
  • F 0552, resident rights: May 16, 2022 (D, corrected June 16, 2022).
  • F 0698, quality of life and care: May 16, 2022 (D, corrected June 16, 2022).
  • F 0908, environmental: May 16, 2022 (D, corrected June 16, 2022).

Penalties

Penalty dateTypeFine amountPayment denial beganPayment denial, daysFine ID
November 10, 2025Fine$8,425135853
November 10, 2025Payment DenialDecember 10, 202513

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

NEW ORANGE HILLS in Care Compare

  • Ownership Type: For profit - Corporation
  • Legal Business Name: HOLLYLEAF HEALTHCARE, INC.
  • Date First Approved to Provide Medicare and Medicaid Services: 1987-12-07
  • Provider Resides in Hospital: N
  • Continuing Care Retirement Community: N
  • Urban: Y
  • County/Parish: Orange
  • Telephone Number: 7149977090
  • 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: 137.1
  • Overall Rating: 1
  • Health Inspection Rating: 2
  • QM Rating: 3
  • Long-Stay QM Rating: 5
  • Short-Stay QM Rating: 1

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 NEW ORANGE HILLS’s record that differs from its CMS file, quoting 555286.