Skilled nursing facility · CMS certification number 555545
THE COVE AT LA JOLLA
LA JOLLA, California · Medicare · 59 certified beds in Care Compare
Download THE COVE AT LA JOLLA’s record (CSV, each figure with its worksheet, line and column)
THE COVE AT LA JOLLA: 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 $12.8M in fiscal year 2023 to $12.5M in fiscal year 2024.
- Its result from service to patients: $1.1M (2022), $1.6M (2023), $1.5M (2024).
- Its cost reports on file run from fiscal year 1996 to fiscal year 2024.
- Its net patient revenue of $12.5M ranks 606th 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.
THE COVE AT LA JOLLA: Medicare cost reports
Form CMS-2540-10: each report covers January 1 to December 31 of its year.
| Form CMS-2540-10 | 2024 · report 1435904 | 2023 · report 1392722 | 2022 · report 1363865 | 2021 · report 1332874 | 2020 · report 1301550 | 2019 · report 1277846 | 2018 · report 1242372 | 2017 · report 1248696 | 2016 · report 1174319 | 2015 · report 1142313 | 2014 · report 1109805 | 2013 · report 1072054 | 2012 · report 1044942 | 2011 · report 1023670 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Report status | settled | settled | settled | settled | settled | settled | settled | settled | settled | settled | settled | as submitted | settled | settled |
| Processed by CMS | August 28, 2025 | August 20, 2024 | September 9, 2023 | September 19, 2022 | September 30, 2021 | December 30, 2020 | August 26, 2019 | December 26, 2019 | August 21, 2017 | August 23, 2016 | September 17, 2015 | July 23, 2014 | August 1, 2013 | January 24, 2013 |
| Total patient revenue | $13,119,507 | $14,316,728 | $11,461,312 | $10,677,004 | $9,438,833 | $10,052,982 | $9,198,528 | $10,448,626 | $9,979,713 | $7,495,379 | $10,389,576 | $11,600,708 | $11,180,908 | $9,213,054 |
| Contractual allowances and discounts | $577,189 | $1,540,510 | $684,009 | −$154,970 | −$76,913 | $486,627 | $610,586 | $1,971,711 | $1,994,159 | $711,747 | $3,672,164 | $4,388,385 | $4,218,783 | $2,130,871 |
| Net patient revenue | $12,542,318 | $12,776,218 | $10,777,303 | $10,831,974 | $9,515,746 | $9,566,355 | $8,587,942 | $8,476,915 | $7,985,554 | $6,783,632 | $6,717,412 | $7,212,323 | $6,962,125 | $7,082,183 |
| Total operating expenses | $11,031,456 | $11,151,884 | $9,641,217 | $9,387,838 | $8,589,460 | $8,481,711 | $7,728,716 | $7,829,418 | $7,319,655 | $6,409,792 | $6,412,180 | $6,600,453 | $6,902,337 | $7,152,677 |
| Net income from service to patients | $1,510,862 | $1,624,334 | $1,136,086 | $1,444,136 | $926,286 | $1,084,644 | $859,226 | $647,497 | $665,899 | $373,840 | $305,232 | $611,870 | $59,788 | −$70,494 |
| Total other income | $1,979 | $614 | $975 | $5,935 | $2,494 | $1,842 | $726 | $815 | $1,609 | $4,936 | $3,861 | $7,227 | $18,071 | $26,717 |
| Net income after other income | $1,512,841 | $1,624,948 | $1,137,061 | $1,450,071 | $928,780 | $1,086,486 | $859,952 | $648,312 | $667,508 | $378,776 | $309,093 | $619,097 | $77,859 | −$43,777 |
| Net income | $1,512,841 | $1,624,948 | $1,137,061 | $1,450,071 | $928,780 | $1,086,486 | $859,952 | $648,312 | $667,508 | $378,776 | $309,093 | $619,097 | $77,859 | −$43,777 |
| Total facility beds, all components | 59 | 58 | 56 | 56 | 56 | 56 | 56 | 59 | 59 | 59 | 59 | 59 | 59 | 59 |
| Bed days available, all components | 21,594 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Medicare (Title XVIII) patient days | 7,642 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Medicaid (Title XIX) patient days | 5,543 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Other-payer patient days | 6,146 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Total patient days, all components | 19,331 | 19,607 | 18,321 | 18,217 | 15,485 | 15,580 | 13,538 | 13,807 | 14,202 | 13,791 | 14,636 | 15,393 | 16,197 | 16,946 |
| Medicare discharges | 284 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Medicaid discharges | 8 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Other-payer discharges | 272 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Total discharges, all components | 564 | 547 | 489 | 513 | 514 | 725 | 589 | 652 | 613 | 489 | 584 | 629 | 509 | 540 |
| Average length of stay, Medicare, in days | 26.91 | 29.08 | 29.01 | 26.64 | 25.94 | 20.26 | 23.64 | 22.65 | 25.99 | 24.52 | 26.43 | 27.2 | 24.54 | 26.66 |
| Average length of stay, Medicaid, in days | 692.88 | 457.9 | 588.13 | 383.33 | 142.17 | — | — | — | — | — | — | — | — | — |
| Average length of stay, all patients, in days | 34.27 | 35.84 | 37.47 | 35.51 | 30.13 | 21.49 | 22.98 | 21.18 | 23.17 | 28.2 | 25.06 | 24.47 | 31.82 | 31.38 |
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 415741 | 2009 · report 383830 | 2008 · report 356011 | 2007 · report 323403 | 2006 · report 299856 | 2005 · report 272607 | 2004 · report 249225 | 2003 · report 215776 | 2002 · report 170203 | 2001 · report 159025 | 2000 · report 124871 | 1999 · report 74968 | 1998 · report 296900 | 1997 · report 7779 | 1996 · report 7778 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Report status | settled | settled | settled | settled | settled | settled | settled | settled | settled | settled | settled | settled | reopened | settled | settled |
| Processed by CMS | August 17, 2011 | July 27, 2010 | August 31, 2009 | August 8, 2008 | January 24, 2008 | February 15, 2007 | May 12, 2006 | May 3, 2005 | March 4, 2004 | September 9, 2003 | February 12, 2003 | September 6, 2001 | November 26, 2007 | October 1, 1999 | October 2, 1998 |
| Net patient revenue | $5,982,010 | $5,470,759 | $5,245,133 | $5,100,711 | $4,827,396 | $4,323,339 | $4,061,262 | $3,606,642 | $3,801,676 | $3,692,059 | $3,357,502 | $3,468,116 | $3,270,978 | $3,121,237 | $3,135,726 |
| Total operating expenses | $5,828,899 | $5,410,532 | $5,097,310 | $4,866,610 | $4,630,769 | $4,040,649 | $3,713,925 | $3,563,969 | $3,594,447 | $3,543,775 | $3,268,965 | $3,002,455 | $2,876,339 | $2,642,981 | $2,713,595 |
| Net income from service to patients | $153,111 | $60,227 | $147,823 | $234,101 | $196,627 | $282,690 | $347,337 | $42,673 | $207,229 | $148,284 | $88,537 | $465,661 | $394,639 | $478,256 | $422,131 |
| Total other income | $51,216 | $42,484 | $70,260 | $86,115 | $68,095 | $114,921 | $139,466 | $89,863 | $139,870 | $113,394 | $112,626 | $100,366 | $12,941 | $17,477 | $70,924 |
| Total other expenses | — | — | — | — | — | — | — | — | $1 | — | — | — | — | — | — |
| Net income | $204,327 | $102,711 | $218,083 | $320,216 | $264,722 | $397,611 | $486,803 | $132,536 | $347,098 | $261,678 | $201,163 | $566,027 | $407,580 | $495,733 | $493,055 |
| Total facility beds, all components | 59 | 59 | 59 | 59 | 59 | 59 | 59 | 59 | 59 | 59 | 59 | 59 | 59 | 59 | 59 |
| Total patient days, all components | 17,069 | 16,868 | 17,078 | 18,879 | 17,919 | 17,250 | 18,132 | 17,403 | 17,673 | 18,893 | 18,012 | 19,262 | 19,535 | 20,234 | 20,186 |
| Total discharges, all components | 340 | 289 | 232 | 219 | 175 | 160 | 121 | 169 | 173 | 134 | 190 | 145 | 157 | 85 | 89 |
| Average length of stay, Medicare, in days | 32.44 | 31.56 | 29.87 | 25.04 | 25.89 | 26.21 | 17.91 | 19.15 | 16.49 | 17.1 | 17.3 | 23.98 | 16.51 | 15.09 | 51.64 |
| Average length of stay, all patients, in days | 50.2 | 58.37 | 73.61 | 86.21 | 102.39 | 107.81 | 149.85 | 102.98 | 102.16 | 140.99 | 94.8 | 132.84 | 124.43 | 238.05 | 226.81 |
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.
THE COVE AT LA JOLLA: nurse staffing hours by quarter →
Who owns THE COVE AT LA JOLLA, as filed with CMS
Care Compare
- ADP OF THE SNF: BURNAM, SOON (individual), since 07/03/2025; ENSIGN SERVICES INC (organization), since 12/01/2014; MIRKARIMI, KAMRON (individual), since 07/17/2025; RAMESH, JENNIFER (individual), since 07/17/2025
- CORPORATE DIRECTOR: OH, KATHERINE (individual), since 06/01/2025; SATO, AMI (individual), since 09/09/2024; WILLITS, ADAM (individual), since 09/09/2024
- 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 07/03/2025
- OPERATIONAL/MANAGERIAL CONTROL: MIRKARIMI, KAMRON (individual), since 05/10/2021; RAMESH, JENNIFER (individual), since 12/01/2014; TWOMAGNETS LLC (organization), since 12/01/2014
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 NAUTILUS HEALTHCARE, INC. (enrollment ID O20141215000451).
- 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: ENSIGN SERVICES INC (organization), since 12/01/2014; JENNIFER RAMESH (individual), since 07/17/2025; KAMRON MIRKARIMI (individual), since 07/17/2025; SOON BURNAM (individual), since 07/03/2025
- CORPORATE DIRECTOR: ADAM WILLITS (individual), since 09/09/2024; 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
- OPERATIONAL/MANAGERIAL CONTROL: JENNIFER RAMESH (individual), since 12/01/2014; KAMRON MIRKARIMI (individual), since 05/10/2021; TWOMAGNETS LLC (organization), since 12/01/2014
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.
Private equity company, real estate investment trust and holding company: Paused by CMS: JENNIFER RAMESH; KAMRON MIRKARIMI; SOON BURNAM; ADAM WILLITS; AMI SATO; KATHERINE OH; CHAD KEETCH; SOON BURNAM; JENNIFER RAMESH; KAMRON MIRKARIMI.
Changes in ownership
- October 1, 2025, enrollment ownership file; no longer listed: CRAIG FITCH (CORPORATE OFFICER); MATTHEW FLAKE (CORPORATE OFFICER); JENNIFER RAMESH (W-2 MANAGING EMPLOYEE); first listed: KATHERINE OH (CORPORATE DIRECTOR), associated since June 1, 2025; KAMRON MIRKARIMI (ADP OF THE SNF), associated since July 17, 2025; KAMRON MIRKARIMI (OPERATIONAL/MANAGERIAL CONTROL), associated since May 10, 2021; SOON BURNAM (ADP OF THE SNF), associated since July 3, 2025; CHAD A KEETCH (CORPORATE OFFICER), associated since March 1, 2011; AMI SATO (CORPORATE DIRECTOR), associated since September 9, 2024; TWOMAGNETS LLC (OPERATIONAL/MANAGERIAL CONTROL), associated since December 1, 2014; ENSIGN SERVICES INC (ADP OF THE SNF), associated since December 1, 2014; JENNIFER RAMESH (ADP OF THE SNF), associated since July 17, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
Inspections of THE COVE AT LA JOLLA
- Cycle 1: health May 16, 2025 (7 deficiencies), fire safety May 16, 2025 (6)
- Cycle 2: health June 6, 2024 (6 deficiencies), fire safety June 6, 2024 (7)
- Cycle 3: health December 9, 2021 (6 deficiencies), fire safety December 9, 2021 (3)
Deficiencies cited at THE COVE AT LA JOLLA
21 deficiencies on file, by tag, newest citation first
every one from a health inspection; every one marked “Deficient, Provider has date of correction”; 3 cited from a complaint, marked below. Letter after a date: scope and severity grade.
- F 0550, resident rights: May 16, 2025 (D, corrected June 3, 2025).
- F 0656, resident assessment and care planning: May 16, 2025 (D, corrected June 3, 2025); June 6, 2024 (D, corrected June 26, 2024); August 29, 2023 (D, from a complaint, corrected August 31, 2023).
- F 0689, quality of life and care: May 16, 2025 (E, corrected June 3, 2025).
- F 0695, quality of life and care: May 16, 2025 (D, corrected June 3, 2025).
- F 0804, nutrition and dietary: May 16, 2025 (E, corrected June 3, 2025); December 9, 2021 (E, corrected January 20, 2022).
- F 0806, nutrition and dietary: May 16, 2025 (D, corrected June 3, 2025).
- F 0812, nutrition and dietary: May 16, 2025 (E, corrected June 3, 2025); June 6, 2024 (E, corrected June 26, 2024); December 9, 2021 (E, corrected January 20, 2022).
- F 0558, resident rights: June 6, 2024 (D, corrected June 26, 2024).
- F 0641, resident assessment and care planning: June 6, 2024 (E, corrected June 26, 2024).
- F 0842, resident assessment and care planning: June 6, 2024 (D, corrected June 26, 2024).
- F 0865, administration: June 6, 2024 (D, corrected June 26, 2024).
- F 0773, administration: January 17, 2024 (D, from a complaint, corrected January 26, 2024).
- F 0607, freedom from abuse, neglect, and exploitation: September 28, 2023 (D, from a complaint, corrected October 17, 2023).
- F 0802, nutrition and dietary: December 9, 2021 (E, corrected January 20, 2022).
- F 0908, environmental: December 9, 2021 (F, corrected January 20, 2022).
- F 0920, environmental: December 9, 2021 (D, corrected January 20, 2022).
THE COVE AT LA JOLLA in Care Compare
- Ownership Type: For profit - Corporation
- Legal Business Name: NAUTILUS HEALTHCARE, INC.
- Date First Approved to Provide Medicare and Medicaid Services: 1993-03-12
- Provider Resides in Hospital: N
- Continuing Care Retirement Community: N
- Urban: Y
- County/Parish: San Diego
- Telephone Number: 8584594361
- 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: 51.7
- Overall Rating: 4
- Health Inspection Rating: 4
- QM Rating: 4
- Long-Stay QM Rating: 5
- 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 · ownership NH_Ownership_Oct2026.csv.
Nothing on file for THE COVE AT LA JOLLA: no penalty in Care Compare.
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- SOUTH COAST GLOBAL MEDICAL CENTER D/P SNF SANTA ANA
Report a figure on THE COVE AT LA JOLLA’s record that differs from its CMS file, quoting 555545.