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Skilled nursing facility · CMS certification number 555763

SAN JUAN HILLS HEALTHCARE CENTER

SAN JUAN CAPISTRANO, California · Medicare · 45 certified beds in Care Compare

Download SAN JUAN HILLS HEALTHCARE CENTER’s record (CSV, each figure with its worksheet, line and column)

SAN JUAN HILLS HEALTHCARE 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 March 11, 2026.
  • Net patient revenue rose from $9.1M in fiscal year 2023 to $9.8M in fiscal year 2024.
  • Its result from service to patients: $212K (2022), $132K (2023), $24K (2024).
  • Its cost reports on file run from fiscal year 2000 to fiscal year 2024.
  • Its net patient revenue of $9.8M ranks 749th 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.

SAN JUAN HILLS HEALTHCARE CENTER: 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-2540-102024 · report 14484632023 · report 13937742022 · report 13769112021 · report 13341312020 · report 12946322019 · report 12651702018 · report 12371192017 · report 12024512016 · report 11691722015 · report 11387762014 · report 11111712013 · report 10746972012 · report 10438102011 · report 1016809
Period beganJanuary 1, 2024January 1, 2023January 1, 2022January 1, 2021January 1, 2020January 1, 2019January 1, 2018January 1, 2017January 1, 2016January 1, 2015August 29, 2014January 1, 2013January 1, 2012January 1, 2011
Period endedDecember 31, 2024December 31, 2023December 31, 2022December 31, 2021December 31, 2020December 31, 2019December 31, 2018December 31, 2017December 31, 2016December 31, 2015December 31, 2014December 31, 2013December 31, 2012December 31, 2011
Days, where not a full year——————————124———
Processed by CMSMarch 11, 2026September 6, 2024April 26, 2024September 26, 2022August 17, 2021August 26, 2020July 16, 2019July 24, 2018July 17, 2017July 29, 2016October 15, 2015August 1, 2014July 25, 2013October 26, 2012
Total patient revenue$11,166,310$8,374,612$6,421,241$5,202,893$12,450,949$15,406,662$15,062,797$14,443,922$8,133,987$12,338,196$5,852,035$16,045,395$19,169,689$19,810,011
Contractual allowances and discounts$1,370,870−$733,885−$1,321,950−$158,462$602,428$1,010,845$983,789$894,538−$4,308,890$1,261,661$1,253,715$4,413,029$5,526,795$5,603,546
Net patient revenue$9,795,440$9,108,497$7,743,191$5,361,355$11,848,521$14,395,817$14,079,008$13,549,384$12,442,877$11,076,535$4,598,320$11,632,366$13,642,894$14,206,465
Total operating expenses$9,771,404$8,976,948$7,531,282$9,632,186$13,801,077$14,785,780$14,726,927$14,449,352$13,544,011$12,321,216$5,141,488$11,900,597$12,404,143$12,876,254
Net income from service to patients$24,036$131,549$211,909−$4,270,831−$1,952,556−$389,963−$647,919−$899,968−$1,101,134−$1,244,681−$543,168−$268,231$1,238,751$1,330,211
Total other income$3,979$37,815$1,612,590$232,710$669,606$28,756$7,425$15,399$57,510$83,507$22,013−$77,681$66,931$81,341
Net income after other income$28,015$169,364$1,824,499−$4,038,121−$1,282,950−$361,207−$640,494−$884,569−$1,043,624−$1,161,174−$521,155−$345,912$1,305,682$1,411,552
Net income−$1,583,779$169,364$1,824,499−$4,038,121−$1,282,950−$361,207−$640,494−$884,569−$1,043,624−$1,161,174−$521,155−$345,912$1,305,682$1,411,552
Total facility beds, all components45454545160160160160160160160160160160
Bed days available, all components16,470—————————————
Medicare (Title XVIII) patient days7,964—————————————
Other-payer patient days4,896—————————————
Total patient days, all components12,86011,96510,68316,45340,94053,39953,39954,75355,40151,70716,55246,64251,91453,630
Medicare discharges239—————————————
Other-payer discharges187—————————————
Total discharges, all components426437386557383497497494442483164542528531
Average length of stay, Medicare, in days33.3229.7728.0330.3532.6930.0330.0326.0428.1425.7931.5826.8330.7832.11
Average length of stay, Medicaid, in days———286.32——————————
Average length of stay, all patients, in days30.1927.3827.6829.54106.89107.44107.44110.84125.34107.05100.9386.0698.32101

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: every report is settled.

Cost reports on form CMS-2540-96, fiscal years 2000 to 2010
Form CMS-2540-962010 · report 4307032009 · report 3866682008 · report 3520042007 · report 3230102006 · report 3074612005 · report 2703242004 · report 2485202003 · report 2084982002 · report 1695912001 · report 1429552000 · report 15950
Period beganJanuary 1, 2010December 1, 2008January 1, 2008January 1, 2007January 1, 2006January 1, 2005January 1, 2004January 1, 2003January 1, 2002January 1, 2001August 30, 2000
Period endedDecember 31, 2010December 31, 2009November 30, 2008December 31, 2007December 31, 2006December 31, 2005December 31, 2004December 31, 2003December 31, 2002December 31, 2001December 31, 2000
Days, where not a full year——————————123
Processed by CMSJune 20, 2012August 27, 2010July 22, 2009August 6, 2008April 24, 2008January 11, 2007May 4, 2006February 23, 2005February 26, 2004May 7, 2003March 5, 2002
Net patient revenue$13,065,799$11,459,679$9,052,256$9,424,045$8,292,884$6,959,018$7,867,370$7,326,651$7,447,954$6,244,466$1,457,934
Total operating expenses$11,728,115$11,731,039$7,903,538$8,333,204$7,899,408$6,695,682$7,277,961$7,187,026$6,401,010$6,344,756$1,500,432
Net income from service to patients$1,337,684−$271,360$1,148,718$1,090,841$393,476$263,336$589,409$139,625$1,046,944−$100,290−$42,498
Total other income$74,561$135,610$91,005$85,133$74,468$47,025$44,145$59,698$108,528$100,292$42,499
Net income$1,412,245−$135,750$1,239,723$1,175,974$467,944$310,361$633,554$199,323$1,155,472$2$1
Total facility beds, all components160160160160160160160160160160160
Total patient days, all components47,43143,85140,13446,73944,38339,03441,12242,10542,96438,67210,388
Total discharges, all components49747842250051341347641635922848
Average length of stay, Medicare, in days31.3526.8620.2818.8319.2617.7424.3526.9525.212.4654.25
Average length of stay, all patients, in days95.4391.7495.193.4886.5294.5186.39101.21119.68169.61216.42

Net income, fiscal years 2010, 2009, 2008, 2007, 2006, 2005, 2004, 2003, 2002, 2001, 2000. Checked against the form’s own arithmetic: what that check shows.

SAN JUAN HILLS HEALTHCARE CENTER: nurse staffing hours by quarter →

Who owns SAN JUAN HILLS HEALTHCARE CENTER, as filed with CMS

Care Compare

  • ADP OF THE SNF: ASPEN HEALTHCARE SERVICES LLC (organization), since 01/01/2023; ASRV LLC (organization), since 11/03/2021; BRADSHAW, JEFFREY (individual), since 01/01/2023; BRADY, VERN (individual), since 01/01/2023; CASE, RYAN (individual), since 01/01/2023; CASLMON, TIMOTHY (individual), since 01/01/2023; EAST WEST BANK (organization), since 08/06/2020; GUU, HUAN (individual), since 06/01/2009; JURADO, FRANK (individual), since 01/01/2023; NORDFELT, SPENCER (individual), since 01/03/2022; PAXMAN, MARCUS (individual), since 01/01/2023; STA ANA, LANIE (individual), since 02/01/2022; THOMPSON, STEPHEN (individual), since 01/01/2023
  • DIRECT OWNERSHIP INTEREST: ASRV LLC (organization), since 11/03/2021
  • INDIRECT OWNERSHIP INTEREST: ASPEN SKILLED HEALTHCARE INC (organization), since 11/03/2021; BRADSHAW, JEFFREY (individual), since 11/03/2021; BRADSHAW, PETER (individual), since 07/07/2023; BRADY, VERN (individual), since 11/03/2021; CASE, RYAN (individual), since 11/03/2021; ELSNER, ERIC (individual), since 11/03/2021; KIRKWOOD, JARED (individual), since 11/03/2021; ORGILL, CRAIG (individual), since 11/03/2021; PARTI, RAJESH (individual), since 11/03/2021; PARTI, SHRUTY (individual), since 11/03/2021; PAXMAN, MARCUS (individual), since 04/01/2022; SACC LLC (organization), since 11/03/2021
  • INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF: BRADSHAW, JEFFREY (individual), since 08/21/2025
  • MANAGING CONTROL - GOVERNING BODY: BRADSHAW, JEFFREY (individual), since 01/01/2023; CASLMON, TIMOTHY (individual), since 01/01/2023; THOMPSON, STEPHEN (individual), since 01/01/2023
  • OPERATIONAL/MANAGERIAL CONTROL: ASRV LLC (organization), since 11/03/2021; CASLMON, TIMOTHY (individual), since 01/01/2023; NORDFELT, SPENCER (individual), since 01/03/2022; STA ANA, LANIE (individual), since 02/01/2022; THOMPSON, STEPHEN (individual), since 01/01/2023

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 ASRV LLC (enrollment ID O20220309000590).

  • ADP OF THE SNF: ASPEN HEALTHCARE SERVICES LLC (organization), since 01/01/2023; ASRV LLC (organization), since 11/03/2021; EAST WEST BANK (organization), since 08/06/2020; FRANK JURADO (individual), since 01/01/2023; HUAN C GUU (individual), since 06/01/2009; JEFFREY J BRADSHAW (individual), since 01/01/2023; LANIE STA ANA (individual), since 02/01/2022; MARCUS J PAXMAN (individual), since 01/01/2023; RYAN M CASE (individual), since 01/01/2023; SPENCER NORDFELT (individual), since 01/03/2022; STEPHEN THOMPSON (individual), since 01/01/2023; TIMOTHY CASLMON (individual), since 01/01/2023; VERN J BRADY (individual), since 01/01/2023
  • DIRECT OWNERSHIP INTEREST: ASRV LLC (organization), 100.00%, since 11/03/2021
  • INDIRECT OWNERSHIP INTEREST: ASPEN SKILLED HEALTHCARE INC (organization), 100.00%, since 11/03/2021; CRAIG ORGILL (individual), 1.30%, since 11/03/2021; ERIC ELSNER (individual), 4.08%, since 11/03/2021; JARED KIRKWOOD (individual), 0.30%, since 11/03/2021; JEFFREY J BRADSHAW (individual), 22.25%, since 11/03/2021; MARCUS J PAXMAN (individual), 0.01%, since 04/01/2022; PETER BRADSHAW (individual), 0.09%, since 07/07/2023; RAJESH PARTI (individual), 4.08%, since 11/03/2021; RYAN M CASE (individual), 31.77%, since 11/03/2021; SACC LLC (organization), 100.00%, since 11/03/2021; SHRUTY PARTI (individual), 4.08%, since 11/03/2021; VERN J BRADY (individual), 31.95%, since 11/03/2021
  • MANAGING CONTROL - GOVERNING BODY: JEFFREY J BRADSHAW (individual), since 01/01/2023; STEPHEN THOMPSON (individual), since 01/01/2023; TIMOTHY CASLMON (individual), since 01/01/2023
  • OPERATIONAL/MANAGERIAL CONTROL: ASRV LLC (organization), since 11/03/2021; LANIE STA ANA (individual), since 02/01/2022; SPENCER NORDFELT (individual), since 01/03/2022; STEPHEN THOMPSON (individual), since 01/01/2023; TIMOTHY CASLMON (individual), since 01/01/2023

Paused by CMS: Form CMS-855A, December 11, 2025.

Private equity company, real estate investment trust and holding company: No: ASPEN HEALTHCARE SERVICES LLC; ASRV LLC; EAST WEST BANK; ASRV LLC; ASPEN SKILLED HEALTHCARE INC; ASRV LLC.

Private equity company, real estate investment trust and holding company: Paused by CMS: FRANK JURADO; HUAN C GUU; JEFFREY J BRADSHAW; LANIE STA ANA; MARCUS J PAXMAN; RYAN M CASE; SPENCER NORDFELT; STEPHEN THOMPSON; TIMOTHY CASLMON; VERN J BRADY; CRAIG ORGILL; ERIC ELSNER; JARED KIRKWOOD; JEFFREY J BRADSHAW; MARCUS J PAXMAN; PETER BRADSHAW; RAJESH PARTI; RYAN M CASE; SHRUTY PARTI; VERN J BRADY; JEFFREY J BRADSHAW; STEPHEN THOMPSON; TIMOTHY CASLMON; LANIE STA ANA; SPENCER NORDFELT; STEPHEN THOMPSON; TIMOTHY CASLMON.

Private equity company: No, Real estate investment trust: No, Holding company: Yes: SACC LLC.

Changes in ownership

  • October 1, 2025, enrollment ownership file; no longer listed: VERN J BRADY (CORPORATE OFFICER); VERN J BRADY (5% OR GREATER INDIRECT OWNERSHIP INTEREST); ASPEN SKILLED HEALTHCARE INC (5% OR GREATER DIRECT OWNERSHIP INTEREST); JEFFREY J BRADSHAW (W-2 MANAGING EMPLOYEE); JEFFREY J BRADSHAW (CORPORATE OFFICER); JEFFREY J BRADSHAW (5% OR GREATER INDIRECT OWNERSHIP INTEREST); first listed: RAJESH PARTI (INDIRECT OWNERSHIP INTEREST), associated since November 3, 2021; PETER BRADSHAW (INDIRECT OWNERSHIP INTEREST), associated since July 7, 2023; SHRUTY PARTI (INDIRECT OWNERSHIP INTEREST), associated since November 3, 2021; ASRV LLC (DIRECT OWNERSHIP INTEREST), associated since November 3, 2021; ASRV LLC (ADP OF THE SNF), associated since November 3, 2021; ASRV LLC (OPERATIONAL/MANAGERIAL CONTROL), associated since November 3, 2021; VERN J BRADY (INDIRECT OWNERSHIP INTEREST), associated since November 3, 2021; VERN J BRADY (ADP OF THE SNF), associated since January 1, 2023; FRANK JURADO (ADP OF THE SNF), associated since January 1, 2023; EAST WEST BANK (ADP OF THE SNF), associated since August 6, 2020; STEPHEN THOMPSON (ADP OF THE SNF), associated since January 1, 2023; STEPHEN THOMPSON (MANAGING CONTROL - GOVERNING BODY), associated since January 1, 2023; STEPHEN THOMPSON (OPERATIONAL/MANAGERIAL CONTROL), associated since January 1, 2023; SACC LLC (INDIRECT OWNERSHIP INTEREST), associated since November 3, 2021; SPENCER NORDFELT (ADP OF THE SNF), associated since January 3, 2022; SPENCER NORDFELT (OPERATIONAL/MANAGERIAL CONTROL), associated since January 3, 2022; LANIE STA ANA (ADP OF THE SNF), associated since February 1, 2022; LANIE STA ANA (OPERATIONAL/MANAGERIAL CONTROL), associated since February 1, 2022; ASPEN HEALTHCARE SERVICES LLC (ADP OF THE SNF), associated since January 1, 2023; ASPEN SKILLED HEALTHCARE INC (INDIRECT OWNERSHIP INTEREST), associated since November 3, 2021; HUAN C GUU (ADP OF THE SNF), associated since June 1, 2009; MARCUS J PAXMAN (INDIRECT OWNERSHIP INTEREST), associated since April 1, 2022; MARCUS J PAXMAN (ADP OF THE SNF), associated since January 1, 2023; RYAN M CASE (INDIRECT OWNERSHIP INTEREST), associated since November 3, 2021; RYAN M CASE (ADP OF THE SNF), associated since January 1, 2023; TIMOTHY CASLMON (ADP OF THE SNF), associated since January 1, 2023; TIMOTHY CASLMON (MANAGING CONTROL - GOVERNING BODY), associated since January 1, 2023; TIMOTHY CASLMON (OPERATIONAL/MANAGERIAL CONTROL), associated since January 1, 2023; JEFFREY J BRADSHAW (INDIRECT OWNERSHIP INTEREST), associated since November 3, 2021; JEFFREY J BRADSHAW (ADP OF THE SNF), associated since January 1, 2023; JEFFREY J BRADSHAW (MANAGING CONTROL - GOVERNING BODY), associated since January 1, 2023; ERIC ELSNER (INDIRECT OWNERSHIP INTEREST), associated since November 3, 2021; JARED KIRKWOOD (INDIRECT OWNERSHIP INTEREST), associated since November 3, 2021; CRAIG ORGILL (INDIRECT OWNERSHIP INTEREST), associated since November 3, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv

Recent changes on this record

Inspections of SAN JUAN HILLS HEALTHCARE CENTER

  • Cycle 1: health January 22, 2026 (20 deficiencies), fire safety January 22, 2026 (2)
  • Cycle 2: health November 15, 2024 (27 deficiencies), fire safety November 15, 2024 (9)
  • Cycle 3: health November 17, 2023 (18 deficiencies), fire safety November 17, 2023 (6)

Deficiencies cited at SAN JUAN HILLS HEALTHCARE CENTER

65 deficiencies on file, by tag, newest citation first

every one from a health inspection; every one marked “Deficient, Provider has date of correction”; 15 cited from a complaint, marked below. Letter after a date: scope and severity grade.

  • F 0558, resident rights: July 29, 2026 (D, from a complaint, corrected August 7, 2026); January 22, 2026 (B, corrected March 3, 2026).
  • F 0684, quality of life and care: May 26, 2026 (D, from a complaint, corrected June 11, 2026); November 15, 2024 (B, from a complaint, corrected December 13, 2024); November 17, 2023 (D, corrected December 15, 2023).
  • F 0732, nursing and physician services: May 26, 2026 (B, from a complaint, corrected June 11, 2026).
  • F 0761, pharmacy service: May 26, 2026 (D, from a complaint, corrected June 11, 2026); November 15, 2024 (D, corrected December 13, 2024); November 17, 2023 (D, corrected December 15, 2023).
  • F 0552, resident rights: April 20, 2026 (D, from a complaint, corrected May 5, 2026).
  • F 0554, resident rights: January 22, 2026 (D, corrected March 3, 2026); November 15, 2024 (D, corrected December 13, 2024); November 17, 2023 (D, corrected December 15, 2023).
  • F 0656, resident assessment and care planning: January 22, 2026 (D, corrected March 3, 2026); July 15, 2025 (B, from a complaint, corrected August 2, 2025); November 17, 2023 (D, corrected December 15, 2023).
  • F 0657, resident assessment and care planning: January 22, 2026 (D, corrected March 3, 2026); July 15, 2025 (B, from a complaint, corrected August 2, 2025).
  • F 0694, quality of life and care: January 22, 2026 (D, corrected March 3, 2026).
  • F 0695, quality of life and care: January 22, 2026 (D, corrected March 3, 2026); November 15, 2024 (D, corrected December 13, 2024); November 17, 2023 (D, corrected December 15, 2023).
  • F 0698, quality of life and care: January 22, 2026 (D, corrected March 3, 2026).
  • F 0700, quality of life and care: January 22, 2026 (D, corrected March 3, 2026).
  • F 0804, nutrition and dietary: January 22, 2026 (D, corrected March 3, 2026); November 15, 2024 (D, from a complaint, corrected December 13, 2024).
  • F 0812, nutrition and dietary: January 22, 2026 (E, corrected March 3, 2026); November 15, 2024 (E, corrected December 13, 2024); November 17, 2023 (F, corrected December 15, 2023).
  • F 0814, nutrition and dietary: January 22, 2026 (B, corrected March 3, 2026).
  • F 0838, administration: January 22, 2026 (D, corrected March 3, 2026).
  • F 0880, infection control: January 22, 2026 (E, corrected March 3, 2026); November 15, 2024 (D, corrected December 13, 2024); November 17, 2023 (B, corrected December 15, 2023).
  • F 0909, environmental: January 22, 2026 (D, corrected March 3, 2026); November 15, 2024 (D, corrected December 13, 2024); November 17, 2023 (D, corrected December 15, 2023).
  • F 0580, resident rights: October 15, 2025 (D, from a complaint, corrected November 12, 2025).
  • F 0690, quality of life and care: July 15, 2025 (D, from a complaint, corrected August 2, 2025); November 15, 2024 (D, corrected December 13, 2024).
  • F 0842, resident assessment and care planning: May 23, 2025 (B, from a complaint, corrected June 19, 2025); November 15, 2024 (B, corrected December 13, 2024).
  • F 0550, resident rights: November 15, 2024 (B, from a complaint, corrected December 13, 2024).
  • F 0565, resident rights: November 15, 2024 (D, corrected December 13, 2024).
  • F 0574, resident rights: November 15, 2024 (B, from a complaint, corrected December 13, 2024).
  • F 0645, resident assessment and care planning: November 15, 2024 (D, corrected December 13, 2024).
  • F 0689, quality of life and care: November 15, 2024 (D, corrected December 13, 2024); December 12, 2023 (G, from a complaint, corrected January 2, 2024).
  • F 0755, pharmacy service: November 15, 2024 (D, corrected December 13, 2024); November 17, 2023 (D, corrected December 15, 2023).
  • F 0758, pharmacy service: November 15, 2024 (D, corrected December 13, 2024); November 17, 2023 (D, corrected December 15, 2023).
  • F 0759, pharmacy service: November 15, 2024 (D, corrected December 13, 2024).
  • F 0801, nutrition and dietary: November 15, 2024 (D, corrected December 13, 2024); November 17, 2023 (D, corrected December 15, 2023).
  • F 0803, nutrition and dietary: November 15, 2024 (D, corrected December 13, 2024).
  • F 0808, nutrition and dietary: November 15, 2024 (D, corrected December 13, 2024).
  • F 0881, infection control: November 15, 2024 (D, corrected December 13, 2024); November 17, 2023 (D, corrected December 15, 2023).
  • F 0908, environmental: November 15, 2024 (D, corrected December 13, 2024); November 17, 2023 (D, corrected December 17, 2023).
  • F 0625, resident rights: November 17, 2023 (D, corrected December 15, 2023).
  • F 0679, quality of life and care: November 17, 2023 (D, corrected December 15, 2023).
  • F 0802, nutrition and dietary: November 17, 2023 (D, corrected December 15, 2023).
  • F 0813, nutrition and dietary: November 17, 2023 (D, corrected December 15, 2023).

SAN JUAN HILLS HEALTHCARE CENTER in Care Compare

  • Ownership Type: For profit - Limited Liability company
  • Legal Business Name: ASRV LLC
  • Date First Approved to Provide Medicare and Medicaid Services: 2000-08-31
  • Provider Resides in Hospital: N
  • Continuing Care Retirement Community: Y
  • Urban: Y
  • County/Parish: Orange
  • Telephone Number: 9492488855
  • Chain Name: ASPEN SKILLED HEALTHCARE
  • Chain ID: 50
  • 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: 43.8
  • Overall Rating: 4
  • Health Inspection Rating: 3
  • 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 SAN JUAN HILLS HEALTHCARE CENTER: no penalty in Care Compare.

Other nursing facilities in California

Report a figure on SAN JUAN HILLS HEALTHCARE CENTER’s record that differs from its CMS file, quoting 555763.