Velarion Records

The 340B register and hospital finances — joined, watched daily, delivered.

Skilled nursing facility · CMS certification number 555772

Joshua Tree Post Acute

Yucca Valley, California · Medicare and Medicaid

Certified beds, as filed in Care Compare: 47

Finances, as filed

From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.

Cost report for 1 January 2024 to 31 December 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 23 September 2025.

Revenue and expenses, fiscal year 2024
FigureAs filedWhere it comes from
Total patient revenue$6,587,636CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$400,893CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$6,186,743CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$6,865,053CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$678,310CMS-2540-10 worksheet G300000 line 500 column 100
Total other income−$158,555CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$836,865CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$836,865 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2024
FigureAs filedWhere it comes from
Total facility beds, all components58CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components21,228CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days1,274CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days16,880CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days317CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components18,471CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges7CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges18CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges4CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components29CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days182CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days937.78CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days636.93CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1440027, read from the public cost report file SNF10FY2024.zip.

Fiscal year 2023, ended 31 December 2023

Cost report for 1 January 2023 to 31 December 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 9 September 2024.

Revenue and expenses, fiscal year 2023
FigureAs filedWhere it comes from
Total patient revenue$6,251,903CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts−$296,011CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$6,547,914CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$6,626,581CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$78,667CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$194CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$78,473CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$78,473 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2023
FigureAs filedWhere it comes from
Total facility beds, all components58CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components20,472CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components92CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days224.69CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days218.53CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days222.52CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1394301, read from the public cost report file SNF10FY2023.zip.

Fiscal year 2022, ended 31 December 2022

Cost report for 1 August 2022 to 31 December 2022 — a reporting period of 152 days, not a full year, on form CMS-2540-10, as submitted, processed by CMS on 14 July 2023.

Revenue and expenses, fiscal year 2022
FigureAs filedWhere it comes from
Total patient revenue$2,433,365CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts−$582,016CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$3,015,381CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$2,771,411CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$243,970CMS-2540-10 worksheet G300000 line 500 column 100
Net income after other income$243,970CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $243,970 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2022
FigureAs filedWhere it comes from
Total facility beds, all components58CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components7,585CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components40CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days103.19CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days288.08CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days189.63CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1356569, read from the public cost report file SNF10FY2022.zip.

Fiscal year 2021, ended 31 December 2021

Cost report for 1 January 2021 to 31 December 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 19 September 2022.

Revenue and expenses, fiscal year 2021
FigureAs filedWhere it comes from
Total patient revenue$3,315,850CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts−$70,701CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$3,386,551CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$4,204,335CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$817,784CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$661,464CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$156,320CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$156,320 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2021
FigureAs filedWhere it comes from
Total facility beds, all components58CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components14,677CMS-2540-10 worksheet S300001 line 800 column 700

CMS report record 1332884, read from the public cost report file SNF10FY2021.zip.

Fiscal year 2020, ended 31 December 2020

Cost report for 1 January 2020 to 31 December 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 17 November 2021.

Revenue and expenses, fiscal year 2020
FigureAs filedWhere it comes from
Total patient revenue$3,702,742CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts−$83,838CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$3,786,580CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$4,088,845CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$302,265CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$440,885CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$138,620CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $137,709 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2020
FigureAs filedWhere it comes from
Total facility beds, all components58CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components15,415CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components66CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days69.17CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days705.06CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days233.56CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1304830, read from the public cost report file SNF10FY2020.zip.

Fiscal year 2019, ended 31 December 2019

Cost report for 1 January 2019 to 31 December 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 23 November 2020.

Revenue and expenses, fiscal year 2019
FigureAs filedWhere it comes from
Total patient revenue$4,469,573CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$569,506CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$3,900,067CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$4,202,549CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$302,482CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$763CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$301,719CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$301,719 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2019
FigureAs filedWhere it comes from
Total facility beds, all components58CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components19,499CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components9CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days60.75CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days2,166.56CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1274275, read from the public cost report file SNF10FY2019.zip.

Fiscal year 2018, ended 31 December 2018

Cost report for 1 January 2018 to 31 December 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 19 September 2019.

None of these figures is carried on this report.

CMS report record 1243078, read from the public cost report file SNF10FY2018.zip.

Fiscal year 2017, ended 31 December 2017

Cost report for 1 January 2017 to 31 December 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 23 August 2018.

Revenue and expenses, fiscal year 2017
FigureAs filedWhere it comes from
Total patient revenue$3,962,245CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$324,421CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$3,637,824CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$3,894,927CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$257,103CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$259,677CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$2,574CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $2,574 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2017
FigureAs filedWhere it comes from
Total facility beds, all components58CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components19,846CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components105CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days24.31CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days347.47CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days189.01CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1210392, read from the public cost report file SNF10FY2017.zip.

Fiscal year 2016, ended 31 December 2016

Cost report for 1 January 2016 to 31 December 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 21 August 2017.

Revenue and expenses, fiscal year 2016
FigureAs filedWhere it comes from
Total patient revenue$4,413,832CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$984,258CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$3,429,574CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$3,815,918CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$386,344CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$269,899CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$116,445CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$116,445 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2016
FigureAs filedWhere it comes from
Total facility beds, all components58CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components20,437CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components98CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days22.79CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days431.79CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days208.54CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1174324, read from the public cost report file SNF10FY2016.zip.

Fiscal year 2015, ended 31 December 2015

Cost report for 1 January 2015 to 31 December 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 23 August 2016.

Revenue and expenses, fiscal year 2015
FigureAs filedWhere it comes from
Total patient revenue$3,594,611CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$502,085CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$3,092,526CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$3,687,091CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$594,565CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$157,614CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$436,951CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$436,951 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2015
FigureAs filedWhere it comes from
Total facility beds, all components58CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components20,386CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components87CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days20.25CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days373.27CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days234.32CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1142315, read from the public cost report file SNF10FY2015.zip.

Fiscal year 2014, ended 31 December 2014

Cost report for 1 January 2014 to 31 December 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 23 September 2015.

Revenue and expenses, fiscal year 2014
FigureAs filedWhere it comes from
Total patient revenue$3,971,906CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$786,929CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$3,184,977CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$3,461,511CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$276,534CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$132,122CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$144,412CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$144,412 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2014
FigureAs filedWhere it comes from
Total facility beds, all components58CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components19,842CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components89CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days13.3CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days335.53CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days222.94CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1110650, read from the public cost report file SNF10FY2014.zip.

Fiscal year 2013, ended 31 December 2013

Cost report for 1 January 2013 to 31 December 2013 — a reporting period of 364 days, on form CMS-2540-10, as submitted, processed by CMS on 20 June 2014.

Revenue and expenses, fiscal year 2013
FigureAs filedWhere it comes from
Total patient revenue$3,402,904CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$350,496CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$3,052,408CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$3,430,371CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$377,963CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$2,031CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$375,932CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$484,377 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2013
FigureAs filedWhere it comes from
Total facility beds, all components58CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components19,678CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components87CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days14.88CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days404.62CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days226.18CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1066423, read from the public cost report file SNF10FY2013.zip.

Fiscal year 2012, ended 31 December 2012

Cost report for 1 January 2012 to 31 December 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 16 August 2013.

Revenue and expenses, fiscal year 2012
FigureAs filedWhere it comes from
Total patient revenue$3,227,833CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$268,959CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$2,958,874CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$3,273,130CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$314,256CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$191,441CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$122,815CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$122,816 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2012
FigureAs filedWhere it comes from
Total facility beds, all components58CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components19,319CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components122CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days27.88CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days251.1CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days158.35CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1046654, read from the public cost report file SNF10FY2012.zip.

Fiscal year 2011, ended 31 December 2011

Cost report for 1 January 2011 to 31 December 2011 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 24 January 2013.

Revenue and expenses, fiscal year 2011
FigureAs filedWhere it comes from
Total patient revenue$2,823,498CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$392,033CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$2,431,465CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$2,914,616CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$483,151CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$26,988CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$456,163CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$546,584 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2011
FigureAs filedWhere it comes from
Total facility beds, all components58CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components16,025CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components208CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days24.44CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days98.16CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days77.04CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1023683, read from the public cost report file SNF10FY2011.zip.

Fiscal year 2010, ended 31 December 2010

Cost report for 1 January 2010 to 31 December 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 17 August 2011.

Revenue and expenses, fiscal year 2010
FigureAs filedWhere it comes from
Net patient revenue$3,034,378CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$3,232,553CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$198,175CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$2,149CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$17,084CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: −$213,110 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2010
FigureAs filedWhere it comes from
Total facility beds, all components58CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components19,217CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components135CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days33.2CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days224.71CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days142.35CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 415771, read from the public cost report file SNFFY2010.zip.

Fiscal year 2009, ended 31 December 2009

Cost report for 1 January 2009 to 31 December 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 9 September 2010.

Revenue and expenses, fiscal year 2009
FigureAs filedWhere it comes from
Net patient revenue$3,034,983CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$3,062,863CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$27,880CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$10,180CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$41,144CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: −$58,844 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2009
FigureAs filedWhere it comes from
Total facility beds, all components58CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components18,453CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components59CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days24.88CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days575.76CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days312.76CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 387486, read from the public cost report file SNFFY2009.zip.

Fiscal year 2008, ended 31 December 2008

Cost report for 1 January 2008 to 31 December 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 28 July 2009.

Revenue and expenses, fiscal year 2008
FigureAs filedWhere it comes from
Net patient revenue$3,419,285CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$2,979,210CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$440,075CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$4,904CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$180,726CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $264,253 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2008
FigureAs filedWhere it comes from
Total facility beds, all components58CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components20,064CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components73CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days111.5CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days339.65CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days274.85CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 352908, read from the public cost report file SNFFY2008.zip.

Fiscal year 2007, ended 31 December 2007

Cost report for 1 January 2007 to 31 December 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 13 August 2008.

Revenue and expenses, fiscal year 2007
FigureAs filedWhere it comes from
Net patient revenue$3,088,296CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$2,733,428CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$354,868CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$12,959CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$164,853CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $202,974 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2007
FigureAs filedWhere it comes from
Total facility beds, all components58CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components20,259CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components47CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days18.62CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days1,122.71CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days431.04CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 323821, read from the public cost report file SNFFY2007.zip.

Fiscal year 2006, ended 31 December 2006

Cost report for 1 January 2006 to 31 December 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 6 August 2007.

Revenue and expenses, fiscal year 2006
FigureAs filedWhere it comes from
Net patient revenue$2,689,175CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$2,679,285CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$9,890CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$92,788CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$800CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $101,878 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2006
FigureAs filedWhere it comes from
Total facility beds, all components58CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components19,530CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components70CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days22.17CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days1,159.18CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days279CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 291142, read from the public cost report file SNFFY2006.zip.

Fiscal year 2005, ended 31 December 2005

Cost report for 1 January 2005 to 31 December 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 14 September 2006.

Revenue and expenses, fiscal year 2005
FigureAs filedWhere it comes from
Net patient revenue$2,530,051CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$2,590,667CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$60,616CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$83,077CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$800CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $21,661 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2005
FigureAs filedWhere it comes from
Total facility beds, all components58CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components19,309CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components67CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days81.6CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days421CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days288.19CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 262441, read from the public cost report file SNFFY2005.zip.

Fiscal year 2004, ended 31 December 2004

Cost report for 1 January 2004 to 31 December 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 4 August 2005.

Revenue and expenses, fiscal year 2004
FigureAs filedWhere it comes from
Net patient revenue$2,414,086CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$2,323,553CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$90,533CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$9,141CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $99,674 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2004
FigureAs filedWhere it comes from
Total facility beds, all components58CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components19,364CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components51CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days25.4CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days422.19CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days379.69CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 229992, read from the public cost report file SNFFY2004.zip.

Fiscal year 2003, ended 31 December 2003

Cost report for 1 January 2003 to 31 December 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 1 September 2004.

Revenue and expenses, fiscal year 2003
FigureAs filedWhere it comes from
Net patient revenue$2,340,590CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$2,296,276CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$44,314CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$21,094CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $65,408 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2003
FigureAs filedWhere it comes from
Total facility beds, all components58CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components19,439CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components98CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days19.14CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days226.41CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days198.36CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 191737, read from the public cost report file SNFFY2003.zip.

Fiscal year 2002, ended 31 December 2002

Cost report for 1 January 2002 to 31 December 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 10 February 2005.

None of these figures is carried on this report.

CMS report record 206942, read from the public cost report file SNFFY2002.zip.

Fiscal year 2001, ended 31 December 2001

Cost report for 8 June 2001 to 31 December 2001 — a reporting period of 206 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 8 June 2004.

None of these figures is carried on this report.

CMS report record 180638, read from the public cost report file SNFFY2001.zip.

Nurse staffing

Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.

The staffing record →

Ownership, as filed with CMS

Care Compare

As filed in the CMS file dated 1 August 2026 (Care Compare ownership).

Owner or managerRoleTypeOwnership percentageAssociation
ROCKWELL HEALTHCARE LLC5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%since 08/01/2022
GOLBOO, SEPEHR5% OR GREATER INDIRECT OWNERSHIP INTERESTIndividual8%since 08/01/2022
FIGALAN, EDGAR EMMANUELADP OF THE SNFIndividualNOT APPLICABLEsince 01/20/2025
GOLBOO, SEPEHRADP OF THE SNFIndividualNOT APPLICABLEsince 08/01/2022
SIRON, RACHELLEADP OF THE SNFIndividualNOT APPLICABLEsince 08/01/2022
BYINGTON, DONALDCORPORATE DIRECTORIndividualNOT APPLICABLEsince 08/01/2022
POWELL, EVANGELINECORPORATE OFFICERIndividualNOT APPLICABLEsince 08/01/2022
SIRON, RACHELLEINDIRECT OWNERSHIP INTERESTIndividualNOT APPLICABLEsince 08/01/2023
BYINGTON, DONALDOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 08/01/2022
FIGALAN, EDGAR EMMANUELOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 01/20/2025
POWELL, EVANGELINEOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 08/01/2022
ROCKWELL HEALTHCARE LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEsince 08/01/2022
SIRON, RACHELLEOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 08/01/2022

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of JOSHUA TREE PACC, LLC (enrollment ID O20221206003346).

OwnerIndividual or organizationRoleOwnership percentageAssociation dateDescribed in the filing as
ROCKWELL HEALTHCARE LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST1008/1/2022
Private equity company: No
Real estate investment trust: No
Holding company: No
SEPEHR GOLBOOIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST88/1/2022
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
EDGAR EMMANUEL T FIGALANIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.1/20/2025
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
RACHELLE SIRONIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.8/1/2022
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
SEPEHR GOLBOOIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.8/1/2022
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
DONALD BYINGTONIndividualCORPORATE DIRECTOR1008/1/2022
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
EVANGELINE B POWELLIndividualCORPORATE OFFICER1008/1/2022
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
RACHELLE SIRONIndividualINDIRECT OWNERSHIP INTEREST38/1/2023
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
DONALD BYINGTONIndividualOPERATIONAL/MANAGERIAL CONTROL1008/1/2022
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
EDGAR EMMANUEL T FIGALANIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.1/20/2025
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
EVANGELINE B POWELLIndividualOPERATIONAL/MANAGERIAL CONTROL1008/1/2022
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
RACHELLE SIRONIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.8/1/2022
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
ROCKWELL HEALTHCARE LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL1008/1/2022
Private equity company: No
Real estate investment trust: No
Holding company: No

Changes in ownership

Recent changes on this record

Inspections

Inspection cycleHealth inspectionFire safety inspectionHealth deficienciesFire safety deficiencies
113 November 202513 November 2025107
220 September 202420 September 202463
329 March 202429 March 2024812

From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.

Deficiencies cited

24 deficiencies on file, newest inspection first
Inspection dateInspection typeTagCategoryWhat was citedScope and severityComplaintCorrectedCorrection date
13 November 2025HealthF 0552Resident Rights DeficienciesEnsure that residents are fully informed and understand their health status, care and treatments.DNoDeficient, Provider has date of correction26 November 2025
13 November 2025HealthF 0577Resident Rights DeficienciesAllow residents to easily view the nursing home's survey results and communicate with advocate agencies.CNoDeficient, Provider has date of correction26 November 2025
13 November 2025HealthF 0578Resident Rights DeficienciesHonor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.ENoDeficient, Provider has date of correction26 November 2025
13 November 2025HealthF 0584Resident Rights DeficienciesHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.DNoDeficient, Provider has date of correction26 November 2025
13 November 2025HealthF 0628Resident Rights DeficienciesProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.DNoDeficient, Provider has date of correction26 November 2025
13 November 2025HealthF 0644Resident Assessment and Care Planning DeficienciesCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.DNoDeficient, Provider has date of correction26 November 2025
13 November 2025HealthF 0761Pharmacy Service DeficienciesEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.DNoDeficient, Provider has date of correction26 November 2025
13 November 2025HealthF 0803Nutrition and Dietary DeficienciesEnsure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.DNoDeficient, Provider has date of correction26 November 2025
13 November 2025HealthF 0842Resident Assessment and Care Planning DeficienciesSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DNoDeficient, Provider has date of correction26 November 2025
13 November 2025HealthF 0908Environmental DeficienciesKeep all essential equipment working safely.FNoDeficient, Provider has date of correction26 November 2025
20 September 2024HealthF 0558Resident Rights DeficienciesReasonably accommodate the needs and preferences of each resident.DNoDeficient, Provider has date of correction11 October 2024
20 September 2024HealthF 0677Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.DNoDeficient, Provider has date of correction11 October 2024
20 September 2024HealthF 0684Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.DNoDeficient, Provider has date of correction11 October 2024
20 September 2024HealthF 0692Quality of Life and Care DeficienciesProvide enough food/fluids to maintain a resident's health.DNoDeficient, Provider has date of correction11 October 2024
20 September 2024HealthF 0842Resident Assessment and Care Planning DeficienciesSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DNoDeficient, Provider has date of correction11 October 2024
14 August 2024HealthF 0600Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DYesDeficient, Provider has date of correction23 August 2024
2 May 2024HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DYesDeficient, Provider has date of correction14 May 2024
29 March 2024HealthF 0584Resident Rights DeficienciesHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.DNoDeficient, Provider has date of correction19 April 2024
29 March 2024HealthF 0685Quality of Life and Care DeficienciesAssist a resident in gaining access to vision and hearing services.DNoDeficient, Provider has date of correction19 April 2024
29 March 2024HealthF 0761Pharmacy Service DeficienciesEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.DNoDeficient, Provider has date of correction19 April 2024
29 March 2024HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.DNoDeficient, Provider has date of correction19 April 2024
25 January 2024HealthF 0609Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DYesDeficient, Provider has date of correction16 February 2024
6 October 2023HealthF 0642Resident Assessment and Care Planning DeficienciesEnsure a qualified health professional conducts resident assessments.EYesDeficient, Provider has date of correction6 November 2023
6 October 2023HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EYesDeficient, Provider has date of correction6 November 2023

From the Care Compare health citations file NH_HealthCitations_Aug2026.csv, processed on 1 August 2026.

Penalties

Penalty dateTypeFine amountPayment denial beganPayment denial, daysFine ID
17 October 2023Fine$9,527129081
6 October 2023Fine$24,224130023
6 October 2023Payment Denial9 November 202311

From the Care Compare penalties file NH_Penalties_Aug2026.csv, processed on 1 August 2026.

Care Compare provider information

FieldAs filed
Provider TypeMedicare and Medicaid
Ownership TypeFor profit - Limited Liability company
Legal Business NameJOSHUA TREE PACC, LLC
Date First Approved to Provide Medicare and Medicaid Services2001-06-08
Provider Resides in HospitalN
Continuing Care Retirement CommunityN
UrbanY
County/ParishSan Bernardino
Telephone Number7608534760
Chain NameROCKWELL HEALTHCARE
Chain ID897
Provider Changed Ownership in Last 12 MonthsN
With a Resident and Family CouncilResident
Automatic Sprinkler Systems in All Required AreasYes
Number of Certified Beds47
Average Number of Residents per Day55.6
Overall Rating4
Health Inspection Rating4
QM Rating3
Long-Stay QM Rating4
Short-Stay QM Rating1
Processing Date2026-08-01

From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on 1 August 2026.

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One email a day naming what moved on Joshua Tree Post Acute: the field, the value before, the value after, and the date of the file that first showed it.

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On 1 July 2026: JBG PARTNERS LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. That is one line of the alert.

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The citable document for Joshua Tree Post Acute

This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in California at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.

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Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 555772.