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Skilled nursing facility · CMS certification number 555793

VI AT LA JOLLA VILLAGE

SAN DIEGO, California · Medicare · 60 certified beds in Care Compare

Download VI AT LA JOLLA VILLAGE’s record (CSV, each figure with its worksheet, line and column)

VI AT LA JOLLA VILLAGE: its citable report, full history — $295 · an email when it changes — $99/month

What stands out

  • Its latest cost report on file is for fiscal year 2024, covering January 1, 2024 to December 31, 2024 (365 days), and CMS processed it on August 29, 2025.
  • Net patient revenue rose from $10.6M in fiscal year 2023 to $12.6M in fiscal year 2024.
  • Its result from service to patients: −$19.4M (2022), −$17.6M (2023), −$18.0M (2024).
  • Its cost reports on file run from fiscal year 2003 to fiscal year 2024.
  • Its net patient revenue of $12.6M ranks 601st of the 951 nursing facilities in California whose latest cost report on file is fiscal year 2024.
  • 1 of the 5 nursing facilities in California closest in size to it, whose latest cost report on file is fiscal year 2024, also reports a loss on service to patients.

VI AT LA JOLLA VILLAGE: Medicare cost reports

Form CMS-2540-10: each report covers January 1 to December 31 of its year; every report is settled.

Cost reports on form CMS-2540-10, fiscal years 2011 to 2024
Form CMS-2540-102024 · report 14383302023 · report 13925372022 · report 13642282021 · report 13339232020 · report 13024382019 · report 12642792018 · report 12393872017 · report 12089422016 · report 11717322015 · report 11425292014 · report 11103842013 · report 10740852012 · report 10424532011 · report 1024420
Processed by CMSAugust 29, 2025August 19, 2024September 9, 2023September 23, 2022October 20, 2021August 19, 2020August 2, 2019August 21, 2018August 3, 2017August 25, 2016September 22, 2015July 29, 2014July 23, 2013January 31, 2013
Total patient revenue$20,814,960$18,675,689$17,529,840$16,212,663$13,611,672$15,360,268$14,401,701$14,756,586$16,440,632$15,812,338$15,171,299$15,277,095$13,225,532$13,033,990
Contractual allowances and discounts$8,254,317$8,105,617$7,036,335$7,011,714$5,475,659$5,756,938$5,976,049$6,030,832$6,733,977$6,229,794$5,875,758$6,138,731$4,138,710$4,561,791
Net patient revenue$12,560,643$10,570,072$10,493,505$9,200,949$8,136,013$9,603,330$8,425,652$8,725,754$9,706,655$9,582,544$9,295,541$9,138,364$9,086,822$8,472,199
Total operating expenses$30,515,389$28,177,236$29,863,226$29,418,776$28,764,668$28,289,592$27,265,797$26,171,456$26,533,599$25,695,775$25,145,005$24,450,924$24,469,606$25,086,029
Net income from service to patients−$17,954,746−$17,607,164−$19,369,721−$20,217,827−$20,628,655−$18,686,262−$18,840,145−$17,445,702−$16,826,944−$16,113,231−$15,849,464−$15,312,560−$15,382,784−$16,613,830
Total other income$48,482,581$46,107,885$41,849,601$40,787,616$40,976,981$39,683,793$38,606,788$38,126,268$35,890,557$34,073,145$30,448,158$27,194,849$24,790,851$24,777,634
Net income after other income$30,527,835$28,500,721$22,479,880$20,569,789$20,348,326$20,997,531$19,766,643$20,680,566$19,063,613$17,959,914$14,598,694$11,882,289$9,408,067$8,163,804
Net income$575,473$653,291−$2,143,430−$2,216,776−$2,279,770−$743,159−$1,280,633−$4,193,392$114,810−$1,608,194−$1,589,722−$2,241,130−$3,285,137−$5,973,059
Total facility beds, all components606060606060606060606060139139
Bed days available, all components21,960—————————————
Medicare (Title XVIII) patient days6,187—————————————
Other-payer patient days12,381—————————————
Total patient days, all components18,56817,28617,26115,95513,18016,61315,92417,71020,06019,91919,27319,09119,39819,549
Medicare discharges198—————————————
Other-payer discharges74—————————————
Total discharges, all components272220226190225316316348342349339358457369
Average length of stay, Medicare, in days31.2531.8626.929.5124.8523.7524.5821.6925.0725.625.8527.620.8823.76
Average length of stay, all patients, in days68.2678.5776.3883.9758.5852.5750.3950.8958.6557.0756.8553.3342.4552.98

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 2003 to 2010
Form CMS-2540-962010 · report 4114552009 · report 3838512008 · report 3565122007 · report 3189182006 · report 2918832005 · report 2609142004 · report 2289542003 · report 207581
Period beganJanuary 1, 2010January 1, 2009January 1, 2008January 1, 2007January 1, 2006January 1, 2005February 1, 2004June 26, 2002
Period endedDecember 31, 2010December 31, 2009December 31, 2008December 31, 2007December 31, 2006December 31, 2005December 31, 2004January 31, 2003
Days, where not a full year———————219
Processed by CMSJuly 19, 2011July 27, 2010September 11, 2009July 23, 2008August 14, 2007August 10, 2006July 26, 2005February 15, 2005
Net patient revenue$8,644,369$7,116,319$8,174,510$8,150,969$8,388,242$8,311,922$14,766,126$5,745,148
Total operating expenses$24,768,200$18,008,937$16,346,668$14,614,226$14,481,995$8,632,205$15,610,615$7,333,928
Net income from service to patients−$16,123,831−$10,892,618−$8,172,158−$6,463,257−$6,093,753−$320,283−$844,489−$1,588,780
Total other income$25,523,350$27,314,514$22,997,490$15,290,060$6,015,063$108,227$143,530$49,481
Total other expenses$14,683,248$23,342,930$24,155,018$11,524,096————
Net income−$5,283,729−$6,921,034−$9,329,686−$2,697,293−$78,690−$212,056−$700,959−$1,539,299
Total facility beds, all components139139139139139139139139
Total patient days, all components19,14718,97818,44020,07119,95838,14732,67512,032
Total discharges, all components411359358298340479291112
Average length of stay, Medicare, in days22.9825.7624.2719.4620.5225.2221.2153.4
Average length of stay, all patients, in days46.5952.8651.5167.3558.779.64112.29107.43

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

VI AT LA JOLLA VILLAGE: nurse staffing hours by quarter →

Who owns VI AT LA JOLLA VILLAGE, as filed with CMS

Care Compare

  • 5% OR GREATER DIRECT OWNERSHIP INTEREST: CC LA JOLLA LLC (organization), 100%%, since 04/03/1998
  • 5% OR GREATER INDIRECT OWNERSHIP INTEREST: CC DEVELOPMENT GROUP II LLC (organization), 100%%, since 05/01/2026
  • ADP OF THE SNF: BLYS, ELLEN (individual), NOT APPLICABLE, since 10/26/2015; BOUDREAU, STEPHANIE (individual), NOT APPLICABLE, since 03/15/2011; CLASSIC RESIDENCE MANAGEMENT LIMITED PARTNERSHIP (organization), NOT APPLICABLE, since 09/25/2025; COPE, TARA (individual), NOT APPLICABLE, since 06/01/2018; EVRAETS, MELISSA (individual), NOT APPLICABLE, since 08/31/2020; KOSZYLKO, TOMEK (individual), NOT APPLICABLE, since 10/15/2018; MASLOW, CARY (individual), NOT APPLICABLE, since 08/01/2019; MUSZYNSKI, THOMAS (individual), NOT APPLICABLE, since 06/01/2022; PATTERSON, AMY (individual), NOT APPLICABLE, since 02/13/2023; RAWI, TAIB (individual), NOT APPLICABLE, since 02/01/2019; SMITH, GARY (individual), NOT APPLICABLE, since 06/01/2022; WHITE, KELLY (individual), NOT APPLICABLE, since 04/21/2024; WILLIAMS, BRIDGET (individual), NOT APPLICABLE, since 12/01/2022
  • CORPORATE OFFICER: COPE, TARA (individual), NOT APPLICABLE, since 05/01/2026
  • OPERATIONAL/MANAGERIAL CONTROL: BLYS, ELLEN (individual), NOT APPLICABLE, since 10/26/2015; BOUDREAU, STEPHANIE (individual), NOT APPLICABLE, since 03/15/2011; CLASSIC RESIDENCE MANAGEMENT LIMITED PARTNERSHIP (organization), NOT APPLICABLE, since 10/26/2005; EVRAETS, MELISSA (individual), NOT APPLICABLE, since 08/31/2020; KOSZYLKO, TOMEK (individual), NOT APPLICABLE, since 10/15/2018; MASLOW, CARY (individual), NOT APPLICABLE, since 08/01/2019; MUSZYNSKI, THOMAS (individual), NOT APPLICABLE, since 06/01/2022; PATTERSON, AMY (individual), NOT APPLICABLE, since 02/13/2023; RAWI, TAIB (individual), NOT APPLICABLE, since 02/01/2019; SMITH, GARY (individual), NOT APPLICABLE, since 06/01/2022; WHITE, KELLY (individual), NOT APPLICABLE, since 04/21/2024; WILLIAMS, BRIDGET (individual), NOT APPLICABLE, since 12/01/2022

Medicare enrollment

As filed in the CMS file dated October 1, 2026 (Medicare enrollment ownership), under the enrollment of CCW LA JOLLA, LLC (enrollment ID O20100819000721).

  • 5% OR GREATER DIRECT OWNERSHIP INTEREST: CC LA JOLLA LLC (organization), 100.00%, since 04/03/1998
  • 5% OR GREATER INDIRECT OWNERSHIP INTEREST: CC DEVELOPMENT GROUP II LLC (organization), 100.00%, since 05/01/2026; CC LIVING HOLDING COMPANY LLC (organization), 100.00%, since 05/01/2026
  • ADP OF THE SNF: AMY PATTERSON (individual), since 02/13/2023; BRIDGET WILLIAMS (individual), since 12/01/2022; CARY MASLOW (individual), since 08/01/2019; CLASSIC RESIDENCE MANAGEMENT LIMITED PARTNERSHIP (organization), since 09/25/2025; ELLEN M. BLYS (individual), since 10/26/2015; GARY SMITH (individual), since 06/01/2022; KELLY WHITE (individual), since 04/21/2024; MELISSA G EVRAETS (individual), since 08/31/2020; STEPHANIE BOUDREAU (individual), since 03/15/2011; TAIB RAWI (individual), since 02/01/2019; TARA COPE (individual), since 06/01/2018; THOMAS J MUSZYNSKI (individual), since 06/01/2022; TOMEK KOSZYLKO (individual), since 10/15/2018; No owner named in the filing (individual), since 02/01/2024; No owner named in the filing (individual), since 11/01/2017; No owner named in the filing (organization), since 09/25/2025; No owner named in the filing (organization), since 09/25/2025; No owner named in the filing (individual), since 07/01/2019
  • CORPORATE OFFICER: TARA COPE (individual), 0.00%, since 05/01/2026
  • OPERATIONAL/MANAGERIAL CONTROL: AMY PATTERSON (individual), since 02/13/2023; BRIDGET WILLIAMS (individual), since 12/01/2022; CARY MASLOW (individual), since 08/01/2019; CLASSIC RESIDENCE MANAGEMENT LIMITED PARTNERSHIP (organization), since 10/26/2005; ELLEN M. BLYS (individual), since 10/26/2015; GARY SMITH (individual), since 06/01/2022; KELLY WHITE (individual), since 04/21/2024; MELISSA G EVRAETS (individual), since 08/31/2020; STEPHANIE BOUDREAU (individual), since 03/15/2011; TAIB RAWI (individual), since 02/01/2019; THOMAS J MUSZYNSKI (individual), since 06/01/2022; TOMEK KOSZYLKO (individual), since 10/15/2018

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

Private equity company, real estate investment trust and holding company: No: CC LA JOLLA LLC; CC DEVELOPMENT GROUP II LLC; CC LIVING HOLDING COMPANY LLC; CLASSIC RESIDENCE MANAGEMENT LIMITED PARTNERSHIP; No owner named in the filing; No owner named in the filing; CLASSIC RESIDENCE MANAGEMENT LIMITED PARTNERSHIP.

Private equity company, real estate investment trust and holding company: Paused by CMS: AMY PATTERSON; BRIDGET WILLIAMS; CARY MASLOW; ELLEN M. BLYS; GARY SMITH; KELLY WHITE; MELISSA G EVRAETS; STEPHANIE BOUDREAU; TAIB RAWI; TARA COPE; THOMAS J MUSZYNSKI; TOMEK KOSZYLKO; No owner named in the filing; No owner named in the filing; No owner named in the filing; TARA COPE; AMY PATTERSON; BRIDGET WILLIAMS; CARY MASLOW; ELLEN M. BLYS; GARY SMITH; KELLY WHITE; MELISSA G EVRAETS; STEPHANIE BOUDREAU; TAIB RAWI; THOMAS J MUSZYNSKI; TOMEK KOSZYLKO.

Changes in ownership

  • September 1, 2026, Care Compare ownership file; no longer listed: CC LIVING HOLDING COMPANY LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST). NH_Ownership_Sep2026_2.csv
  • July 1, 2026, enrollment ownership file; no longer listed: P. G. - TONY TRUST (5% OR GREATER INDIRECT OWNERSHIP INTEREST); P. G. - JOHNNY TRUST (5% OR GREATER INDIRECT OWNERSHIP INTEREST); P. G. - KAREN TRUST (5% OR GREATER INDIRECT OWNERSHIP INTEREST); PRITZKER PUCKER FAMILY FOUNDATION NO. 2 (5% OR GREATER INDIRECT OWNERSHIP INTEREST); P. G. - LINDA TRUST (5% OR GREATER INDIRECT OWNERSHIP INTEREST); MARGOT AND TOM PRITZKER FOUNDATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST); P. G. - NICHOLAS TRUST (5% OR GREATER INDIRECT OWNERSHIP INTEREST); TARA COPE (OPERATIONAL/MANAGERIAL CONTROL); P. G. - JIM TRUST (5% OR GREATER INDIRECT OWNERSHIP INTEREST); P. G. - DANIEL TRUST (5% OR GREATER INDIRECT OWNERSHIP INTEREST); CC-DEVELOPMENT GROUP, INC. (5% OR GREATER INDIRECT OWNERSHIP INTEREST); ALEXANDER HIBBS (ADP OF THE SNF); ALEXANDER HIBBS (CORPORATE OFFICER); NEAL P BOYLE (ADP OF THE SNF); NEAL P BOYLE (CORPORATE OFFICER); P. G. - DON #3 TRUST (5% OR GREATER INDIRECT OWNERSHIP INTEREST); STEVEN DALE FOWLER (ADP OF THE SNF); STEVEN DALE FOWLER (CORPORATE OFFICER); listed: CC DEVELOPMENT GROUP II LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST); TARA COPE (CORPORATE OFFICER); CC LIVING HOLDING COMPANY LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST). Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
  • April 1, 2026, enrollment ownership file; no longer listed: ELLEN M. BLYS (W-2 MANAGING EMPLOYEE); STEPHANIE BOUDREAU (W-2 MANAGING EMPLOYEE); P. G. - TOM TRUST (5% OR GREATER INDIRECT OWNERSHIP INTEREST); DARRELL P BALTIMORE (CORPORATE OFFICER); BRIDGET WILLIAMS (W-2 MANAGING EMPLOYEE); P. G. - JEAN TRUST (5% OR GREATER INDIRECT OWNERSHIP INTEREST); AMY PATTERSON (W-2 MANAGING EMPLOYEE); first listed: KELLY WHITE (ADP OF THE SNF), associated since April 21, 2024; KELLY WHITE (OPERATIONAL/MANAGERIAL CONTROL), associated since April 21, 2024; ELLEN M. BLYS (ADP OF THE SNF), associated since October 26, 2015; ELLEN M. BLYS (OPERATIONAL/MANAGERIAL CONTROL), associated since October 26, 2015; CLASSIC RESIDENCE MANAGEMENT LIMITED PARTNERSHIP (ADP OF THE SNF), associated since September 25, 2025; GARY SMITH (ADP OF THE SNF), associated since June 1, 2022; GARY SMITH (OPERATIONAL/MANAGERIAL CONTROL), associated since June 1, 2022; STEPHANIE BOUDREAU (ADP OF THE SNF), associated since March 15, 2011; STEPHANIE BOUDREAU (OPERATIONAL/MANAGERIAL CONTROL), associated since March 15, 2011; MELISSA G EVRAETS (ADP OF THE SNF), associated since August 31, 2020; MELISSA G EVRAETS (OPERATIONAL/MANAGERIAL CONTROL), associated since August 31, 2020; TAIB RAWI (ADP OF THE SNF), associated since February 1, 2019; TAIB RAWI (OPERATIONAL/MANAGERIAL CONTROL), associated since February 1, 2019; PRITZKER PUCKER FAMILY FOUNDATION NO. 2 (5% OR GREATER INDIRECT OWNERSHIP INTEREST), associated since May 22, 2025; MARGOT AND TOM PRITZKER FOUNDATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST), associated since May 22, 2025; BRIDGET WILLIAMS (ADP OF THE SNF), associated since December 1, 2022; BRIDGET WILLIAMS (OPERATIONAL/MANAGERIAL CONTROL), associated since December 1, 2022; TARA COPE (ADP OF THE SNF), associated since June 1, 2018; TARA COPE (OPERATIONAL/MANAGERIAL CONTROL), associated since June 1, 2018; TOMEK KOSZYLKO (ADP OF THE SNF), associated since October 15, 2018; TOMEK KOSZYLKO (OPERATIONAL/MANAGERIAL CONTROL), associated since October 15, 2018; ALEXANDER HIBBS (ADP OF THE SNF), associated since June 20, 2023; ALEXANDER HIBBS (CORPORATE OFFICER), associated since June 20, 2023; THOMAS J MUSZYNSKI (ADP OF THE SNF), associated since June 1, 2022; THOMAS J MUSZYNSKI (OPERATIONAL/MANAGERIAL CONTROL), associated since June 1, 2022; NEAL P BOYLE (ADP OF THE SNF), associated since February 14, 2020; AMY PATTERSON (ADP OF THE SNF), associated since February 13, 2023; AMY PATTERSON (OPERATIONAL/MANAGERIAL CONTROL), associated since February 13, 2023; CARY MASLOW (ADP OF THE SNF), associated since August 1, 2019; CARY MASLOW (OPERATIONAL/MANAGERIAL CONTROL), associated since August 1, 2019; STEVEN DALE FOWLER (ADP OF THE SNF), associated since October 11, 2024; STEVEN DALE FOWLER (CORPORATE OFFICER), associated since October 11, 2024; a listing under ADP OF THE SNF with no owner named, associated since November 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
  • April 14, 2023, enrollment ownership file; no longer listed: TARA COPE (OTHER); THOMAS J MUSZYNSKI (OFFICER); CARY MASLOW (DIRECTOR); CARY MASLOW (OFFICER); first listed: DARRELL P BALTIMORE (OFFICER), associated since June 1, 2022; BRIDGET WILLIAMS (W-2 MANAGING EMPLOYEE), associated since December 1, 2022; AMY PATTERSON (W-2 MANAGING EMPLOYEE), associated since February 13, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv

Inspections of VI AT LA JOLLA VILLAGE

  • Cycle 1: health August 28, 2025 (6 deficiencies), fire safety August 28, 2025 (8)
  • Cycle 2: health September 1, 2023 (6 deficiencies), fire safety September 1, 2023 (5)
  • Cycle 3: health November 8, 2019 (2 deficiencies), fire safety November 8, 2019 (5)

Deficiencies cited at VI AT LA JOLLA VILLAGE

15 deficiencies on file, by tag, newest citation first

every one from a health inspection; every one marked “Deficient, Provider has date of correction”; 4 cited from a complaint, marked below. Letter after a date: scope and severity grade.

  • F 0552, resident rights: August 28, 2025 (D, corrected September 10, 2025).
  • F 0605, freedom from abuse, neglect, and exploitation: August 28, 2025 (D, corrected September 10, 2025).
  • F 0679, quality of life and care: August 28, 2025 (D, corrected September 10, 2025).
  • F 0755, pharmacy service: August 28, 2025 (D, corrected September 10, 2025); September 1, 2023 (D, corrected September 29, 2023).
  • F 0757, pharmacy service: August 28, 2025 (D, corrected September 10, 2025).
  • F 0761, pharmacy service: August 28, 2025 (D, corrected September 10, 2025); September 1, 2023 (D, corrected September 29, 2023).
  • F 0583, resident rights: August 12, 2025 (E, from a complaint, corrected August 27, 2025).
  • F 0760, pharmacy service: May 7, 2025 (D, from a complaint, corrected May 25, 2025).
  • F 0609, freedom from abuse, neglect, and exploitation: October 19, 2023 (D, from a complaint, corrected October 20, 2023).
  • F 0656, resident assessment and care planning: September 22, 2023 (E, from a complaint, corrected October 6, 2023).
  • F 0684, quality of life and care: September 1, 2023 (D, corrected September 29, 2023).
  • F 0880, infection control: September 1, 2023 (D, corrected September 29, 2023).
  • F 0697, quality of life and care: November 8, 2019 (D, corrected November 9, 2019).

VI AT LA JOLLA VILLAGE in Care Compare

  • Ownership Type: For profit - Limited Liability company
  • Legal Business Name: CCW LA JOLLA, LLC
  • Date First Approved to Provide Medicare and Medicaid Services: 2002-06-26
  • Provider Resides in Hospital: N
  • Continuing Care Retirement Community: Y
  • Urban: Y
  • County/Parish: San Diego
  • Telephone Number: 8586463400
  • Chain Name: VI LIVING
  • Chain ID: 548
  • 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: 54.9
  • Overall Rating: 5
  • Health Inspection Rating: 5
  • QM Rating: 4
  • Long-Stay QM Rating: 4
  • Short-Stay QM Rating: 4

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

Nothing on file for VI AT LA JOLLA VILLAGE: no penalty in Care Compare.

Other nursing facilities in SAN DIEGO

Report a figure on VI AT LA JOLLA VILLAGE’s record that differs from its CMS file, quoting 555793.