Skilled nursing facility · CMS certification number 555796
MISSION CARE CENTER
ROSEMEAD, California · Medicare and Medicaid · 59 certified beds in Care Compare
Download MISSION CARE CENTER’s record (CSV, each figure with its worksheet, line and column)
MISSION CARE 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 August 28, 2025.
- Net patient revenue fell from $11,630,843 in fiscal year 2023 to $11,613,552 in fiscal year 2024.
- Its result from service to patients: $1.0M (2022), $1.6M (2023), $1.7M (2024).
- Its cost reports on file run from fiscal year 2002 to fiscal year 2024.
- Its net patient revenue of $11.6M ranks 670th of the 951 nursing facilities in California whose latest cost report on file is fiscal year 2024.
- 2 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.
MISSION CARE CENTER: Medicare cost reports
Form CMS-2540-10: each report covers January 1 to December 31 of its year; every report is settled.
| Form CMS-2540-10 | 2024 · report 1435920 | 2023 · report 1392327 | 2022 · report 1364346 | 2021 · report 1333473 | 2020 · report 1301746 | 2019 · report 1275223 | 2018 · report 1242240 | 2017 · report 1245076 | 2016 · report 1173291 | 2015 · report 1181564 | 2014 · report 1146014 | 2013 · report 1090053 | 2012 · report 1081174 | 2011 · report 1031594 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Processed by CMS | August 28, 2025 | August 15, 2024 | September 9, 2023 | September 21, 2022 | September 30, 2021 | December 7, 2020 | August 23, 2019 | October 30, 2019 | August 15, 2017 | December 29, 2017 | November 7, 2016 | May 7, 2015 | November 27, 2014 | June 3, 2013 |
| Total patient revenue | $11,798,473 | $12,434,933 | $10,635,928 | $9,879,340 | $9,535,421 | $9,366,632 | $8,476,893 | $8,629,526 | $8,554,082 | $8,899,049 | $8,396,930 | $8,430,995 | $8,379,419 | $7,775,517 |
| Contractual allowances and discounts | $184,921 | $804,090 | −$3,745 | −$477,266 | −$108,751 | — | −$955,886 | −$840,977 | −$589,347 | $175,706 | −$162,855 | $53,253 | $347,798 | −$149,190 |
| Net patient revenue | $11,613,552 | $11,630,843 | $10,639,673 | $10,356,606 | $9,644,172 | $9,366,632 | $9,432,779 | $9,470,503 | $9,143,429 | $8,723,343 | $8,559,785 | $8,377,742 | $8,031,621 | $7,924,707 |
| Total operating expenses | $9,903,060 | $10,030,997 | $9,625,289 | $9,215,066 | $8,675,680 | $8,573,672 | $8,544,172 | $8,720,824 | $8,140,752 | $8,078,913 | $7,421,786 | $7,154,840 | $6,800,567 | $6,723,393 |
| Net income from service to patients | $1,710,492 | $1,599,846 | $1,014,384 | $1,141,540 | $968,492 | $792,960 | $888,607 | $749,679 | $1,002,677 | $644,430 | $1,137,999 | $1,222,902 | $1,231,054 | $1,201,314 |
| Total other income | $6,861 | $817 | $5,708 | $1,284 | $707 | $2,029 | $4,470 | $4,158 | $9,680 | $983 | $2,510 | $3,858 | $2,549 | $265 |
| Net income after other income | $1,717,353 | $1,600,663 | $1,020,092 | $1,142,824 | $969,199 | $794,989 | $893,077 | $753,837 | $1,012,357 | $645,413 | $1,140,509 | $1,226,760 | $1,233,603 | $1,201,579 |
| Net income | $1,717,765 | $1,600,663 | $1,020,092 | $1,142,824 | $969,199 | $794,746 | $892,775 | $753,837 | $1,012,357 | $645,413 | $1,140,508 | $1,226,760 | $1,233,603 | $1,201,579 |
| Total facility beds, all components | 58 | 58 | 58 | 58 | 58 | 58 | 58 | 59 | 59 | 59 | 59 | 59 | 59 | 59 |
| Bed days available, all components | 21,228 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Medicare (Title XVIII) patient days | 6,223 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Medicaid (Title XIX) patient days | 4,423 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Other-payer patient days | 7,750 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Total patient days, all components | 18,396 | 18,665 | 18,361 | 18,295 | 17,981 | 18,825 | 18,995 | 18,707 | 17,834 | 18,086 | 17,548 | 17,539 | 18,344 | 18,084 |
| Medicare discharges | 150 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Medicaid discharges | 6 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Other-payer discharges | 373 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Total discharges, all components | 529 | 481 | 615 | 713 | 458 | 633 | 652 | 562 | 449 | 482 | 552 | 559 | 496 | 520 |
| Average length of stay, Medicare, in days | 41.49 | 45.9 | 40.74 | 37.4 | 45.34 | 38.01 | 36.85 | 38 | 37.09 | 35.9 | 33.3 | 32.17 | 34.73 | 32.85 |
| Average length of stay, Medicaid, in days | 737.17 | 679.75 | 684.5 | 949.5 | 1,539.5 | 1,038 | 519.3 | 246.31 | 222 | 235.83 | 134 | 189.94 | 157.9 | 130.09 |
| Average length of stay, all patients, in days | 34.78 | 38.8 | 29.86 | 25.66 | 39.26 | 29.74 | 29.13 | 33.29 | 39.72 | 37.52 | 31.79 | 31.38 | 36.98 | 34.78 |
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.
| Form CMS-2540-96 | 2010 · report 430717 | 2009 · report 384564 | 2008 · report 352264 | 2007 · report 324297 | 2006 · report 296016 | 2005 · report 267214 | 2004 · report 242796 | 2003 · report 203652 | 2002 · report 204030 |
|---|---|---|---|---|---|---|---|---|---|
| Period began | January 1, 2010 | January 1, 2009 | January 1, 2008 | January 1, 2007 | January 1, 2006 | May 5, 2005 | January 1, 2004 | January 1, 2003 | September 30, 2002 |
| Period ended | December 31, 2010 | December 31, 2009 | December 31, 2008 | December 31, 2007 | December 31, 2006 | December 31, 2005 | December 31, 2004 | December 31, 2003 | December 31, 2002 |
| Days, where not a full year | — | — | — | — | — | 240 | — | — | 92 |
| Processed by CMS | June 20, 2012 | August 2, 2010 | July 23, 2009 | August 18, 2008 | November 8, 2007 | November 28, 2006 | February 14, 2006 | December 29, 2004 | January 19, 2005 |
| Net patient revenue | $6,521,645 | $5,979,475 | $5,630,657 | $5,066,352 | $4,818,550 | $2,186,641 | $6,071,460 | $6,267,057 | — |
| Total operating expenses | $5,691,245 | $5,143,217 | $4,942,346 | $4,126,413 | $4,322,982 | $2,049,524 | $7,149,759 | $7,383,505 | — |
| Net income from service to patients | $830,400 | $836,258 | $688,311 | $939,939 | $495,568 | $137,117 | −$1,078,299 | −$1,116,448 | — |
| Total other income | $106 | $675 | $864 | $6,979 | $3,793 | $6,001 | $971,874 | $566,696 | — |
| Total other expenses | — | — | — | — | — | — | $123,745 | — | — |
| Net income | $830,506 | $836,933 | $689,175 | $946,918 | $499,361 | $143,118 | −$230,170 | −$549,752 | — |
| Total facility beds, all components | 59 | 59 | 59 | 59 | 59 | 59 | 204 | 59 | — |
| Total patient days, all components | 18,111 | 18,260 | 18,030 | 17,661 | 18,943 | 10,352 | 51,801 | 18,779 | — |
| Total discharges, all components | 376 | 391 | 355 | 341 | 249 | 70 | 107 | 159 | — |
| Average length of stay, Medicare, in days | 37.2 | 36.74 | 50.55 | 37.71 | 52.91 | 83.71 | 63.5 | 65.67 | — |
| Average length of stay, Medicaid, in days | 117.02 | 94.6 | 77.68 | 101.29 | 121.52 | 239.71 | 600.25 | — | — |
| Average length of stay, all patients, in days | 48.17 | 46.7 | 50.79 | 51.79 | 76.08 | 147.89 | 484.12 | 118.11 | — |
Net income, fiscal years 2010, 2009, 2008, 2007, 2006, 2005, 2004, 2003. Checked against the form’s own arithmetic: what that check shows.
None of these figures is carried on the report for fiscal year 2002.
MISSION CARE CENTER: nurse staffing hours by quarter →
Who owns MISSION CARE CENTER, as filed with CMS
Care Compare
- ADP OF THE SNF: CHIEN, NORMAN (individual), since 06/24/2021; NELSON, TIMOTHY (individual), since 08/21/2013; STANDARD BEARER HEALTHCARE OP LP (organization), since 01/01/2022; THE ENSIGN GROUP INC (organization), since 01/01/2022; WEST MEADOW HEALTH HOLDINGS II LLC (organization), since 01/01/2022
- CORPORATE OFFICER: BURNAM, SOON (individual), since 01/30/2006; KEETCH, CHAD (individual), since 03/01/2011; WILLITS, ADAM (individual), since 02/01/2024
- INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF: PORT, BARRY (individual), since 12/16/2025
- MANAGING CONTROL - GOVERNING BODY: CHIEN, NORMAN (individual), since 06/24/2021; NELSON, TIMOTHY (individual), since 08/21/2013
- OPERATIONAL/MANAGERIAL CONTROL: CHIEN, NORMAN (individual), since 06/24/2021; NELSON, TIMOTHY (individual), since 08/21/2013
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 RAMON HEALTHCARE ASSOCIATES LLC (enrollment ID O20050505000836).
- 5% OR GREATER DIRECT OWNERSHIP INTEREST: FLAGSTONE HEALTHCARE CENTRAL LLC (organization), 100.00%, since 01/30/2006
- 5% OR GREATER INDIRECT OWNERSHIP INTEREST: THE ENSIGN GROUP INC (organization), 100.00%, since 01/30/2006
- ADP OF THE SNF: NORMAN T CHIEN (individual), since 06/24/2021; STANDARD BEARER HEALTHCARE OP LP (organization), since 01/01/2022; THE ENSIGN GROUP INC (organization), since 01/01/2022; TIMOTHY NELSON (individual), since 08/21/2013; WEST MEADOW HEALTH HOLDINGS II LLC (organization), since 01/01/2022; No owner named in the filing (organization), since 05/06/2005
- CORPORATE OFFICER: ADAM WILLITS (individual), 0.00%, since 02/01/2024; CHAD KEETCH (individual), since 03/01/2011; SOON BURNAM (individual), 0.00%, since 01/30/2006
- MANAGING CONTROL - GOVERNING BODY: NORMAN T CHIEN (individual), since 06/24/2021; TIMOTHY NELSON (individual), since 08/21/2013
- OPERATIONAL/MANAGERIAL CONTROL: NORMAN T CHIEN (individual), since 06/24/2021; TIMOTHY NELSON (individual), 0.00%, since 08/21/2013
Paused by CMS: Form CMS-855A, December 11, 2025.
Private equity company, real estate investment trust and holding company: No: FLAGSTONE HEALTHCARE CENTRAL LLC; THE ENSIGN GROUP INC; STANDARD BEARER HEALTHCARE OP LP; THE ENSIGN GROUP INC; WEST MEADOW HEALTH HOLDINGS II LLC; No owner named in the filing.
Private equity company, real estate investment trust and holding company: Paused by CMS: NORMAN T CHIEN; TIMOTHY NELSON; ADAM WILLITS; CHAD KEETCH; SOON BURNAM; NORMAN T CHIEN; TIMOTHY NELSON; NORMAN T CHIEN; TIMOTHY NELSON.
Changes in ownership
- July 1, 2026, enrollment ownership file; no longer listed: TIMOTHY NELSON (W-2 MANAGING EMPLOYEE); first listed: NORMAN T CHIEN (ADP OF THE SNF), associated since June 24, 2021; NORMAN T CHIEN (MANAGING CONTROL - GOVERNING BODY), associated since June 24, 2021; NORMAN T CHIEN (OPERATIONAL/MANAGERIAL CONTROL), associated since June 24, 2021; TIMOTHY NELSON (ADP OF THE SNF), associated since August 21, 2013; TIMOTHY NELSON (MANAGING CONTROL - GOVERNING BODY), associated since August 21, 2013; CHAD KEETCH (CORPORATE OFFICER), associated since March 1, 2011; STANDARD BEARER HEALTHCARE OP LP (ADP OF THE SNF), associated since January 1, 2022; ADAM WILLITS (CORPORATE OFFICER), associated since February 1, 2024; THE ENSIGN GROUP INC (ADP OF THE SNF), associated since January 1, 2022; a listing under ADP OF THE SNF with no owner named, associated since May 6, 2005; WEST MEADOW HEALTH HOLDINGS II LLC (ADP OF THE SNF), associated since January 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- October 31, 2022, enrollment ownership file; no longer listed: LEE A DANIELS (OTHER); BEVERLY B WITTEKIND (OFFICER); SUZANNE D SNAPPER (OTHER); SUZANNE D SNAPPER (OFFICER); DAREN SHAW (OTHER); CHRISTOPHER R CHRISTENSEN (OTHER); CHRISTOPHER R CHRISTENSEN (DIRECTOR); JOHN NACKEL (OTHER); ANTOINETTE HUBENETTE (OTHER); MATTHEW HUEFNER (OFFICER); ROY E CHRISTENSEN (OTHER). Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
Recent changes on this record
- July 25, 2026: A deficiency was cited under tag F 0842, scope and severity D. NH_HealthCitations_Sep2026_2.csv
- July 25, 2026: A deficiency was cited under tag F 0656, scope and severity D. NH_HealthCitations_Sep2026_2.csv
- July 25, 2026: A deficiency was cited under tag F 0580, scope and severity D. NH_HealthCitations_Sep2026_2.csv
- July 25, 2026: A deficiency was cited under tag F 0880, scope and severity E. NH_HealthCitations_Sep2026_2.csv
Inspections of MISSION CARE CENTER
- Cycle 1: health March 19, 2026 (22 deficiencies), fire safety March 19, 2026 (8)
- Cycle 2: health February 16, 2025 (11 deficiencies), fire safety February 16, 2025 (3)
- Cycle 3: health February 18, 2024 (10 deficiencies), fire safety February 18, 2024 (3)
Deficiencies cited at MISSION CARE CENTER
43 deficiencies on file, by tag, newest citation first
every one from a health inspection; every one marked “Deficient, Provider has date of correction”; 11 cited from a complaint, marked below. Letter after a date: scope and severity grade.
- F 0580, resident rights: July 25, 2026 (D, from a complaint, corrected August 14, 2026); March 19, 2026 (D, corrected April 10, 2026).
- F 0656, resident assessment and care planning: July 25, 2026 (D, from a complaint, corrected August 14, 2026); February 18, 2024 (E, corrected March 21, 2024).
- F 0842, resident assessment and care planning: July 25, 2026 (D, from a complaint, corrected August 14, 2026); February 16, 2025 (D, corrected March 11, 2025).
- F 0880, infection control: July 25, 2026 (E, from a complaint, corrected August 14, 2026); March 19, 2026 (E, corrected April 10, 2026); December 10, 2025 (E, from a complaint, corrected December 12, 2025); January 24, 2025 (E, from a complaint, corrected February 3, 2025); February 18, 2024 (E, corrected March 21, 2024); February 2, 2024 (E, from a complaint, corrected February 5, 2024).
- F 0573, resident rights: June 16, 2026 (D, from a complaint, corrected July 8, 2026).
- F 0552, resident rights: March 19, 2026 (D, corrected April 10, 2026).
- F 0561, resident rights: March 19, 2026 (D, corrected April 10, 2026).
- F 0572, resident rights: March 19, 2026 (D, corrected April 10, 2026).
- F 0686, quality of life and care: March 19, 2026 (D, corrected April 10, 2026); December 10, 2025 (D, from a complaint, corrected December 12, 2025).
- F 0692, quality of life and care: March 19, 2026 (D, corrected April 10, 2026).
- F 0694, quality of life and care: March 19, 2026 (D, corrected April 10, 2026); February 18, 2024 (E, corrected March 21, 2024).
- F 0695, quality of life and care: March 19, 2026 (D, corrected April 10, 2026); February 16, 2025 (D, corrected March 11, 2025); February 18, 2024 (E, corrected March 21, 2024).
- F 0755, pharmacy service: March 19, 2026 (D, corrected April 10, 2026); February 16, 2025 (D, corrected March 11, 2025).
- F 0757, pharmacy service: March 19, 2026 (D, corrected April 10, 2026).
- F 0761, pharmacy service: March 19, 2026 (D, corrected April 10, 2026); February 16, 2025 (D, corrected March 11, 2025).
- F 0812, nutrition and dietary: March 19, 2026 (E, corrected April 10, 2026); February 16, 2025 (E, corrected March 11, 2025); February 18, 2024 (E, corrected March 21, 2024).
- F 0814, nutrition and dietary: March 19, 2026 (E, corrected April 10, 2026).
- F 0921, environmental: March 19, 2026 (D, corrected April 10, 2026).
- F 0578, resident rights: February 16, 2025 (D, corrected March 11, 2025).
- F 0607, freedom from abuse, neglect, and exploitation: February 16, 2025 (D, corrected March 11, 2025).
- F 0908, environmental: February 16, 2025 (D, corrected March 11, 2025).
- F 0926, environmental: February 16, 2025 (E, corrected March 11, 2025).
- F 0689, quality of life and care: November 25, 2024 (D, from a complaint, corrected December 4, 2024).
- F 0550, resident rights: February 18, 2024 (E, corrected March 21, 2024).
- F 0558, resident rights: February 18, 2024 (D, corrected March 21, 2024).
- F 0623, resident rights: February 18, 2024 (D, corrected March 21, 2024).
- F 0583, resident rights: October 25, 2023 (D, from a complaint, corrected November 13, 2023).
MISSION CARE CENTER in Care Compare
- Ownership Type: For profit - Limited Liability company
- Legal Business Name: RAMON HEALTHCARE ASSOCIATES LLC
- Date First Approved to Provide Medicare and Medicaid Services: 2002-09-30
- Provider Resides in Hospital: N
- Continuing Care Retirement Community: N
- Urban: Y
- County/Parish: Los Angeles
- Telephone Number: 6266072400
- Chain Name: THE ENSIGN GROUP
- Chain ID: 507
- Provider Changed Ownership in Last 12 Months: N
- With a Resident and Family Council: Both
- Automatic Sprinkler Systems in All Required Areas: Yes
- Average Number of Residents per Day: 50.7
- Overall Rating: 3
- Health Inspection Rating: 2
- QM Rating: 5
- Long-Stay 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 MISSION CARE CENTER: no penalty in Care Compare.
Other nursing facilities in ROSEMEAD and California
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