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Skilled nursing facility · CMS certification number 555892

Rolling Hills Care Center

SELMA, California · Medicare and Medicaid · 34 certified beds in Care Compare

Download Rolling Hills Care Center’s record (CSV, each figure with its worksheet, line and column)

Rolling Hills 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 29, 2025.
  • Net patient revenue fell from $5.9M in fiscal year 2023 to $4.9M in fiscal year 2024.
  • Its result from service to patients: $535K (2022), $1.5M (2023), −$141K (2024).
  • Its cost reports on file run from fiscal year 2014 to fiscal year 2024.
  • Since its cost report for fiscal year 2024 was filed on August 29, 2025, 1 change is listed on this record: an owner change.
  • Its net patient revenue of $4.9M ranks 911th 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 loss on service to patients.

Rolling Hills Care Center: Medicare cost reports

Form CMS-2540-10: every report is settled.

Cost reports on form CMS-2540-10, fiscal years 2014 to 2024
Form CMS-2540-102024 · report 14383542023 · report 13937772022 · report 13662332021 · report 13337332020 · report 13022392019 · report 13067302018 · report 12423902017 · report 12203252016 · report 11763192015 · report 11433052014 · report 1219842
Period beganJanuary 1, 2024January 1, 2023January 1, 2022January 1, 2021January 1, 2020January 1, 2019January 1, 2018January 1, 2017January 1, 2016January 1, 2015June 17, 2014
Period endedDecember 31, 2024December 31, 2023December 31, 2022December 31, 2021December 31, 2020May 16, 2019December 31, 2018December 31, 2017December 31, 2016December 31, 2015December 31, 2014
Days, where not a full year—————135————197
Processed by CMSAugust 29, 2025September 6, 2024October 11, 2023September 22, 2022October 20, 2021December 9, 2021August 26, 2019February 27, 2019September 22, 2017September 30, 2016February 15, 2019
Total patient revenue$6,474,135$4,972,694$4,294,992$3,334,800$3,113,695$5,580,308$1,586,926————
Contractual allowances and discounts$1,553,245−$910,467$61,699−$170,266−$679,673$136,363$72,259————
Net patient revenue$4,920,890$5,883,161$4,233,293$3,505,066$3,793,368$5,443,945$1,514,667————
Total operating expenses$5,061,502$4,386,996$3,697,927$3,950,440$3,823,724$7,169,613$1,962,583————
Net income from service to patients−$140,612$1,496,165$535,366−$445,374−$30,356−$1,725,668−$447,916————
Total other income—$403−$38,304$146,112$304,028$75,840$14,342————
Net income after other income−$140,612$1,496,568$497,062−$299,262$273,672−$1,649,828−$433,574————
Net income−$140,612$1,496,568$497,062−$299,262$273,672−$1,649,828−$433,574————
Total facility beds, all components34343434345334————
Bed days available, all components12,444——————————
Medicare (Title XVIII) patient days621——————————
Medicaid (Title XIX) patient days8,613——————————
Other-payer patient days2,319——————————
Total patient days, all components11,55311,74711,20610,70710,4736,27910,680————
Medicare discharges17——————————
Medicaid discharges65——————————
Other-payer discharges20——————————
Total discharges, all components102132102—12830129————
Average length of stay, Medicare, in days36.5397.1344.86—38.685.435.4————
Average length of stay, Medicaid, in days132.5187.43154.5—112.29224.48155.02————
Average length of stay, all patients, in days113.2688.99109.86—81.82209.382.79————

Net income, fiscal years 2024, 2023, 2022, 2021, 2020, 2019, 2018. Checked against the form’s own arithmetic: what that check shows.

None of these figures is carried on the report for fiscal years 2017, 2016, 2015, 2014.

Rolling Hills Care Center: nurse staffing hours by quarter →

Who owns Rolling Hills Care Center, as filed with CMS

Care Compare

  • 5% OR GREATER DIRECT OWNERSHIP INTEREST: ROLLING HILLS CARE CENTER HOLDINGS LLC (organization), 100%%, since 07/17/2019
  • 5% OR GREATER INDIRECT OWNERSHIP INTEREST: SWC CA OPCO, LLC (organization), 100%%, since 02/01/2021
  • CORPORATE OFFICER: CHESLEY, AARON (individual), NOT APPLICABLE, since 02/01/2021; GAMETT, JAMES (individual), NOT APPLICABLE, since 02/01/2021
  • OPERATIONAL/MANAGERIAL CONTROL: ROLLING HILLS CARE CENTER HOLDINGS LLC (organization), NOT APPLICABLE, since 05/17/2019
  • W-2 MANAGING EMPLOYEE: COOK, BRETT (individual), NOT APPLICABLE, since 02/01/2021

Medicare enrollment

As filed in the CMS file dated October 1, 2026 (Medicare enrollment ownership), under the enrollment of ROLLING HILLS CARE CENTER LLC (enrollment ID O20190715002835).

  • 5% OR GREATER DIRECT OWNERSHIP INTEREST: ROLLING HILLS CARE CENTER HOLDINGS LLC (organization), 100.00%, since 07/17/2019
  • 5% OR GREATER INDIRECT OWNERSHIP INTEREST: AARON CHESLEY (individual), 50.00%, since 02/01/2021; AJC HEALTHCARE LLC (organization), 50.00%, since 02/01/2021; JAMES B GAMETT (individual), 50.00%, since 02/01/2021; JBG PARTNERS LLC (organization), 50.00%, since 02/01/2021; SWC CA OPCO, LLC (organization), 100.00%, since 02/01/2021
  • CORPORATE OFFICER: AARON CHESLEY (individual), since 02/01/2021; JAMES B GAMETT (individual), since 02/01/2021
  • OPERATIONAL/MANAGERIAL CONTROL: ROLLING HILLS CARE CENTER HOLDINGS LLC (organization), 100.00%, since 05/17/2019
  • W-2 MANAGING EMPLOYEE: BRETT D COOK (individual), since 02/01/2021

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

Private equity company, real estate investment trust and holding company: No: ROLLING HILLS CARE CENTER HOLDINGS LLC; AJC HEALTHCARE LLC; JBG PARTNERS LLC; SWC CA OPCO, LLC; ROLLING HILLS CARE CENTER HOLDINGS LLC.

Private equity company, real estate investment trust and holding company: Paused by CMS: AARON CHESLEY; JAMES B GAMETT; AARON CHESLEY; JAMES B GAMETT; BRETT D COOK.

Changes in ownership

  • October 1, 2026, Care Compare ownership file; no longer listed: CHESLEY, AARON (5% OR GREATER INDIRECT OWNERSHIP INTEREST). NH_Ownership_Oct2026.csv

Inspections of Rolling Hills Care Center

  • Cycle 1: health May 22, 2026 (15 deficiencies), fire safety May 22, 2026 (6)
  • Cycle 2: health November 25, 2024 (10 deficiencies), fire safety November 25, 2024 (7)
  • Cycle 3: health January 14, 2024 (10 deficiencies), fire safety January 14, 2024 (8)

Deficiencies cited at Rolling Hills Care Center

35 deficiencies on file, by tag, newest citation first

every one from a health inspection; 3 cited from a complaint, marked below. Letter after a date: scope and severity grade.

  • F 0552, resident rights: May 22, 2026 (D, Deficient, Provider has date of correction, corrected June 12, 2026).
  • F 0656, resident assessment and care planning: May 22, 2026 (D, Deficient, Provider has date of correction, corrected June 12, 2026); November 25, 2024 (E, Deficient, Provider has date of correction, corrected December 31, 2024).
  • F 0658, resident assessment and care planning: May 22, 2026 (D, Deficient, Provider has date of correction, corrected June 12, 2026); November 25, 2024 (E, Deficient, Provider has date of correction, corrected December 31, 2024); January 14, 2024 (D, Deficient, Provider has date of correction, corrected February 24, 2024).
  • F 0689, quality of life and care: May 22, 2026 (E, Deficient, Provider has date of correction, corrected June 12, 2026); May 6, 2024 (G, from a complaint, Deficient, Provider has date of correction, corrected June 25, 2024).
  • F 0732, nursing and physician services: May 22, 2026 (E, Deficient, Provider has date of correction, corrected June 12, 2026).
  • F 0756, pharmacy service: May 22, 2026 (D, Deficient, Provider has date of correction, corrected June 12, 2026).
  • F 0757, pharmacy service: May 22, 2026 (D, Deficient, Provider has date of correction, corrected June 12, 2026); January 14, 2024 (D, Deficient, Provider has date of correction, corrected February 24, 2024).
  • F 0801, nutrition and dietary: May 22, 2026 (D, Deficient, Provider has date of correction, corrected June 12, 2026).
  • F 0803, nutrition and dietary: May 22, 2026 (E, Deficient, Provider has date of correction, corrected June 12, 2026).
  • F 0804, nutrition and dietary: May 22, 2026 (D, Deficient, Provider has date of correction, corrected June 12, 2026).
  • F 0805, nutrition and dietary: May 22, 2026 (D, Deficient, Provider has date of correction, corrected June 12, 2026).
  • F 0812, nutrition and dietary: May 22, 2026 (F, Deficient, Provider has date of correction, corrected June 12, 2026); November 25, 2024 (F, Deficient, Provider has date of correction, corrected December 31, 2024); January 14, 2024 (F, Deficient, Provider has date of correction, corrected February 24, 2024).
  • F 0842, resident assessment and care planning: May 22, 2026 (D, Deficient, Provider has date of correction, corrected June 12, 2026); January 14, 2024 (E, Deficient, Provider has date of correction, corrected February 24, 2024).
  • F 0880, infection control: May 22, 2026 (D, Deficient, Provider has date of correction, corrected June 12, 2026); November 25, 2024 (E, Deficient, Provider has date of correction, corrected December 31, 2024).
  • F 0881, infection control: May 22, 2026 (F, Deficient, Provider has date of correction, corrected June 12, 2026).
  • F 0584, resident rights: November 25, 2024 (D, Deficient, Provider has date of correction, corrected December 31, 2024).
  • F 0661, resident assessment and care planning: November 25, 2024 (D, Deficient, Provider has date of correction, corrected December 31, 2024).
  • F 0761, pharmacy service: November 25, 2024 (E, Deficient, Provider has date of correction, corrected December 31, 2024); January 14, 2024 (D, Deficient, Provider has date of correction, corrected February 24, 2024).
  • F 0802, nutrition and dietary: November 25, 2024 (F, Deficient, Provider has date of correction, corrected December 31, 2024).
  • F 0912, environmental: November 25, 2024 (F, Waiver has been granted, corrected December 31, 2024); January 14, 2024 (C, Deficient, Provider has date of correction, corrected February 24, 2024).
  • F 0925, environmental: November 25, 2024 (F, Deficient, Provider has date of correction, corrected December 31, 2024).
  • F 0550, resident rights: September 20, 2024 (D, from a complaint, Deficient, Provider has date of correction, corrected September 30, 2024).
  • F 0585, resident rights: January 14, 2024 (D, from a complaint, Deficient, Provider has date of correction, corrected February 24, 2024).
  • F 0908, environmental: January 14, 2024 (D, Deficient, Provider has date of correction, corrected February 24, 2024).

Rolling Hills Care Center in Care Compare

  • Ownership Type: For profit - Limited Liability company
  • Legal Business Name: ROLLING HILLS CARE CENTER LLC
  • Date First Approved to Provide Medicare and Medicaid Services: 2014-06-17
  • Provider Resides in Hospital: N
  • Continuing Care Retirement Community: N
  • Urban: Y
  • County/Parish: Fresno
  • Telephone Number: 5598964990
  • Chain Name: AJC HEALTHCARE
  • Chain ID: 616
  • 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: 31.0
  • Overall Rating: 3
  • Health Inspection Rating: 2
  • QM Rating: 5
  • Long-Stay QM Rating: 5
  • Short-Stay QM Rating: 4

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

Nothing on file for Rolling Hills Care Center: no penalty in Care Compare.

Other nursing facilities in SELMA and California

Report a figure on Rolling Hills Care Center’s record that differs from its CMS file, quoting 555892.