CCN 555247 · Riverside County, California
Rancho Mirage Health and Rehabilitation Center
39950 Vista del Sol, Rancho Mirage, CA 92270
Rancho Mirage Health and Rehabilitation Center is a 99-bed for-profit nursing home in Rancho Mirage, California, first certified for Medicare or Medicaid in 1987. CMS rates it 3 out of 5 stars overall in its September 2026 data, and it averaged 92.8 residents a day, about 94% of its certified beds. It has an active FHA-insured Section 232 loan: $7.8 million originally, at 6.20%, with $7.6 million outstanding as of September 30, 2026 and maturity in March 2055.
Facility facts
- Certified beds
- 99
- Average residents per day
- 92.8 (93.7% of beds)
- Ownership type
- For profit - Limited Liability company
- Certification
- Medicare and Medicaid
- Legal business name
- Ag Rancho Mirage LLC
- Certified since
- Jan 7, 1987
- Chain or affiliated group
- Cambridge Healthcare Services (32 facilities, chain average 2.5 stars)
- Location
- Urban
Ratings and staffing
Star ratings run from 1 to 5. Staffing is nurse hours per resident per day from CMS Payroll Based Journal data; turnover is the CMS annual nursing staff turnover rate. Occupancy is CMS's average daily census divided by certified beds.
| Measure | This facility | California median | US median |
|---|---|---|---|
| Overall rating | 3 of 5 | State spread: 186 at 1, 213 at 2, 244 at 3, 240 at 4, 270 at 5 | |
| Health inspections | 3 of 5 | ||
| Quality measures | 4 of 5 | ||
| Staffing | 3 of 5 | ||
| Total nurse hours per resident per day | 4.20 | 4.24 | 3.68 |
| RN hours per resident per day | 0.36 | 0.50 | 0.58 |
| Weekend nurse hours per resident per day | 3.88 | ||
| Nursing staff turnover | 26.7% | 36.4% | 44.9% |
| Occupancy (residents / beds) | 93.7% | 92.0% | 85.7% |
| Fines reported by CMS | None | ||
| Health deficiencies, latest standard survey | 11 (May 21, 2026) | ||
HUD 223(f) Express Lane: the CMS part
HUD gives 223(f) applications queue priority when the facility has CMS overall and health inspection ratings of at least 2 stars and no abuse icon, among other tests (ORCF criteria of March 31, 2026). Rancho Mirage Health and Rehabilitation Center meets that part today: 3 stars overall, 3 on health inspections, no abuse icon. The loan-to-value, coverage and operator tests depend on the deal. All the criteria.
Who owns and operates it
These are the owners and operators the facility reported to CMS: anyone with a 5% or greater direct or indirect stake, and any organization with operational or managerial control.
| Name | Role | Share | Since |
|---|---|---|---|
| Ag Facilities Operations, LLCOrganization | Direct Ownership Interest | 100% | 08/11/2003 |
| Ira E Smedra Living TrustOrganization | Indirect Ownership Interest | 48% | 08/11/2003 |
| Win Win Enterprises, LLCOrganization | Indirect Ownership Interest | 48% | 08/11/2003 |
| Cambridge Healthcare Services LLCOrganization | Operational / Managerial Control | n/a | 10/01/2013 |
| Butenko, JulieIndividual | Operational / Managerial Control | n/a | 07/24/2023 |
| Caballero, JenniferIndividual | Operational / Managerial Control | n/a | 04/01/2025 |
| Capela, HeidiIndividual | Operational / Managerial Control | n/a | 04/03/2023 |
| Hassell, LanceIndividual | Operational / Managerial Control | n/a | 04/25/2022 |
| Kurzawa, RafalIndividual | Operational / Managerial Control | n/a | 04/01/2025 |
| Lutz, LindaIndividual | Operational / Managerial Control | n/a | 02/01/2012 |
| Mitchell, GlenoraIndividual | Operational / Managerial Control | n/a | 04/10/2023 |
| Salazar, PaulinaIndividual | Operational / Managerial Control | n/a | 12/14/2020 |
| Smedra, IraIndividual | Operational / Managerial Control | n/a | 08/11/2003 |
| Vidales, MiguelIndividual | Operational / Managerial Control | n/a | 03/01/2021 |
Changes of ownership
No change of ownership for this facility appears in the CMS change-of-ownership file, which starts in January 2016.
HUD Section 232 loans
HUD's Office of Healthcare Programs lists these FHA-insured loans for a project we matched to this facility by name, city and bed count. Status, rate and balance come from HUD's insured-mortgage files as of September 30, 2026. Check the FHA number against the loan documents before relying on the match.
| Endorsed | Program | Original amount | Status | FHA number |
|---|---|---|---|---|
| Feb 6, 2025 | 223(f) refinance or purchaseHUD project name: Rancho Mirage Health and Rehabilitation Center, 99 beds. Lender at endorsement: Capital Funding LLC | $7,759,500 | Active: 6.20%, $7,619,650 balanceMatures Mar 1, 2055. Servicer: Capital Funding LLC | 12222274 |
| Apr 18, 2002 | 223(f) refinance or purchaseHUD project name: Rancho Mirage Health Care Center, 99 beds. Lender at endorsement: Capital Funding Group | $5,049,000 | Ended Jun 25, 2010Prepayment | 14322019 |
Sources and dates
Facility, rating, staffing and ownership data: CMS Provider Information and CMS Ownership, processing date September 2026. Private equity, REIT and mortgage-interest flags and changes of ownership: CMS Skilled Nursing Facility All Owners and Change of Ownership files (2026-10-01). FHA-insured loans: HUD Office of Healthcare Programs endorsement database, data run July 8, 2026. How we join them, and what the join can get wrong: methodology.
SNF Register is independent. It is not affiliated with or endorsed by CMS, HUD or FHA. Spotted an error? Write to hello@hudskillednursing.loan.