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River Garden Senior Services is a highly esteemed Hebrew home that has been serving the community with compassion and excellence since 1946. As a non-profit organization organized by the Jacksonville Jewish community, it takes pride in its top-rated care, providing a wide range of services to support seniors in various stages of their healthcare journey. From short-stay rehabilitation to outpatient therapies, specialized care for Parkinson’s, long-term skilled nursing care, memory care, palliative care, home health care, and independent living, the facility offers a comprehensive and holistic approach to cater to the diverse needs of its residents.
The home spans a lush 40-acre campus. The facility is known for its bright rooms and serene surroundings, providing a calming effect that promotes healing and well-being. Residents can also enjoy a wide range of activities such as zumba classes, arts and crafts, religious services, bingo, and more, as well as state-of-the-art gym equipment to promote physical fitness. River Garden Senior Services is dedicated to being accessible to all, participating in Medicare and Medicaid programs to ensure that quality care is available to those in need.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
Hours of care per resident per day, broken down by staff type. Data from CMS Medicare.
Registered nurse hours per resident per day.
Nurse aide hours per resident per day.
Total number of nurse staff hours per resident per day on weekends.
Physical therapist staff hours per resident per day.
Registered nurse hours per resident per day on weekends.
Offers a balance of services and community atmosphere.
Occupancy is moderate, suggesting balanced demand.
Most residents typically stay for a few weeks or months before returning home or moving on.
72% of new residents, usually for short-term rehab.
25% of new residents, often for short stays.
3% of new residents, often for long-term daily care.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Florida average 4.3
Last Health inspection on Apr 2021
Florida average 19.7
Florida average 4.48
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
All 2 citations resulted from standard inspections.
0
100% better than Florida average
Florida average: 0.8
0
100% better than Florida average
Florida average: 0.4
Issues related to food quality, meal service, and resident's nutritional needs.
Apr 29, 2021
Corrected
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Apr 29, 2021
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
13.9 miles from city center — 1.71 miles to nearest hospital (Fresh Heads Lice Removal - Jacksonville)
1401 Old St Augustine Rd, Jacksonville, FL 32258
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This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
0% compared with Florida average
Florida average ratio: 1.52:1
0% compared with Florida average
Florida average: 7.9 hours
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hours
This role is partially covered by contractors.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.8 hours
This role is partially covered by contractors.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hours
This role is partially covered by contractors.
Total hours from contractors
9,824 contractor hours this quarter
| Certified Nursing Assistant | 119 | 1 | 120 | 43,774 | 91 | 100% | 7.7 |
| Registered Nurse | 30 | 11 | 41 | 12,810 | 91 | 100% | 7.6 |
| Licensed Practical Nurse | 27 | 21 | 48 | 11,179 | 91 | 100% | 7.8 |
| Mental Health Service Worker | 9 | 0 | 9 | 2,044 | 73 | 80% | 7.9 |
| Clinical Nurse Specialist | 5 | 0 | 5 | 1,827 | 67 | 74% | 8 |
| Physical Therapy Assistant | 0 | 5 | 5 | 1,715 | 80 | 88% | 7.1 |
| Other Dietary Services Staff | 3 | 0 | 3 | 1,306 | 80 | 88% | 7.9 |
| Speech Language Pathologist | 0 | 5 | 5 | 1,228 | 82 | 90% | 6 |
| Respiratory Therapy Technician | 0 | 9 | 9 | 1,066 | 91 | 100% | 6.2 |
| Physical Therapy Aide | 0 | 7 | 7 | 1,036 | 83 | 91% | 6.9 |
| Occupational Therapy Aide | 2 | 0 | 2 | 992 | 65 | 71% | 8 |
| Therapeutic Recreation Specialist | 0 | 2 | 2 | 877 | 69 | 76% | 7.6 |
| RN Director of Nursing | 2 | 0 | 2 | 679 | 63 | 69% | 7 |
| Dental Services Staff | 1 | 0 | 1 | 520 | 65 | 71% | 8 |
| Administrator | 1 | 0 | 1 | 472 | 59 | 65% | 8 |
| Qualified Social Worker | 0 | 2 | 2 | 464 | 63 | 69% | 6.8 |
| Dietitian | 1 | 0 | 1 | 464 | 58 | 64% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 456 | 57 | 63% | 8 |
| Other Physician | 0 | 1 | 1 | 378 | 54 | 59% | 7 |
| Feeding Assistant | 0 | 1 | 1 | 216 | 27 | 30% | 8 |
| Medical Director | 0 | 1 | 1 | 54 | 54 | 59% | 1 |
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Residents meet regularly to discuss policies, care quality, and activities
Family members meet regularly to discuss policies, care quality, and activities
Organized group of family members that meets regularly to discuss facility policies, resident care, and activities.
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
7.8
In line with Florida average
Florida average: 7.4
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
11.3
9% better than Florida average
Florida average: 12.4
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
14.3%
36% worse than Florida average
Florida average: 10.5%
Percent of long-stay residents whose ability to move independently worsened
13.2%
In line with Florida average
Florida average: 12.9%
Percent of low risk long-stay residents who lose control of their bowels or bladder
6.4%
53% better than Florida average
Florida average: 13.5%
Percent of long-stay residents experiencing one or more falls with major injury
4.8%
83% worse than Florida average
Florida average: 2.6%
Percent of long-stay high risk residents with pressure ulcers
3.6%
33% better than Florida average
Florida average: 5.4%
Percent of long-stay residents with a urinary tract infection
0.4%
54% better than Florida average
Florida average: 0.9%
Percent of long-stay residents who lose too much weight
3.0%
50% better than Florida average
Florida average: 6.0%
Percent of long-stay residents who have depressive symptoms
1.5%
55% better than Florida average
Florida average: 3.3%
Percent of long-stay residents who received an antipsychotic medication
18.3%
128% worse than Florida average
Florida average: 8.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
98.7%
In line with Florida average
Florida average: 97.7%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with Florida average
Florida average: 99.2%
Number of hospitalizations per 1,000 long-stay resident days.
2.09
In line with Florida average
Florida average: 2.10
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.78
34% better than Florida average
Florida average: 1.18
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
90.7%
In line with Florida average
Florida average: 94.0%
Percent of short-stay residents who newly received an antipsychotic medication
0.5%
69% better than Florida average
Florida average: 1.5%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
6% better than Florida average
Florida average: 94.7%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
29.9%
14% worse than Florida average
Florida average: 26.2%
Percentage of short-stay residents who had an outpatient emergency department visit.
11.2%
20% worse than Florida average
Florida average: 9.3%
Percentage of SNF residents who experience falls with major injury during their stay.
0.2%
75% better than Florida average
Florida average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
42.2%
21% worse than Florida average
Florida average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
59.4%
18% better than Florida average
Florida average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Historical financial and operational data for River Garden Senior Services based on CMS SNF Cost Reports.
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