Total health inspections
1
Florida average 4.3
Last Health inspection on Apr 2021
Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
River Garden Senior Services
Nursing Home
River Garden Senior Services
Nursing Home
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.
Quality ratings
Official CMS rating based on health inspections, staffing and quality measures.
Official CMS rating based on deficiencies found during state health inspections.
Official CMS rating based on nurse staffing hours per resident per day.
Official CMS rating based on clinical outcomes for residents.
Nursing care per resident
Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
Staffing hours breakdown
Hours of care per resident per day, broken down by staff type. Data from CMS Medicare.
Registered Nurse (RN)
Registered nurse hours per resident per day.
Registered nurse hours per resident per day.
LPN / LVN
Licensed Practical Nurse / Licensed Vocational Nurse hours per resident per day.
Licensed Practical Nurse / Licensed Vocational Nurse hours per resident per day.
Nurse Aide
Nurse aide hours per resident per day.
Nurse aide hours per resident per day.
Total Nursing (Weekend)
Total number of nurse staff hours per resident per day on weekends.
Total number of nurse staff hours per resident per day on weekends.
Physical Therapist
Physical therapist staff hours per resident per day.
Physical therapist staff hours per resident per day.
RN (Weekend)
Registered nurse hours per resident per day on weekends.
Registered nurse hours per resident per day on weekends.
Capacity and availability
Medium-capacity home
Offers a balance of services and community atmosphere.
Total beds
180
This home usually has limited availability
Occupancy is moderate, suggesting balanced demand.
Occupancy rate
89.2%
Residents per day (avg)
159
Occupancy rate
89.2%
Residents per day (avg)
159
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Short stays
Recovery
Medicare-covered care
Breakdown by payment type
Medicare
72% of new residents, usually for short-term rehab.
Typical stay
17 days
Private pay
25% of new residents, often for short stays.
Typical stay
2 - 3 months
Medicaid
3% of new residents, often for long-term daily care.
Typical stay
3 years
Finances and operations
Voluntary non-profit home
Other
Home revenue
$35.1M
Operating deficit
-$5.7M
Voluntary non-profit home
Other
Home revenue
$35,080,734.00
Operating deficit
$-5,681,034.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$13.7M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$27.1M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$40.8M
Compare Nursing Homes around Jacksonville
The information below is reported by the Florida Agency for Health Care Administration (AHCA).
River Garden Senior Services
+30%
+35%
+6%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Jacksonville (Del Rio)
180
No
-
13
RIVER GARDEN HEBREW HOME FOR THE AGED
89.2%
$34,606,981.00
$13,694,994.00
39.6%
159.30
5.4507
-
2
-
+30%+35%+6%
Fountains Rehabilitation at Mill Cove
-30%
-6%
+13%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IL
Independent Living For self-sufficient seniors seeking community and minimal assistance.
MC
Memory Care Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.
Jacksonville (Regency)
84
Yes
A-
44
ATRIUM SNF HOLDINGS LLC
95.5%
$21,111,957.00
$9,004,815.00
42.7%
77.10
3.8100
-
8
-
-30%-6%+13%
Cathedral Care
-1%
-7%
-24%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Jacksonville (Downtown)
120
No
-
88
ASHLEY STREET SNF INTERMEDIARY HOLDINGS LLC
63.8%
$2,313,327.00
$1,310,930.00
56.7%
103.00
3.7474
-
16
-
-1%-7%-24%
Signature HealthCARE of Jacksonville
-6%
+7%
-14%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Jacksonville (Southwest)
180
No
-
55
JACKSONVILLE REHABILITATION AND NURSING MEMBER LLC
72.6%
$15,365,602.00
$6,376,300.00
41.5%
171.50
4.3056
1
12
4
-6%+7%-14%
Bartram Crossing Skilled Nursing – Brooks Rehabilitation
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Jacksonville (Southside)
-
No
-
21
-
-
-
-
-
-
-
-
-
-
-
-
River Garden Senior Services
Type of care:
SNF
AL
Community:
Jacksonville (Del Rio)
Bed Count:
180
Pets Allowed:
No
Operator:
RIVER GARDEN HEBREW HOME FOR THE AGED
CCN:
105016
Occupancy:
89.2%
Home Revenue:
$34,606,981.00
Payroll Costs:
$13,694,994.00
Payroll %:
39.6%
Avg Residents/Day:
159.30
Overall Rating:
Adj Nurse Hours:
5.4507
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
2
RN share vs State Avg:
+30%
+30%
Staffing vs State Avg:
+35%
+35%
Occupancy vs State Avg:
+6%
+6%
Fountains Rehabilitation at Mill Cove
Type of care:
SNF
AL
IL
MC
Community:
Jacksonville (Regency)
Bed Count:
84
Pets Allowed:
Yes
Operator:
ATRIUM SNF HOLDINGS LLC
CCN:
105927
Occupancy:
95.5%
Home Revenue:
$21,111,957.00
Payroll Costs:
$9,004,815.00
Payroll %:
42.7%
Avg Residents/Day:
77.10
Overall Rating:
Adj Nurse Hours:
3.8100
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
8
RN share vs State Avg:
-30%
-30%
Staffing vs State Avg:
-6%
-6%
Occupancy vs State Avg:
+13%
+13%
Cathedral Care
Type of care:
SNF
AL
Community:
Jacksonville (Downtown)
Bed Count:
120
Pets Allowed:
No
Operator:
ASHLEY STREET SNF INTERMEDIARY HOLDINGS LLC
CCN:
105834
Occupancy:
63.8%
Home Revenue:
$2,313,327.00
Payroll Costs:
$1,310,930.00
Payroll %:
56.7%
Avg Residents/Day:
103.00
Overall Rating:
Adj Nurse Hours:
3.7474
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
16
RN share vs State Avg:
-1%
-1%
Staffing vs State Avg:
-7%
-7%
Occupancy vs State Avg:
-24%
-24%
Signature HealthCARE of Jacksonville
Type of care:
SNF
AL
Community:
Jacksonville (Southwest)
Bed Count:
180
Pets Allowed:
No
Operator:
JACKSONVILLE REHABILITATION AND NURSING MEMBER LLC
CCN:
105287
Occupancy:
72.6%
Home Revenue:
$15,365,602.00
Payroll Costs:
$6,376,300.00
Payroll %:
41.5%
Avg Residents/Day:
171.50
Overall Rating:
Adj Nurse Hours:
4.3056
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
1
Citations:
12
Severe Citations:
4
RN share vs State Avg:
-6%
-6%
Staffing vs State Avg:
+7%
+7%
Occupancy vs State Avg:
-14%
-14%Places of interest near River Garden Senior Services
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
Calculate Travel Distance to River Garden Senior Services
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Staffing Data
Source: CMS Payroll-Based Journal (Q2 2025)
267
Total Staff
201
Employees
66
Contractors
83,557
Total Hours (Quarter)
121
Avg Staff/Day
7.6
Avg Shift (hrs)
Nursing Staff Breakdown
| Role ⓘ | Count ⓘ | Avg Shift (hrs) ⓘ | Uses Contractors? ⓘ |
|---|---|---|---|
| Registered Nurse | 41 | 7.6 | Yes |
| Licensed Practical Nurse | 48 | 7.8 | Yes |
| Certified Nursing Assistant | 120 | 7.7 | Yes |
Staff by Category
Administration ⓘ
2 staff
4.7hs shift avg
Nursing Staff ⓘ
212 staff
7.7hs shift avg
Physicians & Practitioners ⓘ
7 staff
7.9hs shift avg
Therapy Services ⓘ
28 staff
6.8hs shift avg
Activities & Recreation ⓘ
2 staff
7.6hs shift avg
Social Services ⓘ
2 staff
6.8hs shift avg
Dietary Services ⓘ
4 staff
7.9hs shift avg
Other Services ⓘ
10 staff
7.9hs shift avg
Contractor Analysis
11.8%
of total hours from contractors
9,824 contractor hours this quarter
Registered Nurse: 11
Certified Nursing Assistant: 1
Licensed Practical Nurse: 21
Respiratory Therapy Technician: 9
Therapeutic Recreation Specialist: 2
Physical Therapy Assistant: 5
Speech Language Pathologist: 5
Physical Therapy Aide: 7
Qualified Social Worker: 2
Feeding Assistant: 1
Medical Director: 1
Other Physician: 1
| Role ⓘ | Employees ⓘ | Contractors ⓘ | Total Staff ⓘ | Total Hours ⓘ | Days Worked ⓘ | % of Days ⓘ | Avg Shift (hrs) ⓘ |
|---|---|---|---|---|---|---|---|
| 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 |
Health Inspection History
Inspections
Total health citations
2
Citations per inspection
2
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
All 2 citations resulted from standard inspections.
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
100% better than Florida averageFlorida average: 0.8
Serious Health citations
0
0
100% better than Florida averageFlorida average: 0.4
0 critical citations
0 serious citations
2 moderate citations
0 minor citations
Citations history (last 3 years)
Nutrition moderate citation
Apr 29, 2021
Corrected
Quality of Care moderate citation
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.
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Ownership: Non-Profit Corporation
Resident Census by Payment Source
170
Total Residents
Medicare
43
(25.3%)
ⓘ
Medicaid
79
(46.5%)
ⓘ
Private Pay/Other
48
(28.2%)
ⓘ
Programs & Services
Residents' Group
ⓘ
Family Member Group
ⓘ
Family Engagement
Active councils help families stay involved in care decisions and facility operations.
Active
Family Council
ⓘ
Active
Resident Council
ⓘ
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
7.8
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 averageFlorida average: 7.4
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
11.3
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
11.3
9% better than Florida averageFlorida average: 12.4
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
14.3%
Percent of long-stay residents whose need for help with daily activities has increased
14.3%
36% worse than Florida averageFlorida average: 10.5%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
13.2%
Percent of long-stay residents whose ability to move independently worsened
13.2%
In line with Florida averageFlorida average: 12.9%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
6.4%
Percent of low risk long-stay residents who lose control of their bowels or bladder
6.4%
53% better than Florida averageFlorida average: 13.5%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
4.8%
Percent of long-stay residents experiencing one or more falls with major injury
4.8%
83% worse than Florida averageFlorida average: 2.6%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
3.6%
Percent of long-stay high risk residents with pressure ulcers
3.6%
33% better than Florida averageFlorida average: 5.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
0.4%
Percent of long-stay residents with a urinary tract infection
0.4%
54% better than Florida averageFlorida average: 0.9%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
3.0%
Percent of long-stay residents who lose too much weight
3.0%
50% better than Florida averageFlorida average: 6.0%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
1.5%
Percent of long-stay residents who have depressive symptoms
1.5%
55% better than Florida averageFlorida average: 3.3%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
18.3%
Percent of long-stay residents who received an antipsychotic medication
18.3%
128% worse than Florida averageFlorida average: 8.0%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
98.7%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
98.7%
In line with Florida averageFlorida average: 97.7%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with Florida averageFlorida average: 99.2%
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
2.09
Number of hospitalizations per 1,000 long-stay resident days.
2.09
In line with Florida averageFlorida average: 2.10
ED visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.78
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.78
34% better than Florida averageFlorida average: 1.18
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
90.7%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
90.7%
In line with Florida averageFlorida average: 94.0%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.5%
Percent of short-stay residents who newly received an antipsychotic medication
0.5%
69% better than Florida averageFlorida average: 1.5%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
6% better than Florida averageFlorida average: 94.7%
Re-hospitalized after SNF stay
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
29.9%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
29.9%
14% worse than Florida averageFlorida average: 26.2%
Emergency department visits
Percentage of short-stay residents who had an outpatient emergency department visit.
11.2%
Percentage of short-stay residents who had an outpatient emergency department visit.
11.2%
20% worse than Florida averageFlorida average: 9.3%
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
0.2%
Percentage of SNF residents who experience falls with major injury during their stay.
0.2%
75% better than Florida averageFlorida average: 0.8%
Ability to care for self at discharge
Percentage of residents at or above expected ability to care for themselves at discharge.
42.2%
Percentage of residents at or above expected ability to care for themselves at discharge.
42.2%
21% worse than Florida averageFlorida average: 53.7%
Successful return to home or community
Rate of successful return to home or community from a skilled nursing facility.
59.4%
Rate of successful return to home or community from a skilled nursing facility.
59.4%
18% better than Florida averageFlorida average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Financial Trends
Historical financial and operational data for River Garden Senior Services based on CMS SNF Cost Reports.
Occupancy Rate
89.2%
↑ 11.1pp vs 2022
Net Income
-$5,681,034
↑ ~$3.6M vs 2022
Total Payroll
$18,761,365
↑ ~$1.4M vs 2022
Profit Margin
-16.4%
↑ 14.4pp vs 2022
Loading trend charts...
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