River Garden Senior Services

River Garden Senior Services is a Nursing Home in Florida

River Garden Senior Services is a Nursing Home in Florida

River Garden Senior Services

1401 Old St Augustine Rd, Jacksonville, FL 32258 View Map

River Garden Senior Services is a Nursing Home in Florida

River Garden Senior Services is a Nursing Home in Florida

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Overview of River Garden Senior Services

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. 

(904) 260-1818

What families are saying

Overall quality of life and resident wellbeing

The dining experience at Augustine Landing is highly praised, with specific commendations for Chef Tammy and server Mindy, highlighting the quality and variety of meals and attentive service.

Quality of life Care & staff Dining

Activities, programs, and daily engagement

The activities and social opportunities provided by the activities director are positively impacting residents' social lives and overall happiness, contributing to a lively and engaging community atmosphere.

Activities Community

Mobility support and physical accessibility

The staff at Augustine Landing, including maintenance, housekeeping, and transportation, are consistently recognized for their helpfulness, friendliness, and going above and beyond in their roles, enhancing the residents' living experience.

Mobility Care & staff

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Nurse hours per resident 5.45/day
Overall rating Info Based on health inspections, staffing and quality measures.
5/5
Health Inspection Info Based on deficiencies found during state health inspections.
5/5
Staffing Info Based on nurse staffing hours per resident per day.
5/5
Quality Measures Info Based on clinical outcomes for residents.
4/5

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.

Similar demand to the Florida average
Occupancy rate 92.1%
Residents per day (avg) 159
Occupancy rate
92.1%
Residents per day (avg)
159

Who this home usually serves

TYPE OF STAY

Mostly short-term rehab stays

Most residents typically stay for a few weeks or months before returning home or moving on.

Might be optimal for
Short stays Recovery Medicare-covered care

Breakdown by payment type

Medicare

82% of new residents, usually for short-term rehab.

Typical stay 1 - 2 months

Private pay

17% of new residents, often for short stays.

Typical stay 4 - 5 months

Medicaid

1% of new residents, often for long-term daily care.

Typical stay 4 - 5 years

Finances and operations

Governmental home
City
Home revenue
$28.0M
Deficit of revenue
-$9.3M
Governmental home City
Home revenue
$27,970,637.00
Deficit of revenue
$-9,269,772.00
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$12.3M
44% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$24.9M
Total costs $37.2M
Contact River Garden Senior Services

Comparison Chart

The information below is reported by the Florida Agency for Health Care Administration (AHCA).
Compare Nursing Homes around Jacksonville
River Garden Senior Services
SNF

Nursing Home 24/7 care needed

AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

Jacksonville
180
No
-
13
RIVER GARDEN HEBREW HOME FOR THE AGED
92.1%
$30,100,371.00
$12,305,719.00
40.9%
159.30
5/5
5.4507
5/5
5/5
4/5
-
Fountains Rehabilitation at Mill Cove
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
84
Yes
A-
44
ATRIUM SNF HOLDINGS LLC
92.7%
$19,795,324.00
$8,298,232.00
41.9%
77.10
4/5
3.8100
4/5
4/5
4/5
-
Cathedral Care
SNF

Nursing Home 24/7 care needed

AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

Jacksonville
120
No
-
88
ASHLEY STREET SNF INTERMEDIARY HOLDINGS LLC
79.3%
$9,799,427.00
$4,975,232.00
50.8%
103.00
4/5
3.7474
3/5
3/5
5/5
-
Signature HealthCARE of Jacksonville
SNF

Nursing Home 24/7 care needed

AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

Jacksonville
180
No
-
55
JACKSONVILLE REHABILITATION AND NURSING MEMBER LLC
92.6%
$8,579,236.00
$3,438,306.00
40.1%
171.50
1/5
4.3056
1/5
3/5
3/5
1
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
-
No
-
21
-
-
-
-
-
-
-
-
-
-
-
-

Places of interest near River Garden Senior Services

Address 13.9 miles from city center

Address 1401 Old St Augustine Rd, Jacksonville, FL 32258

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Address

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 Nurse417.6 Yes
Licensed Practical Nurse487.8 Yes
Certified Nursing Assistant1207.7 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 Assistant119112043,77491100%7.7
Registered Nurse30114112,81091100%7.6
Licensed Practical Nurse27214811,17991100%7.8
Mental Health Service Worker9092,0447380%7.9
Clinical Nurse Specialist5051,8276774%8
Physical Therapy Assistant0551,7158088%7.1
Other Dietary Services Staff3031,3068088%7.9
Speech Language Pathologist0551,2288290%6
Respiratory Therapy Technician0991,06691100%6.2
Physical Therapy Aide0771,0368391%6.9
Occupational Therapy Aide2029926571%8
Therapeutic Recreation Specialist0228776976%7.6
RN Director of Nursing2026796369%7
Dental Services Staff1015206571%8
Administrator1014725965%8
Qualified Social Worker0224646369%6.8
Dietitian1014645864%8
Nurse Practitioner1014565763%8
Other Physician0113785459%7
Feeding Assistant0112162730%8
Medical Director011545459%1

Health Inspection History

Source: CMS Health Citations (Apr 2021 – Apr 2021)

1
Inspections
2
Total Citations
0
Critical (J-L)
0
Serious (G-I)
2
Citations/Inspection
Apr 2021
Last Inspection
Citation Severity Distribution
Minor (A-C)
0
Moderate (D-F)
2
Serious (G-I)
0
Critical (J-L)
0
What do these levels mean?
Top Deficiency Categories
Quality of Life & Care
1
50% of total
Citation Sources
Standard Inspections 2
Complaint Investigations 0
State Comparison (FL)
Avg Citations (State)
19.7
This Facility: 2
Avg Critical (State)
0.8
This Facility: 0
Recent Citations (Last 3 Years)
DateSeverity ?CategoryTagStatus
Apr 29, 2021 E NutritionF0812 Corrected
Apr 29, 2021 D Quality of CareF0695 Corrected

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.

Quality Measures

CMS quality measures assess care quality for long-stay and short-stay residents. Lower percentages generally indicate better outcomes for most measures.

Source: CMS Nursing Home Compare (Data as of Jan 2026)

High-Risk Clinical Events
7.8 Score
Near average Florida avg: 7.4

Composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and ADL decline

Functional Decline
11.3 Score
9% better than avg Florida avg: 12.4

Composite score based on ADL decline, walking ability decline, and incontinence

Long-Stay Resident Measures

Measures for residents who stay 101 days or more. For most measures, lower percentages indicate better care.

Need for Help with Daily Activities Increased
14.3%
Lost Too Much Weight
3.0%
Urinary Tract Infection
0.4%
Depressive Symptoms
1.5%
Falls with Major Injury
4.8%
Pneumococcal Vaccine
98.7%
Antipsychotic Use
18.3%
Walking Ability Worsened
13.2%
Influenza Vaccine
100.0%
High Risk Residents with Pressure Ulcers
3.6%
Low Risk Long-Stay Residents with Bowel/Bladder Incontinence
6.4%
Short-Stay Resident Measures

Measures for residents who stay 100 days or less (typically rehabilitation patients).

Pneumococcal Vaccine
90.7% Near average Florida: 94.0%
Short-Stay Residents Who Received a New Antipsychotic Medication
0.5% 69% better than avg Florida: 1.5%
Influenza Vaccine
100.0% 6% better than avg Florida: 94.7%

Guides for Better Senior Living

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Claim What’s Yours: Financial Aid for Florida Seniors

Program
State Program Name
Eligibility
Benefits
Long-Term Care Waiver
Florida Medicaid LTC Waiver
  • General: Age 65+ or 21+ disabled, Florida resident, Medicaid- eligible, nursing home-level care need.
  • Income Limits (2025): ~$2,829/month (300% FBR, individual).
  • Asset Limits: $2,000 (individual), $3,000 (couple).
  • FL Specifics: High demand; waitlists common.
  • Services: In-home care (6-8 hours/day), assisted living, respite (240 hours/year), case management.
Community Care for the Elderly (CCE)
  • General: Age 60+, Florida resident, at risk of nursing home.
  • Income Limits: ~$2,000/month (varies).
  • Asset Limits: $5,000 (individual).
  • FL Specifics: Limited funding; regional variation.
  • Services: Homemaker services (3-5 hours/week), adult day care (~$60/day), respite (up to 10 days/year).
Home Care for the Elderly (HCE)
Florida Home Care for the Elderly
Official government program page
  • General: Age 60+, Florida resident, at risk of nursing home placement; caregiver must be approved.
  • Income Limits (2025): ~$2,829/month (individual, aligned with Medicaid thresholds).
  • Asset Limits: ~$2,000 (individual); varies by case manager discretion.
  • FL Specifics: Limited funding (~3,500 served annually); prioritizes low-income frail seniors.
  • Services: Basic subsidy (~$160/month) for housing/medical costs; special subsidies for supplies/services (e.g., incontinence supplies, ~$50-$200/month).
Program of All-Inclusive Care for the Elderly (PACE)
Florida Medicaid PACE
  • General: Age 55+, Florida resident, nursing home-level care need, safe with PACE support.
  • Income Limits (2025): ~$2,829/month (300% FBR).
  • Asset Limits: $2,000 (individual), $3,000 (couple).
  • FL Specifics: Limited to specific counties (e.g., Hillsborough, Miami-Dade); ~10 sites statewide.
  • Services: Personal care (5-7 hours/day), medical care, meals, transportation, therapy.
Optional State Supplementation (OSS)
Florida Optional State Supplementation
Official government program page
  • General: Age 65+ or disabled, Florida resident, living in approved facility, receiving SSI or low-income.
  • Income Limits (2025): ~$1,004/month (individual, including SSI).
  • Asset Limits: $2,000 (individual), $3,000 (couple).
  • FL Specifics: Limited to specific facility types; ~$78.40/month max supplement.
  • Services: Cash payment (~$78.40/month) for room/board or personal needs in facilities.
Senior Community Service Employment Program (SCSEP)
Florida SCSEP (federally funded, state-administered)
Official government program page
  • General: Age 55+, unemployed, low-income, Florida resident.
  • Income Limits (2025): ~$1,983/month (125% FPL, individual).
  • Asset Limits: Not specified; income-focused.
  • FL Specifics: Priority for veterans, rural residents; ~1,000 slots/year.
  • Services: Paid training (~20 hours/week at ~$7.25/hour), job placement.

Claim What’s Yours Financial Aid for Florida Seniors

Florida Medicaid LTC Waiver

Long-Term Care Waiver

Requirements:
  • General:
    Age 65+ or 21+ disabled, Florida resident, Medicaid- eligible, nursing home-level care need.
  • Income Limits (2025):
    ~$2,829/month (300% FBR, individual).
  • Asset Limits:
    $2,000 (individual), $3,000 (couple).
  • FL Specifics:
    High demand; waitlists common.
Benefits without Contact:
  • Services: In-home care (6-8 hours/day), assisted living, respite (240 hours/year), case management.
Florida CCE

Community Care for the Elderly (CCE)

Requirements:
  • General:
    Age 60+, Florida resident, at risk of nursing home.
  • Income Limits:
    ~$2,000/month (varies).
  • Asset Limits:
    $5,000 (individual).
  • FL Specifics:
    Limited funding; regional variation.
Benefits without Contact:
  • Services: Homemaker services (3-5 hours/week), adult day care (~$60/day), respite (up to 10 days/year).
Florida Home Care for the Elderly

Home Care for the Elderly (HCE)

Requirements:
  • General:
    Age 60+, Florida resident, at risk of nursing home placement; caregiver must be approved.
  • Income Limits (2025):
    ~$2,829/month (individual, aligned with Medicaid thresholds).
  • Asset Limits:
    ~$2,000 (individual); varies by case manager discretion.
  • FL Specifics:
    Limited funding (~3,500 served annually); prioritizes low-income frail seniors.
Benefits without Contact:
  • Services: Basic subsidy (~$160/month) for housing/medical costs; special subsidies for supplies/services (e.g., incontinence supplies, ~$50-$200/month).
Florida Medicaid PACE

Program of All-Inclusive Care for the Elderly (PACE)

Requirements:
  • General:
    Age 55+, Florida resident, nursing home-level care need, safe with PACE support.
  • Income Limits (2025):
    ~$2,829/month (300% FBR).
  • Asset Limits:
    $2,000 (individual), $3,000 (couple).
  • FL Specifics:
    Limited to specific counties (e.g., Hillsborough, Miami-Dade); ~10 sites statewide.
Benefits without Contact:
  • Services: Personal care (5-7 hours/day), medical care, meals, transportation, therapy.
Florida Optional State Supplementation

Optional State Supplementation (OSS)

Requirements:
  • General:
    Age 65+ or disabled, Florida resident, living in approved facility, receiving SSI or low-income.
  • Income Limits (2025):
    ~$1,004/month (individual, including SSI).
  • Asset Limits:
    $2,000 (individual), $3,000 (couple).
  • FL Specifics:
    Limited to specific facility types; ~$78.40/month max supplement.
Benefits without Contact:
  • Services: Cash payment (~$78.40/month) for room/board or personal needs in facilities.
Florida SCSEP (federally funded, state-administered)

Senior Community Service Employment Program (SCSEP)

Requirements:
  • General:
    Age 55+, unemployed, low-income, Florida resident.
  • Income Limits (2025):
    ~$1,983/month (125% FPL, individual).
  • Asset Limits:
    Not specified; income-focused.
  • FL Specifics:
    Priority for veterans, rural residents; ~1,000 slots/year.
Benefits without Contact:
  • Services: Paid training (~20 hours/week at ~$7.25/hour), job placement.
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