Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
Most new residents arrive under Medicare (66% of admissions), and a typical Medicare stay runs around 19 days.
River Garden Senior Services offers nursing home, skilled nursing, memory care, independent living, and adult day care in the Del Rio neighborhood of Jacksonville, Florida. Nursing home and skilled nursing services provide licensed nursing care on site around the clock, while memory care offers a secured setting with supervision for someone at risk of wandering. Independent living provides private living with community services and no daily care, and adult day care provides care during the day without a residential stay.
Memory care may suit someone living with Alzheimer’s disease or another form of dementia who needs a secure, supervised setting. The community has 180 beds, placing it among larger communities with more residents and staff and usually more programming, while its 91% occupancy means most beds are filled. Total nurse staffing is 5 hours and 27 minutes per resident per day, representing the daily hands-on nursing time assigned to each resident. Payment options include Medicare for short-term skilled care after a hospital stay, Medicaid for a resident whose savings may not cover a long stay, and private pay; pets are allowed, so a resident may continue living with a companion animal.
Standout metric: Certified nursing assistant is +47% above Florida average
1 of 6 metrics below Florida average
94.9% of staff hours were worked by the facility's own employees
Florida average: 95.1% · Contractors this quarter: Certified Nursing Assistant (34), Licensed Practical Nurse (32), Registered Nurse (5), Other Physician (2), Medical Director (1), Feeding Assistant (1)
Why it matters: employees work here week after week and get to know each resident's routines and needs. Agency contractors often rotate between facilities, so a higher employee share usually means more consistent care.
Medium-capacity home · Offers a balance of services and community atmosphere.
Based on residents per day and 180 beds.
Source: CMS Provider Information, average daily residents (data as of Aug 2026)
We don't have enough verified data to publish an inspection grade for this facility — a missing grade reflects what we've been able to verify, not the facility's quality.
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
All 2 citations resulted from standard inspections.
Includes all CMS health inspection records for this property, which could include management/ownership changes.
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.
Show Inspection ReportsFederal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
66% of new residents, usually for short-term rehab.
32% of new residents, often for short stays.
2% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jun 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.
Historical financial and operational data for River Garden Senior Services from 2011–2024, based on CMS SNF Cost Reports. Includes all financial data for this property, which could include management/ownership changes.
Key figures below are for fiscal year ending in 12/2024.
Based on CMS SNF Cost Report for fiscal year ending in 12/2024.
Most residents typically stay for a few weeks or months before returning home or moving on.
Most new residents arrive under Medicare (66% of admissions), and a typical Medicare stay runs around 19 days.
Coverage residents most often arrive under.
Coverage residents most often leave under.
1401 Old St Augustine Rd, Jacksonville, FL 32258
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Info below is compiled from CMS reports & the FL Agency for Health Care Administration (AHCA), senior community websites & trusted data sources such as Walk Score & BBB.
Communities are listed from highest-ranked to lowest-ranked based on our methodology.
The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
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CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
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Care Types in This Table
AL (Assisted Living):
Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing.
NH (Nursing Home):
24/7 skilled nursing care for residents with complex, ongoing medical needs.
SNF (Skilled Nursing Facility):
Round-the-clock nursing care, often for recovery after surgery, injury, or illness.
MC (Memory Care):
Secured, specialized care for people living with Alzheimer's or dementia.
RC (Respite Care):
Short-term temporary care that gives family caregivers a break.
IL (Independent Living):
Community living with dining, activities, and transportation for active seniors who need little personal care.
ADC (Adult Day Care):
Daytime supervision, health monitoring, and social activities for seniors who live at home.
PC (Palliative Care):
Comfort-focused care for serious illness at any stage, including alongside curative treatment.
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Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
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Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
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Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
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This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
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CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
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CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
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CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
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CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
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Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
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Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
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Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
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Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
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Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
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Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
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Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
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Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
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Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
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The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
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What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Florida average is: 72.2% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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CMS Certification Number: the unique federal identifier for this skilled nursing provider.
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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Cathedral Care | NH PC RC SNF | Jacksonville | 120
Facility
120
FL AVG
104
Rank
#62 / 237 |
86.8%
Facility
86.8%
FL AVG
88.7%
Rank
#90 / 122 | -2% | 3.65
Facility
3.65
FL AVG
4.04
Rank
#134 / 181 | +3% | -10% | $0
Facility
$0
FL AVG
$64.5k
Rank
#1 / 184 | 15
Facility
15
FL AVG
19.8
Rank
#64 / 180 | 5.0
Facility
5.0
FL AVG
4.5
Rank
#116 / 180 | - | 104 | - |
88
Facility
88
FL AVG
44
Rank
#11 / 261 | Ashley Street Snf Intermediary Holdings LLC | $12.1MFiscal year ending 12/2024
Facility
$12.1MFiscal year ending 12/2024
FL AVG
$14.6M
Rank
#118 / 160 | $6.6MFiscal year ending 12/2024
Facility
$6.6MFiscal year ending 12/2024
FL AVG
$9.5M
Rank
#125 / 160 | 54.2%Fiscal year ending 12/2024
Facility
54.2%Fiscal year ending 12/2024
FL AVG
72.2%
Rank
#72 / 160 | 105834 | ||||
| River Garden Senior Services | NH ADC IL MC SNF | Jacksonville (Del Rio) | 180
Facility
180
FL AVG
104
Rank
#17 / 237 |
90.8%
Facility
90.8%
FL AVG
88.7%
Rank
#74 / 122 | +2% | 5.46
Facility
5.46
FL AVG
4.04
Rank
#15 / 181 | -3% | +35% | $0
Facility
$0
FL AVG
$64.5k
Rank
#1 / 184 | 2
Facility
2
FL AVG
19.8
Rank
#3 / 180 | 2.0
Facility
2.0
FL AVG
4.5
Rank
#10 / 180 | - | 163 | - |
13
Facility
13
FL AVG
44
Rank
#220 / 261 | River Garden Hebrew Home For The Aged | $25.3MFiscal year ending 12/2024
Facility
$25.3MFiscal year ending 12/2024
FL AVG
$14.6M
Rank
#13 / 160 | $16.7MFiscal year ending 12/2024
Facility
$16.7MFiscal year ending 12/2024
FL AVG
$9.5M
Rank
#20 / 160 | 65.7%Fiscal year ending 12/2024
Facility
65.7%Fiscal year ending 12/2024
FL AVG
72.2%
Rank
#43 / 160 | 105016 | ||||
| Cypress Village | NH AL IL MC RC SNF | Jacksonville (Southside) | 112
Facility
112
FL AVG
104
Rank
#113 / 237 | - | - | 4.72
Facility
4.72
FL AVG
4.04
Rank
#38 / 181 | +1% | +17% | $9.5k
Facility
$9.5k
FL AVG
$64.5k
Rank
#132 / 184 | 7
Facility
7
FL AVG
19.8
Rank
#22 / 180 | 2.3
Facility
2.3
FL AVG
4.5
Rank
#21 / 180 | - | 87 | - |
13
Facility
13
FL AVG
44
Rank
#220 / 261 | Ccrc Opco - Cypress Village, LLC | $20.9MFiscal year ending 12/2024
Facility
$20.9MFiscal year ending 12/2024
FL AVG
$14.6M
Rank
#29 / 160 | $17.2MFiscal year ending 12/2024
Facility
$17.2MFiscal year ending 12/2024
FL AVG
$9.5M
Rank
#21 / 160 | 82.5%Fiscal year ending 12/2024
Facility
82.5%Fiscal year ending 12/2024
FL AVG
72.2%
Rank
#38 / 160 | 105745 | ||||
| Westminster Woods on Julington Creek | NH AL IL MC SNF | Fruit Cove (Saint Johns) | 80
Facility
80
FL AVG
104
Rank
#150 / 237 | - | - | 3.92
Facility
3.92
FL AVG
4.04
Rank
#105 / 181 | +4% | -3% | $0
Facility
$0
FL AVG
$64.5k
Rank
#1 / 184 | - | - | - | 56 | C- |
47
Facility
47
FL AVG
44
Rank
#115 / 261 | Wesley Manor, Inc | $9.5MFiscal year ending 03/2025
Facility
$9.5MFiscal year ending 03/2025
FL AVG
$14.6M
Rank
#133 / 160 | $12.6MFiscal year ending 03/2025
Facility
$12.6MFiscal year ending 03/2025
FL AVG
$9.5M
Rank
#38 / 160 | 131.9%Fiscal year ending 03/2025
Facility
131.9%Fiscal year ending 03/2025
FL AVG
72.2%
Rank
#11 / 160 | 105901 | ||||
| Fountains Rehabilitation at Mill Cove | NH AL IL MC RC SNF | Jacksonville (Regency) | 221
Facility
221
FL AVG
104
Rank
#9 / 237 | - | - | 3.90
Facility
3.90
FL AVG
4.04
Rank
#105 / 181 | -11% | -3% | $0
Facility
$0
FL AVG
$64.5k
Rank
#1 / 184 | 15
Facility
15
FL AVG
19.8
Rank
#64 / 180 | 5.0
Facility
5.0
FL AVG
4.5
Rank
#116 / 180 | - | 83 | A |
44
Facility
44
FL AVG
44
Rank
#125 / 261 | Atrium Alf Operating LLC | $20.2MFiscal year ending 12/2024
Facility
$20.2MFiscal year ending 12/2024
FL AVG
$14.6M
Rank
#27 / 160 | $9.3MFiscal year ending 12/2024
Facility
$9.3MFiscal year ending 12/2024
FL AVG
$9.5M
Rank
#58 / 160 | 45.9%Fiscal year ending 12/2024
Facility
45.9%Fiscal year ending 12/2024
FL AVG
72.2%
Rank
#112 / 160 | 105927 |
Rank badges are statewide and care-type specific: each nursing home is ranked against every other FL nursing home we track that reports that metric, not just the 5 on this page. See how we rank facilities
River Garden Senior Services is located in Jacksonville, Florida.
Here are the financial assistance programs available to residents in Florida.
River Garden Senior Services is in the Del Rio neighborhood of Jacksonville.
River Garden Senior Services has a walk score of 13. Car-dependent. Most errands require a car, with limited nearby walkable options.
River Garden Senior Services's occupancy is 90.8%.
Yes, River Garden Senior Services allows residents to bring their pets.
River Garden Senior Services is registered as a non-profit.
River Garden Senior Services received a 5-star overall rating from the CMS (Centers for Medicare and Medicaid Services). This score combines results from staffing levels, quality measures, and health inspections.
River Garden Senior Services has 180 beds.
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