Staffing
CMS publishes a 2-star staffing rating for this facility.
RN staffing was 0.64 hours per resident day in 2026Q1, calculated from CMS PBJ records.
View staffing evidenceAsk Trust Hub Network
CMS overview
No proprietary TrustHub score. These ratings are published separately by CMS.
Facility information
CMS remains the primary federal record. Public website and additional contact details appear only when independently verified.
State regulatory evidence
California Department of Public Health is the state source for this license record. It does not replace CMS federal certification, ratings, or certified-bed counts.
California Department of Public Health
State regulatory data · checked Aug 2026
Decision guide
Factual evidence to examine before you decide. These summaries are not a score or recommendation.
CMS publishes a 2-star staffing rating for this facility.
RN staffing was 0.64 hours per resident day in 2026Q1, calculated from CMS PBJ records.
View staffing evidenceThe latest standard inspection on Mar 21, 2024 cited 5 deficiencies.
View inspection evidenceCMS-published records list 60 ownership or control parties.
CMS records show an ownership change effective March 2020.
View ownership evidenceCMS groups this facility with a chain covering 32 facilities across 2 states or territories.
View chain evidenceCMS records show a $15,593 fine in the loaded enforcement dataset.
View enforcement evidence →Ownership & operation
Operator, licensee, owner, manager, and chain stay separate. A connected organization is not automatically the party that runs daily operations.
Supported by multiple government sources
SeniorTrustHub found evidence connecting this facility to:
18 currently connected nursing homes share this CMS organization identity with LINKS HEALTHCARE GROUP LLC.
These figures summarize currently connected CMS-certified nursing homes. Some facilities have incomplete measures; missing values are omitted, not treated as zero. Ownership structures can change. State operator or licensee evidence may differ from CMS ownership disclosures.
Ownership
These are CMS-published ownership disclosures. Medicare enrollment ownership and managerial-control information is reported by enrolled providers through CMS forms; it is not an independent determination of beneficial ownership.
Organization · 5% OR GREATER SECURITY INTEREST
Association date reported to CMS: Mar 1, 2020
Other facilities connected through this exact CMS organization identity: 0 across CA.
Organization · 5% OR GREATER SECURITY INTEREST
Association date reported to CMS: Mar 1, 2020
Other facilities connected through this exact CMS organization identity: 0 across CA.
Individual · ADP OF THE SNF
Association date reported to CMS: Mar 1, 2020
Individual · ADP OF THE SNF
Association date reported to CMS: Mar 1, 2020
Individual · ADP OF THE SNF
Association date reported to CMS: Mar 1, 2020
Individual · ADP OF THE SNF
Association date reported to CMS: Mar 1, 2020
Organization · ADP OF THE SNF
Association date reported to CMS: Mar 1, 2020
Other facilities connected through this exact CMS organization identity: 0 across CA.
Individual · ADP OF THE SNF
Association date reported to CMS: Mar 1, 2020
Organization · ADP OF THE SNF
Association date reported to CMS: Mar 1, 2020
Other facilities connected through this exact CMS organization identity: 0 across CA.
Individual · ADP OF THE SNF
Association date reported to CMS: Mar 1, 2020
Organization · ADP OF THE SNF
Association date reported to CMS: Jul 16, 2025
Other facilities connected through this exact CMS organization identity: 0 across CA.
Organization · ADP OF THE SNF
Association date reported to CMS: Jul 16, 2025
Other facilities connected through this exact CMS organization identity: 0 across CA.
Individual · ADP OF THE SNF
Association date reported to CMS: Mar 1, 2020
Individual · ADP OF THE SNF
Association date reported to CMS: Mar 1, 2020
Individual · ADP OF THE SNF
Association date reported to CMS: Mar 1, 2020
Individual · ADP OF THE SNF
Association date reported to CMS: Mar 1, 2020
Individual · ADP OF THE SNF
Association date reported to CMS: Mar 1, 2020
Individual · ADP OF THE SNF
Association date reported to CMS: Mar 1, 2020
Individual · ADP OF THE SNF
Association date reported to CMS: Mar 1, 2020
Individual · CORPORATE OFFICER
Association date reported to CMS: Mar 1, 2020
Individual · CORPORATE OFFICER
Association date reported to CMS: Mar 1, 2020
Individual · GENERAL PARTNERSHIP INTEREST
Association date reported to CMS: Mar 1, 2020
Individual · GENERAL PARTNERSHIP INTEREST
Association date reported to CMS: Mar 1, 2020
Individual · GENERAL PARTNERSHIP INTEREST
Association date reported to CMS: Mar 1, 2020
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Mar 1, 2020
Other facilities connected through this exact CMS organization identity: 0 across CA.
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Mar 1, 2020
Other facilities connected through this exact CMS organization identity: 0 across CA.
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Mar 1, 2020
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Mar 1, 2020
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Mar 1, 2020
Other facilities connected through this exact CMS organization identity: 17 across CA, TN.
Individual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 46.6%
Association date reported to CMS: Mar 1, 2020
Individual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 46.6%
Association date reported to CMS: Mar 1, 2020
Organization · 5% OR GREATER SECURITY INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Mar 1, 2020
Other facilities connected through this exact CMS organization identity: 0 across CA.
Organization · 5% OR GREATER SECURITY INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Mar 1, 2020
Other facilities connected through this exact CMS organization identity: 34 across CA, IA, IL, MA, MI, NC, OH, PA.
Individual · ADP OF THE SNF
Association date reported to CMS: Mar 1, 2020
Individual · ADP OF THE SNF
Association date reported to CMS: Mar 1, 2020
Individual · ADP OF THE SNF
Association date reported to CMS: Mar 1, 2020
Individual · ADP OF THE SNF
Association date reported to CMS: Mar 1, 2020
Organization · ADP OF THE SNF
Association date reported to CMS: Mar 1, 2020
Other facilities connected through this exact CMS organization identity: 0 across CA.
Individual · ADP OF THE SNF
Association date reported to CMS: Mar 1, 2020
Organization · ADP OF THE SNF
Association date reported to CMS: Mar 1, 2020
Other facilities connected through this exact CMS organization identity: 22 across CA, IA, MN, ND, WA, WY.
Individual · ADP OF THE SNF
Association date reported to CMS: Mar 1, 2020
Organization · ADP OF THE SNF
Association date reported to CMS: Jul 16, 2025
Other facilities connected through this exact CMS organization identity: 17 across CA, TN.
Organization · ADP OF THE SNF
Association date reported to CMS: Jul 16, 2025
Other facilities connected through this exact CMS organization identity: 10 across CA.
Individual · ADP OF THE SNF
Association date reported to CMS: Mar 1, 2020
Individual · ADP OF THE SNF
Association date reported to CMS: Mar 1, 2020
Individual · ADP OF THE SNF
Association date reported to CMS: Mar 1, 2020
Individual · ADP OF THE SNF
Association date reported to CMS: Mar 1, 2020
Individual · ADP OF THE SNF
Association date reported to CMS: Mar 1, 2020
Individual · ADP OF THE SNF
Association date reported to CMS: Mar 1, 2020
Individual · ADP OF THE SNF
Association date reported to CMS: Mar 1, 2020
Individual · CORPORATE OFFICER
Association date reported to CMS: Mar 1, 2020
Individual · CORPORATE OFFICER
Association date reported to CMS: Mar 1, 2020
Individual · GENERAL PARTNERSHIP INTEREST
Published ownership percentage: 4%
Association date reported to CMS: Mar 1, 2020
Individual · GENERAL PARTNERSHIP INTEREST
Published ownership percentage: 0.8%
Association date reported to CMS: Mar 1, 2020
Individual · GENERAL PARTNERSHIP INTEREST
Published ownership percentage: 2%
Association date reported to CMS: Mar 1, 2020
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Mar 1, 2020
Other facilities connected through this exact CMS organization identity: 17 across CA, TN.
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Mar 1, 2020
Other facilities connected through this exact CMS organization identity: 10 across CA.
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Mar 1, 2020
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Mar 1, 2020
Organization · Medicare-enrolled legal organization
Other facilities connected through this exact CMS organization identity: 0 across CA.
Roles are shown as CMS publishes them. Different CMS sources can describe different enrollment, ownership, and control concepts, so TrustHub keeps each source-specific disclosure distinct.
Chain context
Chain-level values describe this CMS-defined group, not any one facility. CMS Chain ID 318 is a grouping identifier, not a legal organization.
| Month | Facilities | Overall rating | Staffing rating |
|---|---|---|---|
| Wed Jul | 32 | 2.8 | 2.8 |
| Mon Jun | 31 | 2.9 | 2.6 |
| Fri May | 31 | 2.8 | 2.7 |
| Wed Apr | 31 | 2.9 | 2.7 |
| Sun Mar | 31 | 2.8 | 2.5 |
| Sun Feb | 28 | 2.7 | 2.6 |
Nursing Home Chain Performance Measures, fixed version da2db00a-0f3d-40a9-a535-588ff1220c55. Membership comes separately from CMS Skilled Nursing Facility Enrollments.
View official CMS sourceInspections & deficiencies
Scope and severity terms below are CMS classifications. They are not a TrustHub score.
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 24, 2026)
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 24, 2026)
Provide and implement an infection prevention and control program.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 24, 2026)
No health-deficiency rows were deterministically linked to this inspection.
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Apr 1, 2024)
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Apr 1, 2024)
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Apr 1, 2024)
Dispose of garbage and refuse properly.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Apr 1, 2024)
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Apr 1, 2024)
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
CMS scope/severity J: Isolated; Immediate jeopardy to resident health or safety.
Correction status: Deficient, Provider has date of correction (Dec 3, 2023)
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS scope/severity G: Isolated; Actual harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Dec 3, 2023)
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Dec 3, 2023)
No health-deficiency rows were deterministically linked to this inspection.
Provide safe, appropriate dialysis care/services for a resident who requires such services.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Apr 11, 2022)
Ensure each resident’s drug regimen must be free from unnecessary drugs.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Apr 11, 2022)
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Apr 11, 2022)
Provide and implement an infection prevention and control program.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Apr 11, 2022)
No health-deficiency rows were deterministically linked to this inspection.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 13, 2019)
Penalties & enforcement
Published fine amount: $15,593.00
Published fine amount: $15,593.00
Published fine amount: $15,593.00
Questions to ask
Facility history
13 historical events available. Dates and values come from published CMS and official state regulator evidence, not a score.
3 deficiencies were recorded.
CMS · Recorded event date · View related evidence
Total nurse staffing decreased from 4.50 to 4.19 hours per resident day between 2025Q3 and 2025Q4. Staffing declined across those reported periods.
4.50 → 4.19
CMS · Reported in a source release · View related evidence
RN staffing decreased from 0.80 to 0.70 hours per resident day between 2025Q3 and 2025Q4. Staffing declined across those reported periods.
0.80 → 0.70
CMS · Reported in a source release · View related evidence
RN staffing increased from 0.67 to 0.80 hours per resident day between 2025Q2 and 2025Q3. Staffing improved across those reported periods.
0.67 → 0.80
CMS · Reported in a source release · View related evidence
Total nurse staffing increased from 4.04 to 4.50 hours per resident day between 2025Q2 and 2025Q3. Staffing improved across those reported periods.
4.04 → 4.50
CMS · Reported in a source release · View related evidence
5 deficiencies were recorded.
CMS · Recorded event date · View related evidence
CMS recorded a $15,593 civil monetary penalty.
CMS · Recorded event date · View related evidence
3 deficiencies were recorded. That includes 2 higher-severity deficiencies.
CMS · Recorded event date · View related evidence
CMS recorded a $15,593 civil monetary penalty.
CMS · Recorded event date · View related evidence
CMS recorded a $15,593 civil monetary penalty.
CMS · Recorded event date · View related evidence
4 deficiencies were recorded.
CMS · Recorded event date · View related evidence
An ownership change was recorded. New organization: JACKSON RIVER HOLDINGS LLC.
NOBLE SUB ACUTE CARE SERVICES INC → JACKSON RIVER HOLDINGS LLC
CMS · Recorded event date · View related evidence
Staffing
CMS staffing rating: 2 of 5 stars. CMS calculates that rating separately using its published methodology. The values below are calculations from daily PBJ records for 2026Q1 (current source quarter).
| Measure | Monday–Friday | Saturday–Sunday |
|---|---|---|
| Total nursing | 4.353 | 4.057 |
| RN categories | 0.671 | 0.549 |
Contract staff accounted for 6.1% of reported nursing hours included in this quarter calculation.
Reported RN-category hours per resident day were 0.064 lower than the prior loaded quarter.
Solid bar: Total nursing · Outlined bar: RN categories
| Quarter | Total nursing | RN categories | LPN/LVN | CNA | Contract share | Days |
|---|---|---|---|---|---|---|
| 2025Q2 | 4.038 | 0.674 | 1.054 | 2.31 | 4% | 91 |
| 2025Q3 | 4.501 | 0.803 | 1.25 | 2.448 | 1.9% | 92 |
| 2025Q4 | 4.19 | 0.7 | 1.113 | 2.376 | 3.1% | 92 |
| 2026Q1 | 4.268 | 0.636 | 1.129 | 2.504 | 6.1% | 90 |
Hours-per-resident-day values are calculated by this platform from CMS-published daily PBJ hours and MDS census. For each displayed period, included hours are summed and divided by the summed census for days with a positive census. They are not CMS case-mix-adjusted staffing measures or a staffing rating.
View official CMS PBJ sourceWhat we can verify today
These measures come from the current successfully ingested CMS Nursing Home Provider Information release.
Planned evidence layers
These areas require separate authoritative CMS datasets. No findings are shown until those sources are ingested and reviewed.
Trust participation
Claims, corrections, and factual context are free. Submissions never replace CMS evidence or affect ranking.
Source register
No paid placements. Facilities cannot pay to rank higher. We cite. You decide.