SENIORTRUST HUB

Facility record

STRATFORD VILLA POST-ACUTE has 27 certified beds in LIVERMORE, California. The CMS overall rating is 4 of 5, compared with the California average of 3.2. The CMS health inspection rating is 3 of 5, compared with the California average of 2.8. The CMS staffing rating is 2 of 5. The latest standard health survey on Mar 21, 2024 lists 5 deficiencies, compared with the California average of 11.3. CMS records a fine of $15,593 dated Nov 7, 2023. CMS records a fine of $15,593 dated Nov 7, 2023. CMS records a fine of $15,593 dated Nov 7, 2023. Total nurse staffing is 4.27 hours per resident day in 2026Q1, compared with the California average of 4.53.

Nearby facilities

CMS nursing homes in California

CMS nursing home

STRATFORD VILLA POST-ACUTE

LIVERMORE, CA

CMS CCN 5558999254472280Listed in the current CMS nursing-home directoryCMS source updated August 1, 2026

Build questions for this facility →

CompareSave to shortlist

Independent research from official CMS public records. No paid ranking. No Trust Hub quality score.

Research this nursing home using CMS and federal public records. CMS Certification Number 555899.

At a glance

CMS research snapshot

CMS overall rating

4 of 5

CMS health inspection rating

3 of 5

CMS staffing rating

2 of 5

CMS quality-measure rating

5 of 5

CMS ownership-change history

CMS has published 1 ownership-change record for this provider.

These are CMS star ratings, not Trust Hub ratings. Missing evidence is shown as not reported, not as zero.

Quality & care evidence

What CMS reports about quality

  • MDS quality observations are in the CMS extract.
  • PBJ staffing records are in the CMS extract.
  • Inspection evidence is in the CMS extract.
  • Fire-safety evidence is in the CMS extract.

Staffing, inspections, and fire safety are separate CMS evidence families below.

Ownership & management

Who CMS/PECOS connects to this nursing home

Current ownership uses CURRENT OWNED_BY evidence only. UNKNOWN is not a former owner.

Current owners

  • CLAWSON, SCOTTIndividual ownerGENERAL PARTNERSHIP INTEREST
  • CLAWSON, SCOTTIndividual ownerGENERAL PARTNERSHIP INTEREST4% ownership interest
  • EARL, STEVENIndividual ownerGENERAL PARTNERSHIP INTEREST
  • EARL, STEVENIndividual ownerGENERAL PARTNERSHIP INTEREST0.8% ownership interest
  • LINKS HEALTHCARE GROUP LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100% ownership interest
  • RODRIGUEZ, CURTISIndividual owner5% OR GREATER INDIRECT OWNERSHIP INTEREST46.6% ownership interest
  • SANOFSKY, JACKIndividual ownerGENERAL PARTNERSHIP INTEREST2% ownership interest
  • SANOFSKY, JACKIndividual ownerGENERAL PARTNERSHIP INTEREST
  • TILFORD, TOBYIndividual owner5% OR GREATER INDIRECT OWNERSHIP INTEREST46.6% ownership interest

Operators

  • LINKS HEALTHCARE GROUP LLCOrganization · CURRENTOPERATIONAL/MANAGERIAL CONTROL
  • LINKS HEALTHCARE GROUP LLCOrganization · CURRENTOPERATIONAL/MANAGERIAL CONTROL
  • LINKS SUPPORT SERVICES, LLCOrganization · CURRENTOPERATIONAL/MANAGERIAL CONTROL
  • LINKS SUPPORT SERVICES, LLCOrganization · CURRENTOPERATIONAL/MANAGERIAL CONTROL
  • RODRIGUEZ, CURTISIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
  • RODRIGUEZ, CURTISIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
  • TILFORD, TOBYIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
  • TILFORD, TOBYIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
  • LINKS HEALTHCARE GROUP LLCOrganization · HISTORICALOPERATIONAL/MANAGERIAL CONTROL
  • LINKS SUPPORT SERVICES, LLCOrganization · HISTORICALOPERATIONAL/MANAGERIAL CONTROL
  • RODRIGUEZ, CURTISIndividual owner · HISTORICALOPERATIONAL/MANAGERIAL CONTROL
  • TILFORD, TOBYIndividual owner · HISTORICALOPERATIONAL/MANAGERIAL CONTROL
  • LINKS HEALTHCARE GROUP LLCOrganization · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
  • LINKS HEALTHCARE GROUP LLCOrganization · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
  • LINKS SUPPORT SERVICES, LLCOrganization · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
  • LINKS SUPPORT SERVICES, LLCOrganization · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
  • RODRIGUEZ, CURTISIndividual owner · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
  • RODRIGUEZ, CURTISIndividual owner · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
  • TILFORD, TOBYIndividual owner · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
  • TILFORD, TOBYIndividual owner · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL

Enrollment organizations

  • JACKSON RIVER HOLDINGS LLCOrganization · CURRENTMedicare-enrolled legal organization
  • JACKSON RIVER HOLDINGS LLCOrganization · UNKNOWNMedicare-enrolled legal organization
Historical ownership observations

Historical

  • CLAWSON, SCOTTIndividual owner · HISTORICALGENERAL PARTNERSHIP INTEREST4% ownership interest
  • EARL, STEVENIndividual owner · HISTORICALGENERAL PARTNERSHIP INTEREST0.8% ownership interest
  • LINKS HEALTHCARE GROUP LLCOrganization · HISTORICAL5% OR GREATER DIRECT OWNERSHIP INTEREST100% ownership interest
  • RODRIGUEZ, CURTISIndividual owner · HISTORICAL5% OR GREATER INDIRECT OWNERSHIP INTEREST46.6% ownership interest
  • SANOFSKY, JACKIndividual owner · HISTORICALGENERAL PARTNERSHIP INTEREST2% ownership interest
  • TILFORD, TOBYIndividual owner · HISTORICAL5% OR GREATER INDIRECT OWNERSHIP INTEREST46.6% ownership interest
Ownership observations with UNKNOWN status

These relationships were observed in an older snapshot. UNKNOWN does not mean former owner, previous owner, or that ownership ended.

UNKNOWN

  • CLAWSON, SCOTTIndividual owner · UNKNOWNGENERAL PARTNERSHIP INTEREST4% ownership interest
  • CLAWSON, SCOTTIndividual owner · UNKNOWNGENERAL PARTNERSHIP INTEREST
  • EARL, STEVENIndividual owner · UNKNOWNGENERAL PARTNERSHIP INTEREST0.8% ownership interest
  • EARL, STEVENIndividual owner · UNKNOWNGENERAL PARTNERSHIP INTEREST
  • LINKS HEALTHCARE GROUP LLCOrganization · UNKNOWN5% OR GREATER DIRECT OWNERSHIP INTEREST100% ownership interest
  • RODRIGUEZ, CURTISIndividual owner · UNKNOWN5% OR GREATER INDIRECT OWNERSHIP INTEREST46.6% ownership interest
  • SANOFSKY, JACKIndividual owner · UNKNOWNGENERAL PARTNERSHIP INTEREST
  • SANOFSKY, JACKIndividual owner · UNKNOWNGENERAL PARTNERSHIP INTEREST2% ownership interest
  • TILFORD, TOBYIndividual owner · UNKNOWN5% OR GREATER INDIRECT OWNERSHIP INTEREST46.6% ownership interest

Ownership change history

CMS ownership-change records

CMS publishes Change of Ownership records for this nursing home.

  1. CMS records show an ownership change effective 2020-03-01.

    CMS type
    CHANGE OF OWNERSHIP
    Buyer legal entity
    JACKSON RIVER HOLDINGS LLC
    Seller legal entity
    NOBLE SUB ACUTE CARE SERVICES INC
    Effective date
    2020-03-01

These are CMS transaction records. They are not a Trust Hub quality, stability, or sale judgment.

Source freshness

How current each evidence family is

nursing-home-mds-quality-measures
STALE · source as of 2026-08-01
nursing-home-provider-information
STALE · source as of 2026-08-01
skilled-nursing-facility-all-owners
AGING · source as of 2026-08-17
skilled-nursing-facility-change-of-ownership
CURRENT · source as of 2026-08-24

Profile generated 2026-11-04. That timestamp is not CMS evidence freshness.

Methodology

How Trust Hub researches this provider

  • CMS is the source for national nursing-home evidence.
  • Trust Hub does not create the CMS star ratings.
  • Ownership evidence does not measure care quality.
  • CMS CHOW records document reported ownership-change events.
  • Missing evidence is not interpreted as zero.
  • UNKNOWN ownership history is not interpreted as divestiture.
  • Ownership evidence is not a quality measure.
  • Missing evidence is not a zero score.
  • CMS ratings are CMS ratings, not Trust Hub ratings.
  • UNKNOWN ownership does not prove an owner left.
  • CHOW records are CMS transaction records, not Trust Hub judgments or sales.

CMS overview

CMS rating overview

CMS overall

4 of 5

Health inspection

3 of 5

Staffing

2 of 5

Quality measures

5 of 5

No proprietary TrustHub score. These ratings are published separately by CMS. How CMS ratings and facility records are read

CMS certified beds
27
Ownership descriptor
For profit - Limited Liability company
Medicare participation
Yes
Medicaid participation
Yes

Facility information

Contact

CMS remains the primary federal record. Public website and additional contact details appear only when independently verified.

Phone
9254472280CMS Provider Information

State regulatory evidence

State License & Oversight

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 license
550003515
License status
ACTIVE
License type
SNF
State licensed capacity
27 bedsCMS certified beds: 27
Licensee
JACKSON RIVER HOLDINGS, LLCLegal entity holding the state license — not automatically the owner or chain
Administrator
PODEROSO, ISABELNamed on the state license record

State regulatory data · checked Aug 2026

View source details · Official CA source

CMS designations

Special Focus and abuse-icon status

This CMS Certification Number appears in the latest CMS Nursing Home Provider Information extract of currently listed nursing homes.

Not currently SFF or candidate

CMS does not currently identify this nursing home as a Special Focus Facility or candidate in the loaded Provider Information extract.

CMS field value: (blank). Observed Aug 1, 2026.

CMS abuse-icon designation

CMS does not currently apply its abuse-icon designation to this facility in the loaded Provider Information extract.

CMS field value: N. Observed Aug 1, 2026.

Enrollment identity

Medicare enrollment organization NPI associated with this CMS Certification Number

These identifiers come from CMS SNF enrollment records linked to this CCN. They are not a substitute for the CMS Certification Number.

  • NPI 1962034496 · enrollment O20200505000774
  • NPI 1962034496 · enrollment O20200505000774

MDS quality measures

Individual CMS quality measures

These MDS quality measures are individual CMS-published scores. They are not the CMS quality-measure star rating.

MDS source release 2026-08-01.

View individual MDS measures
  • Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine (Long Stay): 100.000000
  • Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine (Long Stay): 9
  • Percentage of long-stay residents experiencing one or more falls with major injury (Long Stay): 6.153846 · CMS uses this measure in the quality-measure star rating
  • Percentage of long-stay residents who have depressive symptoms (Long Stay): 1.666667
  • Percentage of long-stay residents who lose too much weight (Long Stay): 9.836066
  • Percentage of long-stay residents who received an antianxiety or hypnotic medication (Long Stay): 19.354839
  • Percentage of long-stay residents who received an antipsychotic medication (Long Stay): 3.846154 · CMS uses this measure in the quality-measure star rating
  • Percentage of long-stay residents who were physically restrained (Long Stay): 0.000000
  • Percentage of long-stay residents whose ability to walk independently worsened (Long Stay): 9.097006 · CMS uses this measure in the quality-measure star rating
  • Percentage of long-stay residents whose need for help with daily activities has increased (Long Stay): 6.896552 · CMS uses this measure in the quality-measure star rating
  • Percentage of long-stay residents with a catheter inserted and left in their bladder (Long Stay): 0.000000 · CMS uses this measure in the quality-measure star rating
  • Percentage of long-stay residents with a urinary tract infection (Long Stay): 0.000000 · CMS uses this measure in the quality-measure star rating
  • Percentage of long-stay residents with new or worsened bowel or bladder incontinence (Long Stay): 2.899347
  • Percentage of long-stay residents with pressure ulcers (Long Stay): 1.263156 · CMS uses this measure in the quality-measure star rating
  • Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine (Short Stay): 100.000000
  • Percentage of short-stay residents who newly received an antipsychotic medication (Short Stay): 0.763359 · CMS uses this measure in the quality-measure star rating
  • Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine (Short Stay): 97.368421

Fire-safety citations

CMS fire-safety citations

These are fire-safety citations, not health deficiencies and not a count of fires.

  • 2024-03-21 · tag 0291 · scope/severity D — Install emergency lighting that can last at least 1 1/2 hours.
  • 2024-03-21 · tag 0918 · scope/severity F — Have generator or other power source capable of supplying service within 10 seconds.
  • 2024-03-21 · tag 0293 · scope/severity E — Have properly located and lighted "Exit" signs.
  • 2024-03-21 · tag 0914 · scope/severity E — Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
  • 2024-03-21 · tag 0161 · scope/severity D — Use approved construction type or materials.
  • 2024-03-21 · tag 0321 · scope/severity D — Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
  • 2024-03-21 · tag 0345 · scope/severity D — Have approved installation, maintenance and testing program for fire alarm systems.
  • 2024-03-21 · tag 0353 · scope/severity D — Inspect, test, and maintain automatic sprinkler systems.
  • 2024-03-21 · tag 0372 · scope/severity D — Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
  • 2024-03-21 · tag 0712 · scope/severity D — Have simulated fire drills held at unexpected times.
  • 2024-03-21 · tag 0919 · scope/severity D — Meet requirements for the use of electrical equipment.
  • 2024-03-21 · tag 0039 · scope/severity D — Conduct testing and exercise requirements.

Decision guide

What to review

Factual evidence to examine before you decide. These summaries are not a score or recommendation.

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 evidence

Ownership

CMS-published records list 60 ownership or control parties.

CMS records show an ownership change effective March 2020.

View ownership evidence

Chain context

CMS groups this facility with a chain covering 32 facilities across 2 states or territories.

View chain evidence
Enforcement record

CMS records show a $15,593 fine in the loaded enforcement dataset.

View enforcement evidence →

Ownership & operation

Ownership & Operation

Operator, licensee, owner, manager, and chain stay separate. A connected organization is not automatically the party that runs daily operations.

Ownership type
For profit - Limited Liability companyCMS
Licensee
JACKSON RIVER HOLDINGS, LLCCalifornia Department of Public Health
Chain
LINKS HEALTHCARE GROUPCMS identifies this facility as part of the LINKS HEALTHCARE GROUP chain.
Related facilities
18Current CMS organization identity
Ownership changes
1 recordedCMS enrollment records

Supported by multiple government sources

Explore ownership network →

Who is behind this facility?

SeniorTrustHub found evidence connecting this facility to:

  • a state licensee
  • 1 CMS-reported ownership organization
  • CMS reports 42 individual ownership interests
  • a CMS chain / common-control group
  • recorded ownership-change events

Related facilities

18 currently connected nursing homes share this CMS organization identity with LINKS HEALTHCARE GROUP LLC.

Average CMS overall rating
2.8 stars across 18 reporting facilities
CMS monetary penalties
5 of 18 facilities had a recorded monetary penalty in the available CMS period.
Recent CMS penalties
3 facilities had a CMS penalty in the last 18 months.
Recent high-value CMS enforcement
3 facilities had a high-value CMS fine or payment denial in the last 18 months.
Recent CMS complaint inspections
14 facilities had a CMS complaint inspection in the last 18 months.
Total recorded CMS fines
$235,325

How connected-facility figures are read

Ownership

Who CMS records show is connected to this facility

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.

Reported party records
60
Organizations shown
18
Individuals shown
42
Latest ownership source update
Aug 17, 2026

CMS-published ownership and control parties

  • CIRESS LLC

    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.

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • FORBRIGHT BANK

    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.

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • ANDERSON, CHAD

    Individual · ADP OF THE SNF

    Association date reported to CMS: Mar 1, 2020

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • BEARDSLEY, MARY

    Individual · ADP OF THE SNF

    Association date reported to CMS: Mar 1, 2020

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • BERNHOLZ, VICTORIA

    Individual · ADP OF THE SNF

    Association date reported to CMS: Mar 1, 2020

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • CARTER, MELISSA

    Individual · ADP OF THE SNF

    Association date reported to CMS: Mar 1, 2020

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • CIRESS LLC

    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.

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • DEGUZMAN, MYRNA

    Individual · ADP OF THE SNF

    Association date reported to CMS: Mar 1, 2020

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • EIDE BAILLY LLP

    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.

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • FROJELIN, ANTONETTE

    Individual · ADP OF THE SNF

    Association date reported to CMS: Mar 1, 2020

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • LINKS HEALTHCARE GROUP LLC

    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.

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • LINKS SUPPORT SERVICES, LLC

    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.

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • MALANI, NARENDRA

    Individual · ADP OF THE SNF

    Association date reported to CMS: Mar 1, 2020

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • MORALES, COLETA

    Individual · ADP OF THE SNF

    Association date reported to CMS: Mar 1, 2020

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • PODEROSO, ISABEL

    Individual · ADP OF THE SNF

    Association date reported to CMS: Mar 1, 2020

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • RAMIREZ, SHARON

    Individual · ADP OF THE SNF

    Association date reported to CMS: Mar 1, 2020

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • RODRIGUEZ, CURTIS

    Individual · ADP OF THE SNF

    Association date reported to CMS: Mar 1, 2020

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • SUBIA, ELLEN

    Individual · ADP OF THE SNF

    Association date reported to CMS: Mar 1, 2020

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • TILFORD, TOBY

    Individual · ADP OF THE SNF

    Association date reported to CMS: Mar 1, 2020

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • RODRIGUEZ, CURTIS

    Individual · CORPORATE OFFICER

    Association date reported to CMS: Mar 1, 2020

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • TILFORD, TOBY

    Individual · CORPORATE OFFICER

    Association date reported to CMS: Mar 1, 2020

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • CLAWSON, SCOTT

    Individual · GENERAL PARTNERSHIP INTEREST

    Association date reported to CMS: Mar 1, 2020

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • EARL, STEVEN

    Individual · GENERAL PARTNERSHIP INTEREST

    Association date reported to CMS: Mar 1, 2020

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • SANOFSKY, JACK

    Individual · GENERAL PARTNERSHIP INTEREST

    Association date reported to CMS: Mar 1, 2020

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • LINKS HEALTHCARE GROUP LLC

    Organization · OPERATIONAL/MANAGERIAL CONTROL

    Association date reported to CMS: Mar 1, 2020

    Other facilities connected through this exact CMS organization identity: 0 across CA.

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • LINKS SUPPORT SERVICES, LLC

    Organization · OPERATIONAL/MANAGERIAL CONTROL

    Association date reported to CMS: Mar 1, 2020

    Other facilities connected through this exact CMS organization identity: 0 across CA.

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • RODRIGUEZ, CURTIS

    Individual · OPERATIONAL/MANAGERIAL CONTROL

    Association date reported to CMS: Mar 1, 2020

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • TILFORD, TOBY

    Individual · OPERATIONAL/MANAGERIAL CONTROL

    Association date reported to CMS: Mar 1, 2020

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • LINKS HEALTHCARE GROUP LLC

    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: 30 across CA, TN.

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Skilled Nursing Facility All Owners
    CMS dataset identifier
    afe44b85-cc6d-40d7-b5df-00ae8910d1d2
    Source updated
    Aug 17, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • RODRIGUEZ, CURTIS

    Individual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Published ownership percentage: 46.6%

    Association date reported to CMS: Mar 1, 2020

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Skilled Nursing Facility All Owners
    CMS dataset identifier
    afe44b85-cc6d-40d7-b5df-00ae8910d1d2
    Source updated
    Aug 17, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • TILFORD, TOBY

    Individual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Published ownership percentage: 46.6%

    Association date reported to CMS: Mar 1, 2020

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Skilled Nursing Facility All Owners
    CMS dataset identifier
    afe44b85-cc6d-40d7-b5df-00ae8910d1d2
    Source updated
    Aug 17, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • CIRESS LLC

    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.

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Skilled Nursing Facility All Owners
    CMS dataset identifier
    afe44b85-cc6d-40d7-b5df-00ae8910d1d2
    Source updated
    Aug 17, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • FORBRIGHT BANK

    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: 48 across CA, CO, IA, IL, MA, MI, NC, OH, PA.

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Skilled Nursing Facility All Owners
    CMS dataset identifier
    afe44b85-cc6d-40d7-b5df-00ae8910d1d2
    Source updated
    Aug 17, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • ANDERSON, CHAD

    Individual · ADP OF THE SNF

    Association date reported to CMS: Mar 1, 2020

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Skilled Nursing Facility All Owners
    CMS dataset identifier
    afe44b85-cc6d-40d7-b5df-00ae8910d1d2
    Source updated
    Aug 17, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • BEARDSLEY, MARY

    Individual · ADP OF THE SNF

    Association date reported to CMS: Mar 1, 2020

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Skilled Nursing Facility All Owners
    CMS dataset identifier
    afe44b85-cc6d-40d7-b5df-00ae8910d1d2
    Source updated
    Aug 17, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • BERNHOLZ, VICTORIA

    Individual · ADP OF THE SNF

    Association date reported to CMS: Mar 1, 2020

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Skilled Nursing Facility All Owners
    CMS dataset identifier
    afe44b85-cc6d-40d7-b5df-00ae8910d1d2
    Source updated
    Aug 17, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • CARTER, MELISSA

    Individual · ADP OF THE SNF

    Association date reported to CMS: Mar 1, 2020

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Skilled Nursing Facility All Owners
    CMS dataset identifier
    afe44b85-cc6d-40d7-b5df-00ae8910d1d2
    Source updated
    Aug 17, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • CIRESS LLC

    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.

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Skilled Nursing Facility All Owners
    CMS dataset identifier
    afe44b85-cc6d-40d7-b5df-00ae8910d1d2
    Source updated
    Aug 17, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • DEGUZMAN, MYRNA

    Individual · ADP OF THE SNF

    Association date reported to CMS: Mar 1, 2020

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Skilled Nursing Facility All Owners
    CMS dataset identifier
    afe44b85-cc6d-40d7-b5df-00ae8910d1d2
    Source updated
    Aug 17, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • EIDE BAILLY LLP

    Organization · ADP OF THE SNF

    Association date reported to CMS: Mar 1, 2020

    Other facilities connected through this exact CMS organization identity: 29 across CA, IA, MN, ND, WA, WY.

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Skilled Nursing Facility All Owners
    CMS dataset identifier
    afe44b85-cc6d-40d7-b5df-00ae8910d1d2
    Source updated
    Aug 17, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • FROJELIN, ANTONETTE

    Individual · ADP OF THE SNF

    Association date reported to CMS: Mar 1, 2020

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Skilled Nursing Facility All Owners
    CMS dataset identifier
    afe44b85-cc6d-40d7-b5df-00ae8910d1d2
    Source updated
    Aug 17, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • LINKS HEALTHCARE GROUP LLC

    Organization · ADP OF THE SNF

    Association date reported to CMS: Jul 16, 2025

    Other facilities connected through this exact CMS organization identity: 30 across CA, TN.

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Skilled Nursing Facility All Owners
    CMS dataset identifier
    afe44b85-cc6d-40d7-b5df-00ae8910d1d2
    Source updated
    Aug 17, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • LINKS SUPPORT SERVICES, LLC

    Organization · ADP OF THE SNF

    Association date reported to CMS: Jul 16, 2025

    Other facilities connected through this exact CMS organization identity: 22 across CA.

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Skilled Nursing Facility All Owners
    CMS dataset identifier
    afe44b85-cc6d-40d7-b5df-00ae8910d1d2
    Source updated
    Aug 17, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • MALANI, NARENDRA

    Individual · ADP OF THE SNF

    Association date reported to CMS: Mar 1, 2020

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Skilled Nursing Facility All Owners
    CMS dataset identifier
    afe44b85-cc6d-40d7-b5df-00ae8910d1d2
    Source updated
    Aug 17, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • MORALES, COLETA

    Individual · ADP OF THE SNF

    Association date reported to CMS: Mar 1, 2020

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Skilled Nursing Facility All Owners
    CMS dataset identifier
    afe44b85-cc6d-40d7-b5df-00ae8910d1d2
    Source updated
    Aug 17, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • PODEROSO, ISABEL

    Individual · ADP OF THE SNF

    Association date reported to CMS: Mar 1, 2020

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Skilled Nursing Facility All Owners
    CMS dataset identifier
    afe44b85-cc6d-40d7-b5df-00ae8910d1d2
    Source updated
    Aug 17, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • RAMIREZ, SHARON

    Individual · ADP OF THE SNF

    Association date reported to CMS: Mar 1, 2020

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Skilled Nursing Facility All Owners
    CMS dataset identifier
    afe44b85-cc6d-40d7-b5df-00ae8910d1d2
    Source updated
    Aug 17, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • RODRIGUEZ, CURTIS

    Individual · ADP OF THE SNF

    Association date reported to CMS: Mar 1, 2020

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Skilled Nursing Facility All Owners
    CMS dataset identifier
    afe44b85-cc6d-40d7-b5df-00ae8910d1d2
    Source updated
    Aug 17, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • SUBIA, ELLEN

    Individual · ADP OF THE SNF

    Association date reported to CMS: Mar 1, 2020

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Skilled Nursing Facility All Owners
    CMS dataset identifier
    afe44b85-cc6d-40d7-b5df-00ae8910d1d2
    Source updated
    Aug 17, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • TILFORD, TOBY

    Individual · ADP OF THE SNF

    Association date reported to CMS: Mar 1, 2020

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Skilled Nursing Facility All Owners
    CMS dataset identifier
    afe44b85-cc6d-40d7-b5df-00ae8910d1d2
    Source updated
    Aug 17, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • RODRIGUEZ, CURTIS

    Individual · CORPORATE OFFICER

    Association date reported to CMS: Mar 1, 2020

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Skilled Nursing Facility All Owners
    CMS dataset identifier
    afe44b85-cc6d-40d7-b5df-00ae8910d1d2
    Source updated
    Aug 17, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • TILFORD, TOBY

    Individual · CORPORATE OFFICER

    Association date reported to CMS: Mar 1, 2020

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Skilled Nursing Facility All Owners
    CMS dataset identifier
    afe44b85-cc6d-40d7-b5df-00ae8910d1d2
    Source updated
    Aug 17, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • CLAWSON, SCOTT

    Individual · GENERAL PARTNERSHIP INTEREST

    Published ownership percentage: 4%

    Association date reported to CMS: Mar 1, 2020

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Skilled Nursing Facility All Owners
    CMS dataset identifier
    afe44b85-cc6d-40d7-b5df-00ae8910d1d2
    Source updated
    Aug 17, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • EARL, STEVEN

    Individual · GENERAL PARTNERSHIP INTEREST

    Published ownership percentage: 0.8%

    Association date reported to CMS: Mar 1, 2020

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Skilled Nursing Facility All Owners
    CMS dataset identifier
    afe44b85-cc6d-40d7-b5df-00ae8910d1d2
    Source updated
    Aug 17, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • SANOFSKY, JACK

    Individual · GENERAL PARTNERSHIP INTEREST

    Published ownership percentage: 2%

    Association date reported to CMS: Mar 1, 2020

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Skilled Nursing Facility All Owners
    CMS dataset identifier
    afe44b85-cc6d-40d7-b5df-00ae8910d1d2
    Source updated
    Aug 17, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • LINKS HEALTHCARE GROUP LLC

    Organization · OPERATIONAL/MANAGERIAL CONTROL

    Association date reported to CMS: Mar 1, 2020

    Other facilities connected through this exact CMS organization identity: 30 across CA, TN.

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Skilled Nursing Facility All Owners
    CMS dataset identifier
    afe44b85-cc6d-40d7-b5df-00ae8910d1d2
    Source updated
    Aug 17, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • LINKS SUPPORT SERVICES, LLC

    Organization · OPERATIONAL/MANAGERIAL CONTROL

    Association date reported to CMS: Mar 1, 2020

    Other facilities connected through this exact CMS organization identity: 22 across CA.

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Skilled Nursing Facility All Owners
    CMS dataset identifier
    afe44b85-cc6d-40d7-b5df-00ae8910d1d2
    Source updated
    Aug 17, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • RODRIGUEZ, CURTIS

    Individual · OPERATIONAL/MANAGERIAL CONTROL

    Association date reported to CMS: Mar 1, 2020

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Skilled Nursing Facility All Owners
    CMS dataset identifier
    afe44b85-cc6d-40d7-b5df-00ae8910d1d2
    Source updated
    Aug 17, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • TILFORD, TOBY

    Individual · OPERATIONAL/MANAGERIAL CONTROL

    Association date reported to CMS: Mar 1, 2020

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Skilled Nursing Facility All Owners
    CMS dataset identifier
    afe44b85-cc6d-40d7-b5df-00ae8910d1d2
    Source updated
    Aug 17, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • JACKSON RIVER HOLDINGS LLC

    Organization · Medicare-enrolled legal organization

    Other facilities connected through this exact CMS organization identity: 0 across CA.

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Skilled Nursing Facility Enrollments
    CMS dataset identifier
    5f2c306f-3b1c-42cd-b037-187b2ce22126
    Source updated
    Aug 17, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source

Ownership changes reported in CMS enrollment records

  1. CHANGE OF OWNERSHIPNOBLE SUB ACUTE CARE SERVICES INC to JACKSON RIVER HOLDINGS LLC
    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Skilled Nursing Facility Change of Ownership
    CMS dataset identifier
    f557a6ed-95b3-4a22-8433-4175db2dec1c
    Source updated
    Aug 24, 2026
    Retrieved
    Aug 15, 2026
    View official CMS source

What this means

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.

Questions to ask

  • CMS records list several organizations with ownership or control roles. Which entity is responsible for day-to-day operations at this facility?
  • CMS enrollment records show a change of ownership effective Mar 1, 2020. What operational or leadership changes followed that event?
  • CMS records connect LINKS HEALTHCARE GROUP LLC to 31 facilities. Which policies and staffing decisions are managed centrally versus locally?

Chain context

CMS groups this facility with LINKS HEALTHCARE GROUP

Chain-level values describe this CMS-defined group, not any one facility. CMS Chain ID 318 is a grouping identifier, not a legal organization.

Facilities
32
States and territories
2
Average overall rating
2.8
Average staffing rating
2.8
Average total nurse HPRD
4.2
Total fines
18
Review CMS chain evidence

CMS-published history

Monthly chain measures
MonthFacilitiesOverall ratingStaffing rating
Wed Jul322.82.8
Mon Jun312.92.6
Fri May312.82.7
Wed Apr312.92.7
Sun Mar312.82.5
Sun Feb282.72.6

Questions to ask

  • CMS groups facilities in 2 states or territories under this chain. Which operational policies are set at the chain level?
  • CMS reports 18 fines across the chain in this dataset. What compliance functions are managed centrally?
CMS chain source and methodology

Nursing Home Chain Performance Measures, fixed version da2db00a-0f3d-40a9-a535-588ff1220c55. Membership comes separately from CMS Skilled Nursing Facility Enrollments.

View official CMS source

Inspections & deficiencies

What CMS inspection records show

Scope and severity terms below are CMS classifications. They are not a TrustHub score.

Latest recorded inspection

Date
Feb 11, 2026
Survey type
Health Complaint
Linked findings
3
Highest linked CMS classification
D — Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy
View source details
Dataset
Inspection Dates
CMS dataset ID
svdt-c123
CMS source updated
Aug 1, 2026
CMS provider ID
555899
Source record locator
csv-row:138155:ccn:555899
View official CMS source
Feb 11, 2026 — Health Complaint — 3 linked findings
  • F0578 — Resident Rights Deficiencies

    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)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    555899
    Source record locator
    csv-row:392865:ccn:555899
    View official CMS source
  • F0684 — Quality of Life and Care Deficiencies

    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)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    555899
    Source record locator
    csv-row:392866:ccn:555899
    View official CMS source
  • F0880 — Infection Control Deficiencies

    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)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    555899
    Source record locator
    csv-row:392867:ccn:555899
    View official CMS source
Mar 21, 2024 — Fire Safety Standard — 0 linked findings

No health-deficiency rows were deterministically linked to this inspection.

Mar 21, 2024 — Health Standard — 5 linked findings
  • F0761 — Pharmacy Service Deficiencies

    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)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    555899
    Source record locator
    csv-row:392870:ccn:555899
    View official CMS source
  • F0801 — Nutrition and Dietary Deficiencies

    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)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    555899
    Source record locator
    csv-row:392868:ccn:555899
    View official CMS source
  • F0812 — Nutrition and Dietary Deficiencies

    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)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    555899
    Source record locator
    csv-row:392869:ccn:555899
    View official CMS source
  • F0814 — Nutrition and Dietary Deficiencies

    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)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    555899
    Source record locator
    csv-row:392871:ccn:555899
    View official CMS source
  • F0849 — Administration Deficiencies

    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)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    555899
    Source record locator
    csv-row:392872:ccn:555899
    View official CMS source
Nov 7, 2023 — Health Complaint — 3 linked findings
  • F0678 — Quality of Life and Care Deficiencies

    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)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    555899
    Source record locator
    csv-row:392877:ccn:555899
    View official CMS source
  • F0684 — Quality of Life and Care Deficiencies

    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)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    555899
    Source record locator
    csv-row:392878:ccn:555899
    View official CMS source
  • F0867 — Administration Deficiencies

    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)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    555899
    Source record locator
    csv-row:392879:ccn:555899
    View official CMS source
Mar 24, 2022 — Fire Safety Standard — 0 linked findings

No health-deficiency rows were deterministically linked to this inspection.

Mar 24, 2022 — Health Standard — 4 linked findings
  • F0698 — Quality of Life and Care Deficiencies

    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)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    555899
    Source record locator
    csv-row:392874:ccn:555899
    View official CMS source
  • F0757 — Pharmacy Service Deficiencies

    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)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    555899
    Source record locator
    csv-row:392875:ccn:555899
    View official CMS source
  • F0812 — Nutrition and Dietary Deficiencies

    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)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    555899
    Source record locator
    csv-row:392873:ccn:555899
    View official CMS source
  • F0880 — Infection Control Deficiencies

    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)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    555899
    Source record locator
    csv-row:392876:ccn:555899
    View official CMS source
Aug 22, 2019 — Fire Safety Standard — 0 linked findings

No health-deficiency rows were deterministically linked to this inspection.

Aug 22, 2019 — Health Standard — 1 linked finding
  • F0812 — Nutrition and Dietary Deficiencies

    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)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    555899
    Source record locator
    csv-row:392880:ccn:555899
    View official CMS source

Tags appearing across inspections

  • F0812 appears in 3 linked inspections.
  • F0684 appears in 2 linked inspections.
  • F0880 appears in 2 linked inspections.

Penalties & enforcement

CMS penalty records in the loaded three-year dataset

  • Fine — Nov 7, 2023

    Published fine amount: $15,593.00

    View source details
    Dataset
    Penalties
    CMS dataset ID
    g6vv-u9sr
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    555899
    Source record locator
    csv-row:14191:ccn:555899
    View official CMS source
  • Fine — Nov 7, 2023

    Published fine amount: $15,593.00

    View source details
    Dataset
    Penalties
    CMS dataset ID
    g6vv-u9sr
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    555899
    Source record locator
    csv-row:14193:ccn:555899
    View official CMS source
  • Fine — Nov 7, 2023

    Published fine amount: $15,593.00

    View source details
    Dataset
    Penalties
    CMS dataset ID
    g6vv-u9sr
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    555899
    Source record locator
    csv-row:14192:ccn:555899
    View official CMS source

Questions to ask

Questions generated from the evidence above

  • CMS records show F0812 in 3 inspections in the available record. What changes has the facility made to address this issue?
  • CMS records show F0684 in 2 inspections in the available record. What changes has the facility made to address this issue?
  • CMS records show F0880 in 2 inspections in the available record. What changes has the facility made to address this issue?
  • CMS records show a monetary penalty dated Nov 7, 2023. What changes were made after that enforcement action?

Facility history

Facility History

13 historical events available. Dates and values come from published CMS and official state regulator evidence, not a score.

What changed recently?

  • Complaint inspection recorded3 deficiencies were recorded.
  • Total nurse staffing decreasedTotal nurse staffing decreased from 4.50 to 4.19 hours per resident day between 2025Q3 and 2025Q4. Staffing declined across those reported periods.

2026

  1. Complaint inspection recorded

    3 deficiencies were recorded.

    CMS · Recorded event date · View related evidence

2025

  1. Total nurse staffing decreased

    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

  2. RN staffing decreased

    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

  3. RN staffing increased

    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

  4. Total nurse staffing increased

    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

2024

  1. Health inspection completed

    5 deficiencies were recorded.

    CMS · Recorded event date · View related evidence

2023

  1. Civil monetary penalty recorded

    CMS recorded a $15,593 civil monetary penalty.

    CMS · Recorded event date · View related evidence

  2. Complaint inspection recorded

    3 deficiencies were recorded. That includes 2 higher-severity deficiencies.

    CMS · Recorded event date · View related evidence

  3. Civil monetary penalty recorded

    CMS recorded a $15,593 civil monetary penalty.

    CMS · Recorded event date · View related evidence

  4. Civil monetary penalty recorded

    CMS recorded a $15,593 civil monetary penalty.

    CMS · Recorded event date · View related evidence

2022

  1. Health inspection completed

    4 deficiencies were recorded.

    CMS · Recorded event date · View related evidence

2020

  1. Ownership change recorded

    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

Reported nursing staffing at a glance

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).

Inspect a PBJ quarter
Total nursing
4.268
reported hours per resident day
RN categories
0.636
reported hours per resident day
LPN/LVN categories
1.129
reported hours per resident day
CNA
2.504
reported hours per resident day

Weekday and weekend calculations

2026Q1 reported hours per resident day
MeasureMonday–FridaySaturday–Sunday
Total nursing4.3534.057
RN categories0.6710.549

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.

Staffing over time

Solid bar: Total nursing · Outlined bar: RN categories

Calculated reported hours per resident day by PBJ quarter
QuarterTotal nursingRN categoriesLPN/LVNCNAContract shareDays
2025Q24.0380.6741.0542.314%91
2025Q34.5010.8031.252.4481.9%92
2025Q44.190.71.1132.3763.1%92
2026Q14.2680.6361.1292.5046.1%90

Questions to ask

  • PBJ records show lower calculated RN-category hours per resident day on weekends this quarter. How does the facility plan RN coverage on Saturdays and Sundays?
  • PBJ records show that some reported nursing hours were contract hours. How does the facility orient and integrate contract staff?
Staffing source and calculation details
Source
Centers for Medicare & Medicaid Services (CMS)
Dataset
Payroll Based Journal Daily Nurse Staffing
CMS dataset ID
7e0d53ba-8f02-4c66-98a5-14a1c997c50d
Quarter
2026Q1
Coverage
Jan 1, 2026–Mar 31, 2026
Days represented
90 (90 with positive MDS census)
CMS source updated
Jul 29, 2026
Calculation version
pbj-quarter-ratio-of-sums-v1

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 source

What we can verify today

Current Provider Information facts

These measures come from the current successfully ingested CMS Nursing Home Provider Information release.

  • CMS reports a 4-star overall rating.
  • CMS reports a 3-star health inspection rating.
  • CMS reports a 2-star staffing rating.
  • CMS reports a 5-star quality-measure rating.

Trust participation

See something that needs correction?

Claims, corrections, and factual context are free. Submissions never replace CMS evidence or affect ranking.

Representation claims are reviewed manually. Live profile-management tools are not yet enabled for this facility.

How corrections work

Source register

See where this record came from

Provider Information
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset identifier
4pq5-n9py
Source updated
Aug 1, 2026
Retrieved
Aug 26, 2026
Supports
Overview, facility facts, and CMS ratings
View official CMS source
Inspection Dates
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset identifier
svdt-c123
Source updated
Aug 1, 2026
Retrieved
Aug 26, 2026
Supports
Inspections and facility history
View official CMS source
Health Deficiencies
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset identifier
r5ix-sfxw
Source updated
Aug 1, 2026
Retrieved
Aug 26, 2026
Supports
Health deficiencies and facility history
View official CMS source
Penalties
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset identifier
g6vv-u9sr
Source updated
Aug 1, 2026
Retrieved
Aug 26, 2026
Supports
Penalties, enforcement, and facility history
View official CMS source
Payroll Based Journal Daily Nurse Staffing
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset identifier
7e0d53ba-8f02-4c66-98a5-14a1c997c50d
Coverage
Apr 1, 2025–Mar 31, 2026
Source updated
Jul 29, 2026
Retrieved
Aug 15, 2026
Supports
PBJ staffing cards, history, and transparent calculations
View official CMS source
Ownership
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset identifier
y2hd-n93e
Source updated
Aug 1, 2026
Retrieved
Aug 26, 2026
Supports
Ownership parties, organization connections, and ownership history
View official CMS source
Skilled Nursing Facility All Owners
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset identifier
afe44b85-cc6d-40d7-b5df-00ae8910d1d2
Source updated
Aug 17, 2026
Retrieved
Aug 26, 2026
Supports
Ownership parties, organization connections, and ownership history
View official CMS source
Skilled Nursing Facility Enrollments
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset identifier
5f2c306f-3b1c-42cd-b037-187b2ce22126
Source updated
Aug 17, 2026
Retrieved
Aug 26, 2026
Supports
Ownership parties, organization connections, and ownership history
View official CMS source
Skilled Nursing Facility Change of Ownership
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset identifier
f557a6ed-95b3-4a22-8433-4175db2dec1c
Source updated
Aug 24, 2026
Retrieved
Aug 15, 2026
Supports
Ownership parties, organization connections, and ownership history
View official CMS source
Nursing Home Chain Performance Measures
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset identifier
97ecfad1-d3f1-4d42-b774-d74661d830bc
Coverage
Wed Jul
Source updated
Aug 12, 2026
Retrieved
Aug 16, 2026
Supports
CMS chain context, performance, and monthly history
View official CMS source
Licensed and Certified Healthcare Facility Listing
Source organization
California Department of Public Health
Dataset identifier
state-regulator:ca
Coverage
State license 550003515
Source updated
Aug 18, 2026
Retrieved
Aug 18, 2026
Supports
state license, license status, license type, state licensed capacity, licensee, and administrator. Separate from CMS certification, ratings, and ownership.
View official state source

No paid placements. Facilities cannot pay to rank higher. We cite. You decide.