Skilled nursing facility · CMS certification number 106142

RIVER CITY NURSING AND REHAB CENTER

JACKSONVILLE, Florida · Medicare and Medicaid

Certified beds, as filed in Care Compare: 116

Finances, as filed

From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.

Cost report for 1 January 2024 to 31 December 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 6 May 2026.

Revenue and expenses, fiscal year 2024
Figure	As filed	Where it comes from
Total patient revenue	$20,246,691	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$4,576,135	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$15,670,556	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$15,280,474	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$390,082	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$6,970	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$397,052	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $397,052 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2024
Figure	As filed	Where it comes from
Total facility beds, all components	116	CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components	42,456	CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days	11,986	CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days	20,100	CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days	7,174	CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components	39,260	CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges	339	CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges	43	CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges	192	CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components	574	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	35.36	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	467.44	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	68.4	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1449168, read from the public cost report file SNF10FY2024.zip.

Fiscal year 2023, ended 31 December 2023

Cost report for 1 January 2023 to 31 December 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 10 October 2025.

Revenue and expenses, fiscal year 2023
Figure	As filed	Where it comes from
Total patient revenue	$16,401,339	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,832,979	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$14,568,360	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$14,280,766	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$287,594	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$4,850	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$292,444	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $292,444 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2023
Figure	As filed	Where it comes from
Total facility beds, all components	116	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	37,842	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	492	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	35.26	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	197.84	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	76.91	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1440649, read from the public cost report file SNF10FY2023.zip.

Fiscal year 2022, ended 31 December 2022

Cost report for 1 January 2022 to 31 December 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 16 October 2024.

Revenue and expenses, fiscal year 2022
Figure	As filed	Where it comes from
Total patient revenue	$15,191,109	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,105,464	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$13,085,645	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$12,910,750	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$174,895	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$2,218	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$177,113	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $177,113 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2022
Figure	As filed	Where it comes from
Total facility beds, all components	116	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	36,072	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	473	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	27.95	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	325.71	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	76.26	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1396343, read from the public cost report file SNF10FY2022.zip.

Fiscal year 2021, ended 31 December 2021

Cost report for 1 January 2021 to 31 December 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 23 November 2023.

Revenue and expenses, fiscal year 2021
Figure	As filed	Where it comes from
Total patient revenue	$10,235,410	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$902,983	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$9,332,427	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$10,065,783	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$733,356	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$6,825	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$726,531	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$726,531 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2021
Figure	As filed	Where it comes from
Total facility beds, all components	116	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	25,763	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	274	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	32.23	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	382.14	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	94.03	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1368568, read from the public cost report file SNF10FY2021.zip.

Fiscal year 2020, ended 31 December 2020

Cost report for 6 August 2020 to 31 December 2020 — a reporting period of 147 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 28 September 2021.

Revenue and expenses, fiscal year 2020
Figure	As filed	Where it comes from
Total patient revenue	$2,032,245	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$184,260	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$1,847,985	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,157,017	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$1,309,032	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$884	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$1,308,148	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,308,148 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2020
Figure	As filed	Where it comes from
Total facility beds, all components	116	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	4,427	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	69	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	39.55	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	201.22	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	64.16	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1301213, read from the public cost report file SNF10FY2020.zip.

Nurse staffing

Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.

The staffing record →

Ownership, as filed with CMS

Care Compare

As filed in the CMS file dated 1 August 2026 (Care Compare ownership).

Owner or manager	Role	Type	Ownership percentage	Association
HILL, JEFFREY	5% OR GREATER DIRECT OWNERSHIP INTEREST	Individual	NO PERCENTAGE PROVIDED	since 06/17/2020
KIM, KEITH	5% OR GREATER DIRECT OWNERSHIP INTEREST	Individual	15%	since 07/22/2015
SELL, JERRIE	5% OR GREATER DIRECT OWNERSHIP INTEREST	Individual	15%	since 07/22/2015
WILSON, JOHN	5% OR GREATER DIRECT OWNERSHIP INTEREST	Individual	9%	since 07/22/2015
SYNOVOUS BANK, NATIONAL ASSOCIATION	5% OR GREATER MORTGAGE INTEREST	Organization	NOT APPLICABLE	since 11/16/2018
ACTIVE CARE MANAGERS LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 01/30/2025
DOWLING, EVELENA	ADP OF THE SNF	Individual	NOT APPLICABLE	since 12/20/2021
HILL, JEFFREY	ADP OF THE SNF	Individual	NOT APPLICABLE	since 06/17/2020
KIM, KEITH	ADP OF THE SNF	Individual	NOT APPLICABLE	since 06/17/2020
MORAN-BURRELL, IVONNE	ADP OF THE SNF	Individual	NOT APPLICABLE	since 03/01/2024
SELL, JERRIE	ADP OF THE SNF	Individual	NOT APPLICABLE	since 06/17/2020
SELL, STEVEN	ADP OF THE SNF	Individual	NOT APPLICABLE	since 02/01/2024
SHARPE, MICHAEL	ADP OF THE SNF	Individual	NOT APPLICABLE	since 06/17/2020
WILSON, JOHN	ADP OF THE SNF	Individual	NOT APPLICABLE	since 06/17/2020
ADERHOLD, MARY	DIRECT OWNERSHIP INTEREST	Individual	NOT APPLICABLE	since 06/17/2020
BENOIT, RICHARD	DIRECT OWNERSHIP INTEREST	Individual	NOT APPLICABLE	since 06/17/2020
CADE, ROBIN	DIRECT OWNERSHIP INTEREST	Individual	NOT APPLICABLE	since 06/17/2020
CARON, KAREN	DIRECT OWNERSHIP INTEREST	Individual	NOT APPLICABLE	since 06/17/2020
DETERS-SMITH, GRETCHEN	DIRECT OWNERSHIP INTEREST	Individual	NOT APPLICABLE	since 06/17/2020
DETERS, SHERRY	DIRECT OWNERSHIP INTEREST	Individual	NOT APPLICABLE	since 06/17/2020
FIRST COAST HEALTH MANAGERS, LLC	DIRECT OWNERSHIP INTEREST	Organization	NOT APPLICABLE	since 06/17/2020
FOODONICS INTERNATIONAL, INC.	DIRECT OWNERSHIP INTEREST	Organization	NOT APPLICABLE	since 06/17/2020
GANDT VENTURES, LLC	DIRECT OWNERSHIP INTEREST	Organization	NOT APPLICABLE	since 06/17/2020
GRIFFITH, EDWARD	DIRECT OWNERSHIP INTEREST	Individual	NOT APPLICABLE	since 06/17/2020
KRUEGER, ROSS	DIRECT OWNERSHIP INTEREST	Individual	NOT APPLICABLE	since 06/17/2020
M.J.I. LOGISTICS, LLC	DIRECT OWNERSHIP INTEREST	Organization	NOT APPLICABLE	since 06/17/2020
MEERAJ 1, LLC	DIRECT OWNERSHIP INTEREST	Organization	NOT APPLICABLE	since 06/17/2020
ROTHSTEIN, MITCHELL	DIRECT OWNERSHIP INTEREST	Individual	NOT APPLICABLE	since 06/17/2020
SELL, STEVEN	DIRECT OWNERSHIP INTEREST	Individual	NOT APPLICABLE	since 06/17/2020
SHARPE ESTATES, INC.	DIRECT OWNERSHIP INTEREST	Organization	NOT APPLICABLE	since 06/17/2020
SHARPE FAMILY INVESTMENTS, LTD	DIRECT OWNERSHIP INTEREST	Organization	NOT APPLICABLE	since 06/17/2020
STEPP, CHRISTOPHER	DIRECT OWNERSHIP INTEREST	Individual	NOT APPLICABLE	since 06/17/2020
STEPP, LAWANNA	DIRECT OWNERSHIP INTEREST	Individual	NOT APPLICABLE	since 06/17/2020
STEPP, VOYNE	DIRECT OWNERSHIP INTEREST	Individual	NOT APPLICABLE	since 06/17/2020
THE TM FAMILY #2, LLC	DIRECT OWNERSHIP INTEREST	Organization	NOT APPLICABLE	since 06/17/2020
ACTIVE CARE MANAGERS LLC	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	since 02/01/2024
MORAN-BURRELL, IVONNE	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 03/01/2024
SELL, STEVEN	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 02/01/2024

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of FIRST COAST HEALTH VENTURES, LLC (enrollment ID O20200609000172).

Owner	Individual or organization	Role	Ownership percentage	Association date	Described in the filing as
JEFFREY HILL	Individual	5% OR GREATER DIRECT OWNERSHIP INTEREST	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	6/17/2020	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JERRIE SELL	Individual	5% OR GREATER DIRECT OWNERSHIP INTEREST	15	7/22/2015	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JOHN WILSON	Individual	5% OR GREATER DIRECT OWNERSHIP INTEREST	8.84	7/22/2015	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
KEITH C KIM	Individual	5% OR GREATER DIRECT OWNERSHIP INTEREST	15.06	7/22/2015	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
SYNOVOUS BANK, NATIONAL ASSOCIATION	Organization	5% OR GREATER MORTGAGE INTEREST	64.4	11/16/2018	Private equity company: No Real estate investment trust: No Holding company: No
ACTIVE CARE MANAGERS LLC	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	1/30/2025	Private equity company: No Real estate investment trust: No Holding company: No
EVELENA L DOWLING	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	12/20/2021	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
IVONNE MORAN-BURRELL	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	3/1/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JEFFREY HILL	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	6/17/2020	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JERRIE SELL	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	6/17/2020	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JOHN WILSON	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	6/17/2020	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
KEITH C KIM	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	6/17/2020	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
MICHAEL V SHARPE	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	6/17/2020	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
STEVEN SELL	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	2/1/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
CHRISTOPHER R STEPP	Individual	DIRECT OWNERSHIP INTEREST	2.49	6/17/2020	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
EDWARD GRIFFITH	Individual	DIRECT OWNERSHIP INTEREST	4.98	6/17/2020	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
FIRST COAST HEALTH MANAGERS, LLC	Organization	DIRECT OWNERSHIP INTEREST	0.1	6/17/2020	Private equity company: No Real estate investment trust: No Holding company: No
FOODONICS INTERNATIONAL, INC.	Organization	DIRECT OWNERSHIP INTEREST	2.49	6/17/2020	Private equity company: No Real estate investment trust: No Holding company: No
GANDT VENTURES, LLC	Organization	DIRECT OWNERSHIP INTEREST	2.49	6/17/2020	Private equity company: No Real estate investment trust: No Holding company: No
GRETCHEN DETERS-SMITH	Individual	DIRECT OWNERSHIP INTEREST	3.11	6/17/2020	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
KAREN D CARON	Individual	DIRECT OWNERSHIP INTEREST	0.62	6/17/2020	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
LAWANNA R STEPP	Individual	DIRECT OWNERSHIP INTEREST	1.25	6/17/2020	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
M.J.I. LOGISTICS, LLC	Organization	DIRECT OWNERSHIP INTEREST	2.49	6/17/2020	Private equity company: No Real estate investment trust: No Holding company: No
MARY J ADERHOLD	Individual	DIRECT OWNERSHIP INTEREST	2.49	6/17/2020	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
MEERAJ 1, LLC	Organization	DIRECT OWNERSHIP INTEREST	2.49	6/17/2020	Private equity company: No Real estate investment trust: No Holding company: No
MITCHELL S ROTHSTEIN	Individual	DIRECT OWNERSHIP INTEREST	2.49	6/17/2020	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
RICHARD BENOIT	Individual	DIRECT OWNERSHIP INTEREST	2.49	6/17/2020	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
ROBIN CADE	Individual	DIRECT OWNERSHIP INTEREST	0.62	6/17/2020	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
ROSS KRUEGER	Individual	DIRECT OWNERSHIP INTEREST	4.98	6/17/2020	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
SHARPE ESTATES, INC.	Organization	DIRECT OWNERSHIP INTEREST	1.25	6/17/2020	Private equity company: No Real estate investment trust: No Holding company: No
SHARPE FAMILY INVESTMENTS, LTD	Organization	DIRECT OWNERSHIP INTEREST	4.98	6/17/2020	Private equity company: No Real estate investment trust: No Holding company: No
SHERRY DETERS	Individual	DIRECT OWNERSHIP INTEREST	0.62	6/17/2020	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
STEVEN SELL	Individual	DIRECT OWNERSHIP INTEREST	4.98	6/17/2020	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
THE TM FAMILY #2, LLC	Organization	DIRECT OWNERSHIP INTEREST	4.98	6/17/2020	Private equity company: No Real estate investment trust: No Holding company: No
VOYNE STEPP	Individual	DIRECT OWNERSHIP INTEREST	1.25	6/17/2020	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
ACTIVE CARE MANAGERS LLC	Organization	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	2/1/2024	Private equity company: No Real estate investment trust: No Holding company: No
IVONNE MORAN-BURRELL	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	3/1/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
STEVEN SELL	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	2/1/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.

Changes in ownership

1 July 2026: GRETCHEN DETERS-SMITH no longer appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: GANDT VENTURES, LLC no longer appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: IVONNE MORAN-BURRELL no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: IVONNE MORAN-BURRELL no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: GRETCHEN DETERS-SMITH appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: GANDT VENTURES, LLC appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: IVONNE MORAN-BURRELL appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: IVONNE MORAN-BURRELL appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 May 2025: ROBERT MEAD no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: KEITH C KIM no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: JERRIE SELL no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: STEVEN SELL no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: FIVE POINTS HEALTHCARE LTD no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: HEALTH CARE MANAGERS INC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: JOHN WILSON no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: FOODONICS INTERNATIONAL, INC. appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: MARY J ADERHOLD appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: KEITH C KIM appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: CHRISTOPHER R STEPP appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: EDWARD GRIFFITH appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: JERRIE SELL appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: FIRST COAST HEALTH MANAGERS, LLC appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: VOYNE STEPP appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: LAWANNA R STEPP appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: STEVEN SELL appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: STEVEN SELL appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: STEVEN SELL appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: ROSS KRUEGER appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: MICHAEL V SHARPE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: ACTIVE CARE MANAGERS LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: ACTIVE CARE MANAGERS LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: JEFFREY HILL appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: JEFFREY HILL appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: THE TM FAMILY #2, LLC appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: SHARPE FAMILY INVESTMENTS, LTD appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: KAREN D CARON appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: MITCHELL S ROTHSTEIN appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: RICHARD BENOIT appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: SHARPE ESTATES, INC. appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: SHERRY DETERS appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: MEERAJ 1, LLC appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: JOHN WILSON appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: M.J.I. LOGISTICS, LLC appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: EVELENA L DOWLING appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: ROBIN CADE appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: GRETCHEN DETERS-SMITH appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: GANDT VENTURES, LLC appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: IVONNE MORAN-BURRELL appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: IVONNE MORAN-BURRELL appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv

Recent changes on this record

1 July 2026: GRETCHEN DETERS-SMITH no longer appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: GANDT VENTURES, LLC no longer appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: IVONNE MORAN-BURRELL no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: IVONNE MORAN-BURRELL no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: GRETCHEN DETERS-SMITH appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: GANDT VENTURES, LLC appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: IVONNE MORAN-BURRELL appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: IVONNE MORAN-BURRELL appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
6 May 2026: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
10 October 2025: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
1 May 2025: ROBERT MEAD no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: KEITH C KIM no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: JERRIE SELL no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: STEVEN SELL no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: FIVE POINTS HEALTHCARE LTD no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: HEALTH CARE MANAGERS INC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: JOHN WILSON no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: FOODONICS INTERNATIONAL, INC. appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: MARY J ADERHOLD appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: KEITH C KIM appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: CHRISTOPHER R STEPP appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: EDWARD GRIFFITH appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: JERRIE SELL appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: FIRST COAST HEALTH MANAGERS, LLC appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: VOYNE STEPP appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: LAWANNA R STEPP appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: STEVEN SELL appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: STEVEN SELL appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: STEVEN SELL appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: ROSS KRUEGER appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: MICHAEL V SHARPE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: ACTIVE CARE MANAGERS LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: ACTIVE CARE MANAGERS LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: JEFFREY HILL appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: JEFFREY HILL appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: THE TM FAMILY #2, LLC appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: SHARPE FAMILY INVESTMENTS, LTD appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: KAREN D CARON appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: MITCHELL S ROTHSTEIN appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
1 May 2025: RICHARD BENOIT appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv

Inspections

Inspection cycle	Health inspection	Fire safety inspection	Health deficiencies
1	26 February 2026	26 February 2026	2
2	25 April 2024	25 April 2024	3
3	14 April 2022	14 April 2022	5

From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.

Deficiencies cited

10 deficiencies on file, newest inspection first

Inspection date	Inspection type	Tag	Category	What was cited	Scope and severity	Complaint	Corrected	Correction date
26 February 2026	Health	F 0656	Resident Assessment and Care Planning Deficiencies	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	D	No	Deficient, Provider has date of correction	26 March 2026
26 February 2026	Health	F 0812	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	F	No	Deficient, Provider has date of correction	26 March 2026
25 April 2024	Health	F 0550	Resident Rights Deficiencies	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.	D	No	Deficient, Provider has date of correction	24 May 2024
25 April 2024	Health	F 0692	Quality of Life and Care Deficiencies	Provide enough food/fluids to maintain a resident's health.	D	No	Deficient, Provider has date of correction	24 May 2024
25 April 2024	Health	F 0761	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.	D	No	Deficient, Provider has date of correction	24 May 2024
14 April 2022	Health	F 0553	Resident Rights Deficiencies	Allow resident to participate in the development and implementation of his or her person-centered plan of care.	D	No	Deficient, Provider has date of correction	25 May 2022
14 April 2022	Health	F 0689	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	D	No	Deficient, Provider has date of correction	25 May 2022
14 April 2022	Health	F 0690	Quality of Life and Care Deficiencies	Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.	D	No	Deficient, Provider has date of correction	16 May 2022
14 April 2022	Health	F 0695	Quality of Life and Care Deficiencies	Provide safe and appropriate respiratory care for a resident when needed.	D	No	Deficient, Provider has date of correction	18 May 2022
14 April 2022	Health	F 0761	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.	E	No	Deficient, Provider has date of correction	16 May 2022

From the Care Compare health citations file NH_HealthCitations_Aug2026.csv, processed on 1 August 2026.

Penalties

Not yet extracted for this facility.

Care Compare provider information

Field	As filed
Provider Type	Medicare and Medicaid
Ownership Type	For profit - Corporation
Legal Business Name	FIRST COAST HEALTH VENTURES, LLC
Date First Approved to Provide Medicare and Medicaid Services	2020-08-06
Provider Resides in Hospital	N
Continuing Care Retirement Community	N
Urban	Y
County/Parish	Duval
Telephone Number	9043211909
Provider Changed Ownership in Last 12 Months	N
With a Resident and Family Council	Both
Automatic Sprinkler Systems in All Required Areas	Yes
Number of Certified Beds	116
Average Number of Residents per Day	104.8
Overall Rating	5
Health Inspection Rating	4
QM Rating	5
Long-Stay QM Rating	4
Short-Stay QM Rating	5
Processing Date	2026-08-01

From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on 1 August 2026.

Get an email when this record changes

One email a day naming what moved on RIVER CITY NURSING AND REHAB CENTER: the field, the value before, the value after, and the date of the file that first showed it.

The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.

On 1 July 2026: GRETCHEN DETERS-SMITH no longer appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. That is one line of the alert.

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The citable document for RIVER CITY NURSING AND REHAB CENTER

This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in Florida at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.

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Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 106142.