Skilled nursing facility · CMS certification number 555068
White Blossom Care Center
SAN JOSE, California · Medicare and Medicaid · 153 certified beds in Care Compare
Download White Blossom Care Center’s record (CSV, each figure with its worksheet, line and column)
In Care Compare’s provider information: Penalties: 2 · Fines: 2 · Fines, total amount: $97,052.00 · Payment denials: 0. The most recent penalty on file: May 12, 2026, Fine, $23,625. Every penalty on file ↓
White Blossom Care Center: its citable report, full history — $295 · an email when it changes — $99/month
What stands out
- Its latest cost report on file is for fiscal year 2024, covering January 1, 2024 to December 31, 2024 (365 days), and CMS processed it on June 11, 2025.
- Net patient revenue fell from $30.7M in fiscal year 2023 to $30.0M in fiscal year 2024.
- Its result from service to patients: $6.1M (2022), $3.9M (2023), $2.5M (2024).
- Its cost reports on file run from fiscal year 1997 to fiscal year 2024.
- Its net patient revenue of $30.0M ranks 55th of the 951 nursing facilities in California whose latest cost report on file is fiscal year 2024.
- 4 of the 5 nursing facilities in California closest in size to it, whose latest cost report on file is fiscal year 2024, also report a gain on service to patients.
White Blossom Care Center: Medicare cost reports
Form CMS-2540-10: each report covers January 1 to December 31 of its year.
| Form CMS-2540-10 | 2024 · report 1429083 | 2023 · report 1395300 | 2022 · report 1397663 | 2021 · report 1335068 | 2020 · report 1301735 | 2019 · report 1276069 | 2018 · report 1239191 | 2017 · report 1198606 | 2016 · report 1169070 | 2015 · report 1142092 | 2014 · report 1144242 | 2013 · report 1090291 | 2012 · report 1083247 | 2011 · report 1028402 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Report status | as submitted | settled | settled | settled | settled | settled | settled | settled | settled | settled | settled | settled | settled | settled |
| Processed by CMS | June 11, 2025 | September 19, 2024 | October 21, 2024 | October 17, 2022 | September 30, 2021 | December 14, 2020 | August 1, 2019 | July 19, 2018 | July 17, 2017 | August 22, 2016 | September 30, 2016 | May 13, 2015 | December 19, 2014 | May 1, 2013 |
| Total patient revenue | $49,035,404 | $40,506,065 | $38,718,981 | $28,589,202 | $28,884,383 | $29,742,029 | $30,229,708 | $30,354,864 | $23,962,581 | $23,601,914 | $23,703,476 | $24,540,973 | $21,258,743 | $19,922,128 |
| Contractual allowances and discounts | $19,045,937 | $9,779,649 | $5,529,317 | $2,341,298 | $2,486,003 | $5,343,833 | $7,033,078 | $6,919,469 | $2,546,102 | $2,776,733 | $3,055,973 | $3,106,089 | $873,188 | −$996,783 |
| Net patient revenue | $29,989,467 | $30,726,416 | $33,189,664 | $26,247,904 | $26,398,380 | $24,398,196 | $23,196,630 | $23,435,395 | $21,416,479 | $20,825,181 | $20,647,503 | $21,434,884 | $20,385,555 | $20,918,911 |
| Total operating expenses | $27,511,985 | $26,849,623 | $27,128,210 | $21,641,422 | $22,611,295 | $23,647,252 | $20,761,582 | $19,525,762 | $17,902,883 | $18,114,423 | $18,217,787 | $20,699,126 | $17,762,540 | $17,701,691 |
| Net income from service to patients | $2,477,482 | $3,876,793 | $6,061,454 | $4,606,482 | $3,787,085 | $750,944 | $2,435,048 | $3,909,633 | $3,513,596 | $2,710,758 | $2,429,716 | $735,758 | $2,623,015 | $3,217,220 |
| Total other income | $46,729 | $21,974 | $269,491 | $92,728 | $251,547 | $151,050 | $202,949 | $72,497 | −$121,456 | $6,440 | $7,377 | $6,815 | $8,737 | $22,271 |
| Net income after other income | $2,524,211 | $3,898,767 | $6,330,945 | $4,699,210 | $4,038,632 | $901,994 | $2,637,997 | $3,982,130 | $3,392,140 | $2,717,198 | $2,437,093 | $742,573 | $2,631,752 | $3,239,491 |
| Net income | $2,524,211 | $3,898,767 | $6,331,090 | $4,687,960 | $4,038,632 | $901,994 | $2,637,997 | $3,982,130 | $3,392,140 | $2,717,198 | $2,437,093 | $742,573 | $2,631,752 | $3,239,491 |
| Total facility beds, all components | 153 | 153 | 153 | 153 | 153 | 153 | 153 | 153 | 153 | 153 | 153 | 153 | 153 | 153 |
| Bed days available, all components | 55,998 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Medicare (Title XVIII) patient days | 7,268 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Medicaid (Title XIX) patient days | 2,958 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Other-payer patient days | 43,697 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Total patient days, all components | 53,923 | 54,598 | 53,737 | 41,264 | 53,536 | 54,490 | 54,024 | 54,240 | 54,545 | 54,189 | 52,990 | 53,289 | 53,098 | 52,670 |
| Medicare discharges | 81 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Medicaid discharges | 16 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Other-payer discharges | 664 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Total discharges, all components | 761 | 760 | 979 | 1,609 | 898 | 962 | 876 | 1,068 | 773 | 707 | 790 | 918 | 918 | 959 |
| Average length of stay, Medicare, in days | 89.73 | 52.74 | 46.23 | 38.72 | 37.5 | 28.47 | 27.7 | 25.69 | 28.79 | 30.61 | 29.31 | 29.5 | 32.65 | 35.31 |
| Average length of stay, Medicaid, in days | 184.88 | 89.19 | 1,579.5 | 90.42 | 288.18 | 519.75 | 334.64 | 273.53 | 369.27 | 432.42 | 363.86 | 309.23 | 262.48 | 251.96 |
| Average length of stay, all patients, in days | 70.86 | 71.84 | 54.89 | 25.65 | 59.62 | 56.64 | 61.67 | 50.79 | 70.56 | 76.65 | 67.08 | 58.05 | 57.84 | 54.92 |
Net income, fiscal years 2024, 2023, 2022, 2021, 2020, 2019, 2018, 2017, 2016, 2015, 2014, 2013, 2012, 2011. Checked against the form’s own arithmetic: what that check shows.
| Form CMS-2540-96 | 2010 · report 426972 | 2009 · report 389738 | 2008 · report 339747 | 2007 · report 323331 | 2006 · report 288299 | 2005 · report 262359 | 2004 · report 225642 | 2003 · report 210040 | 2002 · report 138189 | 2001 · report 114227 | 2000 · report 97204 | 1999 · report 97202 | 1998 · report 97200 | 1997 · report 97199 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Period began | January 1, 2010 | January 1, 2009 | January 1, 2008 | January 1, 2007 | January 1, 2006 | January 1, 2005 | January 1, 2004 | May 1, 2003 | May 1, 2001 | May 1, 2000 | May 1, 1999 | May 1, 1998 | May 1, 1997 | May 1, 1996 |
| Period ended | December 31, 2010 | December 31, 2009 | December 31, 2008 | December 31, 2007 | December 31, 2006 | December 31, 2005 | December 31, 2004 | September 10, 2003 | April 30, 2002 | April 30, 2001 | April 30, 2000 | April 30, 1999 | April 30, 1998 | April 30, 1997 |
| Days, where not a full year | — | — | — | — | — | — | — | 132 | — | — | — | — | — | — |
| Report status | settled | settled | settled | settled | settled | settled | settled | settled | as submitted | settled | as submitted | settled | settled | settled |
| Processed by CMS | March 30, 2012 | November 16, 2010 | May 21, 2009 | August 8, 2008 | July 25, 2007 | September 1, 2006 | June 27, 2005 | March 7, 2005 | April 7, 2003 | February 11, 2003 | August 1, 2001 | September 7, 2000 | November 12, 1999 | March 9, 1998 |
| Net patient revenue | $18,787,782 | $18,143,402 | $17,239,629 | $15,818,147 | $14,310,362 | $12,460,821 | $9,283,203 | $2,033,540 | $8,693,193 | $7,811,486 | $7,485,303 | $6,131,346 | −$1,407,033,653 | $6,065,718 |
| Total operating expenses | $16,578,710 | $16,263,289 | $15,711,108 | $14,716,335 | $13,145,426 | $11,373,965 | $9,335,337 | $2,720,915 | $9,920,051 | $8,681,654 | $7,708,675 | $6,853,118 | $6,542,851 | $6,272,493 |
| Net income from service to patients | $2,209,072 | $1,880,113 | $1,528,521 | $1,101,812 | $1,164,936 | $1,086,856 | −$52,134 | −$687,375 | −$1,226,858 | −$870,168 | −$223,372 | −$721,772 | −$1,413,576,504 | −$206,775 |
| Total other income | $23,941 | $17,073 | $11,376 | $22,543 | $22,852 | $20,382 | $17,624 | $27,344 | $124,383 | $108,180 | $98,628 | $36,498 | $538,976,288 | $9,479 |
| Net income | $2,233,013 | $1,897,186 | $1,539,897 | $1,124,355 | $1,187,788 | $1,107,238 | −$34,510 | −$660,031 | −$1,102,475 | −$761,988 | −$124,744 | −$685,274 | −$874,600,216 | −$197,296 |
| Total facility beds, all components | 153 | 153 | 153 | 153 | 153 | 153 | 153 | 153 | 153 | 153 | 153 | 153 | 153 | 153 |
| Total patient days, all components | 51,740 | 52,085 | 52,961 | 53,314 | 52,830 | 52,937 | 48,626 | 13,334 | 51,472 | 49,123 | 51,809 | 51,542 | 50,593 | 51,670 |
| Total discharges, all components | 914 | 902 | 1,336 | 1,188 | 1,232 | 742 | 526 | 92 | 469 | 262 | 218 | 254 | 334 | 270 |
| Average length of stay, Medicare, in days | 34.76 | 33.09 | 21.52 | 24.33 | 20.46 | 35.06 | 22.71 | 17.22 | 18.56 | 31.66 | 37.26 | 27.33 | 22.95 | 27 |
| Average length of stay, Medicaid, in days | 286.12 | 272.03 | 87.3 | 93.33 | 85.68 | 171.81 | 679.83 | 394.76 | 463.38 | 560.19 | 476.21 | 531.73 | 474.08 | 561.01 |
| Average length of stay, all patients, in days | 56.61 | 57.74 | 39.64 | 44.88 | 42.88 | 71.34 | 92.44 | 144.93 | 109.75 | 187.49 | 237.66 | 202.92 | 151.48 | 191.37 |
Net income, fiscal years 2010, 2009, 2008, 2007, 2006, 2005, 2004, 2003, 2002, 2001, 2000, 1999, 1998, 1997. Checked against the form’s own arithmetic: what that check shows.
White Blossom Care Center: nurse staffing hours by quarter →
Who owns White Blossom Care Center, as filed with CMS
Care Compare
- 5% OR GREATER DIRECT OWNERSHIP INTEREST: HUDSON RIVER OPCO LLC (organization), 100%%, since 10/01/2019
- 5% OR GREATER INDIRECT OWNERSHIP INTEREST: BAY BRIDGE CAPITAL PARTNERS, LLC (organization), 100%%, since 08/15/2014
- CONTRACTED MANAGING EMPLOYEE: AWERBUCK, MATTHEW (individual), NOT APPLICABLE, since 10/01/2022
- CORPORATE OFFICER: APT, FREDERICK (individual), NOT APPLICABLE, since 01/01/2024; JERGENSEN, JOSHUA (individual), NOT APPLICABLE, since 01/01/2024; MITCHELL, JOHN (individual), NOT APPLICABLE, since 01/01/2024
- OPERATIONAL/MANAGERIAL CONTROL: PIERCE, ROBERT (individual), NOT APPLICABLE, since 09/01/2023
- W-2 MANAGING EMPLOYEE: PIERCE, ROBERT (individual), NOT APPLICABLE, since 09/01/2023
Medicare enrollment
As filed in the CMS file dated October 1, 2026 (Medicare enrollment ownership), under the enrollment of HAWTHORNE HOLDINGS, LLC (enrollment ID O20030424000029).
- 5% OR GREATER DIRECT OWNERSHIP INTEREST: HUDSON RIVER OPCO LLC (organization), 100.00%, since 10/01/2019
- 5% OR GREATER INDIRECT OWNERSHIP INTEREST: BAY BRIDGE CAPITAL PARTNERS, LLC (organization), 100.00%, since 08/15/2014; JASON H MURRAY (individual), 41.80%, since 04/15/2024; MARK D HANCOCK (individual), 41.80%, since 04/15/2024; PACS GROUP, INC. (organization), 100.00%, since 06/30/2023; PACS HOLDINGS, LLC (organization), 100.00%, since 06/30/2023; PROVIDENCE GROUP INC (organization), 100.00%, since 11/05/2021
- CONTRACTED MANAGING EMPLOYEE: MATTHEW JOEL AWERBUCK (individual), since 10/01/2022
- CORPORATE OFFICER: FREDERICK G APT (individual), since 01/01/2024; JOHN T MITCHELL (individual), since 01/01/2024; JOSHUA O JERGENSEN (individual), since 01/01/2024
- OPERATIONAL/MANAGERIAL CONTROL: ROBERT S PIERCE (individual), since 09/01/2023
- W-2 MANAGING EMPLOYEE: ROBERT S PIERCE (individual), since 09/01/2023
Paused by CMS: Form CMS-855A, December 11, 2025.
Private equity company: No, Real estate investment trust: No, Holding company: Yes: HUDSON RIVER OPCO LLC; BAY BRIDGE CAPITAL PARTNERS, LLC; PACS GROUP, INC.; PACS HOLDINGS, LLC; PROVIDENCE GROUP INC.
Private equity company, real estate investment trust and holding company: Paused by CMS: JASON H MURRAY; MARK D HANCOCK; MATTHEW JOEL AWERBUCK; FREDERICK G APT; JOHN T MITCHELL; JOSHUA O JERGENSEN; ROBERT S PIERCE; ROBERT S PIERCE.
Changes in ownership
- June 3, 2024, enrollment ownership file; no longer listed: MARK D HANCOCK (OFFICER); JASON H MURRAY (OFFICER); first listed: MATTHEW JOEL AWERBUCK (CONTRACTED MANAGING EMPLOYEE), associated since October 1, 2022; JOSHUA O JERGENSEN (OFFICER), associated since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- February 1, 2024, enrollment ownership file; no longer listed: ERIC L FELTON (OPERATIONAL/MANAGERIAL CONTROL); ERIC L FELTON (W-2 MANAGING EMPLOYEE); first listed: PACS GROUP, INC. (5% OR GREATER INDIRECT OWNERSHIP INTEREST), associated since June 30, 2023; PACS HOLDINGS, LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST), associated since June 30, 2023; ROBERT S PIERCE (OPERATIONAL/MANAGERIAL CONTROL), associated since September 1, 2023; ROBERT S PIERCE (W-2 MANAGING EMPLOYEE), associated since September 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-02-01.csv
Inspections of White Blossom Care Center
- Cycle 1: health March 13, 2026 (18 deficiencies), fire safety March 13, 2026 (4)
- Cycle 2: health November 21, 2024 (5 deficiencies), fire safety November 21, 2024 (4)
- Cycle 3: health February 15, 2022 (26 deficiencies), fire safety February 15, 2022 (16)
Deficiencies cited at White Blossom Care Center
49 deficiencies on file, by tag, newest citation first
every one from a health inspection; every one marked “Deficient, Provider has date of correction”; 16 cited from a complaint, marked below. Letter after a date: scope and severity grade.
- F 0550, resident rights: May 12, 2026 (D, from a complaint, corrected June 6, 2026); March 13, 2026 (D, corrected April 6, 2026).
- F 0627, resident rights: May 12, 2026 (G, from a complaint, corrected June 6, 2026).
- F 0552, resident rights: March 13, 2026 (D, corrected April 6, 2026); June 12, 2024 (D, from a complaint, corrected July 3, 2024).
- F 0554, resident rights: March 13, 2026 (D, corrected April 6, 2026); February 15, 2022 (D, corrected April 15, 2022).
- F 0656, resident assessment and care planning: March 13, 2026 (D, corrected April 6, 2026).
- F 0684, quality of life and care: March 13, 2026 (D, corrected April 6, 2026); June 10, 2025 (D, from a complaint, corrected June 27, 2025); January 2, 2024 (D, from a complaint, corrected January 23, 2024); February 15, 2022 (D, corrected April 15, 2022).
- F 0698, quality of life and care: March 13, 2026 (E, corrected April 6, 2026); February 15, 2022 (D, corrected April 15, 2022).
- F 0725, nursing and physician services: March 13, 2026 (E, corrected April 6, 2026).
- F 0757, pharmacy service: March 13, 2026 (D, corrected April 6, 2026).
- F 0761, pharmacy service: March 13, 2026 (D, corrected April 6, 2026); February 15, 2022 (E, corrected April 15, 2022).
- F 0802, nutrition and dietary: March 13, 2026 (E, corrected April 6, 2026).
- F 0806, nutrition and dietary: March 13, 2026 (D, corrected April 6, 2026).
- F 0812, nutrition and dietary: March 13, 2026 (F, corrected April 6, 2026); February 15, 2022 (E, corrected April 15, 2022).
- F 0813, nutrition and dietary: March 13, 2026 (F, corrected April 6, 2026).
- F 0880, infection control: March 13, 2026 (E, corrected April 6, 2026); October 11, 2024 (E, from a complaint, corrected November 4, 2024); August 29, 2024 (D, from a complaint, corrected September 19, 2024); August 19, 2024 (D, from a complaint, corrected September 5, 2024); February 15, 2022 (E, corrected April 15, 2022).
- F 0921, environmental: March 13, 2026 (F, corrected April 6, 2026); June 7, 2024 (D, from a complaint, corrected June 28, 2024).
- F 0689, quality of life and care: March 11, 2026 (D, from a complaint, corrected March 19, 2026); February 8, 2024 (K, from a complaint, corrected March 1, 2024); February 15, 2022 (D, corrected April 15, 2022).
- F 0658, resident assessment and care planning: May 15, 2025 (D, from a complaint, corrected May 22, 2025); June 25, 2024 (D, from a complaint, corrected July 19, 2024); February 15, 2022 (D, corrected April 15, 2022).
- F 0644, resident assessment and care planning: November 21, 2024 (D, corrected December 14, 2024).
- F 0645, resident assessment and care planning: November 21, 2024 (D, corrected December 14, 2024); February 15, 2022 (D, corrected April 15, 2022).
- F 0758, pharmacy service: August 29, 2024 (D, from a complaint, corrected September 19, 2024); February 15, 2022 (E, corrected April 15, 2022).
- F 0610, freedom from abuse, neglect, and exploitation: June 25, 2024 (D, from a complaint, corrected July 19, 2024).
- F 0559, resident rights: December 5, 2023 (D, from a complaint, corrected December 21, 2023).
- F 0558, resident rights: February 15, 2022 (D, corrected April 15, 2022).
- F 0578, resident rights: February 15, 2022 (E, corrected April 15, 2022).
- F 0655, resident assessment and care planning: February 15, 2022 (E, corrected April 15, 2022).
- F 0686, quality of life and care: February 15, 2022 (D, corrected April 15, 2022).
- F 0688, quality of life and care: February 15, 2022 (D, corrected April 8, 2022).
- F 0755, pharmacy service: February 15, 2022 (E, corrected April 15, 2022).
Penalties
| Penalty date | Type | Fine amount | Payment denial began | Payment denial, days | Fine ID |
|---|---|---|---|---|---|
| May 12, 2026 | Fine | $23,625 | 140967 | ||
| February 8, 2024 | Fine | $73,427 | 130111 |
From the Care Compare penalties file NH_Penalties_Oct2026.csv, processed on October 1, 2026.
White Blossom Care Center in Care Compare
- Ownership Type: For profit - Limited Liability company
- Legal Business Name: HAWTHORNE HOLDINGS, LLC
- Date First Approved to Provide Medicare and Medicaid Services: 1977-05-01
- Provider Resides in Hospital: N
- Continuing Care Retirement Community: N
- Urban: Y
- County/Parish: Santa Clara
- Telephone Number: 4089988447
- Chain Name: PACS GROUP
- Chain ID: 690
- Provider Changed Ownership in Last 12 Months: N
- With a Resident and Family Council: Resident
- Automatic Sprinkler Systems in All Required Areas: Yes
- Average Number of Residents per Day: 149.1
- Overall Rating: 2
- Health Inspection Rating: 1
- QM Rating: 5
- Long-Stay QM Rating: 5
- Short-Stay QM Rating: 5
Care Compare, October 1, 2026: provider information NH_ProviderInfo_Oct2026.csv · inspections NH_SurveySummary_Oct2026.csv · citations NH_HealthCitations_Oct2026.csv · penalties NH_Penalties_Oct2026.csv · ownership NH_Ownership_Oct2026.csv.
Other nursing facilities in SAN JOSE
Report a figure on White Blossom Care Center’s record that differs from its CMS file, quoting 555068.