San Joaquin Nursing Center and Rehabilitation Cent
San Joaquin Nursing Center and Rehabilitation Cent reported 4.28 HPRD in Q1 2026. This level is around the CMS case-mix benchmark (4.36 HPRD) and in the 54th percentile of California nursing homes.
- Q2 2025: 4.16
- Q3 2025: 4.34
- Q4 2025: 4.28
- Q1 2026: 4.28
Direct staff excludes Admin/DON. State minimums via MACPAC (2022) may reflect calculated HPRD equivalents. Direct staff excludes Admin/DON. State minimums via MACPAC may reflect calculated HPRD equivalents.
CMS Case-Mix (Q1 2026)
Case-Mix by Position
CMS case-mix is an acuity metric based on PDPM. It is not a state or federal minimum; the ratio is a reference point, not a measure of whether staffing is sufficient. based on PDPM. It is not a state or federal minimum; the ratio is a reference point, not a measure of whether staffing is sufficient.
Ownership
CMS owner data roles and percentages are reported filings, not proof of who operates the facility or care quality.CMS owner filings; not proof of who operates.
| Name | Type | Role | Since | |
|---|---|---|---|---|
| Bryce Blood | Individual | Operational/managerial control | 8/15/2023 | |
| Providence Group Wine Country LLC | Organization | 100% ownership interest; Ownership interest | 12/16/2016 | |
| Pacs Group, Inc. | Organization | 100% ownership interest; Ownership interest | 6/30/2023 | |
| Pacs Holdings, LLC | Organization | 100% ownership interest; Ownership interest | 6/30/2023 | |
| Providence Group Nh, LLC | Organization | 100% ownership interest; Ownership interest | 6/30/2023 | |
| Jason H Murray | Individual | 41.8% ownership interest; Ownership interest | 4/15/2024 | |
| Mark D Hancock | Individual | 41.8% ownership interest; Ownership interest; Corporate officer | 4/15/2024 | |
| Frederick G Apt | Individual | Corporate officer | 1/1/2024 | |
| John T Mitchell | Individual | Corporate officer | 1/1/2024 | |
| Joshua O Jergensen | Individual | Corporate officer | 1/1/2024 |
- Entity changed
How these figures are calculatedMethods, definitions, and data sources
Staffing from CMS Payroll-Based Journal (PBJ) public files (2017–2026), plus Provider Information and chain data where shown. State staffing context via MACPAC (2022). Methodology · PBJ explained.
Metrics
- Hours Per Resident Day (HPRD): Total staff hours ÷ average residents. Example: 350 hours for 100 residents = 3.5 HPRD.
- Direct Care (excl. Admin, DON): Hours per resident day for direct care staff only (RN, LPN, CNA, NAtrn, MedAide), excluding administrative and supervisory roles.
- Contract Staff %: Share of hours provided by contract staff.
- Census: Average number of residents during the period.
Note: Some states set minimums (e.g., NJ, CA, NY at 3.5 HPRD); a federal 3.48 minimum was recently overturned (2025). A 2001 federal study linked 4.1 HPRD to better outcomes in that study. Staffing needs vary by resident acuity (case-mix), day, and shift. Estimates on PBJ Takeaway assume roughly 60% of staff are CNAs.
Data transparency
The PBJ Dashboard pulls directly from CMS data and is carefully vetted for accuracy. Still, sometimes a bug sneaks into the jelly. That could mean: a systemic CMS data reporting issue (e.g., Q2 2017 contract staffing, missing data in 2020 due to COVID) or there could be a coding error on our part. If you spot something that looks off, please let me know via the contact form so I can set things right.
Trend charts omit quarters with implausible submitted HPRD (total/direct below 0.25; RN, LPN, and aide use role floors and neighbor-quarter rules). Full criteria.
Rankings, within-state percentiles, CMS flags (including abuse icon): How metrics are calculated.