Magnolia Ridge
420 Dean Drive, Gardendale, AL 35071


Magnolia Ridge is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 015133. The address is 420 Dean Drive, Gardendale, AL 35071. The zip code is 35071. The phone number is 2056318709.


Magnolia Ridge · 420 Dean Drive, Gardendale, AL 35071

Federal Provider Number 015133
Provider Name MAGNOLIA RIDGE
Address 420 DEAN DRIVE
GARDENDALE, AL 35071
Phone Number 2056318709
SSA County Code 360
County Name Jefferson
Ownership Type For profit - Corporation
Certified Beds 148
Certified Beds Residents 133
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name SUNBRIDGE GARDENDALE HEALTH CARE CENTER, LLC
Date First Approved to Provide Medicare Medicaid Services 01/16/1976
Continuing Care Retirement Community false
Special Focus Facility false
Most Recent Health Inspection More Than 2 Years Ago false
Changed Ownership Last 12 Months false
With Resident Family Council Resident
Automatic Sprinkler Systems in All Required Areas Yes
Overall Rating 1
Health Inspection Rating 2
Quality Measure Rating 4
Staffing Rating 1
RN Staffing Rating 1
Reported CNA Staffing Hours per Resident per Day 1.96654
Reported LPN Staffing Hours per Resident per Day 0.9891
Reported RN Staffing Hours per Resident per Day 0.35752
Reported Licensed Staffing Hours per Resident per Day 1.34662
Reported Total Nurse Staffing Hours per Resident per Day 3.31316
Reported Physical Therapist Staffing Hours per Resident Per Day 0.04286
Expected CNA Staffing Hours per Resident per Day 2.26652
Expected LPN Staffing Hours per Resident per Day 0.6293
Expected RN Staffing Hours per Resident per Day 1.08438
Expected Total Nurse Staffing Hours per Resident per Day 3.98021
Adjusted CNA Staffing Hours per Resident per Day 2.12894
Adjusted LPN Staffing Hours per Resident per Day 1.30455
Adjusted RN Staffing Hours per Resident per Day 0.24635
Adjusted Total Nurse Staffing Hours per Resident per Day 3.35536
Cycle 1 Total Number of Health Deficiencies 11
Cycle 1 Number of Standard Health Deficiencies 11
Cycle 1 Health Deficiency Score 80
Cycle 1 Standard Survey Health Date 02/16/2017
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 80
Cycle 2 Total Number of Health Deficiencies 2
Cycle 2 Number of Standard Health Deficiencies 2
Cycle 2 Health Deficiency Score 8
Cycle 2 Standard Health Survey Date 01/07/2016
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 8
Cycle 3 Total Number of Health Deficiencies 4
Cycle 3 Number of Standard Health Deficiencies 4
Cycle 3 Health Deficiency Score 28
Cycle 3 Standard Health Survey Date 12/11/2014
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 28
Total Weighted Health Survey Score 47.333
Number of Substantiated Complaints 4
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · Magnolia Ridge

Owner Name Role Association Date
BERG, MICHAEL (Individual) OFFICER since 12/01/2012
BERG, MICHAEL (Individual) OPERATIONAL/MANAGERIAL CONTROL since 12/01/2012
CULLEROT, KENNETH (Individual) OFFICER since 02/01/2017
DAVIS, KEITH (Individual) OPERATIONAL/MANAGERIAL CONTROL since 12/01/2012
DEMONTLUZIN, KING (Individual) MANAGING EMPLOYEE since 03/30/2017
DONNA REIS 1995 FAM TR (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/01/2012
EDWARDS, JAN (Individual) OFFICER since 12/01/2012
ELLIS, RENEE (Individual) OFFICER since 02/01/2017
FC-GEN OPERATIONS INVESTMENT LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/01/2012
FISHMAN, STEVEN (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/01/2012
GEN OPERATIONS I LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/01/2012
GEN OPERATIONS II, LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/01/2012
GENERAL ELECTRIC CAPITAL CORPORATION (Organization) 5% OR GREATER SECURITY INTEREST since 12/01/2012
GENESIS HEALTHCARE INC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 02/02/2015
GENESIS HEALTHCARE LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/01/2012
GENESIS HEALTHCARE LLC (Organization) OPERATIONAL/MANAGERIAL CONTROL since 12/01/2012
GENESIS HOLDINGS LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/01/2012
HCCF MANAGEMENT GROUP XI LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/01/2012
ONEX PARTNERS LP (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 02/02/2015
SENIOR CARE GENESIS LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/01/2012
SENIOR CARE HOLDINGS, LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/01/2012
SHERMAN, MICHAEL (Individual) OFFICER since 12/01/2012
SUN HEALTHCARE GROUP, INC. (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 02/02/2015
SUNBRIDGE HEALTHCARE LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/01/2012
SUNBRIDGE RETIREMENT CARE ASSOCIATES, LLC (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
since 02/15/2009
SUNDANCE REHABILITATION HOLDCO, INC. (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 01/01/2016
WHITMAN, ARNOLD (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/01/2012
ZAC PROPERTIES XI LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/01/2012

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