Spring Place Healthcare & Rehabilitation Center, L
200 S Maple Street, Hazen, AR 72064


Spring Place Healthcare & Rehabilitation Center, L is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 045228. The address is 200 S Maple Street, Hazen, AR 72064. The zip code is 72064. The phone number is 8702554323.


Spring Place Healthcare & Rehabilitation Center, L · 200 S Maple Street, Hazen, AR 72064

Federal Provider Number 045228
Provider Name SPRING PLACE HEALTHCARE & REHABILITATION CENTER, L
Address 200 S MAPLE STREET
HAZEN, AR 72064
Phone Number 8702554323
SSA County Code 580
County Name Prairie
Ownership Type For profit - Corporation
Certified Beds 70
Certified Beds Residents 47
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name SPRING PLACE HEALTHCARE & REHABILITATION CENTER LLC
Date First Approved to Provide Medicare Medicaid Services 01/01/1994
Continuing Care Retirement Community false
Special Focus Facility false
Most Recent Health Inspection More Than 2 Years Ago false
Changed Ownership Last 12 Months true
With Resident Family Council Resident
Automatic Sprinkler Systems in All Required Areas Yes
Overall Rating 1
Health Inspection Rating 1
Quality Measure Rating 4
Staffing Rating 1
RN Staffing Rating 1
Reported CNA Staffing Hours per Resident per Day 1.61064
Reported LPN Staffing Hours per Resident per Day 0.68085
Reported RN Staffing Hours per Resident per Day 0.28191
Reported Licensed Staffing Hours per Resident per Day 0.96277
Reported Total Nurse Staffing Hours per Resident per Day 2.5734
Reported Physical Therapist Staffing Hours per Resident Per Day 0.12766
Expected CNA Staffing Hours per Resident per Day 2.41409
Expected LPN Staffing Hours per Resident per Day 0.61253
Expected RN Staffing Hours per Resident per Day 0.8207
Expected Total Nurse Staffing Hours per Resident per Day 3.84732
Adjusted CNA Staffing Hours per Resident per Day 1.63707
Adjusted LPN Staffing Hours per Resident per Day 0.92258
Adjusted RN Staffing Hours per Resident per Day 0.25666
Adjusted Total Nurse Staffing Hours per Resident per Day 2.69619
Cycle 1 Total Number of Health Deficiencies 18
Cycle 1 Number of Standard Health Deficiencies 15
Cycle 1 Number of Complaint Health Deficiencies 3
Cycle 1 Health Deficiency Score 172
Cycle 1 Standard Survey Health Date 02/03/2017
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 172
Cycle 2 Total Number of Health Deficiencies 13
Cycle 2 Number of Standard Health Deficiencies 11
Cycle 2 Number of Complaint Health Deficiencies 3
Cycle 2 Health Deficiency Score 132
Cycle 2 Standard Health Survey Date 01/15/2016
Cycle 2 Number of Health Revisits 3
Cycle 2 Health Revisit Score 92
Cycle 2 Total Health Score 224
Cycle 3 Total Number of Health Deficiencies 10
Cycle 3 Number of Standard Health Deficiencies 10
Cycle 3 Health Deficiency Score 76
Cycle 3 Standard Health Survey Date 04/23/2015
Cycle 3 Number of Health Revisits 2
Cycle 3 Health Revisit Score 38
Cycle 3 Total Health Score 114
Total Weighted Health Survey Score 179.667
Number of Substantiated Complaints 7
Number of Fines 1
Total Amount of Fines in Dollars $4000.00
Total Number of Penalties 1
Processing Date 08/01/2017

Owner or Manager · Spring Place Healthcare & Rehabilitation Center, L

Owner Name Role Association Date
AUGUSTYNIAK, BRANDON (Individual) OFFICER since 12/31/2016
AUGUSTYNIAK, BRANDON (Individual) OPERATIONAL/MANAGERIAL CONTROL since 12/31/2016
JS ARK MANAGEMENT GROUP LLC (Organization) OPERATIONAL/MANAGERIAL CONTROL since 12/31/2016
JS ARKANSAS FIVE HEALTHCARE LLC (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
since 12/31/2016
LIATSOS, OLGA (Individual) MANAGING EMPLOYEE since 12/31/2016
SCHWARTZ, JOSEPH (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
50%
since 12/31/2016
SCHWARTZ, JOSEPH (Individual) OFFICER since 12/31/2016
SCHWARTZ, JOSEPH (Individual) OPERATIONAL/MANAGERIAL CONTROL since 12/31/2016
SCHWARTZ, ROSIE (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
50%
since 12/31/2016

street_number: 92
route: S Maple St
locality, political: Hazen
admin_level_3, political: Hazen Township
admin_level_2, political: Prairie County
admin_level_1, political: Arkansas (AR)
country, political: United States (US)
postal_code: 72064
types : establishment, food, point_of_interest, restaurant
latitude: 34.7796836
longitude: -91.5679398
latlng: (34.7796836, -91.5679398)


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