Mesa Manor Center
2901 North 12th Street, Grand Junction, CO 81506


Mesa Manor Center is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 065110. The address is 2901 North 12th Street, Grand Junction, CO 81506. The zip code is 81506. The phone number is 9702437211.


Mesa Manor Center · 2901 North 12th Street, Grand Junction, CO 81506

Federal Provider Number 065110
Provider Name MESA MANOR CENTER
Address 2901 NORTH 12TH STREET
GRAND JUNCTION, CO 81506
Phone Number 9702437211
SSA County Code 380
County Name Mesa
Ownership Type For profit - Corporation
Certified Beds 89
Certified Beds Residents 57
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name PEAK MEDICAL COLORADO NO. 2, LLC
Date First Approved to Provide Medicare Medicaid Services 06/01/1974
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 4
Health Inspection Rating 2
Quality Measure Rating 5
Staffing Rating 4
RN Staffing Rating 5
Reported CNA Staffing Hours per Resident per Day 2.02807
Reported LPN Staffing Hours per Resident per Day 0.61667
Reported RN Staffing Hours per Resident per Day 1.05702
Reported Licensed Staffing Hours per Resident per Day 1.67368
Reported Total Nurse Staffing Hours per Resident per Day 3.70176
Reported Physical Therapist Staffing Hours per Resident Per Day 0.06053
Expected CNA Staffing Hours per Resident per Day 2.29197
Expected LPN Staffing Hours per Resident per Day 0.59995
Expected RN Staffing Hours per Resident per Day 1.05631
Expected Total Nurse Staffing Hours per Resident per Day 3.94822
Adjusted CNA Staffing Hours per Resident per Day 2.17118
Adjusted LPN Staffing Hours per Resident per Day 0.85313
Adjusted RN Staffing Hours per Resident per Day 0.7477
Adjusted Total Nurse Staffing Hours per Resident per Day 3.77928
Cycle 1 Total Number of Health Deficiencies 8
Cycle 1 Number of Standard Health Deficiencies 7
Cycle 1 Number of Complaint Health Deficiencies 1
Cycle 1 Health Deficiency Score 56
Cycle 1 Standard Survey Health Date 02/16/2017
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 56
Cycle 2 Total Number of Health Deficiencies 9
Cycle 2 Number of Standard Health Deficiencies 9
Cycle 2 Health Deficiency Score 76
Cycle 2 Standard Health Survey Date 01/14/2016
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 76
Cycle 3 Total Number of Health Deficiencies 9
Cycle 3 Number of Standard Health Deficiencies 9
Cycle 3 Health Deficiency Score 76
Cycle 3 Standard Health Survey Date 03/27/2015
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 76
Total Weighted Health Survey Score 66
Number of Substantiated Complaints 1
Number of Fines 1
Total Amount of Fines in Dollars $2145.00
Total Number of Penalties 1
Processing Date 08/01/2017

Owner or Manager · Mesa Manor Center

Owner Name Role Association Date
BARCLAYS BANK PLC (Organization) 5% OR GREATER SECURITY INTEREST since 12/01/2012
BECKWITH, BRIAN (Individual) DIRECTOR since 12/01/2012
BERG, MICHAEL (Individual) OFFICER since 12/01/2012
BERG, MICHAEL (Individual) OPERATIONAL/MANAGERIAL CONTROL since 12/01/2012
DAVIS, KEITH (Individual) OFFICER since 12/01/2012
DAVIS, KEITH (Individual) OPERATIONAL/MANAGERIAL CONTROL since 12/01/2012
DIVITTORIO, THOMAS (Individual) OFFICER since 12/01/2012
DIVITTORIO, THOMAS (Individual) OPERATIONAL/MANAGERIAL CONTROL since 12/01/2012
DONNA REIS 1995 FAM TR (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/01/2012
DVORAK, JOSEPH (Individual) OFFICER since 12/01/2012
EDWARDS, JAN (Individual) OFFICER since 12/01/2012
FC-GEN OPERATIONS INVESTMENT LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/01/2012
FIRTH, CHRISTINA (Individual) DIRECTOR since 12/01/2012
FIRTH, CHRISTINA (Individual) OFFICER since 12/01/2012
FISHMAN, STEVEN (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/01/2012
FISHMAN, STEVEN (Individual) DIRECTOR since 12/01/2012
FMR CORP (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 08/17/2009
GAZELLE GEN LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/01/2012
GEN MANAGEMENT LLC (Organization) 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 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
GHC HOLDINGS II LLC (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/01/2012
HAGER, GEORGE (Individual) DIRECTOR since 12/01/2012
HAGER, GEORGE (Individual) OFFICER since 12/01/2012
HAGER, GEORGE (Individual) OPERATIONAL/MANAGERIAL CONTROL since 12/01/2012
HARTMAN, ROBERT (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/01/2012
HARTMAN, ROBERT (Individual) DIRECTOR since 12/01/2012
HCCF MANAGEMENT GROUP XI LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/01/2012
NEUBERGER, ISAAC (Individual) DIRECTOR since 12/01/2012
OPPENHEIMER FUNDS, INC (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 08/17/2009
PEAK MEDICAL COLORADO NO. 2, LLC (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/09/2005
PEAK MEDICAL LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/09/2005
PHILLIPS, JEANNE (Individual) OFFICER since 12/01/2012
REIS, DAVID (Individual) DIRECTOR since 12/01/2012
REITZ, ROBERT (Individual) DIRECTOR since 12/01/2012
REITZ, ROBERT (Individual) OFFICER since 12/01/2012
REITZ, ROBERT (Individual) OPERATIONAL/MANAGERIAL CONTROL since 12/01/2012
ROSENBLUM, ISRAEL (Individual) DIRECTOR since 12/01/2012
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
SHERMAN, MICHAEL (Individual) OPERATIONAL/MANAGERIAL CONTROL since 12/01/2012
SIEMERS, REBECCA (Individual) MANAGING EMPLOYEE since 12/09/2005
SL GEN LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/01/2012
SUN HEALTHCARE GROUP, INC. (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 04/20/2007
SUNBRIDGE HEALTHCARE LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 04/20/2007
WHITMAN, ARNOLD (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/01/2012
WHITMAN, ARNOLD (Individual) DIRECTOR since 12/01/2012
ZAC PROPERTIES XI LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/01/2012

street_number: 2901
route: North 12th Street (N 12th St)
locality, political: Grand Junction
admin_level_2, political: Mesa County
admin_level_1, political: Colorado (CO)
country, political: United States (US)
postal_code: 81506
postal_code_suffix: 2811
types : premise
latitude: 39.0939822
longitude: -108.5531923
latlng: (39.0939822, -108.5531923)


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