Willows Rehabilitation & Nursing Center
225 Amity Rd, Woodbridge, CT 06525


Willows Rehabilitation & Nursing Center is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 075331. The address is 225 Amity Rd, Woodbridge, CT 06525. The zip code is 06525. The phone number is 2033870076.


Willows Rehabilitation & Nursing Center · 225 Amity Rd, Woodbridge, CT 06525

Federal Provider Number 075331
Provider Name WILLOWS REHABILITATION & NURSING CENTER
Address 225 AMITY RD
WOODBRIDGE, CT 06525
Phone Number 2033870076
SSA County Code 40
County Name New Haven
Ownership Type For profit - Corporation
Certified Beds 90
Certified Beds Residents 77
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name HARBORSIDE CONNECTICUT LIMITED PARTNERSHIP
Date First Approved to Provide Medicare Medicaid Services 02/26/1990
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 Both
Automatic Sprinkler Systems in All Required Areas Yes
Overall Rating 3
Health Inspection Rating 2
Quality Measure Rating 3
Staffing Rating 4
RN Staffing Rating 4
Reported CNA Staffing Hours per Resident per Day 2.11104
Reported LPN Staffing Hours per Resident per Day 0.75519
Reported RN Staffing Hours per Resident per Day 1.14675
Reported Licensed Staffing Hours per Resident per Day 1.90195
Reported Total Nurse Staffing Hours per Resident per Day 4.01298
Reported Physical Therapist Staffing Hours per Resident Per Day 0.29286
Expected CNA Staffing Hours per Resident per Day 2.39355
Expected LPN Staffing Hours per Resident per Day 0.70083
Expected RN Staffing Hours per Resident per Day 1.21034
Expected Total Nurse Staffing Hours per Resident per Day 4.30472
Adjusted CNA Staffing Hours per Resident per Day 2.16409
Adjusted LPN Staffing Hours per Resident per Day 0.89437
Adjusted RN Staffing Hours per Resident per Day 0.70794
Adjusted Total Nurse Staffing Hours per Resident per Day 3.75771
Cycle 1 Total Number of Health Deficiencies 12
Cycle 1 Number of Standard Health Deficiencies 12
Cycle 1 Number of Complaint Health Deficiencies 3
Cycle 1 Health Deficiency Score 72
Cycle 1 Standard Survey Health Date 04/04/2016
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 72
Cycle 2 Total Number of Health Deficiencies 6
Cycle 2 Number of Standard Health Deficiencies 6
Cycle 2 Number of Complaint Health Deficiencies 4
Cycle 2 Health Deficiency Score 28
Cycle 2 Standard Health Survey Date 02/05/2015
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 28
Cycle 3 Total Number of Health Deficiencies 7
Cycle 3 Number of Standard Health Deficiencies 7
Cycle 3 Health Deficiency Score 32
Cycle 3 Standard Health Survey Date 01/16/2014
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 32
Total Weighted Health Survey Score 50.667
Number of Facility Reported Incidents 2
Number of Substantiated Complaints 4
Number of Fines 1
Total Amount of Fines in Dollars $6825.00
Total Number of Penalties 1
Processing Date 08/01/2017

Owner or Manager · Willows Rehabilitation & Nursing Center

Owner Name Role Association Date
BERG, MICHAEL (Individual) OFFICER since 10/12/2012
BERG, MICHAEL (Individual) OPERATIONAL/MANAGERIAL CONTROL since 12/01/2012
DAVIS, KEITH (Individual) MANAGING EMPLOYEE since 03/02/2015
DAVIS, KEITH (Individual) OPERATIONAL/MANAGERIAL CONTROL since 03/02/2015
DONNA REIS 1995 FAM TR (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/01/2012
EDWARDS, JAN (Individual) OFFICER since 03/02/2015
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
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 INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 02/02/2015
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 02/02/2015
HARBORSIDE HEALTHCARE ADVISORS LP (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 04/20/2007
HARBORSIDE HEALTHCARE LIMITED PARTNERSHIP (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
since 04/20/2007
HARBORSIDE HEALTHCARE LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 04/20/2007
HCCF MANAGEMENT GROUP XI LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/01/2012
KHI LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 04/20/2007
KIELAR, WALTER (Individual) OFFICER since 03/02/2015
MIDWAY GEN CAPITAL LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/01/2012
MONGILLO, PETER (Individual) MANAGING EMPLOYEE since 04/20/2007
ONEX PARTNERS LP (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 02/02/2015
SAVO, JOHN (Individual) OFFICER since 03/02/2015
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 10/01/2010
SHERMAN, MICHAEL (Individual) OPERATIONAL/MANAGERIAL CONTROL since 10/01/2010
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
ZAC PROPERTIES XI LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/01/2012

street_number: 225
route: Amity Road (Amity Rd)
locality, political: Woodbridge
admin_level_2, political: New Haven County
admin_level_1, political: Connecticut (CT)
country, political: United States (US)
postal_code: 06525
postal_code_suffix: 2206
types : street_address
latitude: 41.342525
longitude: -72.982698
latlng: (41.342525, -72.982698)


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