Garden Park Nursing & Rehab Ctr, LLC
9111 Linwood Avenue, Shreveport, LA 71106


Garden Park Nursing & Rehab Ctr, LLC is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 195248. The address is 9111 Linwood Avenue, Shreveport, LA 71106. The zip code is 71106. The phone number is 3186880961.


Garden Park Nursing & Rehab Ctr, LLC · 9111 Linwood Avenue, Shreveport, LA 71106

Federal Provider Number 195248
Provider Name GARDEN PARK NURSING & REHAB CTR, LLC
Address 9111 LINWOOD AVENUE
SHREVEPORT, LA 71106
Phone Number 3186880961
SSA County Code 80
County Name Caddo
Ownership Type For profit - Corporation
Certified Beds 160
Certified Beds Residents 146
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name GARDEN PARK NURSING & REHABILITATION CENTER, LLC
Date First Approved to Provide Medicare Medicaid Services 12/06/1989
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 5
Health Inspection Rating 5
Quality Measure Rating 5
Staffing Rating 1
RN Staffing Rating 1
Reported CNA Staffing Hours per Resident per Day 2.08288
Reported LPN Staffing Hours per Resident per Day 0.88253
Reported RN Staffing Hours per Resident per Day 0.46404
Reported Licensed Staffing Hours per Resident per Day 1.34658
Reported Total Nurse Staffing Hours per Resident per Day 3.42945
Reported Physical Therapist Staffing Hours per Resident Per Day 0.03904
Expected CNA Staffing Hours per Resident per Day 2.34063
Expected LPN Staffing Hours per Resident per Day 0.65568
Expected RN Staffing Hours per Resident per Day 1.23282
Expected Total Nurse Staffing Hours per Resident per Day 4.22913
Adjusted CNA Staffing Hours per Resident per Day 2.1835
Adjusted LPN Staffing Hours per Resident per Day 1.11717
Adjusted RN Staffing Hours per Resident per Day 0.28125
Adjusted Total Nurse Staffing Hours per Resident per Day 3.2687
Cycle 1 Standard Survey Health Date 11/03/2016
Cycle 2 Total Number of Health Deficiencies 2
Cycle 2 Number of Standard Health Deficiencies 2
Cycle 2 Health Deficiency Score 12
Cycle 2 Standard Health Survey Date 12/17/2015
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 12
Cycle 3 Total Number of Health Deficiencies 2
Cycle 3 Number of Standard Health Deficiencies 2
Cycle 3 Health Deficiency Score 16
Cycle 3 Standard Health Survey Date 02/12/2015
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 16
Total Weighted Health Survey Score 6.667
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · Garden Park Nursing & Rehab Ctr, LLC

Owner Name Role Association Date
CENTRAL MANAGEMENT COMPANY, LLC (Organization) OPERATIONAL/MANAGERIAL CONTROL since 12/06/1989
KISATCHIE CORPORATION (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
15%
since 12/06/1989
PRICE, MARJORIE (Individual) 5% OR GREATER DIRECT OWNERSHIP INTEREST
5%
since 10/01/1983
PRICE, TEDDY (Individual) 5% OR GREATER DIRECT OWNERSHIP INTEREST
75%
since 07/25/2016
PRICE, TEDDY (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
15%
since 10/01/1983
PRICE, TEDDY (Individual) DIRECTOR since 12/06/1989
PRICE, TEDDY (Individual) OFFICER since 10/01/1983
PRICE, TEDDY (Individual) OPERATIONAL/MANAGERIAL CONTROL since 10/01/1983
ZIMMERMAN, FREDA (Individual) 5% OR GREATER DIRECT OWNERSHIP INTEREST
5%
since 10/01/1983

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