Oak Grove Center
27 Cool St, Waterville, ME 04901


Oak Grove Center is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 205091. The address is 27 Cool St, Waterville, ME 04901. The zip code is 04901. The phone number is 2078730721.


Oak Grove Center · 27 Cool St, Waterville, ME 04901

Federal Provider Number 205091
Provider Name OAK GROVE CENTER
Address 27 COOL ST
WATERVILLE, ME 04901
Phone Number 2078730721
SSA County Code 50
County Name Kennebec
Ownership Type For profit - Corporation
Certified Beds 90
Certified Beds Residents 82
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name WATERVILLE SNF OPERATIONS, LLC
Date First Approved to Provide Medicare Medicaid Services 01/01/1993
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 2
Health Inspection Rating 1
Quality Measure Rating 4
Staffing Rating 4
RN Staffing Rating 5
Reported CNA Staffing Hours per Resident per Day 2.73232
Reported LPN Staffing Hours per Resident per Day 0.20549
Reported RN Staffing Hours per Resident per Day 1.22805
Reported Licensed Staffing Hours per Resident per Day 1.43354
Reported Total Nurse Staffing Hours per Resident per Day 4.16586
Reported Physical Therapist Staffing Hours per Resident Per Day 0.08354
Expected CNA Staffing Hours per Resident per Day 2.65936
Expected LPN Staffing Hours per Resident per Day 0.70252
Expected RN Staffing Hours per Resident per Day 1.17629
Expected Total Nurse Staffing Hours per Resident per Day 4.53817
Adjusted CNA Staffing Hours per Resident per Day 2.52101
Adjusted LPN Staffing Hours per Resident per Day 0.24278
Adjusted RN Staffing Hours per Resident per Day 0.78008
Adjusted Total Nurse Staffing Hours per Resident per Day 3.7002
Cycle 1 Total Number of Health Deficiencies 6
Cycle 1 Number of Standard Health Deficiencies 5
Cycle 1 Number of Complaint Health Deficiencies 1
Cycle 1 Health Deficiency Score 36
Cycle 1 Standard Survey Health Date 02/02/2017
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 36
Cycle 2 Total Number of Health Deficiencies 2
Cycle 2 Number of Standard Health Deficiencies 2
Cycle 2 Health Deficiency Score 16
Cycle 2 Standard Health Survey Date 03/17/2016
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 16
Cycle 3 Total Number of Health Deficiencies 11
Cycle 3 Number of Standard Health Deficiencies 6
Cycle 3 Number of Complaint Health Deficiencies 5
Cycle 3 Health Deficiency Score 52
Cycle 3 Standard Health Survey Date 05/08/2015
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 52
Total Weighted Health Survey Score 32
Number of Facility Reported Incidents 2
Number of Substantiated Complaints 2
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · Oak Grove Center

Owner Name Role Association Date
BERG, MICHAEL (Individual) OFFICER since 12/01/2012
BERG, MICHAEL (Individual) OPERATIONAL/MANAGERIAL CONTROL since 12/01/2012
BERTHA, DAVID (Individual) OFFICER since 12/01/2012
BLINN, RICHARD (Individual) OFFICER since 04/01/2011
BLINN, RICHARD (Individual) OPERATIONAL/MANAGERIAL CONTROL since 01/01/2007
BOURNE, JOSEPH (Individual) OFFICER since 12/01/2012
CASTOR, RICHARD (Individual) OFFICER since 12/01/2012
CULLEROT, KENNETH (Individual) OFFICER since 03/02/2015
DAVIS, KEITH (Individual) MANAGING EMPLOYEE since 03/02/2015
DAVIS, KEITH (Individual) OPERATIONAL/MANAGERIAL CONTROL since 07/13/2007
DONNA REIS 1995 FAM TR (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/13/2011
DVORAK, JOSEPH (Individual) OFFICER since 12/01/2012
EDWARDS, JAN (Individual) OFFICER since 04/01/2011
FC-GEN OPERATIONS INVESTMENT LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 04/01/2011
FISHMAN, STEVEN (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/31/2011
GEN OPERATIONS I LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 04/01/2011
GEN OPERATIONS II, LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 04/01/2011
GENERAL ELECTRIC CAPITAL CORPORATION (Organization) 5% OR GREATER SECURITY INTEREST 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 04/01/2011
GENESIS HEALTHCARE LLC (Organization) OPERATIONAL/MANAGERIAL CONTROL since 04/01/2011
GENESIS HEALTHCARE OF MAINE LLC (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
since 10/02/2012
GENESIS HOLDINGS LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 02/02/2015
GHC HOLDINGS LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 08/01/2008
HCCF MANAGEMENT GROUP XI LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/31/2011
LABATE, WENDY (Individual) OFFICER since 12/01/2012
LABATE, WENDY (Individual) OPERATIONAL/MANAGERIAL CONTROL since 12/01/2012
LANE, LAURENCE (Individual) OFFICER since 12/01/2012
ONEX PARTNERS LP (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 02/02/2015
PEZZANO, GARRY (Individual) OFFICER since 12/01/2012
PHILLIPS, JEANNE (Individual) OFFICER since 12/01/2012
REIFSNYDER, JOANNE (Individual) OFFICER since 12/01/2012
SCHUEFTAN, NORMAN (Individual) OFFICER since 12/01/2012
SENIOR CARE GENESIS LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 07/13/2007
SENIOR CARE HOLDINGS, LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 02/02/2015
SHERMAN, MICHAEL (Individual) OFFICER since 03/01/2009
SHERMAN, MICHAEL (Individual) OPERATIONAL/MANAGERIAL CONTROL since 12/01/2012
SILVERWOOD, KENNETH (Individual) OFFICER since 12/01/2012
SUN HEALTHCARE GROUP, INC. (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 02/02/2015
SYLVESTER, SARAH (Individual) MANAGING EMPLOYEE since 01/01/2007
SYLVESTER, SARAH (Individual) OPERATIONAL/MANAGERIAL CONTROL since 01/01/2007
WHITMAN, ARNOLD (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/31/2011
YOUNG, STEPHEN (Individual) OFFICER since 12/01/2012
ZAC PROPERTIES XI LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/31/2011

street_number: 27
route: Cool Street (Cool St)
locality, political: Waterville
admin_level_2, political: Kennebec County
admin_level_1, political: Maine (ME)
country, political: United States (US)
postal_code: 04901
types : street_address
latitude: 44.5467294
longitude: -69.6447835
latlng: (44.5467294, -69.6447835)


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