Spa Creek Center
35 Milkshake Lane, Annapolis, MD 21403


Spa Creek Center is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 215258. The address is 35 Milkshake Lane, Annapolis, MD 21403. The zip code is 21403. The phone number is 4102695100.


Spa Creek Center · 35 Milkshake Lane, Annapolis, MD 21403

Federal Provider Number 215258
Provider Name SPA CREEK CENTER
Address 35 MILKSHAKE LANE
ANNAPOLIS, MD 21403
Phone Number 4102695100
SSA County Code 10
County Name Anne Arundel
Ownership Type For profit - Corporation
Certified Beds 130
Certified Beds Residents 115
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name 35 MILKSHAKE LANE OPERATIONS LLC
Date First Approved to Provide Medicare Medicaid Services 01/06/1994
Continuing Care Retirement Community false
Special Focus Facility false
Most Recent Health Inspection More Than 2 Years Ago false
Changed Ownership Last 12 Months false
With Resident Family Council Resident
Automatic Sprinkler Systems in All Required Areas Yes
Overall Rating 5
Health Inspection Rating 4
Quality Measure Rating 3
Staffing Rating 5
RN Staffing Rating 5
Reported CNA Staffing Hours per Resident per Day 2.0813
Reported LPN Staffing Hours per Resident per Day 1.08435
Reported RN Staffing Hours per Resident per Day 1.3187
Reported Licensed Staffing Hours per Resident per Day 2.40304
Reported Total Nurse Staffing Hours per Resident per Day 4.48435
Reported Physical Therapist Staffing Hours per Resident Per Day 0.17391
Expected CNA Staffing Hours per Resident per Day 2.28736
Expected LPN Staffing Hours per Resident per Day 0.61759
Expected RN Staffing Hours per Resident per Day 1.0754
Expected Total Nurse Staffing Hours per Resident per Day 3.98035
Adjusted CNA Staffing Hours per Resident per Day 2.23266
Adjusted LPN Staffing Hours per Resident per Day 1.45729
Adjusted RN Staffing Hours per Resident per Day 0.91624
Adjusted Total Nurse Staffing Hours per Resident per Day 4.5413
Cycle 1 Total Number of Health Deficiencies 9
Cycle 1 Number of Standard Health Deficiencies 9
Cycle 1 Health Deficiency Score 44
Cycle 1 Standard Survey Health Date 08/11/2016
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 44
Cycle 2 Total Number of Health Deficiencies 4
Cycle 2 Number of Standard Health Deficiencies 3
Cycle 2 Number of Complaint Health Deficiencies 1
Cycle 2 Health Deficiency Score 8
Cycle 2 Standard Health Survey Date 05/21/2015
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 8
Cycle 3 Total Number of Health Deficiencies 12
Cycle 3 Number of Standard Health Deficiencies 8
Cycle 3 Number of Complaint Health Deficiencies 4
Cycle 3 Health Deficiency Score 60
Cycle 3 Standard Health Survey Date 03/21/2014
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 60
Total Weighted Health Survey Score 34.667
Number of Substantiated Complaints 3
Number of Fines 1
Total Amount of Fines in Dollars $1950.00
Total Number of Penalties 1
Processing Date 08/01/2017

Owner or Manager · Spa Creek Center

Owner Name Role Association Date
BERENBACH, JEFFREY (Individual) OFFICER 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) OPERATIONAL/MANAGERIAL CONTROL since 04/01/2011
DONNA REIS 1995 FAM TR (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/31/2011
EDWARDS, JAN (Individual) OFFICER since 03/02/2015
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 12/31/2011
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 HOLDINGS LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 02/02/2015
GENESIS MD HOLDINGS LLC (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
since 04/01/2011
GENESIS OPERATIONS LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 04/01/2011
GHC HOLDINGS LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 04/01/2011
HCCF MANAGEMENT GROUP XI LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/31/2011
NAUSE, KEITH (Individual) OFFICER since 03/02/2015
ONEX PARTNERS LP (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 02/02/2015
SENIOR CARE GENESIS LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 02/02/2015
SENIOR CARE HOLDINGS, LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 02/02/2015
SHERMAN, MICHAEL (Individual) OFFICER since 03/02/2015
SUN HEALTHCARE GROUP, INC. (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 02/02/2015
SUNDANCE REHABILITATION HOLDCO, INC. (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 01/01/2016
UTTENREITHER, HEATHER (Individual) MANAGING EMPLOYEE since 04/12/2016
WHITMAN, ARNOLD (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/31/2011
ZAC PROPERTIES XI LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/31/2011

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