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

21403 · Nursing Home

The Arbor 7101 Bay Front Drive, Annapolis, MD 21403
Bay Ridge Health Care Center 900 Van Buren Street, Annapolis, MD 21403

Annapolis · Nursing Home

Ginger Cove 4000 River Crescent Drive, Annapolis, MD 21401
Bay Ridge Health Care Center 900 Van Buren Street, Annapolis, MD 21403
The Arbor 7101 Bay Front Drive, Annapolis, MD 21403
Heritage Harbour Health and Rehabilitation Center 2700 South Haven Road, Annapolis, MD 21401

MD · Nursing Home

Transitions Healthcare Elkton, LLC One Price Drive, Elkton, MD 21921
Layhill Center 3227 Bel Pre Road, Silver Spring, MD 20906
Long Green Center 115 East Melrose Avenue, Baltimore, MD 21212
Laurelwood Care Center At Elkton 100 Laurel Drive, Elkton, MD 21921
Ingleside At King Farm 701 King Farm Boulevard, Rockville, MD 20850
Riderwood Village 3160 Gracefield Road, Silver Spring, MD 20904
Autumn Lake Healthcare At Alice Manor 2095 Rockrose Avenue, Baltimore, MD 21211
Glen Burnie Health and Rehabilitation Center 7355 Furnace Branch Road East, Glen Burnie, MD 21060
Frederick Health & Rehabilitation Center 30 North Place, Frederick, MD 21701
Doctors Community Rehabilitation and Patient Care 6710 Mallery Drive, Lanham, MD 20706
Brinton Woods Health & Rehab Ctr of Pikesville 7 Sudbrook Lane, Pikesville, MD 21208
Manorcare Health Services - Rossville 6600 Ridge Road, Baltimore, MD 21237
Reeders Memorial Home 141 South Main Street, Boonsboro, MD 21713
Snow Hill Nursing & Rehab Ctr 430 West Market Street, Snow Hill, MD 21863
Future Care Chesapeake 305 College Parkway, Arnold, MD 21012
West Md Health Syst Frostburg Nrsg and Rehab Ctr 48 Tarn Terrace, Frostburg, MD 21532
Manorcare Health Services - Ruxton 7001 Charles Street, Towson, MD 21204
Montgomery Village Health Care Center 19301 Watkins Mill Road, Gaithersburg, MD 20879
Marley Neck Health and Rehabilitation Center 7575 E. Howard Road, Glen Burnie, MD 21060
Corsica Hills Center 205 Armstrong Avenue P.o. Box 50, Centreville, MD 21617
North Oaks 725 Mount Wilson Lane, Baltimore, MD 21208
Keswick Multi-care Center 700 West 40th Street, Baltimore, MD 21211
Alice Byrd Tawes Nursing Home 201 Hall Highway, Crisfield, MD 21817
Transitions Healthcare At Sykesville 7309 Second Avenue, Sykesville, MD 21784
Powerback Rehabilitation 515 Brightfield Road, Lutherville, MD 21093
Moran Nursing and Rehabilitation Center 25701 Shady Lane S. W., Westernport, MD 21562
Future Care Canton Harbor 1300 S. Ellwood Avenue, Baltimore, MD 21224
Western Md Hospital Center 1500 Pennsylvania Avenue, Hagerstown, MD 21742
Northampton Manor Nursing and Rehabilitation Cente 200 East 16th Street, Frederick, MD 21701
Blue Point Healthcare Center 2525 West Belvedere, Baltimore, MD 21215
Sagepoint Nursing and Rehabilitation Center 10200 Laplata Road, Laplata, MD 20646
Brinton Woods Post Acute Care Center 5009 Frankford Avenue, Baltimore, MD 21206
Future Care Irvington 22 South Athol Avenue, Baltimore, MD 21229
Future Care Cold Spring 4700 Harford Road, Baltimore, MD 21214
Cherry Lane 9001 Cherry Lane, Laurel, MD 20708
Patapsco Valley Center 9109 Liberty Road, Randallstown, MD 21133
The Lutheran Village At Miller's Grant 9000 Fathers Legacy, Ellicott City, MD 21042
Restore Health Rehabilitation Center 4615 Einstein Place, White Plains, MD 20695
Frederick Villa Nursing & Rehab Center 711 Academy Road, Catonsville, MD 21228
Bel Pre Health & Rehabilitation Center 2601 Bel Pre Road, Silver Spring, MD 20906