Oceanside Skilled Nursing and Rehabilitation
22 Tuck Road, Hampton, NH 03842


Oceanside Skilled Nursing and Rehabilitation is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 305055. The address is 22 Tuck Road, Hampton, NH 03842. The zip code is 03842. The phone number is 6039264551.


Oceanside Skilled Nursing and Rehabilitation · 22 Tuck Road, Hampton, NH 03842

Federal Provider Number 305055
Provider Name OCEANSIDE SKILLED NURSING AND REHABILITATION
Address 22 TUCK ROAD
HAMPTON, NH 03842
Phone Number 6039264551
SSA County Code 70
County Name Rockingham
Ownership Type For profit - Corporation
Certified Beds 117
Certified Beds Residents 100
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name 22 TUCK ROAD OPERATIONS LLC
Date First Approved to Provide Medicare Medicaid Services 07/01/1995
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 2
Health Inspection Rating 2
Quality Measure Rating 3
Staffing Rating 2
RN Staffing Rating 2
Reported CNA Staffing Hours per Resident per Day 2.2675
Reported LPN Staffing Hours per Resident per Day 0.87
Reported RN Staffing Hours per Resident per Day 0.5245
Reported Licensed Staffing Hours per Resident per Day 1.3945
Reported Total Nurse Staffing Hours per Resident per Day 3.662
Reported Physical Therapist Staffing Hours per Resident Per Day 0.077
Expected CNA Staffing Hours per Resident per Day 2.466
Expected LPN Staffing Hours per Resident per Day 0.62677
Expected RN Staffing Hours per Resident per Day 1.06596
Expected Total Nurse Staffing Hours per Resident per Day 4.15872
Adjusted CNA Staffing Hours per Resident per Day 2.25619
Adjusted LPN Staffing Hours per Resident per Day 1.1521
Adjusted RN Staffing Hours per Resident per Day 0.36766
Adjusted Total Nurse Staffing Hours per Resident per Day 3.54945
Cycle 1 Total Number of Health Deficiencies 6
Cycle 1 Number of Standard Health Deficiencies 6
Cycle 1 Number of Complaint Health Deficiencies 1
Cycle 1 Health Deficiency Score 28
Cycle 1 Standard Survey Health Date 04/28/2017
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 28
Cycle 2 Standard Health Survey Date 03/30/2016
Cycle 3 Total Number of Health Deficiencies 4
Cycle 3 Number of Standard Health Deficiencies 4
Cycle 3 Health Deficiency Score 16
Cycle 3 Standard Health Survey Date 01/09/2015
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 16
Total Weighted Health Survey Score 16.667
Number of Substantiated Complaints 1
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · Oceanside Skilled Nursing and Rehabilitation

Owner Name Role Association Date
BERG, MICHAEL (Individual) OFFICER since 03/02/2015
BERG, MICHAEL (Individual) OPERATIONAL/MANAGERIAL CONTROL since 03/02/2015
CULLEROT, KENNETH (Individual) OFFICER since 03/02/2015
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 02/02/2015
EDWARDS, JAN (Individual) OFFICER since 03/02/2015
EVANS, CHRISTOPHER (Individual) OFFICER since 03/02/2015
FC-GEN OPERATIONS INVESTMENT LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 02/02/2015
FISHMAN, STEVEN (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 02/02/2015
GEN OPERATIONS I LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 02/02/2015
GEN OPERATIONS II, LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 02/02/2015
GENERAL ELECTRIC CAPITAL CORPORATION (Organization) 5% OR GREATER SECURITY INTEREST since 02/02/2015
GENESIS DIAMOND OPERATIONS LLC (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
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 02/02/2015
GHC HOLDINGS LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 01/01/2012
HCCF MANAGEMENT GROUP XI LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 02/02/2015
LABATE, WENDY (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
SUN HEALTHCARE GROUP, INC. (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 02/02/2015
WHITMAN, ARNOLD (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 02/02/2015
WIESS, MARK (Individual) OFFICER since 03/02/2015
ZAC PROPERTIES XI LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 02/02/2015

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