Crestwood Center
40 Crosby Street, Milford, NH 03055


Crestwood Center is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 305061. The address is 40 Crosby Street, Milford, NH 03055. The zip code is 03055. The phone number is 6036737061.


Crestwood Center · 40 Crosby Street, Milford, NH 03055

Federal Provider Number 305061
Provider Name CRESTWOOD CENTER
Address 40 CROSBY STREET
MILFORD, NH 03055
Phone Number 6036737061
SSA County Code 50
County Name Hillsborough
Ownership Type For profit - Corporation
Certified Beds 82
Certified Beds Residents 79
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name HARBORSIDE NEW HAMPSHIRE LIMITED PARTNERSHIP
Date First Approved to Provide Medicare Medicaid Services 04/01/1996
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 4
Health Inspection Rating 3
Quality Measure Rating 5
Staffing Rating 2
RN Staffing Rating 3
Reported CNA Staffing Hours per Resident per Day 1.88354
Reported LPN Staffing Hours per Resident per Day 0.75823
Reported RN Staffing Hours per Resident per Day 0.61392
Reported Licensed Staffing Hours per Resident per Day 1.37215
Reported Total Nurse Staffing Hours per Resident per Day 3.25569
Reported Physical Therapist Staffing Hours per Resident Per Day 0.08481
Expected CNA Staffing Hours per Resident per Day 2.28014
Expected LPN Staffing Hours per Resident per Day 0.68642
Expected RN Staffing Hours per Resident per Day 1.15615
Expected Total Nurse Staffing Hours per Resident per Day 4.12272
Adjusted CNA Staffing Hours per Resident per Day 2.02691
Adjusted LPN Staffing Hours per Resident per Day 0.91682
Adjusted RN Staffing Hours per Resident per Day 0.39676
Adjusted Total Nurse Staffing Hours per Resident per Day 3.18318
Cycle 1 Total Number of Health Deficiencies 1
Cycle 1 Number of Standard Health Deficiencies 1
Cycle 1 Health Deficiency Score 4
Cycle 1 Standard Survey Health Date 01/19/2017
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 4
Cycle 2 Total Number of Health Deficiencies 1
Cycle 2 Number of Standard Health Deficiencies 1
Cycle 2 Health Deficiency Score 4
Cycle 2 Standard Health Survey Date 03/02/2016
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 4
Cycle 3 Total Number of Health Deficiencies 5
Cycle 3 Number of Standard Health Deficiencies 5
Cycle 3 Health Deficiency Score 24
Cycle 3 Standard Health Survey Date 04/02/2015
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 24
Total Weighted Health Survey Score 7.333
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · Crestwood Center

Owner Name Role Association Date
ALMQUIST, DAVID (Individual) OFFICER since 12/01/2012
BARCLAYS BANK PLC (Organization) 5% OR GREATER SECURITY INTEREST since 12/01/2012
BERENBACH, JEFFREY (Individual) OFFICER since 12/01/2012
BERG, MICHAEL (Individual) OFFICER since 03/02/2015
BERG, MICHAEL (Individual) OPERATIONAL/MANAGERIAL CONTROL since 03/02/2015
BERTHA, DAVID (Individual) OFFICER since 12/01/2012
BLINN, RICHARD (Individual) OFFICER since 12/01/2012
BLINN, RICHARD (Individual) OPERATIONAL/MANAGERIAL CONTROL since 12/01/2012
BOURNE, JOSEPH (Individual) OFFICER since 12/01/2012
CASTOR, RICHARD (Individual) OFFICER since 12/01/2012
DAVIS, KEITH (Individual) MANAGING EMPLOYEE since 03/02/2015
DAVIS, KEITH (Individual) OPERATIONAL/MANAGERIAL CONTROL since 12/01/2012
DONNA REIS 1995 FAM TR (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 02/02/2015
DVORAK, JOSEPH (Individual) OFFICER since 12/01/2012
EDWARDS, JAN (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
GAZELLE GEN LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/01/2012
GEN MANAGEMENT LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/01/2012
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 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
GENESIS HEALTHCARE LLC (Organization) OPERATIONAL/MANAGERIAL CONTROL since 12/01/2012
GENESIS HOLDINGS LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 02/02/2015
GHC HOLDINGS II LLC (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
since 12/01/2012
HARBORSIDE HEALTH I LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 04/20/2007
HARBORSIDE HEALTHCARE ADVISORS LP (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 04/20/2007
HARBORSIDE HEALTHCARE LIMITED PARTNERSHIP (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 04/20/2007
HARBORSIDE HEALTHCARE LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 04/20/2007
HARBORSIDE NEW HAMPSHIRE LIMITED PARTNERSHIP (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 04/19/2007
HCCF MANAGEMENT GROUP XI LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 02/02/2015
HIRSCHFELD, DANIEL (Individual) OFFICER since 12/01/2012
KHI LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 04/20/2007
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
MASON, JOSEPH (Individual) OFFICER since 12/01/2012
MASON, JOSEPH (Individual) OPERATIONAL/MANAGERIAL CONTROL since 12/01/2012
MATCHETT, JUDITH (Individual) MANAGING EMPLOYEE since 04/20/2007
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 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 12/01/2012
SHERMAN, MICHAEL (Individual) OPERATIONAL/MANAGERIAL CONTROL since 12/01/2012
SILVERWOOD, KENNETH (Individual) OFFICER since 12/01/2012
SL GEN LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/01/2012
SUN HEALTHCARE GROUP, INC. (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 02/02/2015
SUNBRIDGE HEALTHCARE LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 04/20/2007
WHITMAN, ARNOLD (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 02/02/2015
WIESS, MARK (Individual) OFFICER since 03/02/2015
WILKS, JOSEPH (Individual) OFFICER since 12/01/2012
YOUNG, STEPHEN (Individual) OFFICER since 12/01/2012
ZAC PROPERTIES XI LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 02/02/2015

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