Maple Gardens Rehabilitiation and Nursing Center
515 South Maple Street, Eaton, OH 45320


Maple Gardens Rehabilitiation and Nursing Center is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 365557. The address is 515 South Maple Street, Eaton, OH 45320. The zip code is 45320. The phone number is 9374565537.


Maple Gardens Rehabilitiation and Nursing Center · 515 South Maple Street, Eaton, OH 45320

Federal Provider Number 365557
Provider Name MAPLE GARDENS REHABILITIATION AND NURSING CENTER
Address 515 SOUTH MAPLE STREET
EATON, OH 45320
Phone Number 9374565537
SSA County Code 690
County Name Preble
Ownership Type For profit - Corporation
Certified Beds 100
Certified Beds Residents 77
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name EATON GARDENS REHABILITATION AND HEALTH CARE LLC
Date First Approved to Provide Medicare Medicaid Services 06/12/1981
Continuing Care Retirement Community false
Special Focus Facility false
Most Recent Health Inspection More Than 2 Years Ago false
Changed Ownership Last 12 Months true
With Resident Family Council Resident
Automatic Sprinkler Systems in All Required Areas Yes
Overall Rating 5
Health Inspection Rating 4
Quality Measure Rating 5
Staffing Rating 2
RN Staffing Rating 3
Reported CNA Staffing Hours per Resident per Day 1.59286
Reported LPN Staffing Hours per Resident per Day 0.96948
Reported RN Staffing Hours per Resident per Day 0.52662
Reported Licensed Staffing Hours per Resident per Day 1.4961
Reported Total Nurse Staffing Hours per Resident per Day 3.08896
Reported Physical Therapist Staffing Hours per Resident Per Day 0.01494
Expected CNA Staffing Hours per Resident per Day 2.40076
Expected LPN Staffing Hours per Resident per Day 0.63325
Expected RN Staffing Hours per Resident per Day 1.02688
Expected Total Nurse Staffing Hours per Resident per Day 4.06089
Adjusted CNA Staffing Hours per Resident per Day 1.62798
Adjusted LPN Staffing Hours per Resident per Day 1.2707
Adjusted RN Staffing Hours per Resident per Day 0.38319
Adjusted Total Nurse Staffing Hours per Resident per Day 3.06615
Cycle 1 Standard Survey Health Date 06/16/2016
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 03/12/2015
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 4
Cycle 3 Total Number of Health Deficiencies 4
Cycle 3 Number of Standard Health Deficiencies 3
Cycle 3 Number of Complaint Health Deficiencies 1
Cycle 3 Health Deficiency Score 36
Cycle 3 Standard Health Survey Date 11/27/2013
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 36
Total Weighted Health Survey Score 7.333
Number of Substantiated Complaints 1
Number of Fines 1
Total Amount of Fines in Dollars $3200.00
Total Number of Penalties 1
Processing Date 08/01/2017

Owner or Manager · Maple Gardens Rehabilitiation and Nursing Center

Owner Name Role Association Date
BRAUNSTEIN BEARS 2016 TRUST (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/30/2016
CHICKIESTRONG EATON GARDENS LLC (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
80%
since 12/30/2016
CHICKIESTRONG REAL ESTATE LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/30/2016
FARKOVITS, JOSH (Individual) 5% OR GREATER DIRECT OWNERSHIP INTEREST
5%
since 12/30/2016
FEUER, SAMUEL (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/30/2016
FRASHER, TODD (Individual) MANAGING EMPLOYEE since 12/30/2016
GAMZEH, DAVID (Individual) 5% OR GREATER DIRECT OWNERSHIP INTEREST
5%
since 12/30/2016
GAMZEH, DAVID (Individual) OFFICER since 12/30/2016
GARDEN HEALTHCARE GROUP LLC (Organization) OPERATIONAL/MANAGERIAL CONTROL since 12/30/2016
GARDEN OHIO OPERATING HOLDINGS LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/30/2016
GARDEN OHIO OPERATING MANAGING MEMBER LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/30/2016
GLATZER, AKIVA (Individual) 5% OR GREATER DIRECT OWNERSHIP INTEREST
5%
since 12/30/2016
LAHASKY, EPHRAM (Individual) OFFICER since 12/30/2016
LESHKOWITZ, ELI (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/30/2016
LESHKOWITZ, ELI (Individual) OFFICER since 12/30/2016

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