Chardon Center
620 Water Street, Chardon, OH 44024


Chardon Center is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 365711. The address is 620 Water Street, Chardon, OH 44024. The zip code is 44024. The phone number is 4402859400.


Chardon Center · 620 Water Street, Chardon, OH 44024

Federal Provider Number 365711
Provider Name CHARDON CENTER
Address 620 WATER STREET
CHARDON, OH 44024
Phone Number 4402859400
SSA County Code 280
County Name Geauga
Ownership Type For profit - Corporation
Certified Beds 100
Certified Beds Residents 92
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name WATER LEASING CO., LLC
Date First Approved to Provide Medicare Medicaid Services 08/09/1988
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 5
Quality Measure Rating 4
Staffing Rating 3
RN Staffing Rating 4
Reported CNA Staffing Hours per Resident per Day 1.94728
Reported LPN Staffing Hours per Resident per Day 0.95652
Reported RN Staffing Hours per Resident per Day 0.91413
Reported Licensed Staffing Hours per Resident per Day 1.87065
Reported Total Nurse Staffing Hours per Resident per Day 3.81793
Reported Physical Therapist Staffing Hours per Resident Per Day 0.04891
Expected CNA Staffing Hours per Resident per Day 2.34771
Expected LPN Staffing Hours per Resident per Day 0.69294
Expected RN Staffing Hours per Resident per Day 1.22708
Expected Total Nurse Staffing Hours per Resident per Day 4.26773
Adjusted CNA Staffing Hours per Resident per Day 2.0352
Adjusted LPN Staffing Hours per Resident per Day 1.14571
Adjusted RN Staffing Hours per Resident per Day 0.55664
Adjusted Total Nurse Staffing Hours per Resident per Day 3.60606
Cycle 1 Total Number of Health Deficiencies 2
Cycle 1 Number of Standard Health Deficiencies 2
Cycle 1 Health Deficiency Score 8
Cycle 1 Standard Survey Health Date 06/23/2016
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 8
Cycle 2 Total Number of Health Deficiencies 2
Cycle 2 Number of Standard Health Deficiencies 2
Cycle 2 Standard Health Survey Date 03/19/2015
Cycle 3 Total Number of Health Deficiencies 1
Cycle 3 Number of Complaint Health Deficiencies 1
Cycle 3 Health Deficiency Score 4
Cycle 3 Standard Health Survey Date 12/19/2013
Cycle 3 Total Health Score 4
Total Weighted Health Survey Score 4.667
Number of Substantiated Complaints 2
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · Chardon Center

Owner Name Role Association Date
C R STOLTZ II LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 04/14/2016
C.R. STOLTZ IRREVOCABLE TRUST (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 01/10/2008
DANIELS, KYM (Individual) MANAGING EMPLOYEE since 01/14/2016
GEBHARD, RICHARD (Individual) MANAGING EMPLOYEE since 02/26/2015
HC REAL ESTATE HOLDINGS, LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 05/25/2006
HEALTH CARE FACILITY MANAGEMENT, LLC (Organization) OPERATIONAL/MANAGERIAL CONTROL since 04/19/2008
I. ROSEDALE IRREVOCABLE TRUST (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 01/11/2008
ODENTHAL, RICHARD (Individual) OFFICER since 01/01/2012
ODENTHAL, RICHARD (Individual) OPERATIONAL/MANAGERIAL CONTROL since 01/01/2012
OMG LS LEASING CO., LLC (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
since 02/22/2008
OMG RE HOLDINGS, LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 05/25/2006
RONALD S WILHEIM 2012 SPOUSAL TRUST (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 01/02/2013
ROSEDALE FAMILY INVESTMENT COMPANY, INC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/31/2011
RRW, LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 04/27/2011
S.L. ROSEDALE IRREVOCABLE TRUST (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 11/06/2003
STOLTZ, CHARLES (Individual) OFFICER since 01/01/2012
WILHEIM FAMILY INVESTMENT COMPANY INC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/31/2011

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Chardon · Nursing Home

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