Green Ridge Care Center
2741 Boulevard Avenue, Scranton, PA 18509


Green Ridge Care Center is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 395067. The address is 2741 Boulevard Avenue, Scranton, PA 18509. The zip code is 18509. The phone number is 5703446121.


Green Ridge Care Center · 2741 Boulevard Avenue, Scranton, PA 18509

Federal Provider Number 395067
Provider Name GREEN RIDGE CARE CENTER
Address 2741 BOULEVARD AVENUE
SCRANTON, PA 18509
Phone Number 5703446121
SSA County Code 420
County Name Lackawanna
Ownership Type For profit - Corporation
Certified Beds 95
Certified Beds Residents 88
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name GREEN RIDGE HEALTHCARE GROUP, LLC
Date First Approved to Provide Medicare Medicaid Services 02/21/1972
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 1
Health Inspection Rating 1
Quality Measure Rating 4
Staffing Rating 1
RN Staffing Rating 1
Reported CNA Staffing Hours per Resident per Day 1.69091
Reported LPN Staffing Hours per Resident per Day 0.93636
Reported RN Staffing Hours per Resident per Day 0.46875
Reported Licensed Staffing Hours per Resident per Day 1.40511
Reported Total Nurse Staffing Hours per Resident per Day 3.09602
Reported Physical Therapist Staffing Hours per Resident Per Day 0.09489
Expected CNA Staffing Hours per Resident per Day 2.55521
Expected LPN Staffing Hours per Resident per Day 0.66785
Expected RN Staffing Hours per Resident per Day 1.24005
Expected Total Nurse Staffing Hours per Resident per Day 4.46311
Adjusted CNA Staffing Hours per Resident per Day 1.62373
Adjusted LPN Staffing Hours per Resident per Day 1.1637
Adjusted RN Staffing Hours per Resident per Day 0.28245
Adjusted Total Nurse Staffing Hours per Resident per Day 2.7962
Cycle 1 Total Number of Health Deficiencies 20
Cycle 1 Number of Standard Health Deficiencies 17
Cycle 1 Number of Complaint Health Deficiencies 6
Cycle 1 Health Deficiency Score 120
Cycle 1 Standard Survey Health Date 03/02/2017
Cycle 1 Number of Health Revisits 2
Cycle 1 Health Revisit Score 60
Cycle 1 Total Health Score 180
Cycle 2 Total Number of Health Deficiencies 17
Cycle 2 Number of Standard Health Deficiencies 9
Cycle 2 Number of Complaint Health Deficiencies 8
Cycle 2 Health Deficiency Score 120
Cycle 2 Standard Health Survey Date 03/24/2016
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 120
Cycle 3 Total Number of Health Deficiencies 12
Cycle 3 Number of Standard Health Deficiencies 10
Cycle 3 Number of Complaint Health Deficiencies 2
Cycle 3 Health Deficiency Score 76
Cycle 3 Standard Health Survey Date 04/02/2015
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 76
Total Weighted Health Survey Score 142.667
Number of Substantiated Complaints 18
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · Green Ridge Care Center

Owner Name Role Association Date
GEORGE S. REPCHICK FAMILY DYNASTY TRUST (DATED JUNE 1, 2011) (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
50%
since 01/01/2016
REPCHICK, GEORGE (Individual) DIRECTOR since 07/01/2011
REPCHICK, GEORGE (Individual) OFFICER since 07/01/2011
REPCHICK, GEORGE (Individual) OPERATIONAL/MANAGERIAL CONTROL since 07/01/2011
SABER HEALTHCARE HOLDINGS, LLC (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
since 07/01/2011
SMITH, MARION (Individual) MANAGING EMPLOYEE since 04/12/2016
WEISBERG, WILLIAM (Individual) DIRECTOR since 07/01/2011
WEISBERG, WILLIAM (Individual) OFFICER since 07/01/2011
WEISBERG, WILLIAM (Individual) OPERATIONAL/MANAGERIAL CONTROL since 07/01/2011
WILLIAM I. WEISBERG FAMILY DYNASTY TRUST (DATED JUNE 1, 2011) (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
50%
since 01/01/2016

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