The Grove At Greenville
110 Fredonia Road, Greenville, PA 16125


The Grove At Greenville is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 395158. The address is 110 Fredonia Road, Greenville, PA 16125. The zip code is 16125. The phone number is 7245888090.


The Grove At Greenville · 110 Fredonia Road, Greenville, PA 16125

Federal Provider Number 395158
Provider Name THE GROVE AT GREENVILLE
Address 110 FREDONIA ROAD
GREENVILLE, PA 16125
Phone Number 7245888090
SSA County Code 530
County Name Mercer
Ownership Type For profit - Corporation
Certified Beds 154
Certified Beds Residents 150
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name MAYBROOK-C WHITECLIFF OPCO, LLC
Date First Approved to Provide Medicare Medicaid Services 01/26/1967
Continuing Care Retirement Community true
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 2
Health Inspection Rating 2
Quality Measure Rating 5
Staffing Rating 1
RN Staffing Rating 2
Reported CNA Staffing Hours per Resident per Day 2.027
Reported LPN Staffing Hours per Resident per Day 1.25333
Reported RN Staffing Hours per Resident per Day 0.57467
Reported Licensed Staffing Hours per Resident per Day 1.828
Reported Total Nurse Staffing Hours per Resident per Day 3.855
Reported Physical Therapist Staffing Hours per Resident Per Day 0.038
Expected CNA Staffing Hours per Resident per Day 2.64048
Expected LPN Staffing Hours per Resident per Day 0.82091
Expected RN Staffing Hours per Resident per Day 1.42235
Expected Total Nurse Staffing Hours per Resident per Day 4.88373
Adjusted CNA Staffing Hours per Resident per Day 1.88362
Adjusted LPN Staffing Hours per Resident per Day 1.26721
Adjusted RN Staffing Hours per Resident per Day 0.30189
Adjusted Total Nurse Staffing Hours per Resident per Day 3.18181
Cycle 1 Total Number of Health Deficiencies 11
Cycle 1 Number of Standard Health Deficiencies 9
Cycle 1 Number of Complaint Health Deficiencies 2
Cycle 1 Health Deficiency Score 76
Cycle 1 Standard Survey Health Date 12/01/2016
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 76
Cycle 2 Total Number of Health Deficiencies 4
Cycle 2 Number of Standard Health Deficiencies 4
Cycle 2 Health Deficiency Score 24
Cycle 2 Standard Health Survey Date 01/28/2016
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 24
Cycle 3 Total Number of Health Deficiencies 5
Cycle 3 Number of Standard Health Deficiencies 3
Cycle 3 Number of Complaint Health Deficiencies 2
Cycle 3 Health Deficiency Score 24
Cycle 3 Standard Health Survey Date 12/19/2014
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 24
Total Weighted Health Survey Score 50
Number of Substantiated Complaints 5
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · The Grove At Greenville

Owner Name Role Association Date
BERKEY, LLOYD (Individual) MANAGING EMPLOYEE since 08/15/2016
COMPREHENSIVE HC MANAGEMENT LLC (Organization) OPERATIONAL/MANAGERIAL CONTROL since 08/15/2016
DM FISTEL LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 08/15/2016
EL RELIANT HOLDINGS LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 08/15/2016
FARKOVITS, JOSH (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 08/15/2016
GAST FAMILY TRUST IN BENEFIT OF DAVID GAST (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 08/15/2016
HALPER, SAM (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 08/15/2016
LAHASKY, EPHRAM (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 08/15/2016
LANDA, BENJAMIN (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 08/15/2016
MAYBROOK C OPCO HOLDINGS LLC (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
since 08/15/2016
R1 GROUP LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 08/15/2016
SHCH LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 08/15/2016
WEST JFBL OPERATION HOLDINGS LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 08/15/2016

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