Manorcare Health Services-williamsport South
101 Leader Drive, Williamsport, PA 17701


Manorcare Health Services-williamsport South is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 395396. The address is 101 Leader Drive, Williamsport, PA 17701. The zip code is 17701. The phone number is 5703233758.


Manorcare Health Services-williamsport South · 101 Leader Drive, Williamsport, PA 17701

Federal Provider Number 395396
Provider Name MANORCARE HEALTH SERVICES-WILLIAMSPORT SOUTH
Address 101 LEADER DRIVE
WILLIAMSPORT, PA 17701
Phone Number 5703233758
SSA County Code 510
County Name Lycoming
Ownership Type For profit - Corporation
Certified Beds 116
Certified Beds Residents 101
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name MANOR CARE OF WILLIAMSPORT PA (SOUTH) LLC
Date First Approved to Provide Medicare Medicaid Services 11/01/1977
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 2
Health Inspection Rating 2
Quality Measure Rating 5
Staffing Rating 1
RN Staffing Rating 2
Reported CNA Staffing Hours per Resident per Day 1.78713
Reported LPN Staffing Hours per Resident per Day 0.70842
Reported RN Staffing Hours per Resident per Day 0.52475
Reported Licensed Staffing Hours per Resident per Day 1.23317
Reported Total Nurse Staffing Hours per Resident per Day 3.0203
Reported Physical Therapist Staffing Hours per Resident Per Day 0.13515
Expected CNA Staffing Hours per Resident per Day 2.36337
Expected LPN Staffing Hours per Resident per Day 0.68686
Expected RN Staffing Hours per Resident per Day 1.06008
Expected Total Nurse Staffing Hours per Resident per Day 4.11032
Adjusted CNA Staffing Hours per Resident per Day 1.85543
Adjusted LPN Staffing Hours per Resident per Day 0.85605
Adjusted RN Staffing Hours per Resident per Day 0.36987
Adjusted Total Nurse Staffing Hours per Resident per Day 2.96194
Cycle 1 Total Number of Health Deficiencies 11
Cycle 1 Number of Standard Health Deficiencies 11
Cycle 1 Health Deficiency Score 56
Cycle 1 Standard Survey Health Date 09/30/2016
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 56
Cycle 2 Total Number of Health Deficiencies 12
Cycle 2 Number of Standard Health Deficiencies 5
Cycle 2 Number of Complaint Health Deficiencies 7
Cycle 2 Health Deficiency Score 80
Cycle 2 Standard Health Survey Date 09/18/2015
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 80
Cycle 3 Total Number of Health Deficiencies 11
Cycle 3 Number of Standard Health Deficiencies 8
Cycle 3 Number of Complaint Health Deficiencies 3
Cycle 3 Health Deficiency Score 84
Cycle 3 Standard Health Survey Date 08/01/2014
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 84
Total Weighted Health Survey Score 68.667
Number of Substantiated Complaints 11
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · Manorcare Health Services-williamsport South

Owner Name Role Association Date
ALLEN, MARTIN (Individual) DIRECTOR since 07/02/2012
BARROWS, KENDRA (Individual) MANAGING EMPLOYEE since 09/23/2016
CARLYLE MC PARTNERS, L.P. (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/21/2007
CARLYLE PARTNERS V MC HOLDINGS, L.P. (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/21/2007
CARLYLE PARTNERS V MC, L.P. (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/21/2007
HCR HEALTHCARE, LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/21/2007
HCR II HEALTHCARE, LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/21/2007
HCR III HEALTHCARE, LLC (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
since 12/21/2007
HCR MANOR CARE SERVICES LLC (Organization) OPERATIONAL/MANAGERIAL CONTROL since 11/05/2007
HCR MANORCARE HEARTLAND LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 04/07/2011
HCR MANORCARE INC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 04/07/2011
HCR MANORCARE OPERATIONS II, LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 04/07/2011
HEALTHCARE OPERATIONS HOLDINGS LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 10/31/2016
HEALTHCARE OPERATIONS INVESTMENTS LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 10/31/2016
HOOPS, KATHRYN (Individual) OFFICER since 12/21/2007
KACZOR, ELIZABETH (Individual) OFFICER since 09/30/2012
KIGHT, DANIEL (Individual) OFFICER since 09/30/2012
KILE, THOMAS (Individual) OFFICER since 12/21/2007
LANNING, DAVID (Individual) OFFICER since 05/01/2015
MANOR CARE INC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 08/17/2007
MC OPERATIONS INVESTMENTS LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 10/31/2016
MCCORMICK, PATRICIA (Individual) OFFICER since 09/30/2012
MOREY, SUSAN (Individual) OFFICER since 12/21/2007
ORMOND, PAUL (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/31/2011
ORMOND, PAUL (Individual) OPERATIONAL/MANAGERIAL CONTROL since 08/17/2007
QUALITY CARE PROPERTIES INC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 10/31/2016
SHIPMAN, DEAN (Individual) MANAGING EMPLOYEE since 05/01/2016

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