Laurel Center
125 Holly Road, Hamburg, PA 19526


Laurel Center is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 395408. The address is 125 Holly Road, Hamburg, PA 19526. The zip code is 19526. The phone number is 6105622284.


Laurel Center · 125 Holly Road, Hamburg, PA 19526

Federal Provider Number 395408
Provider Name LAUREL CENTER
Address 125 HOLLY ROAD
HAMBURG, PA 19526
Phone Number 6105622284
SSA County Code 110
County Name Berks
Ownership Type For profit - Corporation
Certified Beds 130
Certified Beds Residents 124
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name 125 HOLLY ROAD OPERATIONS LLC
Date First Approved to Provide Medicare Medicaid Services 08/16/1977
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 4
Health Inspection Rating 4
Quality Measure Rating 4
Staffing Rating 3
RN Staffing Rating 4
Reported CNA Staffing Hours per Resident per Day 2.2871
Reported LPN Staffing Hours per Resident per Day 0.75565
Reported RN Staffing Hours per Resident per Day 0.88266
Reported Licensed Staffing Hours per Resident per Day 1.63831
Reported Total Nurse Staffing Hours per Resident per Day 3.92541
Reported Physical Therapist Staffing Hours per Resident Per Day 0.07621
Expected CNA Staffing Hours per Resident per Day 2.76456
Expected LPN Staffing Hours per Resident per Day 0.81132
Expected RN Staffing Hours per Resident per Day 1.27257
Expected Total Nurse Staffing Hours per Resident per Day 4.84845
Adjusted CNA Staffing Hours per Resident per Day 2.02993
Adjusted LPN Staffing Hours per Resident per Day 0.77304
Adjusted RN Staffing Hours per Resident per Day 0.51826
Adjusted Total Nurse Staffing Hours per Resident per Day 3.2635
Cycle 1 Total Number of Health Deficiencies 8
Cycle 1 Number of Standard Health Deficiencies 5
Cycle 1 Number of Complaint Health Deficiencies 3
Cycle 1 Health Deficiency Score 24
Cycle 1 Standard Survey Health Date 07/29/2016
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 24
Cycle 2 Total Number of Health Deficiencies 3
Cycle 2 Number of Standard Health Deficiencies 3
Cycle 2 Health Deficiency Score 20
Cycle 2 Standard Health Survey Date 08/07/2015
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 20
Cycle 3 Total Number of Health Deficiencies 2
Cycle 3 Number of Standard Health Deficiencies 2
Cycle 3 Health Deficiency Score 12
Cycle 3 Standard Health Survey Date 07/18/2014
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 12
Total Weighted Health Survey Score 20.667
Number of Substantiated Complaints 3
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · Laurel Center

Owner Name Role Association Date
125 HOLLY ROAD OPERATIONS LLC (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
since 04/20/2007
BERG, MICHAEL (Individual) OFFICER since 12/01/2012
BERG, MICHAEL (Individual) OPERATIONAL/MANAGERIAL CONTROL since 12/01/2012
DAVIS, KEITH (Individual) MANAGING EMPLOYEE since 04/01/2011
DAVIS, KEITH (Individual) OFFICER since 12/01/2012
DAVIS, KEITH (Individual) OPERATIONAL/MANAGERIAL CONTROL since 12/01/2012
DONNA REIS 1995 FAM TR (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/01/2012
EDWARDS, JAN (Individual) OFFICER since 03/02/2015
EVANS, CHRISTOPHER (Individual) OFFICER since 03/01/2017
FC-GEN OPERATIONS INVESTMENT LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/01/2012
FISHMAN, STEVEN (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/01/2012
FISHMAN, STEVEN (Individual) DIRECTOR since 12/01/2012
GEN OPERATIONS I LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/01/2012
GEN OPERATIONS II, LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/01/2012
GENERAL ELECTRIC CAPITAL CORPORATION (Organization) 5% OR GREATER SECURITY INTEREST since 02/02/2015
GENESIS HEALTHCARE INC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 02/02/2015
GENESIS HEALTHCARE LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/01/2012
GENESIS HEALTHCARE LLC (Organization) OPERATIONAL/MANAGERIAL CONTROL since 12/01/2012
GENESIS HOLDINGS LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 02/02/2015
GENESIS OPERATIONS LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 09/07/2007
GENESIS PA HOLDINGS LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 09/07/2007
GHC HOLDINGS LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 09/07/2007
HCCF MANAGEMENT GROUP XI LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/01/2012
MOYLAN, HOLLY (Individual) MANAGING EMPLOYEE since 08/21/2007
ONEX PARTNERS LP (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 02/02/2015
SENIOR CARE GENESIS LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/01/2012
SENIOR CARE HOLDINGS, LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/01/2012
SHERMAN, MICHAEL (Individual) OFFICER since 12/01/2012
SHERMAN, MICHAEL (Individual) OPERATIONAL/MANAGERIAL CONTROL since 12/01/2012
SUN HEALTHCARE GROUP, INC. (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 02/02/2015
WHITMAN, ARNOLD (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/01/2012
WHITMAN, ARNOLD (Individual) DIRECTOR since 12/01/2012
WIESS, MARK (Individual) OFFICER since 03/01/2017
ZAC PROPERTIES XI LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/01/2012

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