Mt Lebanon Rehabilitation and Wellness Center
350 Old Gilkeson Road, Pittsburgh, PA 15228


Mt Lebanon Rehabilitation and Wellness Center is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 395434. The address is 350 Old Gilkeson Road, Pittsburgh, PA 15228. The zip code is 15228. The phone number is 4122574444.


Mt Lebanon Rehabilitation and Wellness Center · 350 Old Gilkeson Road, Pittsburgh, PA 15228

Federal Provider Number 395434
Provider Name MT LEBANON REHABILITATION AND WELLNESS CENTER
Address 350 OLD GILKESON ROAD
PITTSBURGH, PA 15228
Phone Number 4122574444
SSA County Code 10
County Name Allegheny
Ownership Type For profit - Corporation
Certified Beds 121
Certified Beds Residents 84
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name GGNSC MT. LEBANON LP
Date First Approved to Provide Medicare Medicaid Services 03/26/1979
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 Both
Automatic Sprinkler Systems in All Required Areas Yes
Overall Rating 3
Health Inspection Rating 3
Quality Measure Rating 2
Staffing Rating 3
RN Staffing Rating 5
Reported CNA Staffing Hours per Resident per Day 1.90238
Reported LPN Staffing Hours per Resident per Day 0.83095
Reported RN Staffing Hours per Resident per Day 1.30774
Reported Licensed Staffing Hours per Resident per Day 2.13869
Reported Total Nurse Staffing Hours per Resident per Day 4.04107
Reported Physical Therapist Staffing Hours per Resident Per Day 0.06786
Expected CNA Staffing Hours per Resident per Day 2.47731
Expected LPN Staffing Hours per Resident per Day 0.7085
Expected RN Staffing Hours per Resident per Day 1.29106
Expected Total Nurse Staffing Hours per Resident per Day 4.47687
Adjusted CNA Staffing Hours per Resident per Day 1.88425
Adjusted LPN Staffing Hours per Resident per Day 0.97345
Adjusted RN Staffing Hours per Resident per Day 0.75686
Adjusted Total Nurse Staffing Hours per Resident per Day 3.63851
Cycle 1 Total Number of Health Deficiencies 10
Cycle 1 Number of Standard Health Deficiencies 10
Cycle 1 Number of Complaint Health Deficiencies 1
Cycle 1 Health Deficiency Score 60
Cycle 1 Standard Survey Health Date 03/03/2017
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 60
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 04/14/2016
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 20
Cycle 3 Total Number of Health Deficiencies 6
Cycle 3 Number of Standard Health Deficiencies 5
Cycle 3 Number of Complaint Health Deficiencies 1
Cycle 3 Health Deficiency Score 40
Cycle 3 Standard Health Survey Date 05/14/2015
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 40
Total Weighted Health Survey Score 43.333
Number of Substantiated Complaints 4
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · Mt Lebanon Rehabilitation and Wellness Center

Owner Name Role Association Date
CHAVIS, TINA (Individual) OFFICER since 08/15/2006
CITIBANK N.A. (Organization) 5% OR GREATER SECURITY INTEREST since 05/04/2011
DRUMM MERGER CO (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 04/01/2006
FILLMORE STRATEGIC INVESTORS LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 04/01/2006
FINN, NICHOLAS (Individual) OFFICER since 11/03/2009
GGNSC EQUITY HOLDINGS LLC (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
99%
since 04/01/2006
GGNSC HOLDINGS LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 04/01/2006
GGNSC MT. LEBANON GP LLC (Organization) PARTNERSHIP INTEREST since 04/01/2006
GOLDEN GATE NATIONAL SENIOR CARE LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 04/01/2006
HELM, PAUL (Individual) OFFICER since 01/02/2012
JOSEPH, LARRY (Individual) OFFICER since 08/15/2006
KARICHER, MICHAEL (Individual) OFFICER since 01/02/2012
NEIL, BENJAMIN (Individual) MANAGING EMPLOYEE since 01/02/2013
RASMUSSEN-JONES, HOLLY (Individual) OFFICER since 08/15/2006
RIBAR, BRANDON (Individual) OPERATIONAL/MANAGERIAL CONTROL since 04/02/2013
ROGERS, STACEY (Individual) OFFICER since 04/19/2012
SALAMONE, SALVATORE (Individual) OFFICER since 01/15/2007
SWARTZ, GREGORY (Individual) OFFICER since 08/15/2006
TRUITT, ANN (Individual) OFFICER since 08/15/2006
VARDELL, KATHLEEN (Individual) OFFICER since 09/01/2013
WASHINGTON STATE INVESTMENT BOARD (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 04/01/2006
WILLIAMS, ROBERTA (Individual) OFFICER since 08/15/2006

street_number: 350
route: Old Gilkeson Road (Old Gilkeson Rd)
locality, political: Mount Lebanon (Mt Lebanon)
admin_level_3, political: Mount Lebanon Township (Mt Lebanon Township)
admin_level_2, political: Allegheny County
admin_level_1, political: Pennsylvania (PA)
country, political: United States (US)
postal_code: 15228
types : street_address
latitude: 40.3606568
longitude: -80.0604467
latlng: (40.3606568, -80.0604467)


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