Gardens At Wyoming Valley, The
50 N. Pennsylvania Ave., Wilkes Barre, PA 18701


Gardens At Wyoming Valley, The is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 395456. The address is 50 N. Pennsylvania Ave., Wilkes Barre, PA 18701. The zip code is 18701. The phone number is 5708253488.


Gardens At Wyoming Valley, The · 50 N. Pennsylvania Ave., Wilkes Barre, PA 18701

Federal Provider Number 395456
Provider Name GARDENS AT WYOMING VALLEY, THE
Address 50 N. PENNSYLVANIA AVE.
WILKES BARRE, PA 18701
Phone Number 5708253488
SSA County Code 480
County Name Luzerne
Ownership Type For profit - Corporation
Certified Beds 120
Certified Beds Residents 92
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name GGNSC WILKES-BARRE II LP
Date First Approved to Provide Medicare Medicaid Services 12/03/1979
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 Resident
Automatic Sprinkler Systems in All Required Areas Yes
Overall Rating 1
Health Inspection Rating 1
Quality Measure Rating 2
Staffing Rating 3
RN Staffing Rating 3
Reported CNA Staffing Hours per Resident per Day 2.02554
Reported LPN Staffing Hours per Resident per Day 1.08424
Reported RN Staffing Hours per Resident per Day 0.61793
Reported Licensed Staffing Hours per Resident per Day 1.70217
Reported Total Nurse Staffing Hours per Resident per Day 3.72771
Reported Physical Therapist Staffing Hours per Resident Per Day 0.06196
Expected CNA Staffing Hours per Resident per Day 2.31573
Expected LPN Staffing Hours per Resident per Day 0.62354
Expected RN Staffing Hours per Resident per Day 1.07448
Expected Total Nurse Staffing Hours per Resident per Day 4.01376
Adjusted CNA Staffing Hours per Resident per Day 2.14622
Adjusted LPN Staffing Hours per Resident per Day 1.44323
Adjusted RN Staffing Hours per Resident per Day 0.42971
Adjusted Total Nurse Staffing Hours per Resident per Day 3.74363
Cycle 1 Total Number of Health Deficiencies 16
Cycle 1 Number of Standard Health Deficiencies 10
Cycle 1 Number of Complaint Health Deficiencies 6
Cycle 1 Health Deficiency Score 116
Cycle 1 Standard Survey Health Date 04/21/2017
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 116
Cycle 2 Total Number of Health Deficiencies 15
Cycle 2 Number of Standard Health Deficiencies 11
Cycle 2 Number of Complaint Health Deficiencies 8
Cycle 2 Health Deficiency Score 104
Cycle 2 Standard Health Survey Date 05/05/2016
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 104
Cycle 3 Total Number of Health Deficiencies 13
Cycle 3 Number of Standard Health Deficiencies 11
Cycle 3 Number of Complaint Health Deficiencies 2
Cycle 3 Health Deficiency Score 96
Cycle 3 Standard Health Survey Date 04/02/2015
Cycle 3 Number of Health Revisits 2
Cycle 3 Health Revisit Score 48
Cycle 3 Total Health Score 144
Total Weighted Health Survey Score 116.667
Number of Facility Reported Incidents 1
Number of Substantiated Complaints 15
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · Gardens At Wyoming Valley, The

Owner Name Role Association Date
BELL, SHARON (Individual) DIRECTOR since 08/01/2010
BURTON, LORI (Individual) DIRECTOR since 08/15/2006
CHAVIS, TINA (Individual) DIRECTOR since 08/15/2006
DRUMM MERGER CO (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 03/15/2010
EWING, MICHAEL (Individual) DIRECTOR since 08/15/2006
FILLMORE CAPITAL PARTNERS, LLC (Organization) OPERATIONAL/MANAGERIAL CONTROL since 03/15/2006
FILLMORE STRATEGIC INVESTORS LLC (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 03/15/2006
FILLMORE STRATEGIC MANAGEMENT, LLC (Organization) OPERATIONAL/MANAGERIAL CONTROL since 03/15/2006
FINN, NICHOLAS (Individual) DIRECTOR since 11/03/2009
GGNSC EQUITY HOLDINGS LLC (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/12/2005
GGNSC EQUITY HOLDINGS LLC (Organization) PARTNERSHIP INTEREST since 05/11/2006
GGNSC HOLDINGS LLC (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 03/15/2006
GGNSC WILKES-BARRE II GP LLC (Organization) PARTNERSHIP INTEREST since 05/11/2006
GOLDEN GATE NATIONAL SENIOR CARE LLC (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/02/2005
GROBMYER, JOHN (Individual) DIRECTOR since 08/15/2006
JOSEPH, LARRY (Individual) DIRECTOR since 08/15/2006
MARTIN, TRAVIS (Individual) MANAGING EMPLOYEE since 02/27/2009
RASMUSSEN-JONES, HOLLY (Individual) DIRECTOR since 08/15/2006
ROBERTS, KEVIN (Individual) DIRECTOR since 08/15/2006
SALAMONE, SALVATORE (Individual) DIRECTOR since 01/15/2007
SUTTON, HOLLY (Individual) DIRECTOR since 08/15/2006
SWARTZ, GREGORY (Individual) DIRECTOR since 08/15/2006
TRUITT, ANN (Individual) DIRECTOR since 08/15/2006
WASHINGTON STATE INVESTMENT BOARD (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 03/15/2006
WILLIAMS, ROBERTA (Individual) DIRECTOR since 08/15/2006
ZOESCH, JAMES (Individual) DIRECTOR since 07/01/2009

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