Monroeville Rehabilitation and Wellness Center
4142 Monroeville Blvd, Monroeville, PA 15146


Monroeville Rehabilitation and Wellness Center is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 395670. The address is 4142 Monroeville Blvd, Monroeville, PA 15146. The zip code is 15146. The phone number is 4128567570.


Monroeville Rehabilitation and Wellness Center · 4142 Monroeville Blvd, Monroeville, PA 15146

Federal Provider Number 395670
Provider Name MONROEVILLE REHABILITATION AND WELLNESS CENTER
Address 4142 MONROEVILLE BLVD
MONROEVILLE, PA 15146
Phone Number 4128567570
SSA County Code 10
County Name Allegheny
Ownership Type For profit - Corporation
Certified Beds 120
Certified Beds Residents 116
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name GGNSC MONROEVILLE LP
Date First Approved to Provide Medicare Medicaid Services 07/03/1984
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 3
Health Inspection Rating 3
Quality Measure Rating 3
Staffing Rating 2
RN Staffing Rating 3
Reported CNA Staffing Hours per Resident per Day 1.84784
Reported LPN Staffing Hours per Resident per Day 0.47241
Reported RN Staffing Hours per Resident per Day 0.64397
Reported Licensed Staffing Hours per Resident per Day 1.11638
Reported Total Nurse Staffing Hours per Resident per Day 2.96422
Reported Physical Therapist Staffing Hours per Resident Per Day 0.05043
Expected CNA Staffing Hours per Resident per Day 2.52727
Expected LPN Staffing Hours per Resident per Day 0.70725
Expected RN Staffing Hours per Resident per Day 1.20572
Expected Total Nurse Staffing Hours per Resident per Day 4.44025
Adjusted CNA Staffing Hours per Resident per Day 1.79405
Adjusted LPN Staffing Hours per Resident per Day 0.5544
Adjusted RN Staffing Hours per Resident per Day 0.39908
Adjusted Total Nurse Staffing Hours per Resident per Day 2.69095
Cycle 1 Total Number of Health Deficiencies 8
Cycle 1 Number of Standard Health Deficiencies 7
Cycle 1 Number of Complaint Health Deficiencies 1
Cycle 1 Health Deficiency Score 44
Cycle 1 Standard Survey Health Date 05/26/2017
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 44
Cycle 2 Total Number of Health Deficiencies 6
Cycle 2 Number of Standard Health Deficiencies 6
Cycle 2 Health Deficiency Score 24
Cycle 2 Standard Health Survey Date 03/25/2016
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 24
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 05/29/2015
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 12
Total Weighted Health Survey Score 32
Number of Substantiated Complaints 1
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · Monroeville Rehabilitation and Wellness Center

Owner Name Role Association Date
CHAVIS, TINA (Individual) OFFICER since 08/15/2006
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) PARTNERSHIP INTEREST since 04/01/2006
GGNSC HOLDINGS LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 04/01/2006
GGNSC MONROEVILLE 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
OHL, AMY (Individual) MANAGING EMPLOYEE since 02/15/2011
RASMUSSEN-JONES, HOLLY (Individual) OFFICER since 08/15/2006
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) DIRECTOR since 09/01/2012
VARDELL, KATHLEEN (Individual) OFFICER since 09/01/2012
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: 4142
route: Monroeville Boulevard (Monroeville Blvd)
locality, political: Monroeville
admin_level_2, political: Allegheny County
admin_level_1, political: Pennsylvania (PA)
country, political: United States (US)
postal_code: 15146
postal_code_suffix: 2608
types : street_address
latitude: 40.433061
longitude: -79.7640253
latlng: (40.433061, -79.7640253)


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