Coliseum Convalescent and Rehabilitation Center
305 Marcella Road, Hampton, VA 23666


Coliseum Convalescent and Rehabilitation Center is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 495305. The address is 305 Marcella Road, Hampton, VA 23666. The zip code is 23666. The phone number is 7578278953.


Coliseum Convalescent and Rehabilitation Center · 305 Marcella Road, Hampton, VA 23666

Federal Provider Number 495305
Provider Name COLISEUM CONVALESCENT AND REHABILITATION CENTER
Address 305 MARCELLA ROAD
HAMPTON, VA 23666
Phone Number 7578278953
SSA County Code 411
County Name Hampton City
Ownership Type For profit - Corporation
Certified Beds 180
Certified Beds Residents 144
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name VIRGINIA HEALTH SERVICES, INC
Date First Approved to Provide Medicare Medicaid Services 03/01/1996
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 3
Quality Measure Rating 3
Staffing Rating 1
RN Staffing Rating 2
Reported CNA Staffing Hours per Resident per Day 2.01007
Reported LPN Staffing Hours per Resident per Day 0.83819
Reported RN Staffing Hours per Resident per Day 0.47118
Reported Licensed Staffing Hours per Resident per Day 1.30938
Reported Total Nurse Staffing Hours per Resident per Day 3.31944
Reported Physical Therapist Staffing Hours per Resident Per Day 0.03958
Expected CNA Staffing Hours per Resident per Day 2.41761
Expected LPN Staffing Hours per Resident per Day 0.73205
Expected RN Staffing Hours per Resident per Day 1.17061
Expected Total Nurse Staffing Hours per Resident per Day 4.32027
Adjusted CNA Staffing Hours per Resident per Day 2.04008
Adjusted LPN Staffing Hours per Resident per Day 0.95034
Adjusted RN Staffing Hours per Resident per Day 0.30075
Adjusted Total Nurse Staffing Hours per Resident per Day 3.0971
Cycle 1 Total Number of Health Deficiencies 14
Cycle 1 Number of Standard Health Deficiencies 14
Cycle 1 Number of Complaint Health Deficiencies 9
Cycle 1 Health Deficiency Score 68
Cycle 1 Standard Survey Health Date 05/18/2017
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 68
Cycle 2 Total Number of Health Deficiencies 7
Cycle 2 Number of Standard Health Deficiencies 7
Cycle 2 Number of Complaint Health Deficiencies 1
Cycle 2 Health Deficiency Score 40
Cycle 2 Standard Health Survey Date 05/12/2016
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 40
Cycle 3 Total Number of Health Deficiencies 3
Cycle 3 Number of Standard Health Deficiencies 3
Cycle 3 Number of Complaint Health Deficiencies 3
Cycle 3 Health Deficiency Score 12
Cycle 3 Standard Health Survey Date 04/16/2015
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 12
Total Weighted Health Survey Score 49.333
Number of Substantiated Complaints 21
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · Coliseum Convalescent and Rehabilitation Center

Owner Name Role Association Date
BOLDY, NICOLE (Individual) MANAGING EMPLOYEE since 03/01/2013
FREEMAN, ROBERT (Individual) OFFICER since 01/01/2012
HAAS, LISBETH (Individual) MANAGING EMPLOYEE since 10/01/2013
HARDEN, ELIZABETH (Individual) DIRECTOR since 04/22/2014
MENDELSOHN, JEFFREY (Individual) MANAGING EMPLOYEE since 03/01/2013
MENDELSOHN, JEFFREY (Individual) OFFICER since 06/01/1980
MITCHELL, GEORGE (Individual) 5% OR GREATER DIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 03/01/2013
SHRIEVES, ALFRED (Individual) MANAGING EMPLOYEE since 10/15/1990
SHRIEVES, ALFRED (Individual) OFFICER since 10/15/1990
SUTTLE, RAYMOND (Individual) 5% OR GREATER DIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 03/06/1975
SUTTLE, RAYMOND (Individual) OFFICER since 01/01/2012
VAUGHN, DOUGLAS (Individual) MANAGING EMPLOYEE since 03/01/2013
VIRGINIA HEALTH SERVICES, INC (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 03/01/2013
VIRGINIA HEALTH SERVICES, INC (Organization) 5% OR GREATER MORTGAGE INTEREST since 03/01/2013
WALTERS, ROBERT (Individual) MANAGING EMPLOYEE since 10/14/2013
WASON, HARRY (Individual) 5% OR GREATER DIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 01/22/2013
WASON, HARRY (Individual) OFFICER since 01/01/2012

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