Skyline Nursing & Rehabilitation Center
237 Franklin Pike Road, Se, Floyd, VA 24091


Skyline Nursing & Rehabilitation Center is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 495348. The address is 237 Franklin Pike Road, Se, Floyd, VA 24091. The zip code is 24091. The phone number is 5407452016.


Skyline Nursing & Rehabilitation Center · 237 Franklin Pike Road, Se, Floyd, VA 24091

Federal Provider Number 495348
Provider Name SKYLINE NURSING & REHABILITATION CENTER
Address 237 FRANKLIN PIKE ROAD, SE
FLOYD, VA 24091
Phone Number 5407452016
SSA County Code 310
County Name Floyd
Ownership Type For profit - Corporation
Certified Beds 90
Certified Beds Residents 87
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name SKYLINE FACILITY OPERATIONS, LLC
Date First Approved to Provide Medicare Medicaid Services 09/14/2000
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 4
Quality Measure Rating 4
Staffing Rating 1
RN Staffing Rating 1
Reported CNA Staffing Hours per Resident per Day 1.83678
Reported LPN Staffing Hours per Resident per Day 0.86552
Reported RN Staffing Hours per Resident per Day 0.3569
Reported Licensed Staffing Hours per Resident per Day 1.22241
Reported Total Nurse Staffing Hours per Resident per Day 3.0592
Reported Physical Therapist Staffing Hours per Resident Per Day 0.04253
Expected CNA Staffing Hours per Resident per Day 2.39587
Expected LPN Staffing Hours per Resident per Day 0.64835
Expected RN Staffing Hours per Resident per Day 1.13514
Expected Total Nurse Staffing Hours per Resident per Day 4.17936
Adjusted CNA Staffing Hours per Resident per Day 1.88112
Adjusted LPN Staffing Hours per Resident per Day 1.10801
Adjusted RN Staffing Hours per Resident per Day 0.23493
Adjusted Total Nurse Staffing Hours per Resident per Day 2.95053
Cycle 1 Total Number of Health Deficiencies 6
Cycle 1 Number of Standard Health Deficiencies 6
Cycle 1 Number of Complaint Health Deficiencies 0
Cycle 1 Health Deficiency Score 36
Cycle 1 Standard Survey Health Date 05/18/2017
Cycle 1 Number of Health Revisits 1
Cycle 1 Health Revisit Score 0
Cycle 1 Total Health Score 36
Cycle 2 Total Number of Health Deficiencies 4
Cycle 2 Number of Standard Health Deficiencies 4
Cycle 2 Number of Complaint Health Deficiencies 0
Cycle 2 Health Deficiency Score 20
Cycle 2 Standard Health Survey Date 07/14/2016
Cycle 2 Number of Health Revisits 1
Cycle 2 Health Revisit Score 0
Cycle 2 Total Health Score 20
Cycle 3 Total Number of Health Deficiencies 4
Cycle 3 Number of Standard Health Deficiencies 0
Cycle 3 Number of Complaint Health Deficiencies 4
Cycle 3 Health Deficiency Score 24
Cycle 3 Standard Health Survey Date 08/12/2015
Cycle 3 Number of Health Revisits 0
Cycle 3 Health Revisit Score 0
Cycle 3 Total Health Score 24
Total Weighted Health Survey Score 28.667
Number of Facility Reported Incidents 0
Number of Substantiated Complaints 4
Number of Fines 0
Total Amount of Fines in Dollars $0.00
Number of Payment Denials 0
Total Number of Penalties 0
Processing Date 08/01/2017

Owner or Manager · Skyline Nursing & Rehabilitation Center

Owner Name Role Association Date
ALG LAVIE, LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 07/31/2012
CMC II INVESTORS LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 07/31/2012
CMC II LLC (Organization) OPERATIONAL/MANAGERIAL CONTROL since 07/31/2012
COLUMBIA PACIFIC OPPORTUNITY FUND (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 07/31/2012
CONTE, JOSEPH (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 07/31/2012
CONTE, JOSEPH (Individual) OPERATIONAL/MANAGERIAL CONTROL since 07/31/2012
FC INVESTORS XXI, LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 07/31/2012
FC LV HOLDCO LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 07/31/2012
HARTMAN, ROBERT (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 07/31/2012
JELLERSON, JEFFREY (Individual) OPERATIONAL/MANAGERIAL CONTROL since 07/31/2012
LAVIE CARE CENTERS, LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 07/31/2012
LOW, ASHER (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 07/31/2012
LV CHC HOLDINGS I LLC (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
since 10/01/2012
LV INVESTMENT, LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 07/31/2012
LV OPERATIONS I, LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 07/31/2012
LV OPERATIONS II, LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 07/31/2012
MARKS, SARAH (Individual) OFFICER since 07/31/2012
MASON, DEBRA (Individual) OFFICER since 07/31/2012
MCP LAVIE, LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 07/31/2012
NEUBERGER, ISAAC (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 07/31/2012
RAGLAND, RUSSELL (Individual) OPERATIONAL/MANAGERIAL CONTROL since 07/01/2014
SAY LA VIE, LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 07/31/2012
SENIOR CARE LAVIE, LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 07/31/2012
STOVALL, JAMES (Individual) MANAGING EMPLOYEE since 04/01/2013
THE 1995 DAVID REIS FAMILY TRUST (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 07/31/2012
USSERY, KENNETH (Individual) OFFICER since 07/31/2012

street_number: 237
route: Franklin Pike Southeast (Franklin Pike SE)
locality, political: Floyd
admin_level_3, political: Little River
admin_level_2, political: Floyd County
admin_level_1, political: Virginia (VA)
country, political: United States (US)
postal_code: 24091
postal_code_suffix: 2893
types : street_address
latitude: 36.919896
longitude: -80.298961
latlng: (36.919896, -80.298961)


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