Madison Park Healthcare
700 Madison Avenue, Huntington, WV 25727


Madison Park Healthcare is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 515021. The address is 700 Madison Avenue, Huntington, WV 25727. The zip code is 25727. The phone number is 3045220032.


Madison Park Healthcare · 700 Madison Avenue, Huntington, WV 25727

Federal Provider Number 515021
Provider Name MADISON PARK HEALTHCARE
Address 700 MADISON AVENUE
HUNTINGTON, WV 25727
Phone Number 3045220032
SSA County Code 50
County Name Cabell
Ownership Type For profit - Corporation
Certified Beds 41
Certified Beds Residents 39
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name FAIRHAVEN OPCO, LLC
Date First Approved to Provide Medicare Medicaid Services 03/23/1967
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 1
Staffing Rating 5
RN Staffing Rating 5
Reported CNA Staffing Hours per Resident per Day 2.45641
Reported LPN Staffing Hours per Resident per Day 1.20513
Reported RN Staffing Hours per Resident per Day 1.25256
Reported Licensed Staffing Hours per Resident per Day 2.45769
Reported Total Nurse Staffing Hours per Resident per Day 4.9141
Reported Physical Therapist Staffing Hours per Resident Per Day 0.01795
Expected CNA Staffing Hours per Resident per Day 2.26715
Expected LPN Staffing Hours per Resident per Day 0.66623
Expected RN Staffing Hours per Resident per Day 1.30055
Expected Total Nurse Staffing Hours per Resident per Day 4.23392
Adjusted CNA Staffing Hours per Resident per Day 2.65853
Adjusted LPN Staffing Hours per Resident per Day 1.50138
Adjusted RN Staffing Hours per Resident per Day 0.71963
Adjusted Total Nurse Staffing Hours per Resident per Day 4.67846
Cycle 1 Total Number of Health Deficiencies 10
Cycle 1 Number of Standard Health Deficiencies 10
Cycle 1 Health Deficiency Score 48
Cycle 1 Standard Survey Health Date 04/19/2017
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 48
Cycle 2 Total Number of Health Deficiencies 20
Cycle 2 Number of Standard Health Deficiencies 20
Cycle 2 Health Deficiency Score 293
Cycle 2 Standard Health Survey Date 02/12/2016
Cycle 2 Number of Health Revisits 3
Cycle 2 Health Revisit Score 205
Cycle 2 Total Health Score 498
Cycle 3 Total Number of Health Deficiencies 18
Cycle 3 Number of Standard Health Deficiencies 6
Cycle 3 Number of Complaint Health Deficiencies 12
Cycle 3 Health Deficiency Score 76
Cycle 3 Standard Health Survey Date 01/16/2015
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 76
Total Weighted Health Survey Score 202.667
Number of Substantiated Complaints 3
Number of Fines 2
Total Amount of Fines in Dollars $28730.00
Number of Payment Denials 1
Total Number of Penalties 3
Processing Date 08/01/2017

Owner or Manager · Madison Park Healthcare

Owner Name Role Association Date
BHCP GP JV 2015 LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 11/01/2015
BIRCHWOOD HEALTH CARE PROPERTIES LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 11/01/2015
COX, DOUGLAS (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 11/01/2015
COX, DOUGLAS (Individual) OPERATIONAL/MANAGERIAL CONTROL since 11/01/2015
DOLE, ISAAC (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 11/01/2015
DOLE, ISAAC (Individual) OFFICER since 11/01/2015
FAIRHAVEN HOLDCO LLC (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
since 11/01/2015
MCCALL, BARBARA (Individual) MANAGING EMPLOYEE since 11/01/2015
PROVIDENCE HOLDINGS GROUP LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 11/01/2015

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