Cedar Ridge Center
302 Cedar Ridge Road, Sissonville, WV 25320


Cedar Ridge Center is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 515087. The address is 302 Cedar Ridge Road, Sissonville, WV 25320. The zip code is 25320. The phone number is 3049840046.


Cedar Ridge Center · 302 Cedar Ridge Road, Sissonville, WV 25320

Federal Provider Number 515087
Provider Name CEDAR RIDGE CENTER
Address 302 CEDAR RIDGE ROAD
SISSONVILLE, WV 25320
Phone Number 3049840046
SSA County Code 190
County Name Kanawha
Ownership Type For profit - Corporation
Certified Beds 119
Certified Beds Residents 112
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name 302 CEDAR RIDGE ROAD OPERATIONS LLC
Date First Approved to Provide Medicare Medicaid Services 04/14/1989
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 5
Health Inspection Rating 5
Quality Measure Rating 3
Staffing Rating 2
RN Staffing Rating 3
Reported CNA Staffing Hours per Resident per Day 1.94688
Reported LPN Staffing Hours per Resident per Day 0.7067
Reported RN Staffing Hours per Resident per Day 0.66161
Reported Licensed Staffing Hours per Resident per Day 1.3683
Reported Total Nurse Staffing Hours per Resident per Day 3.31519
Reported Physical Therapist Staffing Hours per Resident Per Day 0.04911
Expected CNA Staffing Hours per Resident per Day 2.47191
Expected LPN Staffing Hours per Resident per Day 0.7098
Expected RN Staffing Hours per Resident per Day 1.23611
Expected Total Nurse Staffing Hours per Resident per Day 4.41783
Adjusted CNA Staffing Hours per Resident per Day 1.93254
Adjusted LPN Staffing Hours per Resident per Day 0.82637
Adjusted RN Staffing Hours per Resident per Day 0.39993
Adjusted Total Nurse Staffing Hours per Resident per Day 3.02483
Cycle 1 Total Number of Health Deficiencies 2
Cycle 1 Number of Standard Health Deficiencies 2
Cycle 1 Health Deficiency Score 8
Cycle 1 Standard Survey Health Date 04/14/2016
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 8
Cycle 2 Total Number of Health Deficiencies 4
Cycle 2 Number of Standard Health Deficiencies 4
Cycle 2 Health Deficiency Score 16
Cycle 2 Standard Health Survey Date 03/19/2015
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 16
Cycle 3 Total Number of Health Deficiencies 11
Cycle 3 Number of Standard Health Deficiencies 11
Cycle 3 Health Deficiency Score 48
Cycle 3 Standard Health Survey Date 09/26/2013
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 48
Total Weighted Health Survey Score 17.333
Number of Substantiated Complaints 7
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · Cedar Ridge Center

Owner Name Role Association Date
BERG, MICHAEL (Individual) OFFICER since 12/01/2012
BERG, MICHAEL (Individual) OPERATIONAL/MANAGERIAL CONTROL since 12/01/2012
DAVIS, KEITH (Individual) OPERATIONAL/MANAGERIAL CONTROL since 12/01/2012
DONNA REIS 1995 FAM TR (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 02/02/2015
EDWARDS, JAN (Individual) OFFICER since 03/02/2015
FC-GEN OPERATIONS INVESTMENT LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 02/02/2015
FISHMAN, STEVEN (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 02/02/2015
GEN OPERATIONS I LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 02/02/2015
GEN OPERATIONS II, LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 02/02/2015
GENERAL ELECTRIC CAPITAL CORPORATION (Organization) 5% OR GREATER SECURITY INTEREST since 02/02/2015
GENESIS HEALTHCARE INC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 02/02/2015
GENESIS HEALTHCARE LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 02/02/2015
GENESIS HEALTHCARE LLC (Organization) OPERATIONAL/MANAGERIAL CONTROL since 02/02/2015
GENESIS HOLDINGS LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 02/02/2015
GENESIS OPERATIONS LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 02/02/2015
GENESIS WV HOLDINGS LLC (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
since 04/01/2011
GHC HOLDINGS LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 02/02/2015
HCCF MANAGEMENT GROUP XI LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 02/02/2015
KELLEY, THOMAS (Individual) MANAGING EMPLOYEE since 04/21/2016
MASON, JOSEPH (Individual) OFFICER since 12/01/2012
NAUSE, KEITH (Individual) OFFICER since 03/02/2015
ONEX PARTNERS LP (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 02/02/2015
SENIOR CARE GENESIS LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 02/02/2015
SENIOR CARE HOLDINGS, LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 02/02/2015
SHERMAN, MICHAEL (Individual) OFFICER since 03/02/2015
SUN HEALTHCARE GROUP, INC. (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 02/02/2015
SUNDANCE REHABILITATION HOLDCO, INC. (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 01/01/2016
WHITMAN, ARNOLD (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 02/02/2015
ZAC PROPERTIES XI LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 02/02/2015

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