Eastbrook Center
3819 Chesterfield Avenue, Charleston, WV 25304


Eastbrook Center is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 515089. The address is 3819 Chesterfield Avenue, Charleston, WV 25304. The zip code is 25304. The phone number is 3049254771.


Eastbrook Center · 3819 Chesterfield Avenue, Charleston, WV 25304

Federal Provider Number 515089
Provider Name EASTBROOK CENTER
Address 3819 CHESTERFIELD AVENUE
CHARLESTON, WV 25304
Phone Number 3049254771
SSA County Code 190
County Name Kanawha
Ownership Type For profit - Partnership
Certified Beds 184
Certified Beds Residents 133
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name EASTBROOK CENTER LLC
Date First Approved to Provide Medicare Medicaid Services 03/09/1989
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 Both
Automatic Sprinkler Systems in All Required Areas Yes
Overall Rating 1
Health Inspection Rating 1
Quality Measure Rating 4
Staffing Rating 3
RN Staffing Rating 3
Reported CNA Staffing Hours per Resident per Day 2.27669
Reported LPN Staffing Hours per Resident per Day 0.94699
Reported RN Staffing Hours per Resident per Day 0.91053
Reported Licensed Staffing Hours per Resident per Day 1.85752
Reported Total Nurse Staffing Hours per Resident per Day 4.13421
Reported Physical Therapist Staffing Hours per Resident Per Day 0.17556
Expected CNA Staffing Hours per Resident per Day 2.51059
Expected LPN Staffing Hours per Resident per Day 0.73202
Expected RN Staffing Hours per Resident per Day 1.44569
Expected Total Nurse Staffing Hours per Resident per Day 4.6883
Adjusted CNA Staffing Hours per Resident per Day 2.2251
Adjusted LPN Staffing Hours per Resident per Day 1.07374
Adjusted RN Staffing Hours per Resident per Day 0.47061
Adjusted Total Nurse Staffing Hours per Resident per Day 3.55451
Cycle 1 Total Number of Health Deficiencies 14
Cycle 1 Number of Standard Health Deficiencies 14
Cycle 1 Health Deficiency Score 112
Cycle 1 Standard Survey Health Date 02/07/2017
Cycle 1 Number of Health Revisits 2
Cycle 1 Health Revisit Score 56
Cycle 1 Total Health Score 168
Cycle 2 Total Number of Health Deficiencies 11
Cycle 2 Number of Standard Health Deficiencies 5
Cycle 2 Number of Complaint Health Deficiencies 6
Cycle 2 Health Deficiency Score 76
Cycle 2 Standard Health Survey Date 11/05/2015
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 76
Cycle 3 Total Number of Health Deficiencies 6
Cycle 3 Number of Standard Health Deficiencies 2
Cycle 3 Number of Complaint Health Deficiencies 4
Cycle 3 Health Deficiency Score 24
Cycle 3 Standard Health Survey Date 09/12/2014
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 24
Total Weighted Health Survey Score 113.333
Number of Substantiated Complaints 7
Number of Fines 1
Total Amount of Fines in Dollars $53354.00
Total Number of Penalties 1
Processing Date 08/01/2017

Owner or Manager · Eastbrook Center

Owner Name Role Association Date
BLANKENSHIP, MARTHA (Individual) MANAGING EMPLOYEE since 11/10/2013
HERALD, MICHAEL (Individual) MANAGING EMPLOYEE since 11/10/2013
HUDSON, JESSICA (Individual) OFFICER since 11/01/2013
PACK, LAWRENCE (Individual) 5% OR GREATER DIRECT OWNERSHIP INTEREST
50%
since 11/01/2013
PACK, LAWRENCE (Individual) DIRECTOR since 11/01/2013
PACK, LAWRENCE (Individual) OFFICER since 11/01/2013
PACK, LAWRENCE (Individual) OPERATIONAL/MANAGERIAL CONTROL since 11/01/2013
WHITE, STEVEN (Individual) 5% OR GREATER DIRECT OWNERSHIP INTEREST
50%
since 11/01/2013

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