Hillcrest Health Care Center
432 Kenmore Drive, Danville, WV 25053


Hillcrest Health Care Center is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 515117. The address is 432 Kenmore Drive, Danville, WV 25053. The zip code is 25053. The phone number is 3043690986.


Hillcrest Health Care Center · 432 Kenmore Drive, Danville, WV 25053

Federal Provider Number 515117
Provider Name HILLCREST HEALTH CARE CENTER
Address 432 KENMORE DRIVE
DANVILLE, WV 25053
Phone Number 3043690986
SSA County Code 20
County Name Boone
Ownership Type For profit - Partnership
Certified Beds 90
Certified Beds Residents 88
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name HILLCREST HEALTH CARE CENTER LLC
Date First Approved to Provide Medicare Medicaid Services 07/01/1992
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 3
Health Inspection Rating 3
Quality Measure Rating 4
Staffing Rating 3
RN Staffing Rating 3
Reported CNA Staffing Hours per Resident per Day 2.29886
Reported LPN Staffing Hours per Resident per Day 1.02102
Reported RN Staffing Hours per Resident per Day 0.70114
Reported Licensed Staffing Hours per Resident per Day 1.72216
Reported Total Nurse Staffing Hours per Resident per Day 4.02102
Reported Physical Therapist Staffing Hours per Resident Per Day 0.06307
Expected CNA Staffing Hours per Resident per Day 2.55703
Expected LPN Staffing Hours per Resident per Day 0.72283
Expected RN Staffing Hours per Resident per Day 1.31773
Expected Total Nurse Staffing Hours per Resident per Day 4.59758
Adjusted CNA Staffing Hours per Resident per Day 2.20597
Adjusted LPN Staffing Hours per Resident per Day 1.17241
Adjusted RN Staffing Hours per Resident per Day 0.39757
Adjusted Total Nurse Staffing Hours per Resident per Day 3.5254
Cycle 1 Total Number of Health Deficiencies 5
Cycle 1 Number of Standard Health Deficiencies 5
Cycle 1 Health Deficiency Score 20
Cycle 1 Standard Survey Health Date 03/30/2017
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 20
Cycle 2 Total Number of Health Deficiencies 5
Cycle 2 Number of Standard Health Deficiencies 5
Cycle 2 Health Deficiency Score 24
Cycle 2 Standard Health Survey Date 01/29/2016
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 24
Cycle 3 Total Number of Health Deficiencies 26
Cycle 3 Number of Standard Health Deficiencies 14
Cycle 3 Number of Complaint Health Deficiencies 12
Cycle 3 Health Deficiency Score 140
Cycle 3 Standard Health Survey Date 11/17/2014
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 140
Total Weighted Health Survey Score 41.333
Number of Substantiated Complaints 3
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · Hillcrest Health Care Center

Owner Name Role Association Date
AMFM INVESTMENTS IRREVOCABLE TRUST (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 07/01/2014
AMFM LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 07/01/2014
ELLIOT, ANDREW (Individual) OFFICER since 07/01/2014
ELLIOT, GREGORY (Individual) OFFICER since 07/01/2014
FORTNEY, TAMMY (Individual) MANAGING EMPLOYEE since 07/01/2014
JONES, TODD (Individual) OPERATIONAL/MANAGERIAL CONTROL since 07/01/2014
POORMAN, MATTHEW (Individual) MANAGING EMPLOYEE since 07/01/2014
SOUTHERN INVESTMENT LEASING COMPANY LLC (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
since 07/01/2014

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