Hidden Valley Center
422 23rd Street, Oak Hill, WV 25901


Hidden Valley Center is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 515147. The address is 422 23rd Street, Oak Hill, WV 25901. The zip code is 25901. The phone number is 3044651903.


Hidden Valley Center · 422 23rd Street, Oak Hill, WV 25901

Federal Provider Number 515147
Provider Name HIDDEN VALLEY CENTER
Address 422 23RD STREET
OAK HILL, WV 25901
Phone Number 3044651903
SSA County Code 90
County Name Fayette
Ownership Type For profit - Corporation
Certified Beds 74
Certified Beds Residents 78
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name 422 23RD STREET OPERATIONS LLC
Date First Approved to Provide Medicare Medicaid Services 10/02/1996
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 4
Health Inspection Rating 4
Quality Measure Rating 4
Staffing Rating 2
RN Staffing Rating 1
Reported CNA Staffing Hours per Resident per Day 2.02692
Reported LPN Staffing Hours per Resident per Day 1.85
Reported RN Staffing Hours per Resident per Day 0.42115
Reported Licensed Staffing Hours per Resident per Day 2.27115
Reported Total Nurse Staffing Hours per Resident per Day 4.29807
Reported Physical Therapist Staffing Hours per Resident Per Day 0.02949
Expected CNA Staffing Hours per Resident per Day 2.32409
Expected LPN Staffing Hours per Resident per Day 0.65656
Expected RN Staffing Hours per Resident per Day 1.38385
Expected Total Nurse Staffing Hours per Resident per Day 4.3645
Adjusted CNA Staffing Hours per Resident per Day 2.13996
Adjusted LPN Staffing Hours per Resident per Day 2.33872
Adjusted RN Staffing Hours per Resident per Day 0.2274
Adjusted Total Nurse Staffing Hours per Resident per Day 3.96955
Cycle 1 Total Number of Health Deficiencies 6
Cycle 1 Number of Standard Health Deficiencies 6
Cycle 1 Number of Complaint Health Deficiencies 6
Cycle 1 Health Deficiency Score 40
Cycle 1 Standard Survey Health Date 04/14/2016
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 40
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 02/12/2015
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 24
Cycle 3 Total Number of Health Deficiencies 7
Cycle 3 Number of Standard Health Deficiencies 7
Cycle 3 Health Deficiency Score 32
Cycle 3 Standard Health Survey Date 09/25/2013
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 32
Total Weighted Health Survey Score 33.333
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · Hidden Valley Center

Owner Name Role Association Date
BERG, MICHAEL (Individual) OFFICER since 03/02/2015
BERG, MICHAEL (Individual) OPERATIONAL/MANAGERIAL CONTROL since 03/02/2015
CHAPMAN, BRIAN (Individual) MANAGING EMPLOYEE since 04/21/2016
DAVIS, KEITH (Individual) OPERATIONAL/MANAGERIAL CONTROL since 03/02/2015
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
MASON, JOSEPH (Individual) OFFICER since 03/02/2015
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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