Shenandoah Center
50 Mulberry Tree Street, Charles Town, WV 25414


Shenandoah Center is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 515167. The address is 50 Mulberry Tree Street, Charles Town, WV 25414. The zip code is 25414. The phone number is 3047241101.


Shenandoah Center · 50 Mulberry Tree Street, Charles Town, WV 25414

Federal Provider Number 515167
Provider Name SHENANDOAH CENTER
Address 50 MULBERRY TREE STREET
CHARLES TOWN, WV 25414
Phone Number 3047241101
SSA County Code 180
County Name Jefferson
Ownership Type For profit - Corporation
Certified Beds 78
Certified Beds Residents 74
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name 50 MULBERRY TREE STREET OPERATIONS LLC
Date First Approved to Provide Medicare Medicaid Services 04/16/1998
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 3
Staffing Rating 2
RN Staffing Rating 3
Reported CNA Staffing Hours per Resident per Day 1.89662
Reported LPN Staffing Hours per Resident per Day 0.64459
Reported RN Staffing Hours per Resident per Day 0.80743
Reported Licensed Staffing Hours per Resident per Day 1.45203
Reported Total Nurse Staffing Hours per Resident per Day 3.34864
Reported Physical Therapist Staffing Hours per Resident Per Day 0.00068
Expected CNA Staffing Hours per Resident per Day 2.4861
Expected LPN Staffing Hours per Resident per Day 0.73812
Expected RN Staffing Hours per Resident per Day 1.21777
Expected Total Nurse Staffing Hours per Resident per Day 4.44199
Adjusted CNA Staffing Hours per Resident per Day 1.8719
Adjusted LPN Staffing Hours per Resident per Day 0.72483
Adjusted RN Staffing Hours per Resident per Day 0.49542
Adjusted Total Nurse Staffing Hours per Resident per Day 3.03874
Cycle 1 Total Number of Health Deficiencies 4
Cycle 1 Number of Standard Health Deficiencies 4
Cycle 1 Health Deficiency Score 28
Cycle 1 Standard Survey Health Date 05/04/2016
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 28
Cycle 2 Total Number of Health Deficiencies 10
Cycle 2 Number of Standard Health Deficiencies 6
Cycle 2 Number of Complaint Health Deficiencies 4
Cycle 2 Health Deficiency Score 76
Cycle 2 Standard Health Survey Date 04/14/2015
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 76
Cycle 3 Total Number of Health Deficiencies 15
Cycle 3 Number of Standard Health Deficiencies 14
Cycle 3 Number of Complaint Health Deficiencies 1
Cycle 3 Health Deficiency Score 72
Cycle 3 Standard Health Survey Date 08/29/2013
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 72
Total Weighted Health Survey Score 51.333
Number of Substantiated Complaints 6
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · Shenandoah Center

Owner Name Role Association Date
BERG, MICHAEL (Individual) OFFICER since 12/01/2012
BERG, MICHAEL (Individual) OPERATIONAL/MANAGERIAL CONTROL since 12/01/2012
CORNWELL, MICHELE (Individual) MANAGING EMPLOYEE since 04/01/2011
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 04/01/2011
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

25414 · Nursing Home

Willow Tree Manor 1263 South George Street, Charles Town, WV 25414

Charles Town · Nursing Home

Willow Tree Manor 1263 South George Street, Charles Town, WV 25414

WV · Nursing Home

Cabell Health Care Center 30 Hidden Brook Way, Culloden, WV 25510
Cameron Nursing and Rehabilitation Center Route 4, Box 20, Cameron, WV 26033
Lincoln Nursing and Rehabilitation Center 200 Monday Drive, Hamlin, WV 25523
Piney Valley 135 Southern Drive, Keyser, WV 26726
Golden Living Center - Morgantown 1379 Van Voorhis Rd, Morgantown, WV 26505
Cortland Acres Nursing Home 39 Cortland Acres Lane, Thomas, WV 26292
Main Street Care 189 Summers Hospital Road, Suite 300, Hinton, WV 25951
Teays Valley Center 590 North Poplar Fork Road, Hurricane, WV 25526
Grafton City Hospital 1 Hospital Plaza, Grafton, WV 26354
Fairmont Health and Rehabilitation Center 130 Kaufman Drive, Fairmont, WV 26554
Trinity Health Care of Logan 1000 West Park Avenue, Logan, WV 25601
Eastbrook Center 3819 Chesterfield Avenue, Charleston, WV 25304
Ohio Valley Health Care 222 Nicolette Road, Parkersburg, WV 26104
Weirton Medical Center 601 Colliers Way, Weirton, WV 26062
Madison Park Healthcare 700 Madison Avenue, Huntington, WV 25727
Reynolds Memorial Hospital 800 Wheeling Avenue, Glen Dale, WV 26038
Springfield Center 10797 Seneca Trail South, Lindside, WV 24951
St. Barbara's Memorial Nursing Home Po Box 9066, Fairmont, WV 26555
St. Mary's Hospital 2900 First Street, Huntington, WV 25702
Stone Pear Pavilion 125 Fox Lane, Chester, WV 26034
Brightwood Center 840 Lee Road, Follansbee, WV 26037
Montgomery General Hospital 401 6th Avenue, Montgomery, WV 25136
Raleigh Center 1631 Ritter Drive, Daniels, WV 25832
Clarksburg Nursing and Rehabilitation Center 801 Davisson Run Road, Clarksburg, WV 26301
Heritage Center 101-13th Street, Huntington, WV 25701
Eagle Pointe 1600 27th Street, Parkersburg, WV 26101
Mound View Health Care 2200 Floral Street, Moundsville, WV 26041
Jackie Withrow Hospital 105 South Eisenhower Drive, Beckley, WV 25801
Crestview Manor Nursing and Rehabilitation 199 Court Street, Jane Lew, WV 26378
War Memorial Hospital 1 Healthy Way, Berkeley Springs, WV 25411
Canterbury Center 80 Maddex Drive, Shepherdstown, WV 25443
Fayette Nursing and Rehabilitation Center 100 Hresan Boulevard, Fayetteville, WV 25840
Weirton Geriatric Center 2525 Pennsylvania Avenue, Weirton, WV 26062
Clary Grove 209 Clover Street, Martinsburg, WV 25404
Grant Memorial Hospital 117 Hospital Drive, Petersburg, WV 26847
Wellsburg Center 70 Valley Haven Dr, Wellsburg, WV 26070
Hidden Valley Center 422 23rd Street, Oak Hill, WV 25901
Meadowbrook Acres 2149 Greenbrier Street, Charleston, WV 25311
Worthington Nursing and Rehabilitation Center 2675 36th Street, Parkersburg, WV 26104
Clay Health Care Center 1053 Clinic Drive, Ivydale, WV 25113