Ravenswood Village
200 Ritchie Avenue, Ravenswood, WV 26164


Ravenswood Village is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 515177. The address is 200 Ritchie Avenue, Ravenswood, WV 26164. The zip code is 26164. The phone number is 3042739385.


Ravenswood Village · 200 Ritchie Avenue, Ravenswood, WV 26164

Federal Provider Number 515177
Provider Name RAVENSWOOD VILLAGE
Address 200 RITCHIE AVENUE
RAVENSWOOD, WV 26164
Phone Number 3042739385
SSA County Code 170
County Name Jackson
Ownership Type For profit - Individual
Certified Beds 62
Certified Beds Residents 57
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name 200 SOUTH RITCHIE AVENUE OPERATIONS LLC
Date First Approved to Provide Medicare Medicaid Services 01/01/2002
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 2
Staffing Rating 3
RN Staffing Rating 3
Reported CNA Staffing Hours per Resident per Day 2.41667
Reported LPN Staffing Hours per Resident per Day 0.60263
Reported RN Staffing Hours per Resident per Day 0.64737
Reported Licensed Staffing Hours per Resident per Day 1.25
Reported Total Nurse Staffing Hours per Resident per Day 3.66667
Reported Physical Therapist Staffing Hours per Resident Per Day 0.03772
Expected CNA Staffing Hours per Resident per Day 2.4014
Expected LPN Staffing Hours per Resident per Day 0.65978
Expected RN Staffing Hours per Resident per Day 1.16565
Expected Total Nurse Staffing Hours per Resident per Day 4.22684
Adjusted CNA Staffing Hours per Resident per Day 2.4693
Adjusted LPN Staffing Hours per Resident per Day 0.75811
Adjusted RN Staffing Hours per Resident per Day 0.41497
Adjusted Total Nurse Staffing Hours per Resident per Day 3.4967
Cycle 1 Total Number of Health Deficiencies 4
Cycle 1 Number of Standard Health Deficiencies 4
Cycle 1 Health Deficiency Score 24
Cycle 1 Standard Survey Health Date 03/09/2017
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 24
Cycle 2 Total Number of Health Deficiencies 8
Cycle 2 Number of Standard Health Deficiencies 8
Cycle 2 Health Deficiency Score 60
Cycle 2 Standard Health Survey Date 01/07/2016
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 60
Cycle 3 Total Number of Health Deficiencies 5
Cycle 3 Number of Standard Health Deficiencies 5
Cycle 3 Health Deficiency Score 40
Cycle 3 Standard Health Survey Date 10/09/2014
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 40
Total Weighted Health Survey Score 38.667
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · Ravenswood Village

Owner Name Role Association Date
AMOS, TANATHA (Individual) MANAGING EMPLOYEE since 04/01/2011
BERG, MICHAEL (Individual) OFFICER since 03/02/2015
BERG, MICHAEL (Individual) OPERATIONAL/MANAGERIAL CONTROL since 03/02/2015
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 V LLC (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
since 02/02/2015
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

WV · Nursing Home

Springfield Center 10797 Seneca Trail South, Lindside, WV 24951
Fairmont Health and Rehabilitation Center 130 Kaufman Drive, Fairmont, WV 26554
Minnie Hamilton Health Care 186 Hospital Drive, Grantsville, WV 26147
Piney Valley 135 Southern Drive, Keyser, WV 26726
Lakin Hospital 1 Bateman Circle, West Columbia, WV 25287
Madison, The 161 Bakers Ridge Road, Morgantown, WV 26508
Shenandoah Center 50 Mulberry Tree Street, Charles Town, WV 25414
Lincoln Nursing and Rehabilitation Center 200 Monday Drive, Hamlin, WV 25523
Miletree Center 825 Summit Street, Spencer, WV 25276
St. Barbara's Memorial Nursing Home Po Box 9066, Fairmont, WV 26555
Summersville Regional Medical Center 400 Fairview Heights Road, Summersville, WV 26651
Bishop Joseph Hodges Continuous Care Center 600 Medical Park, Wheeling, WV 26003
Logan Center 55 Logan Mingo Mental Health Center Road, Logan, WV 25601
Ohio Valley Health Care 222 Nicolette Road, Parkersburg, WV 26104
Pine Lodge 405 Stanaford Road, Beckley, WV 25801
Pocahontas Center 5 Everett Tibbs Road, Marlinton, WV 24954
Parkersburg Center 1716 Gihon Road, Parkersburg, WV 26101
Mcdowell Nursing and Rehabilitation Center 150 Venus Road, Gary, WV 24836
Elkins Regional Convalescent Center 1175 Beverly Pike, Elkins, WV 26241
War Memorial Hospital 1 Healthy Way, Berkeley Springs, WV 25411
Summers Nursing and Rehabilitation Center 198 John Cook Nursing Home Road, Hinton, WV 25951
Heritage Center 101-13th Street, Huntington, WV 25701
Cabell Huntington Hospital Tcu 1340 Hal Greer Boulevard, Huntington, WV 25701
Maples Nursing Home 1600 Bland Street, Bluefield, WV 24701
Clarksburg Nursing and Rehabilitation Center 801 Davisson Run Road, Clarksburg, WV 26301
Glenville Center 111 Fairground Road, Glenville, WV 26351
Meadowview Manor 41 Crestview Terrace, Bridgeport, WV 26330
Clay Health Care Center 1053 Clinic Drive, Ivydale, WV 25113
Sistersville Center 201 Wood Street Operations, LLC, Sistersville, WV 26175
Cedar Ridge Center 302 Cedar Ridge Road, Sissonville, WV 25320
John Manchin Sr Health Care Center 401 Guffey Street, Fairmont, WV 26554
Salem Center 255 Sunbridge Drive, Salem, WV 26426
Welch Community Hospital 454 Mcdowell Street, Welch, WV 24801
United Transitional Care Center 327 Medical Park Drive, Bridgeport, WV 26330
Canterbury Center 80 Maddex Drive, Shepherdstown, WV 25443
Sundale Nursing Home 800 J D Anderson Drive, Morgantown, WV 26505
Meadowbrook Acres 2149 Greenbrier Street, Charleston, WV 25311
Reynolds Memorial Hospital 800 Wheeling Avenue, Glen Dale, WV 26038
Hopemont Hospital 150 Hopemont Drive, Terra Alta, WV 26764
Nella's Inc 399 Ferguson Road, Elkins, WV 26241