Bridgeport Health Care Center
1081 Maplewood Drive, Bridgeport, WV 26330


Bridgeport Health Care Center is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 515194. The address is 1081 Maplewood Drive, Bridgeport, WV 26330. The zip code is 26330. The phone number is 3048424135.


Bridgeport Health Care Center · 1081 Maplewood Drive, Bridgeport, WV 26330

Federal Provider Number 515194
Provider Name BRIDGEPORT HEALTH CARE CENTER
Address 1081 MAPLEWOOD DRIVE
BRIDGEPORT, WV 26330
Phone Number 3048424135
SSA County Code 160
County Name Harrison
Ownership Type For profit - Partnership
Certified Beds 51
Certified Beds Residents 42
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name BRIDGEPORT HEALTH CARE CENTER, LLC
Date First Approved to Provide Medicare Medicaid Services 02/01/2016
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 2.13571
Reported LPN Staffing Hours per Resident per Day 1.06429
Reported RN Staffing Hours per Resident per Day 0.70119
Reported Licensed Staffing Hours per Resident per Day 1.76548
Reported Total Nurse Staffing Hours per Resident per Day 3.90119
Reported Physical Therapist Staffing Hours per Resident Per Day 0.01548
Expected CNA Staffing Hours per Resident per Day 2.38562
Expected LPN Staffing Hours per Resident per Day 0.67421
Expected RN Staffing Hours per Resident per Day 1.21064
Expected Total Nurse Staffing Hours per Resident per Day 4.27047
Adjusted CNA Staffing Hours per Resident per Day 2.19666
Adjusted LPN Staffing Hours per Resident per Day 1.31021
Adjusted RN Staffing Hours per Resident per Day 0.43277
Adjusted Total Nurse Staffing Hours per Resident per Day 3.68234
Cycle 1 Total Number of Health Deficiencies 10
Cycle 1 Number of Standard Health Deficiencies 10
Cycle 1 Health Deficiency Score 44
Cycle 1 Standard Survey Health Date 11/11/2016
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 44
Cycle 2 Total Number of Health Deficiencies 3
Cycle 2 Number of Standard Health Deficiencies 3
Cycle 2 Health Deficiency Score 16
Cycle 2 Standard Health Survey Date 08/27/2015
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 16
Total Weighted Health Survey Score 32.8
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · Bridgeport Health Care Center

Owner Name Role Association Date
DIXON, REBECCA (Individual) MANAGING EMPLOYEE since 11/01/2015
ELLIOT, ANDREW (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 11/01/2015
ELLIOT, GREGORY (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 11/01/2015
ELLIOTT, JOHN (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 11/01/2015
JONES, TODD (Individual) OFFICER since 11/01/2015
VANDALIA ACQ., LLC (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
since 11/01/2015
WILBURN, CASSAUNDRA (Individual) MANAGING EMPLOYEE since 11/01/2015
WINEBERRY LLC (Organization) OPERATIONAL/MANAGERIAL CONTROL since 11/01/2015
WOODMERE HOLDINGS LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 11/01/2015

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