Manorcare Health Services-east
600 S Webster Ave, Green Bay, WI 54301


Manorcare Health Services-east is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 525009. The address is 600 S Webster Ave, Green Bay, WI 54301. The zip code is 54301. The phone number is 9204323213.


Manorcare Health Services-east · 600 S Webster Ave, Green Bay, WI 54301

Federal Provider Number 525009
Provider Name MANORCARE HEALTH SERVICES-EAST
Address 600 S WEBSTER AVE
GREEN BAY, WI 54301
Phone Number 9204323213
SSA County Code 40
County Name Brown
Ownership Type For profit - Corporation
Certified Beds 79
Certified Beds Residents 50
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name MANOR CARE OF GREEN BAY WI (EAST) LLC
Date First Approved to Provide Medicare Medicaid Services 01/01/1967
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 2
Health Inspection Rating 2
Quality Measure Rating 3
Staffing Rating 3
RN Staffing Rating 4
Reported CNA Staffing Hours per Resident per Day 1.984
Reported LPN Staffing Hours per Resident per Day 0.71
Reported RN Staffing Hours per Resident per Day 1.157
Reported Licensed Staffing Hours per Resident per Day 1.867
Reported Total Nurse Staffing Hours per Resident per Day 3.851
Reported Physical Therapist Staffing Hours per Resident Per Day 0.091
Expected CNA Staffing Hours per Resident per Day 2.53372
Expected LPN Staffing Hours per Resident per Day 0.73569
Expected RN Staffing Hours per Resident per Day 1.27814
Expected Total Nurse Staffing Hours per Resident per Day 4.54755
Adjusted CNA Staffing Hours per Resident per Day 1.92134
Adjusted LPN Staffing Hours per Resident per Day 0.80102
Adjusted RN Staffing Hours per Resident per Day 0.67638
Adjusted Total Nurse Staffing Hours per Resident per Day 3.41349
Cycle 1 Total Number of Health Deficiencies 6
Cycle 1 Number of Standard Health Deficiencies 6
Cycle 1 Health Deficiency Score 40
Cycle 1 Standard Survey Health Date 02/27/2017
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 40
Cycle 2 Total Number of Health Deficiencies 23
Cycle 2 Number of Standard Health Deficiencies 14
Cycle 2 Number of Complaint Health Deficiencies 9
Cycle 2 Health Deficiency Score 112
Cycle 2 Standard Health Survey Date 02/25/2016
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 112
Cycle 3 Total Number of Health Deficiencies 8
Cycle 3 Number of Standard Health Deficiencies 7
Cycle 3 Number of Complaint Health Deficiencies 1
Cycle 3 Health Deficiency Score 36
Cycle 3 Standard Health Survey Date 01/27/2015
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 36
Total Weighted Health Survey Score 63.333
Number of Substantiated Complaints 6
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · Manorcare Health Services-east

Owner Name Role Association Date
ALLEN, MARTIN (Individual) DIRECTOR since 07/02/2012
CARLYLE MC PARTNERS, L.P. (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 02/21/2007
CARLYLE PARTNERS V MC HOLDINGS, L.P. (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/21/2007
CARLYLE PARTNERS V MC, L.P. (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/21/2007
HCR HEALTHCARE, LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/21/2007
HCR II HEALTHCARE, LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/21/2007
HCR III HEALTHCARE, LLC (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
since 12/21/2007
HCR MANOR CARE SERVICES LLC (Organization) OPERATIONAL/MANAGERIAL CONTROL since 12/20/2007
HCR MANORCARE HEARTLAND LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 04/07/2011
HCR MANORCARE INC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 04/07/2011
HCR MANORCARE OPERATIONS II, LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 04/07/2011
HEALTHCARE OPERATIONS HOLDINGS LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 10/31/2016
HOOPS, KATHRYN (Individual) OFFICER since 12/21/2007
JOHNSON, STEPHANIE (Individual) MANAGING EMPLOYEE since 06/01/2016
KACZOR, ELIZABETH (Individual) OFFICER since 09/30/2012
KIGHT, DANIEL (Individual) OFFICER since 09/30/2012
KILE, THOMAS (Individual) OFFICER since 12/21/2007
LANNING, DAVID (Individual) OFFICER since 05/01/2015
MANOR CARE INC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 08/17/2007
MCCORMICK, PATRICIA (Individual) OFFICER since 09/30/2012
NEUMANN, LINDA (Individual) OFFICER since 07/18/2008
ORMOND, PAUL (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/31/2011
ORMOND, PAUL (Individual) OPERATIONAL/MANAGERIAL CONTROL since 08/17/2007
QUALITY CARE PROPERTIES INC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 10/31/2016
SHIPMAN, DEAN (Individual) MANAGING EMPLOYEE since 05/01/2016

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