Waters Edge Rehabilitation and Care Center
3415 N Sheridan Rd, Kenosha, WI 53140


Waters Edge Rehabilitation and Care Center is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 525281. The address is 3415 N Sheridan Rd, Kenosha, WI 53140. The zip code is 53140. The phone number is 2626576175.


Waters Edge Rehabilitation and Care Center · 3415 N Sheridan Rd, Kenosha, WI 53140

Federal Provider Number 525281
Provider Name WATERS EDGE REHABILITATION AND CARE CENTER
Address 3415 N SHERIDAN RD
KENOSHA, WI 53140
Phone Number 2626576175
SSA County Code 290
County Name Kenosha
Ownership Type For profit - Corporation
Certified Beds 159
Certified Beds Residents 75
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name WOODSTOCK HEALTH CARE LLC
Date First Approved to Provide Medicare Medicaid Services 12/01/1976
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 1
Health Inspection Rating 1
Quality Measure Rating 4
Staffing Rating 3
RN Staffing Rating 3
Reported CNA Staffing Hours per Resident per Day 2.47133
Reported LPN Staffing Hours per Resident per Day 0.77667
Reported RN Staffing Hours per Resident per Day 0.68333
Reported Licensed Staffing Hours per Resident per Day 1.46
Reported Total Nurse Staffing Hours per Resident per Day 3.93133
Reported Physical Therapist Staffing Hours per Resident Per Day 0.13533
Expected CNA Staffing Hours per Resident per Day 2.58304
Expected LPN Staffing Hours per Resident per Day 0.75945
Expected RN Staffing Hours per Resident per Day 1.06696
Expected Total Nurse Staffing Hours per Resident per Day 4.40945
Adjusted CNA Staffing Hours per Resident per Day 2.34758
Adjusted LPN Staffing Hours per Resident per Day 0.84882
Adjusted RN Staffing Hours per Resident per Day 0.47854
Adjusted Total Nurse Staffing Hours per Resident per Day 3.59383
Cycle 1 Total Number of Health Deficiencies 7
Cycle 1 Number of Standard Health Deficiencies 7
Cycle 1 Health Deficiency Score 107
Cycle 1 Standard Survey Health Date 12/12/2016
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 107
Cycle 2 Total Number of Health Deficiencies 15
Cycle 2 Number of Standard Health Deficiencies 11
Cycle 2 Number of Complaint Health Deficiencies 11
Cycle 2 Health Deficiency Score 80
Cycle 2 Standard Health Survey Date 09/22/2015
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 80
Cycle 3 Total Number of Health Deficiencies 30
Cycle 3 Number of Standard Health Deficiencies 19
Cycle 3 Number of Complaint Health Deficiencies 11
Cycle 3 Health Deficiency Score 176
Cycle 3 Standard Health Survey Date 06/17/2014
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 176
Total Weighted Health Survey Score 109.5
Number of Facility Reported Incidents 6
Number of Substantiated Complaints 13
Number of Fines 1
Total Amount of Fines in Dollars $88728.00
Total Number of Penalties 1
Processing Date 08/01/2017

Owner or Manager · Waters Edge Rehabilitation and Care Center

Owner Name Role Association Date
BIENSTOCK, JUDAH (Individual) 5% OR GREATER DIRECT OWNERSHIP INTEREST
15%
since 06/01/2014
BIENSTOCK, JUDAH (Individual) DIRECTOR since 06/01/2014
BIENSTOCK, JUDAH (Individual) OFFICER since 06/01/2014
EINERSON, DARLENE (Individual) MANAGING EMPLOYEE since 06/01/2014
FENSTERMAN, HOWARD (Individual) 5% OR GREATER DIRECT OWNERSHIP INTEREST
15%
since 06/01/2014
FENSTERMAN, HOWARD (Individual) DIRECTOR since 06/01/2014
FENSTERMAN, JORDAN (Individual) 5% OR GREATER DIRECT OWNERSHIP INTEREST
8%
since 06/01/2014
FENSTERMAN, JORDAN (Individual) DIRECTOR since 06/01/2014
JEREMIAS, BARUCH (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
19%
since 06/01/2014
JEREMIAS, BARUCH (Individual) DIRECTOR since 06/01/2014
LANDA, BENJAMIN (Individual) 5% OR GREATER DIRECT OWNERSHIP INTEREST
26%
since 06/01/2014
LANDA, BENJAMIN (Individual) DIRECTOR since 06/01/2014
MIDWEST GERIATRIC MANAGEMENT LLC (Organization) OPERATIONAL/MANAGERIAL CONTROL since 06/01/2014
OHWI HOLDINGS LIMITED LIABILITY COMPANY (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
19%
since 06/01/2014
TAUB, MIRIAM (Individual) 5% OR GREATER DIRECT OWNERSHIP INTEREST
15%
since 06/01/2014
TAUB, MIRIAM (Individual) DIRECTOR since 06/01/2014

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