Oak River Rehab
3300 Franklin Street, Anderson, CA 96007


Oak River Rehab is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 555147. The address is 3300 Franklin Street, Anderson, CA 96007. The zip code is 96007. The phone number is 5303650025.


Oak River Rehab · 3300 Franklin Street, Anderson, CA 96007

Federal Provider Number 555147
Provider Name OAK RIVER REHAB
Address 3300 FRANKLIN STREET
ANDERSON, CA 96007
Phone Number 5303650025
SSA County Code 550
County Name Shasta
Ownership Type For profit - Corporation
Certified Beds 143
Certified Beds Residents 114
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name MAGNOLIA HOLDINGS, LLC
Date First Approved to Provide Medicare Medicaid Services 06/10/1982
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 2
Quality Measure Rating 5
Staffing Rating 4
RN Staffing Rating 3
Reported CNA Staffing Hours per Resident per Day 2.60395
Reported LPN Staffing Hours per Resident per Day 1.4136
Reported RN Staffing Hours per Resident per Day 0.64693
Reported Licensed Staffing Hours per Resident per Day 2.06053
Reported Total Nurse Staffing Hours per Resident per Day 4.66448
Reported Physical Therapist Staffing Hours per Resident Per Day 0.15658
Expected CNA Staffing Hours per Resident per Day 2.35076
Expected LPN Staffing Hours per Resident per Day 0.61695
Expected RN Staffing Hours per Resident per Day 1.07768
Expected Total Nurse Staffing Hours per Resident per Day 4.04539
Adjusted CNA Staffing Hours per Resident per Day 2.71798
Adjusted LPN Staffing Hours per Resident per Day 1.90174
Adjusted RN Staffing Hours per Resident per Day 0.44854
Adjusted Total Nurse Staffing Hours per Resident per Day 4.64778
Cycle 1 Total Number of Health Deficiencies 14
Cycle 1 Number of Standard Health Deficiencies 14
Cycle 1 Health Deficiency Score 104
Cycle 1 Standard Survey Health Date 03/30/2017
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 104
Cycle 2 Total Number of Health Deficiencies 10
Cycle 2 Number of Standard Health Deficiencies 9
Cycle 2 Number of Complaint Health Deficiencies 1
Cycle 2 Health Deficiency Score 64
Cycle 2 Standard Health Survey Date 01/07/2016
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 64
Cycle 3 Total Number of Health Deficiencies 12
Cycle 3 Number of Standard Health Deficiencies 7
Cycle 3 Number of Complaint Health Deficiencies 5
Cycle 3 Health Deficiency Score 64
Cycle 3 Standard Health Survey Date 11/06/2014
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 64
Total Weighted Health Survey Score 84
Number of Facility Reported Incidents 1
Number of Substantiated Complaints 3
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · Oak River Rehab

Owner Name Role Association Date
ALLPRO, INC. (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/07/2012
ANDERSON, NICKLAS (Individual) OFFICER since 01/15/2017
ANDERSON, NICKLAS (Individual) OPERATIONAL/MANAGERIAL CONTROL since 01/15/2017
AUBURN MANOR HOLDING CORP (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/07/2012
BALLIF, MARK (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/07/2012
BALLIF, MARK (Individual) DIRECTOR since 12/01/2006
BAY BRIDGE CAPITAL PARTNERS, LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/07/2012
CROSSWINDS TRUST (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/07/2012
FLOWER FARM GROUP, LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/07/2012
HAKIM, NAVEED (Individual) OFFICER since 01/15/2017
HAKIM, NAVEED (Individual) OPERATIONAL/MANAGERIAL CONTROL since 01/15/2017
HEALTHCARE FINANCIAL SOLUTIONS, LLC (Organization) 5% OR GREATER MORTGAGE INTEREST since 11/30/2015
HORIZON WEST HEALTHCARE, INC. (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/07/2012
HUBBARD, PAUL (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/07/2012
HUBBARD, PAUL (Individual) DIRECTOR since 12/01/2006
NEW SISU HOLDCO, LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 01/01/2007
OPCO HOLDINGS LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/07/2012
PLUM HEALTHCARE GROUP, LLC (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
since 12/01/2006
PUGH, PHYLLIS (Individual) OFFICER since 08/01/2013
PUGH, PHYLLIS (Individual) OPERATIONAL/MANAGERIAL CONTROL since 08/01/2013
SISU HOLDINGS, LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/07/2012
TENNEY, ANDREW (Individual) MANAGING EMPLOYEE since 06/01/2013
TENNEY, ANDREW (Individual) OFFICER since 06/01/2013

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