Apple Creek Health and Rehab, LLC

4792244817 · 1570 W Centerton Blvd, Centerton, AR 72719

Overview

Apple Creek Health and Rehab, LLC is a nursing home approved by U.S Centers for Medicare & Medicaid Services (CMS). The federal provider number is #045465. The provider type is Medicare and Medicaid. The ownership type is for profit - limited liability company. The address is 1570 W Centerton Blvd, Centerton, AR 72719. The overall rating is 4.

Federal Provider Number 045465
Provider Name APPLE CREEK HEALTH AND REHAB, LLC
Legal Business Name APPLE CREEK HEALTH AND REHAB, LLC
Address 1570 W Centerton Blvd
Centerton
AR 72719
County Benton
Telephone 4792244817
Ownership Type For profit - Limited Liability company
Provider Type Medicare and Medicaid
Date Approved 2017-09-12
Number of Certified Beds 114
Average Number of Residents per Day 80.6
Provider Resides in Hospital N
Continuing Care Retirement Community N
Abuse Icon N
Cited for abuse or neglect at harm level or above on survey cycle 1 (Scope/severity G or greater) or cited for abuse or neglect at potential harm level (Scope/Severity D or above) on both survey cycles 1 and 2.
Most Recent Health Inspection More Than 2 Years Ago N
Provider Changed Ownership in Last 12 Months N
With a Resident and Family Council Resident
Automatic Sprinkler Systems in All Required Areas Yes
Overall Rating 4
Health Inspection Rating 3
Quality Measure Rating 5
Long Stay Quality Measure Rating 5
Short Stay Quality Measure Rating 5
Staffing Rating 3
Registered Nurses Staffing Rating 1
Reported CNA Staffing Hours per Resident per Day 2.81628
Reported LPN Staffing Hours per Resident per Day 1.36531
Reported RN Staffing Hours per Resident per Day 0.31674
Reported Licensed Staffing Hours per Resident per Day 1.68204
Reported Total Nurse Staffing Hours per Resident per Day 4.49833
Reported Physical Therapist Staffing Hours per Resident Per Day 0.04541
Expected CNA Staffing Hours per Resident per Day 2.00025
Expected LPN Staffing Hours per Resident per Day 0.68246
Expected RN Staffing Hours per Resident per Day 0.42017
Expected Total Nurse Staffing Hours per Resident per Day 3.10289
Adjusted CNA Staffing Hours per Resident per Day 2.89871
Adjusted LPN Staffing Hours per Resident per Day 1.48223
Adjusted RN Staffing Hours per Resident per Day 0.30168
Adjusted Total Nurse Staffing Hours per Resident per Day 4.63897
Rating Cycle 1 Standard Survey Health Date 2020-01-10
Rating Cycle 1 Total Number of Health Deficiencies 8
Rating Cycle 1 Number of Standard Health Deficiencies 8
Rating Cycle 1 Number of Complavarchar Health Deficiencies 0
Rating Cycle 1 Health Deficiency Score 76
Rating Cycle 1 Number of Health Revisits 1
Rating Cycle 1 Health Revisit Score 0
Rating Cycle 1 Total Health Score 76
Rating Cycle 2 Standard Health Survey Date 2018-11-08
Rating Cycle 2 Total Number of Health Deficiencies 5
Rating Cycle 2 Number of Standard Health Deficiencies 5
Rating Cycle 2 Number of Complavarchar Health Deficiencies 0
Rating Cycle 2 Health Deficiency Score 40
Rating Cycle 2 Number of Health Revisits 1
Rating Cycle 2 Health Revisit Score 0
Rating Cycle 2 Total Health Score 40
Rating Cycle 3 Standard Health Survey Date 2017-09-12
Rating Cycle 3 Total Number of Health Deficiencies 0
Rating Cycle 3 Number of Standard Health Deficiencies 0
Rating Cycle 3 Number of Complavarchar Health Deficiencies 0
Rating Cycle 3 Health Deficiency Score 0
Rating Cycle 3 Number of Health Revisits 0
Rating Cycle 3 Health Revisit Score 0
Rating Cycle 3 Total Health Score 0
Total Weighted Health Survey Score 51.333
Number of Facility Reported Incidents 0
Number of Substantiated Complavarchars 0
Number of Citations from Infection Control Inspections 0
Number of Fines 0
Total Amount of Fines in Dollars 0.00
Number of Payment Denials 0
Total Number of Penalties 0
Processing Date 2021-05-01
Notes CMS: Centers for Medicare & Medicaid Services
CNA: Certified Nursing Assistant
LPN: Licensed Practical Nurse
RN: Registered Nurse

Ownership Information
APPLE CREEK HEALTH AND REHAB, LLC

Role PlayedOwner NameOwner TypeOwnership PercentageAssociation Date
5% OR GREATER DIRECT OWNERSHIP INTERESTHURSH, PARALEAIndividual10%since 11/05/2013
5% OR GREATER DIRECT OWNERSHIP INTERESTMORTON, MICHAELIndividual70%since 11/05/2013
5% OR GREATER DIRECT OWNERSHIP INTERESTNORSWORTHY, DAVIDIndividual10%since 11/05/2013
5% OR GREATER DIRECT OWNERSHIP INTERESTSAMS, JERRYIndividual10%since 11/05/2013
MANAGING EMPLOYEELORENZ, KERRIEIndividualsince 05/01/2017

Location Information

Street Address 1570 W CENTERTON BLVD
City CENTERTON
State AR
Zip Code 72719

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Apple Rehab Mystic · Mary Elizabeth Nursing Center. Inc. 28 Broadway, Mystic, CT 0635586053696551990-01-013
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Dataset Information

This dataset includes 15 thousand nursing homes approved by U.S Centers for Medicare & Medicaid Services (CMS) to provide Medicare & Medicaid services. CMS created Care Compare, a healthcare compare tool, for consumers to understand information about doctors, hospitals, and skilled nursing facilities. The information on nursing homes include number of certified beds, quality measure scores, staffing and other information used in the Five-Star Rating System.