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Sixteen Acres Health And Rehabilitation Center Llc
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Ratings Deep Dive
5 Deficiencies found in last inspections
0 Penalties in last 3 years
0 Fines issued
| Citation | Date | Description | Severity |
|---|---|---|---|
| — | Dec 9, 2025 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D |
| — | Dec 9, 2025 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D |
| — | Dec 9, 2025 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D |
| — | Dec 9, 2025 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D |
| — | Dec 9, 2025 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | B |
0.3 RN Hours / Resident / Day
3.9 Total Nurse Hours / Resident / Day
42.9% RN Turnover Rate
4.0 Long-Stay QM Rating
2.0 Short-Stay QM Rating
109.5 Avg Residents Per Day
| Measure | Score | Type |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | — | Long Stay |
| Percentage of long-stay residents who lose too much weight | — | Long Stay |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | — | Long Stay |
| Percentage of long-stay residents with a urinary tract infection | — | Long Stay |
| Percentage of long-stay residents who have depressive symptoms | — | Long Stay |
| Percentage of long-stay residents who were physically restrained | — | Long Stay |
| Percentage of long-stay residents experiencing one or more falls with major injury | — | Long Stay |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | — | Long Stay |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | — | Short Stay |
| Percentage of short-stay residents who newly received an antipsychotic medication | — | Short Stay |
Ownership & Compliance
Ownership Info
5% OR GREATER DIRECT OWNERSHIP INTEREST BEAR MOUNTAIN HEALTHCARE LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST DOYLE, THOMAS
5% OR GREATER INDIRECT OWNERSHIP INTEREST WYNNE, JOHN
5% OR GREATER INDIRECT OWNERSHIP INTEREST ZISKIN, SCOTT
CORPORATE OFFICER DOYLE, THOMAS
CORPORATE OFFICER WYNNE, JOHN
CORPORATE OFFICER ZISKIN, SCOTT
W-2 MANAGING EMPLOYEE LECOURS, DARRYL
Recent Penalties
No penalty records found.
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