| Name: | 735 PUTNAM PIKE OPERATIONS LLC |
| Jurisdiction: | Rhode Island |
| Entity type: | Foreign Limited Liability Company |
| Status: | Activ |
| Date of Organization in Rhode Island: | 14 Aug 2008 (17 years ago) |
| Identification Number: | 000485358 |
| Place of Formation: | DELAWARE |
| Principal Address: | 101 EAST STATE STREET, KENNETT SQUARE, PA, 19348, USA |
| Mailing Address: | 101 E STATE STREET, KENNETT SQUARE, PA, 19348, USA |
| Purpose: | OPERATOR OF HEALTHCARE FACILITY |
| Fictitious names: |
Greenville Skilled Nursing and Rehabilitation (trading name, 2008-08-28 - ) |
NAICS
623110 Nursing Care Facilities (Skilled Nursing Facilities)This industry comprises establishments primarily engaged in providing inpatient nursing and rehabilitative services. The care is generally provided for an extended period of time to individuals requiring nursing care. These establishments have a permanent core staff of registered or licensed practical nurses who, along with other staff, provide nursing and continuous personal care services. Learn more at the U.S. Census Bureau
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1093966608 | 2008-10-02 | 2024-05-27 | 735 PUTNAM PIKE, GREENVILLE, RI, 028281435, US | 735 PUTNAM PIKE, GREENVILLE, RI, 028281435, US | |||||||||||||||||||||||||
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| Phone | +1 401-949-1200 |
| Fax | 4019490968 |
Authorized person
| Name | MICHAEL T BERG |
| Role | SECRETARY |
| Phone | 5054684742 |
Taxonomy
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| License Number | LTC00734 |
| State | RI |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | PP75164 |
| State | RI |
| Name | Role | Address |
|---|---|---|
| CORPORATION SERVICE COMPANY | Agent | 222 JEFFERSON BOULEVARD SUITE 200, WARWICK, RI, 02888, USA |
| Name | Role | Address |
|---|---|---|
| MICHAEL S SHERMAN | Manager | 101 E. STATE STREET KENNETT SQUARE, PA 19348 USA |
| MICHAEL BERG | Manager | 101 E. STATE STREET KENNETT SQUARE, PA 19348 USA |
| KEITH NAUSE | Manager | 101 E STATE STREET KENNETT SQUARE, PA 19348 USA |
| SEAN STEVENSON | Manager | 101 E STATE STREET KENNETT SQUARE, PA 19348 USA |
| STEPHEN S YOUNG | Manager | 101 E. STATE STREET KENNETT SQUARE, PA 19348 USA |
| Number | Name | File Date |
|---|---|---|
| 202450247530 | Annual Report | 2024-04-05 |
| 202340044520 | Annual Report | 2023-08-01 |
| 202337928060 | Revocation Notice For Failure to File An Annual Report | 2023-06-16 |
| 202220602240 | Annual Report | 2022-06-28 |
| 202219879420 | Revocation Notice For Failure to File An Annual Report | 2022-06-22 |
| 202102788840 | Annual Report | 2021-10-06 |
| 202066660910 | Annual Report | 2020-10-20 |
| 201924959940 | Annual Report | 2019-10-22 |
| 201879750070 | Annual Report | 2018-10-19 |
| 201751710150 | Annual Report | 2017-10-24 |
| Contract Type | Award or IDV Flag | PIID | Start Date | Current End Date | Potential End Date | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DELIVERY ORDER | AWARD | VA241BO0117FY10 | 2009-10-01 | 2010-09-30 | 2010-09-30 | |||||||||||||||||||||||||
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| Obligated Amount | 637422.00 |
| Current Award Amount | 637422.00 |
| Potential Award Amount | 637422.00 |
Description
| Title | NURSING HOME FPDS FOR 1358 PAYMENTS FY10 |
| NAICS Code | 623110: NURSING CARE FACILITIES |
| Product and Service Codes | Q402: NURSING HOME CARE CONTRACTS |
Recipient Details
| Recipient | 735 PUTNAM PIKE OPERATIONS LLC |
| UEI | JQ28W2N7MTC5 |
| Recipient Address | 735 PUTNAM PIKE, GREENVILLE, PROVIDENCE, RHODE ISLAND, 028281435, UNITED STATES |
| Unique Award Key | CONT_AWD_VA650C95077_3600_VA241BO0117_3600 |
| Awarding Agency | Department of Veterans Affairs |
| Link | View Page |
Award Amounts
| Obligated Amount | 87337.70 |
| Current Award Amount | 87337.70 |
| Potential Award Amount | 87337.70 |
Description
| Title | COMMUNITY NURSING HOME SERVICES 38 USC 1720 |
| NAICS Code | 623110: NURSING CARE FACILITIES |
| Product and Service Codes | Q402: NURSING HOME CARE CONTRACTS |
Recipient Details
| Recipient | 735 PUTNAM PIKE OPERATIONS LLC |
| UEI | JQ28W2N7MTC5 |
| Recipient Address | 735 PUTNAM PIKE, GREENVILLE, PROVIDENCE, RHODE ISLAND, 028281435, UNITED STATES |
| Unique Award Key | CONT_IDV_VA241BO0117_3600 |
| Awarding Agency | Department of Veterans Affairs |
| Link | View Page |
Description
| Title | NURSING HOME |
| NAICS Code | 623110: NURSING CARE FACILITIES (SKILLED NURSING FACILITIES) |
| Product and Service Codes | Q402: NURSING HOME CARE CONTRACTS |
Recipient Details
| Recipient | 735 PUTNAM PIKE OPERATIONS LLC |
| UEI | JQ28W2N7MTC5 |
| Legacy DUNS | 830153529 |
| Recipient Address | 735 PUTNAM PIKE, GREENVILLE, 028281435, UNITED STATES |
| Inspection Nr | Report ID | Date Opened | Site Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 345878359 | 0112300 | 2022-04-05 | 735 PUTNAM PIKE, GREENVILLE, RI, 02828 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Type | Inspection |
| Activity Nr | 1589733 |
| Health | Yes |
| Type | Inspection |
| Activity Nr | 1477127 |
| Health | Yes |
Violation Items
| Citation ID | 01001 |
| Citaton Type | Serious |
| Standard Cited | 19100134 F05 |
| Issuance Date | 2022-09-29 |
| Abatement Due Date | 2022-12-02 |
| Current Penalty | 10151.4 |
| Initial Penalty | 14502.0 |
| Final Order | 2022-10-20 |
| Nr Instances | 1 |
| Nr Exposed | 100 |
| Gravity | 10 |
| FTA Current Penalty | 0.0 |
| Citation text line | 29 CFR 1910.134(f)(5): The fit test was not administered using an OSHA-accepted qualitative fit test or quantitative fit test protocol: (a) Facility: On or about 4/5/2022 fit testing was not administered in accordance with an accepted OSHA qualified qualitative fit test protocol found in 29 CFR 1910.134 Appendix A - "Fit Testing Procedures (Mandatory)". The employer required employees to wear N95 filtering facepiece respirators to protect against the SARS-CoV-2 Virus while providing care to suspected and confirmed positive residents. |
| Inspection Type | Fat/Cat |
| Scope | Partial |
| Safety/Health | Health |
| Close Conference | 2020-06-03 |
| Case Closed | 2022-02-07 |
Related Activity
| Type | Accident |
| Activity Nr | 1599354 |
Violation Items
| Citation ID | 01001A |
| Citaton Type | Serious |
| Standard Cited | 19100134 E01 |
| Issuance Date | 2020-10-29 |
| Abatement Due Date | 2022-02-14 |
| Current Penalty | 6747.0 |
| Initial Penalty | 13494.0 |
| Contest Date | 2020-11-19 |
| Final Order | 2021-12-31 |
| Nr Instances | 1 |
| Nr Exposed | 93 |
| Gravity | 5 |
| FTA Current Penalty | 0.0 |
| Citation text line | 29 CFR 1910.134(e)(1): The employer did not provide a medical evaluation to determine the employee's ability to use a respirator, before the employee was fit tested or required to use the respirator in the workplace. Nursing Home Center: On or about April 30, 2020, where N95 filtering face piece respirators were required to be worn by employees exposed to the SARS-CoV-2 virus while conducting the administration of medications, feeding, dressing, grooming, toileting, and bed bathing, to presumed and confirmed COVID-19 positive residents, medical evaluations were not provided. |
| Citation ID | 01001B |
| Citaton Type | Serious |
| Standard Cited | 19100134 F02 |
| Issuance Date | 2020-10-29 |
| Abatement Due Date | 2022-02-14 |
| Current Penalty | 0.0 |
| Initial Penalty | 0.0 |
| Contest Date | 2020-11-19 |
| Final Order | 2021-12-31 |
| Nr Instances | 1 |
| Nr Exposed | 93 |
| Gravity | 10 |
| FTA Current Penalty | 0.0 |
| Citation text line | 29 CFR 1910.134(f)(2): Employee(s) using tight-fitting facepiece respirators were not fit-tested prior to initial use of the respirator. Nursing Home Center: On or about April 30, 2020, where N95 filtering face piece respirators were required to be worn by employees exposed to the SARS-CoV-2 virus while conducting the administration of medications, feeding, dressing, grooming, toileting, and bed bathing, to presumed and confirmed COVID-19 positive residents, fit-testing was not provided. |
| Citation ID | 01001C |
| Citaton Type | Serious |
| Standard Cited | 19100134 K01 |
| Issuance Date | 2020-10-29 |
| Abatement Due Date | 2022-02-14 |
| Current Penalty | 0.0 |
| Initial Penalty | 0.0 |
| Contest Date | 2020-11-19 |
| Final Order | 2021-12-31 |
| Nr Instances | 1 |
| Nr Exposed | 93 |
| Gravity | 10 |
| FTA Current Penalty | 0.0 |
| Citation text line | 29 CFR 1910.134(k)(1): The employer did not ensure that each employee could demonstrate knowledge of the requirements listed in 1910.134(k)(1)(i) through (k)(1)(vii). Nursing Home Center: On or about April 30, 2020, where N95 filtering face piece respirators were required to be worn by employees exposed to the SARS-CoV-2 virus while conducting the administration of medications, feeding, dressing, grooming, toileting, and bed bathing, to presumed and confirmed COVID-19 positive residents, respirator training was not provided. |
| Citation ID | 02001 |
| Citaton Type | Other |
| Standard Cited | 19040004 A |
| Issuance Date | 2020-10-29 |
| Abatement Due Date | 2020-11-09 |
| Current Penalty | 0.0 |
| Initial Penalty | 1928.0 |
| Contest Date | 2020-11-19 |
| Final Order | 2021-12-31 |
| Nr Instances | 1 |
| Nr Exposed | 1 |
| FTA Current Penalty | 0.0 |
| Citation text line | 29 CFR 1904.4(a): The employer did not record each work-related fatality, injury or illness case that resulted in the general recording criteria on the OSHA Form 300 or equivalent. Nursing Home Center: On June 1, 2020, a nursing home employee died from COVID-19 related complications and her death was not recorded on the 2020 OSHA Form 300. |
Date of last update: 09 May 2025
Sources: Rhode Island Department of State
