| Name: | 981 KINGS TOWN ROAD OPERATING COMPANY, LLC |
| Jurisdiction: | Rhode Island |
| Entity type: | Foreign Limited Liability Company |
| Status: | Activ |
| Date of Organization in Rhode Island: | 03 Sep 2010 (15 years ago) |
| Identification Number: | 000550776 |
| ZIP code: | 02879 |
| County: | Washington County |
| Place of Formation: | DELAWARE |
| Principal Address: | 55 SCALLOP SHELL WAY, PEACE DALE, RI, 02879, USA |
| Mailing Address: | 641 LEXINGTON AVENUE FLOOR 18, NEW YORK, NY, 10022, USA |
| Purpose: | SKILLED NURSING |
| Fictitious names: |
Elderwood of Scallop Shell at Wakefield (trading name, 2016-01-08 - ) Scallop Shell Nursing and Rehabilitation Center (trading name, 2011-01-25 - ) |
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 | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1679874135 | 2010-11-15 | 2023-01-19 | 500 SENECA ST STE 100, BUFFALO, NY, 142041963, US | 55 SCALLOP SHELL WAY, PEACE DALE, RI, 028793045, US | |||||||||||||||||||||
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| Phone | +1 716-633-3900 |
| Phone | +1 401-789-3006 |
Authorized person
| Name | DR. JEFFREY RUBIN |
| Role | CO-CHIEF EXECUTIVE OFFICER |
| Phone | 7168175075 |
Taxonomy
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | RHODE ISLAND DEPARTMENT OF HEALTH |
| Number | LTC00352 |
| State | RI |
| Name | Role | Address |
|---|---|---|
| CORPORATION SERVICE COMPANY | Agent | 222 JEFFERSON BOULEVARD SUITE 200, WARWICK, RI, 02888, USA |
| Name | Role | Address |
|---|---|---|
| WARREN COLE | MANAGER | 641 LEXINGTON AVENUE, FLOOR 18 NEW YORK, NY 10022 USA |
| JEFFREY RUBIN | MANAGER | 641 LEXINGTON AVENUE, FLOOR 18 NEW YORK, NY 10022 USA |
| Number | Name | File Date |
|---|---|---|
| 202449978780 | Annual Report | 2024-04-02 |
| 202332309350 | Annual Report | 2023-04-04 |
| 202209848960 | Annual Report | 2022-02-09 |
| 202102464960 | Annual Report | 2021-10-01 |
| 202053830490 | Annual Report | 2020-09-11 |
| 201917218650 | Annual Report | 2019-09-03 |
| 201876770990 | Annual Report | 2018-09-06 |
| 201749248810 | Annual Report | 2017-09-06 |
| 201608269530 | Annual Report | 2016-09-01 |
| 201690254050 | Fictitious Business Name Statement | 2016-01-08 |
| Inspection Nr | Report ID | Date Opened | Site Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 348013848 | 0112300 | 2025-01-31 | 55 SCALLOP SHELL WAY, SOUTH KINGSTOWN, RI, 02879 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Type | Complaint |
| Activity Nr | 2257662 |
| Safety | Yes |
| Inspection Type | Planned |
| Scope | Complete |
| Safety/Health | Health |
| Close Conference | 2014-02-06 |
| Emphasis | N: NURSING, P: NURSING |
| Case Closed | 2014-09-25 |
Violation Items
| Citation ID | 01001 |
| Citaton Type | Other |
| Standard Cited | 19100151 C |
| Issuance Date | 2014-03-05 |
| Abatement Due Date | 2014-04-06 |
| Current Penalty | 0.0 |
| Initial Penalty | 2025.0 |
| Final Order | 2014-04-08 |
| Nr Instances | 1 |
| Nr Exposed | 5 |
| FTA Current Penalty | 0.0 |
| Citation text line | 29 CFR 1910.151(c): Where the eyes or body of any person may be exposed to injurious corrosive materials, suitable facilities for quick drenching or flushing of the eyes and body were not provided within the work area for immediate emergency use: Laundry Area: Employees who work with, and handle, corrosive laundry chemicals did not have access to a suitable eyewash facility within immediate use in the event of a splash to the eyes. |
| Citation ID | 01002 |
| Citaton Type | Serious |
| Standard Cited | 19100212 A01 |
| Issuance Date | 2014-03-05 |
| Abatement Due Date | 2014-04-06 |
| Current Penalty | 2000.0 |
| Initial Penalty | 2700.0 |
| Final Order | 2014-04-08 |
| Nr Instances | 1 |
| Nr Exposed | 5 |
| Gravity | 5 |
| FTA Current Penalty | 0.0 |
| Citation text line | 29 CFR 1910.212(a)(1): One or more methods of machine guarding shall be provided to protect the operator and other employees in the machine area from hazards such as those created by point of operation, ingoing nip points, rotating parts, flying chips and sparks: Facility: Employees using a trash compactor are exposed to crushing and amputation hazards from the moving ram that compacts the debris. The unit does not have a guard covering the point of operation, nor does it have an adequate means of shutdown in the event an employee inadvertently places a hand or other body part in the point of operation. |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 5837997210 | 2020-04-27 | 0165 | PPP | 55 Scallop Shell Way, WAKEFIELD, RI, 02879-3045 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 14 Oct 2024
Sources: Rhode Island Department of State
