JACC HEALTHCARE CENTER OF DANIELSON, LLC
Date of last update: 14 Apr 2025. Data updated weekly.
| Entity Name: | JACC HEALTHCARE CENTER OF DANIELSON, LLC |
| Jurisdiction: | Connecticut |
| Legal type: | LLC |
| Citizenship: | Domestic |
| Status: | Active |
| Sub status: | Annual report due |
| Date Formed: | 11 Sep 2014 |
| Business ALEI: | 1154253 |
| Annual report due: | 31 Mar 2026 |
| Business address: | 111 WESTCOTT ROAD, DANIELSON, CT, 06239, United States |
| Mailing address: | 111 WESTCOTT ROAD, DANIELSON, CT, United States, 06239 |
| ZIP code: | 06239 |
| County: | Windham |
| Place of Formation: | CONNECTICUT |
| E-Mail: | shimfisher@gmail.com |
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
| Name | Role |
|---|---|
| MCR&P SERVICE CORPORATION | Agent |
| Name | Role | Business address | Residence address |
|---|---|---|---|
| Martha Fisher | Officer | - | 98 Harvard St, Lakewood, NJ, 08701-2077, United States |
| SHIMSHON FISHER | Officer | 111 WESTCOTT RD, DANIELSON, CT, 06239, United States | 98 HARVARD ST, LAKEWOOD, NJ, 08701, United States |
| Simcha Krohn | Officer | - | 26 Birch St, Lakewood, NJ, 08701-4701, United States |
| Filing number | Filing date | Effective date | Filing category | Filing type | Report year |
|---|---|---|---|---|---|
| BF-0013042488 | 2025-02-21 | - | Annual Report | Annual Report | - |
| BF-0012366547 | 2024-02-19 | - | Annual Report | Annual Report | - |
| BF-0011732178 | 2024-02-19 | - | Annual Report | Annual Report | - |
| BF-0010753063 | 2022-11-18 | - | Annual Report | Annual Report | - |
| BF-0009926579 | 2022-06-24 | - | Annual Report | Annual Report | - |
| BF-0009648212 | 2022-06-24 | - | Annual Report | Annual Report | 2018 |
| BF-0009648213 | 2022-06-24 | - | Annual Report | Annual Report | 2019 |
| BF-0009648215 | 2022-06-24 | - | Annual Report | Annual Report | 2017 |
| BF-0009648214 | 2022-06-24 | - | Annual Report | Annual Report | 2020 |
| 0006515153 | 2019-04-01 | 2019-04-01 | Change of Agent | Agent Change | - |
| Inspection Nr | Report ID | Date Opened | Site Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 347581761 | 0112000 | 2024-06-27 | 111 WESTCOTT ROAD, DANIELSON, CT, 06239 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Type | Complaint |
| Activity Nr | 2179386 |
| Safety | Yes |
Violation Items
| Citation ID | 01001A |
| Citaton Type | Other |
| Standard Cited | 19040041 A01 I |
| Issuance Date | 2024-08-15 |
| Current Penalty | 1234.1 |
| Initial Penalty | 1763.0 |
| Final Order | 2024-10-22 |
| Nr Instances | 1 |
| Nr Exposed | 215 |
| FTA Current Penalty | 0.0 |
| Citation text line | 29 CFR 1904.41(a)(1)(i): The establishment had 20 or more employees but fewer than 250 employees at any time during the previous calendar year, and the establishment was classified in an industry listed in appendix A to subpart E of this part, and the employer did not electronically submit information from OSHA Form 300A Summary of Work-Related Injuries and Illnesses to OSHA or OSHA's designee by the specified date: JACC Healthcare Center of Danielson, LLC dba Davis Place, 111 Westcott Road, Danielson, Connecticut: On, or about, June 27, 2024 the employer had not submitted the 2023 OSHA 300A (Summary of Work-Related Injuries and Illnesses) data to the Injury Tracking Application database by March 2, 2024. The facility was classified under NAICS 623110 and had 215 employees. |
| Citation ID | 01001B |
| Citaton Type | Other |
| Standard Cited | 19040041 A02 |
| Issuance Date | 2024-08-15 |
| Current Penalty | 0.0 |
| Initial Penalty | 0.0 |
| Final Order | 2024-10-22 |
| Nr Instances | 1 |
| Nr Exposed | 215 |
| FTA Current Penalty | 0.0 |
| Citation text line | 29 CFR 1904.41(a)(2): Annual electronic submission of information from OSHA Form 300 Log of Work-Related Injuries and Illnesses and OSHA Form 301 Injury and Illness Incident Report by establishments with 100 or more employees in designated industries. If your establishment had 100 or more employees at any time during the previous calendar year, and your establishment is classified in an industry listed in appendix B to subpart E of this part, then you must electronically submit information from OSHA Forms 300 and 301 to OSHA or OSHA's designee. You must submit the information once a year, no later than the date listed in paragraph (c) of this section of the year after the calendar year covered by the forms: Located at JACC Healthcare of Danielson, LLC dba Davis Place, 111 Westcott Road, Danielson, Connecticut: On, or about, June 27, 2024, the employer had not submitted the 2023 OSHA 300 (Log of Work-Related Injuries and Illnesses) and 301's (Injuries and Illnesses Incident Report) or equivalent by March 2, 2024. The facility was classified under NAICS 623110 and had 215 employees. |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 9315867000 | 2020-04-09 | 0156 | PPP | 111 westcott Rd, DANIELSON, CT, 06239-2929 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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This table presents a concise summary of a company's liens and debts, detailing essential information such as the lien type, debt amount, associated parties, and current status of each financial obligation.
| Subsequent Filing No | Status | Type | Filing Date | Lapse Date | Filing Type | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 0005091199 | Active | OFS | 2022-09-06 | 2025-08-31 | AMENDMENT | |||||||||||||||||||
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| Name | JACC HEALTHCARE CENTER OF DANIELSON, LLC |
| Role | Debtor |
| Name | SECRETARY OF HOUSING AND URBAN DEVELOPMENT, OFFICE OF RESIDENTIAL CARE FACILITIES |
| Role | Secured Party |
| Name | HOUSING & HEALTHCARE FINANCE, LLC |
| Role | Secured Party |
Parties
| Name | JACC HEALTHCARE CENTER OF DANIELSON, LLC |
| Role | Debtor |
| Name | MIR SENIOR HOLDINGS LLC |
| Role | Secured Party |
Parties
| Name | JACC HEALTHCARE CENTER OF DANIELSON, LLC |
| Role | Debtor |
| Name | DMT SPE 1 LLC |
| Role | Secured Party |
Parties
| Name | SECRETARY OF HOUSING AND URBAN DEVELOPMENT, OFFICE OF RESIDENTIAL CARE FACILITIES |
| Role | Secured Party |
| Name | JACC HEALTHCARE CENTER OF DANIELSON, LLC |
| Role | Debtor |
| Name | HOUSING & HEALTHCARE FINANCE, LLC |
| Role | Secured Party |
Parties
| Name | SECRETARY OF HOUSING AND URBAN DEVELOPMENT, OFFICE OF RESIDENTIAL CARE FACILITIES |
| Role | Secured Party |
| Name | JACC HEALTHCARE CENTER OF DANIELSON, LLC |
| Role | Debtor |
| Name | HOUSING & HEALTHCARE FINANCE, LLC |
| Role | Secured Party |
Sources: Company Profile on Connecticut's Official State Website
* While we strive to keep this information correct and up-to-date, it is not the primary source, and the dataset source should always be referred to for definitive information