Whitehall Skilled Nursing Facility LLC

Enrollment entity

Provider / enrollment organization Enrollment PAC 1153707195 Enrollment ID O20220929000219

Linked facilitiesFacilities

StatesStates

15 parties: 8 organizations · 7 individuals

Owners & control parties

Name	Owner/control PAC	Type	Role(s)	%
Forbright Bank	7113238049	Organization	5% or Greater Security Interest; Operational/Managerial Control	100
Cindy Cohen	5698151645	Individual	Operational/Managerial Control; ADP of the SNF	—
John Sultan	0244224780	Individual	Operational/Managerial Control; ADP of the SNF	—
Legacy Healthcare Financial Services LLC	5799046132	Organization	Operational/Managerial Control; ADP of the SNF	—
Menachem Shabat	3072526219	Individual	Operational/Managerial Control; Managing Control - Governing Body; ADP of the SNF	—
Gpn Family Trust U/A/D 4/28/08	5294988994	Organization	5% or Greater Direct Ownership Interest	47.6
Doros Generation Trust U/A/D 1/3/12	6901110428	Organization	5% or Greater Direct Ownership Interest	20.4
Rajchenbach 2015 Family Trust	9638483159	Organization	5% or Greater Direct Ownership Interest	20
Oakway Operations LLC	6103212279	Organization	5% or Greater Direct Ownership Interest	12
Unknown party	0446746184	Individual	Indirect Ownership Interest	3.9
Unknown party	2062908700	Individual	Indirect Ownership Interest	3.9
Unknown party	3971099615	Individual	Indirect Ownership Interest	2.1
Unknown party	4880180520	Individual	Indirect Ownership Interest	2.1
Wh North Property, LLC	4082100821	Organization	5% or Greater Security Interest; ADP of the SNF	100
Rsm Us LLP	6305077611	Organization	ADP of the SNF	—

Forbright BankPAC 7113238049
Organization1005% or Greater Security Interest; Operational/Managerial Control
Cindy CohenPAC 5698151645
IndividualOperational/Managerial Control; ADP of the SNF
John SultanPAC 0244224780
IndividualOperational/Managerial Control; ADP of the SNF
Legacy Healthcare Financial Services LLCPAC 5799046132
OrganizationOperational/Managerial Control; ADP of the SNF
Menachem ShabatPAC 3072526219
IndividualOperational/Managerial Control; Managing Control - Governing Body
Gpn Family Trust U/A/D 4/28/08PAC 5294988994
Organization47.65% or Greater Direct Ownership Interest
Doros Generation Trust U/A/D 1/3/12PAC 6901110428
Organization20.45% or Greater Direct Ownership Interest
Rajchenbach 2015 Family TrustPAC 9638483159
Organization205% or Greater Direct Ownership Interest
Oakway Operations LLCPAC 6103212279
Organization125% or Greater Direct Ownership Interest
Unknown partyPAC 0446746184
Individual3.9Indirect Ownership Interest
Unknown partyPAC 2062908700
Individual3.9Indirect Ownership Interest
Unknown partyPAC 3971099615
Individual2.1Indirect Ownership Interest
Unknown partyPAC 4880180520
Individual2.1Indirect Ownership Interest
Wh North Property, LLCPAC 4082100821
Organization1005% or Greater Security Interest; ADP of the SNF
Rsm Us LLPPAC 6305077611
OrganizationADP of the SNF

Facility	Location	Role / stake	HPRD	Ratings	Census	Flags
Whitehall of Deerfield Whitehall Skilled Nursing Facility LLC 132 residents		Other disclo…	4.64	Ovr★★★☆☆Stf★★★★☆Ins★★★☆☆QM★★★☆☆	132

Whitehall of Deerfield
Whitehall Skilled Nursing Facility LLC
Other disclosed role132 res4.64 HPRD
Overall 3Staffing Staff 4

1 CMS ownership change record (showing 1)

Effective	Facility	Buyer	Seller	Side
08/22/2022	Whitehall of Deerfield	Whitehall Skilled Nursing Facility LLC	Whitehall North, L.L.C.	Buyer

08/22/2022
Whitehall of Deerfield (Buyer)
Whitehall North, L.L.C. → Whitehall Skilled Nursing Facility LLC

Related CMS associates

Name match to Whitehall Skilled Nursing Facility LLC in FEC filings. Similar names may appear—confirm on FEC.gov.