Malvern SNF Operations LLC

Enrollment entity

Provider / enrollment organization Enrollment PAC 1456785526 Enrollment ID O20191223002135

Linked facilitiesFacilities

StatesStates

7 parties: 4 organizations · 3 individuals

Owners & control parties

Name	Owner/control PAC	Type	Role(s)	%
Chyra D Worthington	4880774637	Individual	Operational/Managerial Control; ADP of the SNF	—
4P2T1 Ops Holding LP	8820329444	Organization	5% or Greater Direct Ownership Interest	100
Jej Assets LP	0840566220	Organization	5% or Greater Indirect Ownership Interest	100
John F Ponthie	6800708710	Individual	5% or Greater Indirect Ownership Interest; Corporate Officer; ADP of the SNF	100, 50
Sharlot Ponthie	7911399258	Individual	5% or Greater Indirect Ownership Interest	50
ALEXARK1 LLC	4284965807	Organization	General Partnership Interest	100
Jej Management, LLC	4385036623	Organization	General Partnership Interest	100

Chyra D WorthingtonPAC 4880774637
IndividualOperational/Managerial Control; ADP of the SNF
4P2T1 Ops Holding LPPAC 8820329444
Organization1005% or Greater Direct Ownership Interest
Jej Assets LPPAC 0840566220
Organization1005% or Greater Indirect Ownership Interest
John F PonthiePAC 6800708710
Individual100, 505% or Greater Indirect Ownership Interest; Corporate Officer
Sharlot PonthiePAC 7911399258
Individual505% or Greater Indirect Ownership Interest
ALEXARK1 LLCPAC 4284965807
Organization100General Partnership Interest
Jej Management, LLCPAC 4385036623
Organization100General Partnership Interest

Facility	Location	Role / stake	HPRD	Ratings	Census	Flags
Arbor Oaks Healthcare and Rehabilitation Center Malvern SNF Operations LLC 65 residents		Other disclo…	3.72	Ovr★★★☆☆Stf★★★★☆Ins★★★☆☆QM★★★★☆	65

Arbor Oaks Healthcare and Rehabilitation Center
Malvern SNF Operations LLC
Other disclosed role65 res3.72 HPRD
Overall 3Staffing Staff 4

1 CMS ownership change record (showing 1)

Effective	Facility	Buyer	Seller	Side
09/01/2019	Arbor Oaks Healthcare and Rehabilitation Center	Malvern SNF Operations LLC	Malvern Progressive Eldercare Services Inc	Buyer

09/01/2019
Arbor Oaks Healthcare and Rehabilitation Center (Buyer)
Malvern Progressive Eldercare Services Inc → Malvern SNF Operations LLC

Related CMS associates

Name match to Malvern SNF Operations LLC in FEC filings. Similar names may appear—confirm on FEC.gov.