Balboa Island, LLC

Enrollment entity
Provider / enrollment organization Enrollment PAC 1850897117 Enrollment ID O20251005000039

Details

Linked facilitiesFacilities
1
StatesStates
1

12 parties: 3 organizations · 9 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Kalesta Healthcare Group, LLC7810240488Organization5% or Greater Direct Ownership Interest; Operational/Managerial Control; ADP of the SNF100
Ryan Williams6002043015Individual5% or Greater Indirect Ownership Interest; Corporate Officer; Operational/Managerial Control44.05
Scott Clawson0648409938Individual5% or Greater Indirect Ownership Interest; Corporate Officer; Operational/Managerial Control44.05
Micah Porter1658750799Individual5% or Greater Indirect Ownership Interest; Operational/Managerial Control7
Bridget Ellis6103322466IndividualOperational/Managerial Control; ADP of the SNF
Charles A Garretson5991603516IndividualOperational/Managerial Control; ADP of the SNF
Erik Taylor Ruhl8820594187IndividualOperational/Managerial Control; ADP of the SNF
Kai Shin Chen7911403274IndividualOperational/Managerial Control; ADP of the SNF
Steven Jones7315071883IndividualOperational/Managerial Control; ADP of the SNF
Unknown party4385140649IndividualIndirect Ownership Interest4.9
Unknown party2769988021OrganizationADP of the SNF
Pgim Real Estate Agency Financing, LLC3678079936Organization5% or Greater Security Interest100

Linked facilities

Facility Location Role / stake HPRD Ratings Census Flags
California Park Post Acute
Balboa Island, LLC
83 residents
Other disclo…
4.31Ovr★★★★★Stf★★☆☆☆Ins★★★★QM★★★★★83
  • Balboa Island, LLC
    Other disclosed role83 res4.31 HPRD
    Overall 5Staffing Staff 2

Ownership history

1 CMS ownership change record (showing 1)

EffectiveFacilityBuyerSellerSide
06/01/2025California Park Post AcuteBalboa Island, LLCChico Rehabilitation Hospital, LLCBuyer
  1. 06/01/2025
    Chico Rehabilitation Hospital, LLCBalboa Island, LLC
Related CMS associates

FEC political contributions FEC contributions Beta

Name match to Balboa Island, LLC in FEC filings. Similar names may appear—confirm on FEC.gov.