Community Memorial Home at Osakis Minn Incorporated

Enrollment entity

Provider / enrollment organization Enrollment PAC 2668631789 Enrollment ID O20120309000163

Linked facilitiesFacilities

StatesStates

9 parties: 0 organizations · 9 individuals

Owners & control parties

Name	Owner/control PAC	Type	Role(s)	%
Paul W Bergstrand	3274673140	Individual	Operational/Managerial Control; ADP of the SNF	—
John Temple	2466611587	Individual	Corporate Officer	0
Neil Johnson	3375702491	Individual	Corporate Officer	0
Georgia Thesing	9638338759	Individual	Corporate Officer	0
Juanita Klukken	2668830878	Individual	Corporate Director	0
Bernice Bernadette Kostrzewsk	0143506550	Individual	Corporate Director	0
Sandi Kay Benson	9234415647	Individual	Corporate Director	0
Janice Moore	0547429664	Individual	Corporate Director	0
Robin Curtis	8325443401	Individual	Corporate Director	—

Paul W BergstrandPAC 3274673140
IndividualOperational/Managerial Control; ADP of the SNF
John TemplePAC 2466611587
Individual0Corporate Officer
Neil JohnsonPAC 3375702491
Individual0Corporate Officer
Georgia ThesingPAC 9638338759
Individual0Corporate Officer
Juanita KlukkenPAC 2668830878
Individual0Corporate Director
Bernice Bernadette KostrzewskPAC 0143506550
Individual0Corporate Director
Sandi Kay BensonPAC 9234415647
Individual0Corporate Director
Janice MoorePAC 0547429664
Individual0Corporate Director
Robin CurtisPAC 8325443401
IndividualCorporate Director

Facility	Location	Role / stake	HPRD	Ratings	Census	Flags
Galeon Community Memorial Home at Osakis Minn Incorporated 31 residents		Other disclo…	5.37	Ovr★★★★★Stf★★★★★Ins★★★★★QM★★★☆☆	31

Galeon
Community Memorial Home at Osakis Minn Incorporated
Other disclosed role31 res5.37 HPRD
Overall 5Staffing Staff 5

Related CMS associates

Name match to Community Memorial Home at Osakis Minn Incorporated in FEC filings. Similar names may appear—confirm on FEC.gov.