Statesman Health & Rehabilitation Center LLC

Enrollment entity

Provider / enrollment organization Enrollment PAC 2769745314 Enrollment ID O20180412000041

Linked facilitiesFacilities

StatesStates

17 parties: 11 organizations · 6 individuals

Owners & control parties

Name	Owner/control PAC	Type	Role(s)	%
Saber Governance LLC	4082946025	Organization	Operational/Managerial Control	100
Cody William Meenan	7911151204	Individual	Operational/Managerial Control	0
Sanjay P Bhatia	7911916127	Individual	Contracted Managing Employee	0
Cindy Woodward	3476569385	Individual	W-2 Managing Employee	100
Saber Pa Holdings, LLC	4981043908	Organization	5% or Greater Indirect Ownership Interest	100
Wwbv Holdings LLC	1355677733	Organization	5% or Greater Indirect Ownership Interest	100
Shh Holdings LLC	9537495916	Organization	5% or Greater Indirect Ownership Interest	100
Saber Healthcare Holdings LLC	0547443889	Organization	5% or Greater Indirect Ownership Interest	100
Decanted William I. Weisberg Family Dynasty Trust (Dated Sept 30, 2020	9638330749	Organization	5% or Greater Indirect Ownership Interest	67
Wiw Dynasty LLC	6800150111	Organization	5% or Greater Indirect Ownership Interest	67
Benjamin N. Volpe Family Dynasty Trust (Dated December 29, 2020)	2163758541	Organization	5% or Greater Indirect Ownership Interest	33
Bnv Dynasty LLC	4789091513	Organization	5% or Greater Indirect Ownership Interest	33
Benjamin N Volpe	4880850502	Individual	Corporate Officer; Corporate Director	0, 50
William I Weisberg	7113834037	Individual	Corporate Officer; Corporate Director	0, 50
Gregory Nicoluzakis	3870829252	Individual	Corporate Officer	0
Shg Management LLC	4082046800	Organization	Other	0
Saber Healthcare Group LLC	4688633944	Organization	Other	—

Saber Governance LLCPAC 4082946025
Organization100Operational/Managerial Control
Cody William MeenanPAC 7911151204
Individual0Operational/Managerial Control
Sanjay P BhatiaPAC 7911916127
Individual0Contracted Managing Employee
Cindy WoodwardPAC 3476569385
Individual100W-2 Managing Employee
Saber Pa Holdings, LLCPAC 4981043908
Organization1005% or Greater Indirect Ownership Interest
Wwbv Holdings LLCPAC 1355677733
Organization1005% or Greater Indirect Ownership Interest
Shh Holdings LLCPAC 9537495916
Organization1005% or Greater Indirect Ownership Interest
Saber Healthcare Holdings LLCPAC 0547443889
Organization1005% or Greater Indirect Ownership Interest
Decanted William I. Weisberg Family Dynasty Trust (Dated Sept 30, 2020PAC 9638330749
Organization675% or Greater Indirect Ownership Interest
Wiw Dynasty LLCPAC 6800150111
Organization675% or Greater Indirect Ownership Interest
Benjamin N. Volpe Family Dynasty Trust (Dated December 29, 2020)PAC 2163758541
Organization335% or Greater Indirect Ownership Interest
Bnv Dynasty LLCPAC 4789091513
Organization335% or Greater Indirect Ownership Interest
Benjamin N VolpePAC 4880850502
Individual0, 50Corporate Officer; Corporate Director
William I WeisbergPAC 7113834037
Individual0, 50Corporate Officer; Corporate Director
Gregory NicoluzakisPAC 3870829252
Individual0Corporate Officer
Shg Management LLCPAC 4082046800
Organization0Other
Saber Healthcare Group LLCPAC 4688633944
OrganizationOther

Facility	Location	Role / stake	HPRD	Ratings	Census	Flags
Statesman Health & Rehabilitation Center Statesman Health & Rehabilitation Center LLC 99 residents		Other disclo…	3.49	Ovr★★★★☆Stf★★☆☆☆Ins★★★☆☆QM★★★★★	99

Statesman Health & Rehabilitation Center
Statesman Health & Rehabilitation Center LLC
Other disclosed role99 res3.49 HPRD
Overall 4Staffing Staff 2

1 CMS ownership change record (showing 1)

Effective	Facility	Buyer	Seller	Side
04/01/2018	Statesman Health & Rehabilitation Center	Statesman Health & Rehabilitation Center LLC	Oak Hrc Statesman LLC	Buyer

04/01/2018
Statesman Health & Rehabilitation Center (Buyer)
Oak Hrc Statesman LLC → Statesman Health & Rehabilitation Center LLC

Related CMS associates

Name match to Statesman Health & Rehabilitation Center LLC in FEC filings. Similar names may appear—confirm on FEC.gov.