The Woods Healthcare LLC

Enrollment entity

Provider / enrollment organization Enrollment PAC 3173996428 Enrollment ID O20230307001709

Linked facilitiesFacilities

StatesStates

15 parties: 8 organizations · 7 individuals

Owners & control parties

Name	Owner/control PAC	Type	Role(s)	%
David Jakobowitch	6901221209	Individual	5% or Greater Indirect Ownership Interest; Operational/Managerial Control; ADP of the SNF	33
Vickie Donaldson	7315332319	Individual	Operational/Managerial Control; ADP of the SNF	—
Independence Arkansas Hcm LLC	1850828062	Organization	Operational/Managerial Control; ADP of the SNF	—
Riki Portnoy	6800320953	Individual	Operational/Managerial Control; ADP of the SNF	—
Tim M Simon	9537194980	Individual	Operational/Managerial Control; ADP of the SNF	—
Cutlass Op Holdings LLC	6709259054	Organization	5% or Greater Direct Ownership Interest	45
Ardj LLC	4880067131	Organization	5% or Greater Direct Ownership Interest; ADP of the SNF	33
Sri Nightingale LLC	8224433412	Organization	5% or Greater Direct Ownership Interest	22
Aviva Braun	8123551892	Individual	5% or Greater Indirect Ownership Interest	22.5
Cutlass Op Family Trust I	9032568613	Organization	5% or Greater Indirect Ownership Interest	22.5
Cutlass Op Family Trust II	5496104077	Organization	5% or Greater Indirect Ownership Interest	22.5
Dov B Braun	4284039470	Individual	5% or Greater Indirect Ownership Interest	22.5
Steven Isaac	2163731647	Individual	5% or Greater Indirect Ownership Interest	22
Sri Family Irrevocable Trust	0840649422	Organization	5% or Greater Indirect Ownership Interest	11
Monticello Realty Holdings, LLC	6608388277	Organization	ADP of the SNF	—

David JakobowitchPAC 6901221209
Individual335% or Greater Indirect Ownership Interest; Operational/Managerial Control
Vickie DonaldsonPAC 7315332319
IndividualOperational/Managerial Control; ADP of the SNF
Independence Arkansas Hcm LLCPAC 1850828062
OrganizationOperational/Managerial Control; ADP of the SNF
Riki PortnoyPAC 6800320953
IndividualOperational/Managerial Control; ADP of the SNF
Tim M SimonPAC 9537194980
IndividualOperational/Managerial Control; ADP of the SNF
Cutlass Op Holdings LLCPAC 6709259054
Organization455% or Greater Direct Ownership Interest
Ardj LLCPAC 4880067131
Organization335% or Greater Direct Ownership Interest; ADP of the SNF
Sri Nightingale LLCPAC 8224433412
Organization225% or Greater Direct Ownership Interest
Aviva BraunPAC 8123551892
Individual22.55% or Greater Indirect Ownership Interest
Cutlass Op Family Trust IPAC 9032568613
Organization22.55% or Greater Indirect Ownership Interest
Cutlass Op Family Trust IIPAC 5496104077
Organization22.55% or Greater Indirect Ownership Interest
Dov B BraunPAC 4284039470
Individual22.55% or Greater Indirect Ownership Interest
Steven IsaacPAC 2163731647
Individual225% or Greater Indirect Ownership Interest
Sri Family Irrevocable TrustPAC 0840649422
Organization115% or Greater Indirect Ownership Interest
Monticello Realty Holdings, LLCPAC 6608388277
OrganizationADP of the SNF

Facility	Location	Role / stake	HPRD	Ratings	Census	Flags
The Woods, a Nightingale Community The Woods Healthcare LLC 76 residents		Other disclo…	3.92	Ovr★☆☆☆☆Stf★★★★☆Ins★☆☆☆☆QM★★☆☆☆	76

The Woods, a Nightingale Community
The Woods Healthcare LLC
Other disclosed role76 res3.92 HPRD
Overall 1Staffing Staff 4

1 CMS ownership change record (showing 1)

Effective	Facility	Buyer	Seller	Side
07/01/2022	The Woods, a Nightingale Community	The Woods Healthcare LLC	Monticello - Progressive Eldercare Services, Inc.	Buyer

07/01/2022
The Woods, a Nightingale Community (Buyer)
Monticello - Progressive Eldercare Services, Inc. → The Woods Healthcare LLC

Related CMS associates

Name match to The Woods Healthcare LLC in FEC filings. Similar names may appear—confirm on FEC.gov.