Prairie Mission Retirement Village

Enrollment entity

Provider / enrollment organization Enrollment PAC 3779494174 Enrollment ID O20030827000024

Linked facilitiesFacilities

StatesStates

5 parties: 0 organizations · 5 individuals

Owners & control parties

Name	Owner/control PAC	Type	Role(s)	%
Melinda Ewan	6305072521	Individual	Corporate Officer; Operational/Managerial Control; ADP of the SNF	100
Logan Bookout	2567999378	Individual	Corporate Officer; Operational/Managerial Control	—
Chris Carter	3476080284	Individual	Corporate Director	—
Keith Smith	9133030539	Individual	Corporate Director	—
Michael Carter	6406767805	Individual	Corporate Director	—

Melinda EwanPAC 6305072521
Individual100Corporate Officer; Operational/Managerial Control
Logan BookoutPAC 2567999378
IndividualCorporate Officer; Operational/Managerial Control
Chris CarterPAC 3476080284
IndividualCorporate Director
Keith SmithPAC 9133030539
IndividualCorporate Director
Michael CarterPAC 6406767805
IndividualCorporate Director

Facility	Location	Role / stake	HPRD	Ratings	Census	Flags
Prairie Mission Retirement Village 29 residents		Other disclo…	4.04	Ovr★★★★☆Stf★★★★☆Ins★★★★☆QM★★☆☆☆	29

Prairie Mission Retirement Village
Other disclosed role29 res4.04 HPRD
Overall 4Staffing Staff 4

Related CMS associates

Name match to Prairie Mission Retirement Village in FEC filings. Similar names may appear—confirm on FEC.gov.