Norton Sd Skilled Nursing Facility LLC

Enrollment entity

Provider / enrollment organization Enrollment PAC 3971935180 Enrollment ID O20191108001581

Linked facilitiesFacilities

StatesStates

15 parties: 7 organizations · 8 individuals

Owners & control parties

Name	Owner/control PAC	Type	Role(s)	%
Bokf, Na	0648188896	Organization	5% or Greater Security Interest; Operational/Managerial Control	100
Ashley Nickel	6406184522	Individual	Operational/Managerial Control; ADP of the SNF	—
Joseph Glendon Rees	1456520683	Individual	Operational/Managerial Control; ADP of the SNF	—
Legacy Healthcare Financial Services LLC	5799046132	Organization	Operational/Managerial Control; ADP of the SNF	—
Menachem Shabat	3072526219	Individual	Operational/Managerial Control; Managing Control - Governing Body; ADP of the SNF	—
Doros Generation Trust U/A/D 1/3/12	6901110428	Organization	5% or Greater Direct Ownership Interest; ADP of the SNF	42.5
Gpn Family Trust U/A/D 4/28/08	5294988994	Organization	5% or Greater Direct Ownership Interest; ADP of the SNF	42.5
Oakway Operations LLC	6103212279	Organization	5% or Greater Direct Ownership Interest	15
Unknown party	7719470970	Individual	Indirect Ownership Interest	4.9
Unknown party	9537652797	Individual	Indirect Ownership Interest	4.9
Unknown party	0446743603	Individual	Indirect Ownership Interest	2.6
Unknown party	8628561883	Individual	Indirect Ownership Interest	2.6
Norton Sd Property Holdings, LLC	4284127440	Organization	5% or Greater Security Interest; ADP of the SNF	100
Roth & Co, LLP	3173053162	Organization	ADP of the SNF	—
Unknown party	3274026430	Individual	ADP of the SNF	—

Bokf, NaPAC 0648188896
Organization1005% or Greater Security Interest; Operational/Managerial Control
Ashley NickelPAC 6406184522
IndividualOperational/Managerial Control; ADP of the SNF
Joseph Glendon ReesPAC 1456520683
IndividualOperational/Managerial Control; ADP of the SNF
Legacy Healthcare Financial Services LLCPAC 5799046132
OrganizationOperational/Managerial Control; ADP of the SNF
Menachem ShabatPAC 3072526219
IndividualOperational/Managerial Control; Managing Control - Governing Body
Doros Generation Trust U/A/D 1/3/12PAC 6901110428
Organization42.55% or Greater Direct Ownership Interest; ADP of the SNF
Gpn Family Trust U/A/D 4/28/08PAC 5294988994
Organization42.55% or Greater Direct Ownership Interest; ADP of the SNF
Oakway Operations LLCPAC 6103212279
Organization155% or Greater Direct Ownership Interest
Unknown partyPAC 7719470970
Individual4.9Indirect Ownership Interest
Unknown partyPAC 9537652797
Individual4.9Indirect Ownership Interest
Unknown partyPAC 0446743603
Individual2.6Indirect Ownership Interest
Unknown partyPAC 8628561883
Individual2.6Indirect Ownership Interest
Norton Sd Property Holdings, LLCPAC 4284127440
Organization1005% or Greater Security Interest; ADP of the SNF
Roth & Co, LLPPAC 3173053162
OrganizationADP of the SNF
Unknown partyPAC 3274026430
IndividualADP of the SNF

Facility	Location	% Own.	HPRD	Ratings	Census	Flags
Avantara Norton Norton Sd Skilled Nursing Facility LLC 98 residents		Other disclo…	3.86	—	98

Avantara Norton
Norton Sd Skilled Nursing Facility LLC
Other disclosed role98 res3.86 HPRD

1 CMS ownership change record (showing 1)

Effective	Facility	Buyer	Seller	Side
10/02/2019	Avantara Norton	Norton Sd Skilled Nursing Facility LLC	Health Quest Inc	Buyer

10/02/2019
Avantara Norton (Buyer)
Health Quest Inc → Norton Sd Skilled Nursing Facility LLC

Related CMS associates

Name match to Norton Sd Skilled Nursing Facility LLC in FEC filings. Similar names may appear—confirm on FEC.gov.