Ccrc of West Des Moines LLC

Enrollment entity

Provider / enrollment organization Enrollment PAC 4183030851 Enrollment ID O20210303002244

Linked facilitiesFacilities

StatesStates

41 parties: 27 organizations · 14 individuals

Owners & control parties

Name	Owner/control PAC	Type	Role(s)	%
Scott E Gulledge	3870402357	Individual	Operational/Managerial Control; ADP of the SNF; Indirect Ownership Interest	75, 3.37
Scenic Development LLC	7810162518	Organization	Operational/Managerial Control; Direct Ownership Interest	23.68
Gilbert R Wood	6800704438	Individual	Operational/Managerial Control; Indirect Ownership Interest	2.42
Jordan R Anderson	7618358771	Individual	Operational/Managerial Control; Indirect Ownership Interest	1.94
Travis S Gulledge	6901338334	Individual	Operational/Managerial Control; ADP of the SNF; Indirect Ownership Interest	0.96
Katherine Dehaven	4789021932	Individual	Operational/Managerial Control; ADP of the SNF	—
Michael P Oconner	2769451830	Individual	Operational/Managerial Control; ADP of the SNF	—
Pivotal Health Care LLC	3375718075	Organization	Operational/Managerial Control; ADP of the SNF	—
Central Iowa Hospital Corporation	1052229275	Organization	Direct Ownership Interest	47.47
Wsg LLC	5991972002	Organization	Direct Ownership Interest; Indirect Ownership Interest	0.22, 17.76
Poky - 5R LLC	6002081700	Organization	Direct Ownership Interest	6.83
Cadet Investment LLC	4284809989	Organization	Direct Ownership Interest; Indirect Ownership Interest	2.93, 5.92
Unknown party	1951818582	Organization	Direct Ownership Interest	2.13
Unknown party	1052828670	Individual	Direct Ownership Interest	1.56
Unknown party	5890263016	Individual	Direct Ownership Interest	1.13
Unknown party	5597272120	Organization	Direct Ownership Interest	1.07
Unknown party	6406363035	Organization	Direct Ownership Interest	1.04
Unknown party	9032626668	Organization	Direct Ownership Interest	0.75
Unknown party	1850808486	Organization	Direct Ownership Interest	0.71
Unknown party	1951818574	Individual	Direct Ownership Interest	0.71
Unknown party	2567979198	Organization	Direct Ownership Interest	0.71
Unknown party	2668989294	Organization	Direct Ownership Interest	0.71
Unknown party	3678080207	Organization	Direct Ownership Interest	0.71
Unknown party	4183131717	Organization	Direct Ownership Interest	0.71
Unknown party	6901313535	Organization	Direct Ownership Interest	0.71

Scott E GulledgePAC 3870402357
Individual75, 3.37Operational/Managerial Control; ADP of the SNF
Scenic Development LLCPAC 7810162518
Organization23.68Operational/Managerial Control; Direct Ownership Interest
Gilbert R WoodPAC 6800704438
Individual2.42Operational/Managerial Control; Indirect Ownership Interest
Jordan R AndersonPAC 7618358771
Individual1.94Operational/Managerial Control; Indirect Ownership Interest
Travis S GulledgePAC 6901338334
Individual0.96Operational/Managerial Control; ADP of the SNF
Katherine DehavenPAC 4789021932
IndividualOperational/Managerial Control; ADP of the SNF
Michael P OconnerPAC 2769451830
IndividualOperational/Managerial Control; ADP of the SNF
Pivotal Health Care LLCPAC 3375718075
OrganizationOperational/Managerial Control; ADP of the SNF
Central Iowa Hospital CorporationPAC 1052229275
Organization47.47Direct Ownership Interest
Wsg LLCPAC 5991972002
Organization0.22, 17.76Direct Ownership Interest; Indirect Ownership Interest
Poky - 5R LLCPAC 6002081700
Organization6.83Direct Ownership Interest
Cadet Investment LLCPAC 4284809989
Organization2.93, 5.92Direct Ownership Interest; Indirect Ownership Interest
Unknown partyPAC 1951818582
Organization2.13Direct Ownership Interest
Unknown partyPAC 1052828670
Individual1.56Direct Ownership Interest
Unknown partyPAC 5890263016
Individual1.13Direct Ownership Interest
Unknown partyPAC 5597272120
Organization1.07Direct Ownership Interest
Unknown partyPAC 6406363035
Organization1.04Direct Ownership Interest
Unknown partyPAC 9032626668
Organization0.75Direct Ownership Interest
Unknown partyPAC 1850808486
Organization0.71Direct Ownership Interest
Unknown partyPAC 1951818574
Individual0.71Direct Ownership Interest
Unknown partyPAC 2567979198
Organization0.71Direct Ownership Interest
Unknown partyPAC 2668989294
Organization0.71Direct Ownership Interest
Unknown partyPAC 3678080207
Organization0.71Direct Ownership Interest
Unknown partyPAC 4183131717
Organization0.71Direct Ownership Interest
Unknown partyPAC 6901313535
Organization0.71Direct Ownership Interest

Show all 41 parties (16 more)

Name	Owner/control PAC	Type	Role(s)	%
Scott E Gulledge	3870402357	Individual	Operational/Managerial Control; ADP of the SNF; Indirect Ownership Interest	75, 3.37
Scenic Development LLC	7810162518	Organization	Operational/Managerial Control; Direct Ownership Interest	23.68
Gilbert R Wood	6800704438	Individual	Operational/Managerial Control; Indirect Ownership Interest	2.42
Jordan R Anderson	7618358771	Individual	Operational/Managerial Control; Indirect Ownership Interest	1.94
Travis S Gulledge	6901338334	Individual	Operational/Managerial Control; ADP of the SNF; Indirect Ownership Interest	0.96
Katherine Dehaven	4789021932	Individual	Operational/Managerial Control; ADP of the SNF	—
Michael P Oconner	2769451830	Individual	Operational/Managerial Control; ADP of the SNF	—
Pivotal Health Care LLC	3375718075	Organization	Operational/Managerial Control; ADP of the SNF	—
Central Iowa Hospital Corporation	1052229275	Organization	Direct Ownership Interest	47.47
Wsg LLC	5991972002	Organization	Direct Ownership Interest; Indirect Ownership Interest	0.22, 17.76
Poky - 5R LLC	6002081700	Organization	Direct Ownership Interest	6.83
Cadet Investment LLC	4284809989	Organization	Direct Ownership Interest; Indirect Ownership Interest	2.93, 5.92
Unknown party	1951818582	Organization	Direct Ownership Interest	2.13
Unknown party	1052828670	Individual	Direct Ownership Interest	1.56
Unknown party	5890263016	Individual	Direct Ownership Interest	1.13
Unknown party	5597272120	Organization	Direct Ownership Interest	1.07
Unknown party	6406363035	Organization	Direct Ownership Interest	1.04
Unknown party	9032626668	Organization	Direct Ownership Interest	0.75
Unknown party	1850808486	Organization	Direct Ownership Interest	0.71
Unknown party	1951818574	Individual	Direct Ownership Interest	0.71
Unknown party	2567979198	Organization	Direct Ownership Interest	0.71
Unknown party	2668989294	Organization	Direct Ownership Interest	0.71
Unknown party	3678080207	Organization	Direct Ownership Interest	0.71
Unknown party	4183131717	Organization	Direct Ownership Interest	0.71
Unknown party	6901313535	Organization	Direct Ownership Interest	0.71
Unknown party	7315454931	Individual	Direct Ownership Interest	0.71
Unknown party	7810404449	Organization	Direct Ownership Interest	0.71
Unknown party	8022525658	Organization	Direct Ownership Interest	0.71
Unknown party	8224545843	Individual	Direct Ownership Interest	0.71
Unknown party	9830606466	Organization	Direct Ownership Interest	0.71
Unknown party	5496262024	Organization	Direct Ownership Interest	0.66
Unknown party	6204343833	Organization	Direct Ownership Interest	0.66
Unknown party	9931616562	Organization	Direct Ownership Interest	0.66
Steven M Howard	0648351148	Individual	Indirect Ownership Interest	8.85
Marlene A Anderson	5991613523	Individual	Indirect Ownership Interest	3.96
Wayne C Anderson	3173431707	Individual	Indirect Ownership Interest	3.96
Unknown party	2961919493	Organization	ADP of the SNF	—
Unknown party	5698282127	Organization	ADP of the SNF	—
Iowa Physicians Clinic Medical Foundation	8729992318	Organization	ADP of the SNF	—
Healthcare Accounting Services, LLC	0143737676	Organization	ADP of the SNF	—
Summit Care, LLC	7315073954	Organization	ADP of the SNF	—

Scott E GulledgePAC 3870402357
Individual75, 3.37Operational/Managerial Control; ADP of the SNF
Scenic Development LLCPAC 7810162518
Organization23.68Operational/Managerial Control; Direct Ownership Interest
Gilbert R WoodPAC 6800704438
Individual2.42Operational/Managerial Control; Indirect Ownership Interest
Jordan R AndersonPAC 7618358771
Individual1.94Operational/Managerial Control; Indirect Ownership Interest
Travis S GulledgePAC 6901338334
Individual0.96Operational/Managerial Control; ADP of the SNF
Katherine DehavenPAC 4789021932
IndividualOperational/Managerial Control; ADP of the SNF
Michael P OconnerPAC 2769451830
IndividualOperational/Managerial Control; ADP of the SNF
Pivotal Health Care LLCPAC 3375718075
OrganizationOperational/Managerial Control; ADP of the SNF
Central Iowa Hospital CorporationPAC 1052229275
Organization47.47Direct Ownership Interest
Wsg LLCPAC 5991972002
Organization0.22, 17.76Direct Ownership Interest; Indirect Ownership Interest
Poky - 5R LLCPAC 6002081700
Organization6.83Direct Ownership Interest
Cadet Investment LLCPAC 4284809989
Organization2.93, 5.92Direct Ownership Interest; Indirect Ownership Interest
Unknown partyPAC 1951818582
Organization2.13Direct Ownership Interest
Unknown partyPAC 1052828670
Individual1.56Direct Ownership Interest
Unknown partyPAC 5890263016
Individual1.13Direct Ownership Interest
Unknown partyPAC 5597272120
Organization1.07Direct Ownership Interest
Unknown partyPAC 6406363035
Organization1.04Direct Ownership Interest
Unknown partyPAC 9032626668
Organization0.75Direct Ownership Interest
Unknown partyPAC 1850808486
Organization0.71Direct Ownership Interest
Unknown partyPAC 1951818574
Individual0.71Direct Ownership Interest
Unknown partyPAC 2567979198
Organization0.71Direct Ownership Interest
Unknown partyPAC 2668989294
Organization0.71Direct Ownership Interest
Unknown partyPAC 3678080207
Organization0.71Direct Ownership Interest
Unknown partyPAC 4183131717
Organization0.71Direct Ownership Interest
Unknown partyPAC 6901313535
Organization0.71Direct Ownership Interest
Unknown partyPAC 7315454931
Individual0.71Direct Ownership Interest
Unknown partyPAC 7810404449
Organization0.71Direct Ownership Interest
Unknown partyPAC 8022525658
Organization0.71Direct Ownership Interest
Unknown partyPAC 8224545843
Individual0.71Direct Ownership Interest
Unknown partyPAC 9830606466
Organization0.71Direct Ownership Interest
Unknown partyPAC 5496262024
Organization0.66Direct Ownership Interest
Unknown partyPAC 6204343833
Organization0.66Direct Ownership Interest
Unknown partyPAC 9931616562
Organization0.66Direct Ownership Interest
Steven M HowardPAC 0648351148
Individual8.85Indirect Ownership Interest
Marlene A AndersonPAC 5991613523
Individual3.96Indirect Ownership Interest
Wayne C AndersonPAC 3173431707
Individual3.96Indirect Ownership Interest
Unknown partyPAC 2961919493
OrganizationADP of the SNF
Unknown partyPAC 5698282127
OrganizationADP of the SNF
Iowa Physicians Clinic Medical FoundationPAC 8729992318
OrganizationADP of the SNF
Healthcare Accounting Services, LLCPAC 0143737676
OrganizationADP of the SNF
Summit Care, LLCPAC 7315073954
OrganizationADP of the SNF

Linked facilities

Facility	Location	Role / stake	HPRD	Ratings	Census	Flags
Cedar Ridge Village Ccrc of West Des Moines LLC 39 residents		Other disclo…	4.13	Ovr★★★☆☆Stf★★★★☆Ins★★★☆☆QM★★★★☆	39

Cedar Ridge Village
Ccrc of West Des Moines LLC
Other disclosed role39 res4.13 HPRD
Overall 3Staffing Staff 4

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Owners & control parties

Linked facilities

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