Berkshire Operations LLC

Enrollment entity

Provider / enrollment organization Enrollment PAC 4981009511 Enrollment ID O20210820000184

Linked facilitiesFacilities

StatesStates

15 parties: 14 organizations · 1 individuals

Owners & control parties

Name	Owner/control PAC	Type	Role(s)	%
Rczbm West Manager LLC	9739584376	Organization	Operational/Managerial Control	100
Benjamin Farmer	9931648789	Individual	Corporate Officer; W-2 Managing Employee	—
Berkshire Holdings I LLC	2062817695	Organization	5% or Greater Direct Ownership Interest	100
America West LLC	6608271234	Organization	5% or Greater Indirect Ownership Interest	100
Redrock West LLC	8426453069	Organization	5% or Greater Indirect Ownership Interest	75
Mrv West LLC	9032514674	Organization	5% or Greater Indirect Ownership Interest	25
Charles 1994 & Family LLC	0244635886	Organization	5% or Greater Indirect Ownership Interest	23.75
Edward 1998 LLC	4789089327	Organization	5% or Greater Indirect Ownership Interest	23.75
Saul 2012 LLC	2860897402	Organization	5% or Greater Indirect Ownership Interest	23.75
Edward 1998 Family Grantor Trust	8224466040	Organization	5% or Greater Indirect Ownership Interest	22.56
Saul 2012 Family Grantor Trust	4688002405	Organization	5% or Greater Indirect Ownership Interest	22.56
Charles 1994 LLC	6608271242	Organization	5% or Greater Indirect Ownership Interest	22.49
Charles 1994 Family Grantor Trust	1951739770	Organization	5% or Greater Indirect Ownership Interest	21.37
Kss 2000 Family Trust	3577968114	Organization	5% or Greater Indirect Ownership Interest	10
ML 2000 Family Trust	6305241944	Organization	5% or Greater Indirect Ownership Interest	10

Rczbm West Manager LLCPAC 9739584376
Organization100Operational/Managerial Control
Benjamin FarmerPAC 9931648789
IndividualCorporate Officer; W-2 Managing Employee
Berkshire Holdings I LLCPAC 2062817695
Organization1005% or Greater Direct Ownership Interest
America West LLCPAC 6608271234
Organization1005% or Greater Indirect Ownership Interest
Redrock West LLCPAC 8426453069
Organization755% or Greater Indirect Ownership Interest
Mrv West LLCPAC 9032514674
Organization255% or Greater Indirect Ownership Interest
Charles 1994 & Family LLCPAC 0244635886
Organization23.755% or Greater Indirect Ownership Interest
Edward 1998 LLCPAC 4789089327
Organization23.755% or Greater Indirect Ownership Interest
Saul 2012 LLCPAC 2860897402
Organization23.755% or Greater Indirect Ownership Interest
Edward 1998 Family Grantor TrustPAC 8224466040
Organization22.565% or Greater Indirect Ownership Interest
Saul 2012 Family Grantor TrustPAC 4688002405
Organization22.565% or Greater Indirect Ownership Interest
Charles 1994 LLCPAC 6608271242
Organization22.495% or Greater Indirect Ownership Interest
Charles 1994 Family Grantor TrustPAC 1951739770
Organization21.375% or Greater Indirect Ownership Interest
Kss 2000 Family TrustPAC 3577968114
Organization105% or Greater Indirect Ownership Interest
ML 2000 Family TrustPAC 6305241944
Organization105% or Greater Indirect Ownership Interest

Facility	Location	% Own.	HPRD	Ratings	Census	Flags
Berkshire Health & Rehabilitation Center Berkshire Operations LLC 172 residents		Other disclo…	3.21	Ovr★★★★☆Stf★☆☆☆☆Ins★★★★☆QM★★★★★	172

Berkshire Health & Rehabilitation Center
Berkshire Operations LLC
Other disclosed role172 res3.21 HPRD
Overall 4Staffing Staff 1

1 CMS ownership change record (showing 1)

Effective	Facility	Buyer	Seller	Side
05/28/2021	Berkshire Health & Rehabilitation Center	Berkshire Operations LLC	Mfa X & XLVII - Berkshire	Buyer

05/28/2021
Berkshire Health & Rehabilitation Center (Buyer)
Mfa X & XLVII - Berkshire → Berkshire Operations LLC

Related CMS associates

Name match to Berkshire Operations LLC in FEC filings. Similar names may appear—confirm on FEC.gov.