Huron Sd Skilled Nursing Facility, LLC

Enrollment entity

Provider / enrollment organization Enrollment PAC 4981036969 Enrollment ID O20191112003524

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
Vincent Oyler	4789976721	Individual	Operational/Managerial Control; ADP of the SNF	—
Laurie Solem	2163599507	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	0446736839	Individual	Indirect Ownership Interest	4.9
Unknown party	8628554011	Individual	Indirect Ownership Interest	4.9
Unknown party	1355827742	Individual	Indirect Ownership Interest	2.6
Unknown party	9537645924	Individual	Indirect Ownership Interest	2.6
Huron Sd Property Holdings, LLC	7911483300	Organization	5% or Greater Security Interest; ADP of the SNF	100
Roth & Co, LLP	3173053162	Organization	ADP of the SNF	—
Unknown party	4183100571	Individual	ADP of the SNF	—

Bokf, NaPAC 0648188896
Organization1005% or Greater Security Interest; Operational/Managerial Control
Vincent OylerPAC 4789976721
IndividualOperational/Managerial Control; ADP of the SNF
Laurie SolemPAC 2163599507
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 0446736839
Individual4.9Indirect Ownership Interest
Unknown partyPAC 8628554011
Individual4.9Indirect Ownership Interest
Unknown partyPAC 1355827742
Individual2.6Indirect Ownership Interest
Unknown partyPAC 9537645924
Individual2.6Indirect Ownership Interest
Huron Sd Property Holdings, LLCPAC 7911483300
Organization1005% or Greater Security Interest; ADP of the SNF
Roth & Co, LLPPAC 3173053162
OrganizationADP of the SNF
Unknown partyPAC 4183100571
IndividualADP of the SNF

Facility	Location	Role / stake	HPRD	Ratings	Census	Flags
Avantara Huron Huron Sd Skilled Nursing Facility, LLC 68 residents		Other disclo…	3.40	Ovr★★☆☆☆Stf★★★☆☆Ins★★☆☆☆QM★★☆☆☆	68

Avantara Huron
Huron Sd Skilled Nursing Facility, LLC
Other disclosed role68 res3.40 HPRD
Overall 2Staffing Staff 3

1 CMS ownership change record (showing 1)

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

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

Related CMS associates

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