Country Arch Care Center, LLC Nursing Home Ownership

State	#
NJ	1
Total	1

Enrollment and owner PAC. This number appears as both the facility enrollment and an owner/control party in CMS data.

Total Facilities

Overall rating

4.0

Total nurse HPRD

3.61

7 parties: 2 organizations · 5 individuals

Owners & control parties

Name	Owner/control PAC	Type	Role(s)	%
Rebecca Frey	1355711565	Individual	Operational/Managerial Control; ADP of the SNF	—
Larisa Golub	1850326380	Individual	Operational/Managerial Control; ADP of the SNF	—
Country Arch Care Center, LLC	4981866928	Organization	5% or Greater Direct Ownership Interest; ADP of the SNF	100
Jonathan Rosenberg	6709794274	Individual	5% or Greater Direct Ownership Interest; 5% or Greater Mortgage Interest; 5% or Greater Security Interest	92, 50
Esther Rosenberg	8921269978	Individual	5% or Greater Direct Ownership Interest; 5% or Greater Mortgage Interest; 5% or Greater Security Interest	8, 50
Samuel Stern	3476541061	Individual	Corporate Officer	0
Country Mountain LLC	7416476403	Organization	5% or Greater Mortgage Interest; 5% or Greater Security Interest; ADP of the SNF	100

Rebecca FreyPAC 1355711565
IndividualOperational/Managerial Control; ADP of the SNF
Larisa GolubPAC 1850326380
IndividualOperational/Managerial Control; ADP of the SNF
Country Arch Care Center, LLCPAC 4981866928
Organization1005% or Greater Direct Ownership Interest; ADP of the SNF
Jonathan RosenbergPAC 6709794274
Individual92, 505% or Greater Direct Ownership Interest; 5% or Greater Mortgage Interest
Esther RosenbergPAC 8921269978
Individual8, 505% or Greater Direct Ownership Interest; 5% or Greater Mortgage Interest
Samuel SternPAC 3476541061
Individual0Corporate Officer
Country Mountain LLCPAC 7416476403
Organization1005% or Greater Mortgage Interest; 5% or Greater Security Interest

Facility	Enrollment ID	Location	City
Country Arch Care Center Country Arch Care Center, LLC 116 residents	O20120508000645		PITTSTOWN

Country Arch Care Center
Country Arch Care Center, LLC
116 residents
Enrollment O20120508000645 · Pittstown, NJ · PITTSTOWN

Associated Owners · 6

Show associated owners

As owner/control party on 1 other enrollment(s).

Facility	Location	%	HPRD	Ratings	Census	Flags
Country Arch Care Center Country Arch Care Center, LLC 116 residents		Since Apr. 2001Since 4/01	3.61	Ovr★★★★☆Stf★★★★☆Ins★★★☆☆QM★★★★★	116

Country Arch Care Center
Country Arch Care Center, LLC
116 res3.61 HPRD
Ovr 4Stf 4

Name match to Country Arch Care Center, LLC in FEC filings. Similar names may appear—confirm on FEC.gov.