Wheeling Skilled Nursing Facility, LLC

Enrollment entity

Provider / enrollment organization Enrollment PAC 5193055317 Enrollment ID O20191001001051

Linked facilitiesFacilities

StatesStates

15 parties: 7 organizations · 8 individuals

Owners & control parties

Name	Owner/control PAC	Type	Role(s)	%
Forbright Bank	7113238049	Organization	5% or Greater Security Interest; Operational/Managerial Control	100
Michael Florczak	7618355215	Individual	Operational/Managerial Control; ADP of the SNF	—
Boris Gurevich	1355245630	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	1153817465	Individual	Indirect Ownership Interest	4.9
Unknown party	3971099284	Individual	Indirect Ownership Interest	4.9
Unknown party	2062908379	Individual	Indirect Ownership Interest	2.6
Unknown party	4880180199	Individual	Indirect Ownership Interest	2.6
Wheeling Property Holdings. LLC	7719473024	Organization	5% or Greater Security Interest; ADP of the SNF	100
Miller Cooper & Co, Ltd	4183116049	Organization	ADP of the SNF	—
Unknown party	9436645744	Individual	ADP of the SNF	—

Forbright BankPAC 7113238049
Organization1005% or Greater Security Interest; Operational/Managerial Control
Michael FlorczakPAC 7618355215
IndividualOperational/Managerial Control; ADP of the SNF
Boris GurevichPAC 1355245630
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 1153817465
Individual4.9Indirect Ownership Interest
Unknown partyPAC 3971099284
Individual4.9Indirect Ownership Interest
Unknown partyPAC 2062908379
Individual2.6Indirect Ownership Interest
Unknown partyPAC 4880180199
Individual2.6Indirect Ownership Interest
Wheeling Property Holdings. LLCPAC 7719473024
Organization1005% or Greater Security Interest; ADP of the SNF
Miller Cooper & Co, LtdPAC 4183116049
OrganizationADP of the SNF
Unknown partyPAC 9436645744
IndividualADP of the SNF

Facility	Location	% Own.	HPRD	Ratings	Census	Flags
Bella Terra Wheeling Wheeling Skilled Nursing Facility, LLC 170 residents		Other disclo…	3.23	Ovr★★★★☆Stf★★☆☆☆Ins★★★★☆QM★★★☆☆	170

Bella Terra Wheeling
Wheeling Skilled Nursing Facility, LLC
Other disclosed role170 res3.23 HPRD
Overall 4Staffing Staff 2

1 CMS ownership change record (showing 1)

Effective	Facility	Buyer	Seller	Side
09/01/2019	Bella Terra Wheeling	Wheeling Skilled Nursing Facility, LLC	Lexington Health Care Center of Wheeling Inc	Buyer

09/01/2019
Bella Terra Wheeling (Buyer)
Lexington Health Care Center of Wheeling Inc → Wheeling Skilled Nursing Facility, LLC

Related CMS associates

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