PBJ320 Ownership

Club at Lake Gibson LLC

Provider / enrollment organizationFlorida
Enrollment PAC5799206306Enrollment IDO20250311001892

By state

State#
FL1
Total1

Details

Enrollment entity. CMS facility enrollment PAC with linked owners, facilities, and any ownership transactions in CMS data.
Total Facilities
1
Overall rating
3.0
Total nurse HPRD
3.50

42 parties: 27 organizations · 15 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Lake Gibson SNF Holdco LLC2365955069OrganizationOperational/Managerial Control; Direct Ownership Interest100
Jolian Mauricio Rios3870737489IndividualOperational/Managerial Control; ADP of the SNF
Marie Kamara3274763347IndividualOperational/Managerial Control; Managing Control - Governing Body; ADP of the SNF
Angela Willis8325551021IndividualManaging Control - Governing Body; ADP of the SNF
Clay Mcdaniel9032622733IndividualManaging Control - Governing Body; ADP of the SNF
Gold Fl Trust II8224412606OrganizationIndirect Ownership Interest33.17
Silver Fl Trust II1951785336OrganizationIndirect Ownership Interest33.17
Aharon Katz5799161428Individual5% or Greater Indirect Ownership Interest; ADP of the SNF10
Copper Fl Trust II2860876240OrganizationIndirect Ownership Interest9
Buah Trust9133660970OrganizationIndirect Ownership Interest2.25
Unknown party0840714176IndividualIndirect Ownership Interest2.25
Unknown party1557874245OrganizationIndirect Ownership Interest2.25
Unknown party1658884341OrganizationIndirect Ownership Interest2.25
Unknown party1850803529OrganizationIndirect Ownership Interest2.25
Unknown party2062936388IndividualIndirect Ownership Interest1.8
Unknown party8426572744IndividualIndirect Ownership Interest1.8
Unknown party5890208581OrganizationIndirect Ownership Interest0.9
Unknown party0244754562IndividualIndirect Ownership Interest0.45
Unknown party1658895982IndividualIndirect Ownership Interest0.45
Unknown party5395269625IndividualIndirect Ownership Interest0.45
Unknown party9335663657IndividualIndirect Ownership Interest0.45
Unknown party2961926290IndividualIndirect Ownership Interest0.18
Unknown party6709300023IndividualIndirect Ownership Interest0.09
Bank Hapoalim B.M.1254671514Organization5% or Greater Mortgage Interest; ADP of the SNF100
Asure Wound Solutions LLC6406274828OrganizationADP of the SNF
Show all 42 parties (17 more)
NameOwner/control PACTypeRole(s)%
Lake Gibson SNF Holdco LLC2365955069OrganizationOperational/Managerial Control; Direct Ownership Interest100
Jolian Mauricio Rios3870737489IndividualOperational/Managerial Control; ADP of the SNF
Marie Kamara3274763347IndividualOperational/Managerial Control; Managing Control - Governing Body; ADP of the SNF
Angela Willis8325551021IndividualManaging Control - Governing Body; ADP of the SNF
Clay Mcdaniel9032622733IndividualManaging Control - Governing Body; ADP of the SNF
Gold Fl Trust II8224412606OrganizationIndirect Ownership Interest33.17
Silver Fl Trust II1951785336OrganizationIndirect Ownership Interest33.17
Aharon Katz5799161428Individual5% or Greater Indirect Ownership Interest; ADP of the SNF10
Copper Fl Trust II2860876240OrganizationIndirect Ownership Interest9
Buah Trust9133660970OrganizationIndirect Ownership Interest2.25
Unknown party0840714176IndividualIndirect Ownership Interest2.25
Unknown party1557874245OrganizationIndirect Ownership Interest2.25
Unknown party1658884341OrganizationIndirect Ownership Interest2.25
Unknown party1850803529OrganizationIndirect Ownership Interest2.25
Unknown party2062936388IndividualIndirect Ownership Interest1.8
Unknown party8426572744IndividualIndirect Ownership Interest1.8
Unknown party5890208581OrganizationIndirect Ownership Interest0.9
Unknown party0244754562IndividualIndirect Ownership Interest0.45
Unknown party1658895982IndividualIndirect Ownership Interest0.45
Unknown party5395269625IndividualIndirect Ownership Interest0.45
Unknown party9335663657IndividualIndirect Ownership Interest0.45
Unknown party2961926290IndividualIndirect Ownership Interest0.18
Unknown party6709300023IndividualIndirect Ownership Interest0.09
Bank Hapoalim B.M.1254671514Organization5% or Greater Mortgage Interest; ADP of the SNF100
Asure Wound Solutions LLC6406274828OrganizationADP of the SNF
Moss M Ellenbogen2769537117IndividualADP of the SNF
Apex Global Solutions LLC9537409354OrganizationADP of the SNF
Chaim Gitelis Do Pc6507090396OrganizationADP of the SNF
Forvis Mazars LLP7416866603OrganizationADP of the SNF
Healthlink Diagnostic Laboratories Inc2264684711OrganizationADP of the SNF
Lion Care Services LLC6507378296OrganizationADP of the SNF
Unknown party0941712632OrganizationADP of the SNF
Unknown party1658883343OrganizationADP of the SNF
Unknown party2062924756OrganizationADP of the SNF
Unknown party3072025758OrganizationADP of the SNF
Unknown party5991217671OrganizationADP of the SNF
Unknown party6305358094OrganizationADP of the SNF
Unknown party7517479207OrganizationADP of the SNF
Unknown party8426560103OrganizationADP of the SNF
Unknown party8729591417OrganizationADP of the SNF
Unknown party8820500515OrganizationADP of the SNF
Unknown party9133631807OrganizationADP of the SNF

Club at Lake Gibson LLC Portfolio

Facility Location % Own. HPRD Ratings Census Flags
The Club at Lake Gibson
Club at Lake Gibson LLC
118 residents
Other disclo…
3.50Ovr★★★☆☆Stf☆☆☆☆Ins★★★☆☆QM★★★★★118
  • Club at Lake Gibson LLC
    Other disclosed role118 res3.50 HPRD
    Ovr 3Stf 1

FEC political contributions FEC contributions Beta

Name match to Club at Lake Gibson LLC in FEC filings. Similar names may appear—confirm on FEC.gov.