Spyglass, LLC

Enrollment entity

Provider / enrollment organization Enrollment PAC 5890038764 Enrollment ID O20190515003360

Linked facilitiesFacilities

StatesStates

13 parties: 1 organizations · 12 individuals

Owners & control parties

Name	Owner/control PAC	Type	Role(s)	%
Jack Sanofsky	8628205333	Individual	5% or Greater Indirect Ownership Interest; Corporate Officer; Operational/Managerial Control	33.33
Matthew Jackson	7113153925	Individual	5% or Greater Indirect Ownership Interest; Corporate Officer; Operational/Managerial Control	33.33
Robert Jackson	7911285457	Individual	5% or Greater Indirect Ownership Interest; Corporate Officer; Operational/Managerial Control	33.33
Alzeena Khan	7911408489	Individual	Operational/Managerial Control; ADP of the SNF	—
Stephany Hadrick	8820573850	Individual	Operational/Managerial Control; ADP of the SNF	—
Emilee Green-rastekhiz	9739664764	Individual	Operational/Managerial Control; ADP of the SNF	—
Christopher Mcconnell	2567947591	Individual	Operational/Managerial Control; ADP of the SNF	—
Shalini Singh	3476038407	Individual	Operational/Managerial Control; ADP of the SNF	—
Michael Watkins	2466937495	Individual	Operational/Managerial Control; ADP of the SNF	—
Mary Rose Roldan	3375028301	Individual	Operational/Managerial Control; ADP of the SNF	—
Jean Borja	5193200129	Individual	Operational/Managerial Control; ADP of the SNF	—
Harkesh S Sandhu	2860685583	Individual	Operational/Managerial Control; ADP of the SNF	—
Cypress Healthcare Group LLC	0143562488	Organization	5% or Greater Direct Ownership Interest	100

Jack SanofskyPAC 8628205333
Individual33.335% or Greater Indirect Ownership Interest; Corporate Officer
Matthew JacksonPAC 7113153925
Individual33.335% or Greater Indirect Ownership Interest; Corporate Officer
Robert JacksonPAC 7911285457
Individual33.335% or Greater Indirect Ownership Interest; Corporate Officer
Alzeena KhanPAC 7911408489
IndividualOperational/Managerial Control; ADP of the SNF
Stephany HadrickPAC 8820573850
IndividualOperational/Managerial Control; ADP of the SNF
Emilee Green-rastekhizPAC 9739664764
IndividualOperational/Managerial Control; ADP of the SNF
Christopher McconnellPAC 2567947591
IndividualOperational/Managerial Control; ADP of the SNF
Shalini SinghPAC 3476038407
IndividualOperational/Managerial Control; ADP of the SNF
Michael WatkinsPAC 2466937495
IndividualOperational/Managerial Control; ADP of the SNF
Mary Rose RoldanPAC 3375028301
IndividualOperational/Managerial Control; ADP of the SNF
Jean BorjaPAC 5193200129
IndividualOperational/Managerial Control; ADP of the SNF
Harkesh S SandhuPAC 2860685583
IndividualOperational/Managerial Control; ADP of the SNF
Cypress Healthcare Group LLCPAC 0143562488
Organization1005% or Greater Direct Ownership Interest

Facility	Location	% Own.	HPRD	Ratings	Census	Flags
College Oak Nursing and Rehabilitation Center Spyglass, LLC 115 residents		Other disclo…	4.33	Ovr★★★☆☆Stf★★★★☆Ins★★★☆☆QM★★★★☆	115

College Oak Nursing and Rehabilitation Center
Spyglass, LLC
Other disclosed role115 res4.33 HPRD
Overall 3Staffing Staff 4

1 CMS ownership change record (showing 1)

Effective	Facility	Buyer	Seller	Side
03/20/2019	College Oak Nursing and Rehabilitation Center	Spyglass, LLC	C.O.N.R., Inc.	Buyer

03/20/2019
College Oak Nursing and Rehabilitation Center (Buyer)
C.O.N.R., Inc. → Spyglass, LLC

Related CMS associates

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