PBJ320 Ownership

Complete Care at Middlebury LLC

Provider / enrollment organizationConnecticut
Enrollment PAC5991151839Enrollment IDO20231027002634

By state

State#
CT1
Total1

Details

Enrollment entity. CMS facility enrollment PAC with linked owners, facilities, and any ownership transactions in CMS data.
Facilities
1
Avg overall rating
5.0
Weighted total nurse HPRD
3.79
Avg staffing rating
2.0

17 parties: 8 organizations · 9 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Pc Middlebury Opco LLC8527414465Organization5% or Greater Direct Ownership Interest100
Pc Middlebury Topco LLC7618323551Organization5% or Greater Indirect Ownership Interest; ADP of the SNF90.2
Peace Capital Holdings II LLC9436505377Organization5% or Greater Indirect Ownership Interest; ADP of the SNF90.2
Sms 2021 Trust5991104671Organization5% or Greater Indirect Ownership Interest; ADP of the SNF85.78
Des Capital LLC8426572306OrganizationADP of the SNF; Indirect Ownership Interest4.9
Jrk Investments LLC9335663210OrganizationADP of the SNF; Indirect Ownership Interest4.9
Middlebury Propco LLC5799262853OrganizationADP of the SNF
Pc Middlebury Propco LLC6608353768OrganizationADP of the SNF
Daniel Sternbuch1850821695IndividualADP of the SNF; Indirect Ownership Interest4.9
Jacob Klugman5496285231IndividualADP of the SNF; Indirect Ownership Interest4.9
Shalom Stein9638440308IndividualCorporate Officer; Managing Control - Governing Body; Trustee of the SNF4.9
Adedayo Adetola1355472358IndividualOperational/Managerial Control; ADP of the SNF
Jennifer Cisowski0042797102IndividualADP of the SNF
Kristin Lagana6305353624IndividualOperational/Managerial Control; Managing Control - Governing Body; ADP of the SNF
Marnie Tetreault3971523366IndividualOperational/Managerial Control; ADP of the SNF
Peter Knights4486131547IndividualOperational/Managerial Control; ADP of the SNF
Robert J Hoch7214363589IndividualOperational/Managerial Control; ADP of the SNF

Complete Care at Middlebury LLC Portfolio

Facility Location % Own. HPRD Ratings Census Flags
Complete Care at Middlebury
Complete Care at Middlebury LLC
54 residents
3.78Ovr★★★★★Stf★★☆☆☆Ins★★★★★QM★★★★54

Ownership history

1 CMS ownership change record (showing 1)

EffectiveFacilityBuyerSellerSide
10/10/2023Complete Care at Middlebury LLCComplete Care at Middlebury LLCMiddlebury Convalescent Home, Inc.Buyer
  1. 10/10/2023
    Middlebury Convalescent Home, Inc.Complete Care at Middlebury LLC
Frequent associates · 1
Show associates
NameSharedLink
Middlebury Convalescent Home, Inc.1 CHOW

FEC political contributions FEC contributions Beta

Name match to Complete Care at Middlebury LLC in FEC filings. Similar names may appear—confirm on FEC.gov.