Crystal Pines Rehabilitation and Health Care Center, LLC

Enrollment entity
Provider / enrollment organization Enrollment PAC 6002003118 Enrollment ID O20101214001332

Details

Linked facilitiesFacilities
1
StatesStates
1

14 parties: 7 organizations · 7 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Kiley A Brooks5496973844IndividualCorporate Officer; Operational/Managerial Control; ADP of the SNF25
Randall Bloom3375561632IndividualCorporate Officer; Operational/Managerial Control; ADP of the SNF25
Walnut Creek Management Company LLC6608788138OrganizationOperational/Managerial Control; ADP of the SNF25
Joseph C Tutera5193632768IndividualOperational/Managerial Control; ADP of the SNF; Indirect Ownership Interest14
Asim I Elmahboub4284538893IndividualOperational/Managerial Control; ADP of the SNF
Scott Morton2668763897IndividualOperational/Managerial Control; ADP of the SNF
Tutera Investments, LLC3375450943OrganizationDirect Ownership Interest99
Jct Investments, LLC3173752144OrganizationDirect Ownership Interest1
Marian Olander Tutera 2020 Mrtl Tr2466830351OrganizationIndirect Ownership Interest66.26
Joseph Charles Tutera 2013 Family Irrevociable Trust Agreement9032420393OrganizationIndirect Ownership Interest13.74
Marian Olander Tutera9638557523IndividualIndirect Ownership Interest6
Jennifer Fraase0648743864IndividualADP of the SNF
Unknown party5799258000OrganizationADP of the SNF
TI-CRYSTAL Lake, LLC5890268106OrganizationADP of the SNF

Linked facilities

Facility Location Role / stake HPRD Ratings Census Flags
Crystal Pines Rehab & Hcc
Crystal Pines Rehabilitation and Health Care Center, LLC
83 residents
Other disclo…
3.15Ovr☆☆☆☆Stf☆☆☆☆Ins★★☆☆☆QM★★☆☆☆83
  • Crystal Pines Rehabilitation and Health Care Center, LLC
    Other disclosed role83 res3.15 HPRD
    Overall 1Staffing Staff 1
Related CMS associates

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Name match to Crystal Pines Rehabilitation and Health Care Center, LLC in FEC filings. Similar names may appear—confirm on FEC.gov.