Harrisonburg Operations LLC

Enrollment entity

Provider / enrollment organization Enrollment PAC 6709281181 Enrollment ID O20210823003335

Linked facilitiesFacilities

StatesStates

14 parties: 13 organizations · 1 individuals

Owners & control parties

Name	Owner/control PAC	Type	Role(s)	%
Rczbm West Manager LLC	9739584376	Organization	Operational/Managerial Control	100
Matthew Brooks	2466860846	Individual	W-2 Managing Employee	100
Harrisonburg Holdings I LLC	2466840145	Organization	5% or Greater Direct Ownership Interest	100
America West LLC	6608271234	Organization	5% or Greater Indirect Ownership Interest	100
Redrock West LLC	8426453069	Organization	5% or Greater Indirect Ownership Interest	75
Mrv West LLC	9032514674	Organization	5% or Greater Indirect Ownership Interest	25
Charles 1994 & Family LLC	0244635886	Organization	5% or Greater Indirect Ownership Interest	23.75
Saul 2012 LLC	2860897402	Organization	5% or Greater Indirect Ownership Interest	23.75
Edward 1998 Family Grantor Trust	1052798261	Organization	5% or Greater Indirect Ownership Interest	22.56
Saul 2012 Family Grantor Trust	5698152809	Organization	5% or Greater Indirect Ownership Interest	22.56
Charles 1994 LLC	6608271242	Organization	5% or Greater Indirect Ownership Interest	22.49
Charles 1994 Family Grantor Trust	9234516444	Organization	5% or Greater Indirect Ownership Interest	21.37
Kss 2000 Family Trust	3577968114	Organization	5% or Greater Indirect Ownership Interest	10
ML 2000 Family Trust	6305241944	Organization	5% or Greater Indirect Ownership Interest	10

Rczbm West Manager LLCPAC 9739584376
Organization100Operational/Managerial Control
Matthew BrooksPAC 2466860846
Individual100W-2 Managing Employee
Harrisonburg Holdings I LLCPAC 2466840145
Organization1005% or Greater Direct Ownership Interest
America West LLCPAC 6608271234
Organization1005% or Greater Indirect Ownership Interest
Redrock West LLCPAC 8426453069
Organization755% or Greater Indirect Ownership Interest
Mrv West LLCPAC 9032514674
Organization255% or Greater Indirect Ownership Interest
Charles 1994 & Family LLCPAC 0244635886
Organization23.755% or Greater Indirect Ownership Interest
Saul 2012 LLCPAC 2860897402
Organization23.755% or Greater Indirect Ownership Interest
Edward 1998 Family Grantor TrustPAC 1052798261
Organization22.565% or Greater Indirect Ownership Interest
Saul 2012 Family Grantor TrustPAC 5698152809
Organization22.565% or Greater Indirect Ownership Interest
Charles 1994 LLCPAC 6608271242
Organization22.495% or Greater Indirect Ownership Interest
Charles 1994 Family Grantor TrustPAC 9234516444
Organization21.375% or Greater Indirect Ownership Interest
Kss 2000 Family TrustPAC 3577968114
Organization105% or Greater Indirect Ownership Interest
ML 2000 Family TrustPAC 6305241944
Organization105% or Greater Indirect Ownership Interest

Facility	Location	Role / stake	HPRD	Ratings	Census	Flags
Harrisonburg Hlth & Rehab Cntr Harrisonburg Operations LLC 174 residents		Other disclo…	3.17	Ovr★☆☆☆☆Stf★☆☆☆☆Ins★☆☆☆☆QM★★★☆☆	174

Harrisonburg Hlth & Rehab Cntr
Harrisonburg Operations LLC
Other disclosed role174 res3.17 HPRD
Overall 1Staffing Staff 1

1 CMS ownership change record (showing 1)

Effective	Facility	Buyer	Seller	Side
05/28/2021	Harrisonburg Hlth & Rehab Cntr	Harrisonburg Operations LLC	Medical Facilities of America III	Buyer

05/28/2021
Harrisonburg Hlth & Rehab Cntr (Buyer)
Medical Facilities of America III → Harrisonburg Operations LLC

Related CMS associates

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