Fond Du Lac Nursing and Rehab, LLC

Enrollment entity
Provider / enrollment organization Enrollment PAC 7416201728 Enrollment ID O20181126000761

Details

Linked facilitiesFacilities
1
StatesStates
1

8 parties: 0 organizations · 8 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Mordechai Polstein3375844673Individual5% or Greater Direct Ownership Interest; Operational/Managerial Control17.88
Maxim Stesel5193966208Individual5% or Greater Direct Ownership Interest49.18
Channie B Lifsics6406112739Individual5% or Greater Direct Ownership Interest12
Dovie Mauer4082880810Individual5% or Greater Direct Ownership Interest12
Rostislav Pukshansky4688945694Individual5% or Greater Direct Ownership Interest8.94
Lisa R Weber2769560960IndividualADP of the SNF; Indirect Ownership Interest
Miriah Seyler1557535549IndividualADP of the SNF; Indirect Ownership Interest
Pamela D Rice0345518460IndividualCorporate Officer

Linked facilities

Facility Location Role / stake HPRD Ratings Census Flags
Edenbrook of Fond Du Lac
Fond Du Lac Nursing and Rehab, LLC
55 residents
Other disclo…
3.28Ovr★★★★Stf★★★☆☆Ins★★★★QM★★★☆☆55
  • Fond Du Lac Nursing and Rehab, LLC
    Other disclosed role55 res3.28 HPRD
    Overall 4Staffing Staff 3

Ownership history

1 CMS ownership change record (showing 1)

EffectiveFacilityBuyerSellerSide
11/01/2018Edenbrook of Fond Du LacFond Du Lac Nursing and Rehab, LLCManor Care of Fond Du Lac Wi LLCBuyer
  1. 11/01/2018
    Manor Care of Fond Du Lac Wi LLCFond Du Lac Nursing and Rehab, LLC
Related CMS associates

FEC political contributions FEC contributions Beta

Name match to Fond Du Lac Nursing and Rehab, LLC in FEC filings. Similar names may appear—confirm on FEC.gov.