Sapphire At Fernhill LLC

Enrollment entity

Provider / enrollment organization Enrollment PAC 7810359262 Enrollment ID O20230816002699

Linked facilitiesFacilities

StatesStates

8 parties: 2 organizations · 6 individuals

Owners & control parties

Name	Owner/control PAC	Type	Role(s)	%
Nishita Bhumkar	5890832356	Individual	Operational/Managerial Control; ADP of the SNF	—
Alex Mckay	2163906066	Individual	Operational/Managerial Control; ADP of the SNF	—
Sapphire Healthcare Srvs.	0244561207	Organization	Operational/Managerial Control; ADP of the SNF	—
Kevin Ricker	5698671337	Individual	5% or Greater Direct Ownership Interest	40.00
Andrew L Becker	1355605833	Individual	5% or Greater Direct Ownership Interest	30.00

Nishita BhumkarPAC 5890832356
IndividualOperational/Managerial Control; ADP of the SNF
Alex MckayPAC 2163906066
IndividualOperational/Managerial Control; ADP of the SNF
Sapphire Healthcare Srvs.PAC 0244561207
OrganizationOperational/Managerial Control; ADP of the SNF
Kevin RickerPAC 5698671337
Individual40.005% or Greater Direct Ownership Interest
Andrew L BeckerPAC 1355605833
Individual30.005% or Greater Direct Ownership Interest

Show all 8 parties (3 more)

Name	Owner/control PAC	Type	Role(s)	%
Nishita Bhumkar	5890832356	Individual	Operational/Managerial Control; ADP of the SNF	—
Alex Mckay	2163906066	Individual	Operational/Managerial Control; ADP of the SNF	—
Sapphire Healthcare Srvs.	0244561207	Organization	Operational/Managerial Control; ADP of the SNF	—
Kevin Ricker	5698671337	Individual	5% or Greater Direct Ownership Interest	40.00
Andrew L Becker	1355605833	Individual	5% or Greater Direct Ownership Interest	30.00
Lisa J Hilty	3678751443	Individual	5% or Greater Direct Ownership Interest	25.00
Bryan Morris	8123457025	Individual	5% or Greater Direct Ownership Interest	5.00
Unknown Party	1355825258	Organization	ADP of the SNF	—

Nishita BhumkarPAC 5890832356
IndividualOperational/Managerial Control; ADP of the SNF
Alex MckayPAC 2163906066
IndividualOperational/Managerial Control; ADP of the SNF
Sapphire Healthcare Srvs.PAC 0244561207
OrganizationOperational/Managerial Control; ADP of the SNF
Kevin RickerPAC 5698671337
Individual40.005% or Greater Direct Ownership Interest
Andrew L BeckerPAC 1355605833
Individual30.005% or Greater Direct Ownership Interest
Lisa J HiltyPAC 3678751443
Individual25.005% or Greater Direct Ownership Interest
Bryan MorrisPAC 8123457025
Individual5.005% or Greater Direct Ownership Interest
Unknown PartyPAC 1355825258
OrganizationADP of the SNF

CMS enrollment records associate Sapphire At Fernhill LLC with 1 nursing home shown on PBJ320.

Facility	Location	Role / stake	HPRD	Ratings	Census	Flags
Fernhill Rehabilitation And Care Sapphire At Fernhill LLC 44 residents		Other disclo…	5.01	Ovr★★☆☆☆Stf★★★★☆Ins★★☆☆☆QM★★☆☆☆	44

Fernhill Rehabilitation And Care
Sapphire At Fernhill LLC
Other disclosed role44 res5.01 HPRD
Overall 2Staffing Staff 4

1 CMS ownership change record (showing 1)

Effective	Facility	Buyer	Seller	Side
09/01/2023	Fernhill Rehabilitation And Care	Sapphire At Fernhill LLC	Fernhill Estates LLC	Buyer

09/01/2023
Fernhill Rehabilitation And Care (Buyer)
Fernhill Estates LLC → Sapphire At Fernhill LLC

Related CMS associates

Name match to Sapphire At Fernhill LLC in FEC filings. Similar names may appear—confirm on FEC.gov.