Watson Woods Healthcare, Inc.

Enrollment entity

Provider / enrollment organization Enrollment PAC 9133435654 Enrollment ID O20150828001882

Linked facilitiesFacilities

StatesStates

7 parties: 2 organizations · 5 individuals

Owners & control parties

Name	Owner/control PAC	Type	Role(s)	%
Tamara Sturdevant	4082932744	Individual	W-2 Managing Employee; Operational/Managerial Control	—
Bandera Healthcare LLC	4486654175	Organization	5% or Greater Direct Ownership Interest	100
The Ensign Group Inc	3476460494	Organization	5% or Greater Indirect Ownership Interest	100
Craig Fitch	7810239670	Individual	Corporate Officer	0
John Albrechtsen	0749270700	Individual	Corporate Officer	—
Soon Burnam	9739195553	Individual	Corporate Officer	—
Forrest Peterson	3779625447	Individual	Corporate Director	0

Tamara SturdevantPAC 4082932744
IndividualW-2 Managing Employee; Operational/Managerial Control
Bandera Healthcare LLCPAC 4486654175
Organization1005% or Greater Direct Ownership Interest
The Ensign Group IncPAC 3476460494
Organization1005% or Greater Indirect Ownership Interest
Craig FitchPAC 7810239670
Individual0Corporate Officer
John AlbrechtsenPAC 0749270700
IndividualCorporate Officer
Soon BurnamPAC 9739195553
IndividualCorporate Officer
Forrest PetersonPAC 3779625447
Individual0Corporate Director

Facility	Location	Role / stake	HPRD	Ratings	Census	Flags
Granite Creek Health & Rehabilitation Center Watson Woods Healthcare, Inc. 104 residents		Other disclo…	3.15	Ovr★★☆☆☆Stf★☆☆☆☆Ins★★☆☆☆QM★★★★★	104

Granite Creek Health & Rehabilitation Center
Watson Woods Healthcare, Inc.
Other disclosed role104 res3.15 HPRD
Overall 2Staffing Staff 1

Related CMS associates

Name match to Watson Woods Healthcare, Inc. in FEC filings. Similar names may appear—confirm on FEC.gov.