Milbank Sd Skilled Nursing Facility, LLC

Mixed CMS roles

Provider / enrollment organization Enrollment PAC 9739417734 Enrollment ID O20190829001762

Linked facilitiesFacilities

15 parties: 7 organizations · 8 individuals

Owners & control parties

Name	Owner/control PAC	Type	Role(s)	%
Truist Bank	9335631274	Organization	5% or Greater Security Interest; Operational/Managerial Control	100
Austin J Eggers	5597180687	Individual	Operational/Managerial Control; ADP of the SNF	—
Rebecca Pulse	9335628536	Individual	Operational/Managerial Control; ADP of the SNF	—
Chaim Rajchenbach	4284547977	Individual	Operational/Managerial Control; Managing Control - Governing Body; ADP of the SNF	—
Menachem Shabat	3072526219	Individual	Operational/Managerial Control; Managing Control - Governing Body; ADP of the SNF	—
Doros Generation Trust U/A/D 1/3/12	6901110428	Organization	5% or Greater Direct Ownership Interest; ADP of the SNF	42.5
Gpn Family Trust U/A/D 4/28/08	5294988994	Organization	5% or Greater Direct Ownership Interest; ADP of the SNF	42.5
Oakway Operations LLC	6103212279	Organization	5% or Greater Direct Ownership Interest	15
Unknown party	1052890258	Individual	Indirect Ownership Interest	4.9
Unknown party	5698254894	Individual	Indirect Ownership Interest	4.9
Unknown party	2961981162	Individual	Indirect Ownership Interest	2.6
Unknown party	6507345709	Individual	Indirect Ownership Interest	2.6
Milbank Sd Property Holdings, LLC	0446739643	Organization	5% or Greater Security Interest; ADP of the SNF	100
Rsm Us LLP	6305077611	Organization	ADP of the SNF	—
Legacy Healthcare Financial Services LLC	5799046132	Organization	ADP of the SNF	—

Truist BankPAC 9335631274
Organization1005% or Greater Security Interest; Operational/Managerial Control
Austin J EggersPAC 5597180687
IndividualOperational/Managerial Control; ADP of the SNF
Rebecca PulsePAC 9335628536
IndividualOperational/Managerial Control; ADP of the SNF
Chaim RajchenbachPAC 4284547977
IndividualOperational/Managerial Control; Managing Control - Governing Body
Menachem ShabatPAC 3072526219
IndividualOperational/Managerial Control; Managing Control - Governing Body
Doros Generation Trust U/A/D 1/3/12PAC 6901110428
Organization42.55% or Greater Direct Ownership Interest; ADP of the SNF
Gpn Family Trust U/A/D 4/28/08PAC 5294988994
Organization42.55% or Greater Direct Ownership Interest; ADP of the SNF
Oakway Operations LLCPAC 6103212279
Organization155% or Greater Direct Ownership Interest
Unknown partyPAC 1052890258
Individual4.9Indirect Ownership Interest
Unknown partyPAC 5698254894
Individual4.9Indirect Ownership Interest
Unknown partyPAC 2961981162
Individual2.6Indirect Ownership Interest
Unknown partyPAC 6507345709
Individual2.6Indirect Ownership Interest
Milbank Sd Property Holdings, LLCPAC 0446739643
Organization1005% or Greater Security Interest; ADP of the SNF
Rsm Us LLPPAC 6305077611
OrganizationADP of the SNF
Legacy Healthcare Financial Services LLCPAC 5799046132
OrganizationADP of the SNF

Facility	Location	% Own.	HPRD	Ratings	Census	Flags
Avantara Milbank Milbank Sd Skilled Nursing Facility, LLC 38 residents		Other disclo…	3.23	Ovr★☆☆☆☆Stf★★☆☆☆Ins★☆☆☆☆QM★★☆☆☆	38

Avantara Milbank
Milbank Sd Skilled Nursing Facility, LLC
Other disclosed role38 res3.23 HPRD
Overall 1Staffing Staff 2

1 CMS ownership change record (showing 1)

Effective	Facility	Buyer	Seller	Side
07/01/2019	Avantara Milbank	Milbank Sd Skilled Nursing Facility, LLC	Milbank Care and Rehabilitation Center LLC	Buyer

07/01/2019
Avantara Milbank (Buyer)
Milbank Care and Rehabilitation Center LLC → Milbank Sd Skilled Nursing Facility, LLC

Related CMS associates

Name match to Milbank Sd Skilled Nursing Facility, LLC in FEC filings. Similar names may appear—confirm on FEC.gov.