Why this was flagged
Medicare paid far more per patient than peers
In 2023 this provider was paid $25,576 per patient, against a typical $13,834 for the same kind of provider in MN. A genuinely high-need patient mix can explain some of this, but extreme per-patient billing is a classic upcoding and phantom-patient pattern.
Source Medicare Skilled Nursing Payments by Provider · record as of 11 Aug 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 0c26d5
View the records behind this flag →
Owner is tied to 45 providers
An owner or managing party of this provider (NOAM JAFFA) is listed on 45 separate Medicare enrollments. Chains are legal, and most are ordinary business — this is background context, not a fraud indicator on its own.
Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0
View the records behind this flag →
Owners and managing parties of record
SPARTAN HEALTHCARE LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST · O · 32% ownership · since Aug 22, 2019
Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0
MARC HALPERT
5% OR GREATER INDIRECT OWNERSHIP INTEREST · I · 32% ownership · since Aug 22, 2019
Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0
MARC HALPERT
CORPORATE OFFICER · I · 32% ownership · since Aug 22, 2019
Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0
JOSHUA LEGUM
CONTRACTED MANAGING EMPLOYEE · I · 32% ownership · since Aug 22, 2019
Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0
JOSHUA LEGUM
5% OR GREATER INDIRECT OWNERSHIP INTEREST · I · 32% ownership · since Aug 22, 2019
Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0
WBS HOLDINGS LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 22% ownership · since Aug 22, 2019
Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0
WILLIAM STERN
5% OR GREATER INDIRECT OWNERSHIP INTEREST · I · 22% ownership · since Aug 22, 2019
Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0
WILLIAM STERN
CORPORATE OFFICER · I · 22% ownership · since Aug 22, 2019
Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0
NOAM JAFFA
5% OR GREATER INDIRECT OWNERSHIP INTEREST · I · 14% ownership · since Aug 22, 2019
Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0
NOAM JAFFA
CORPORATE DIRECTOR · I · 14% ownership · since Aug 22, 2019
Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0
NIJ LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST · O · 14% ownership · since Aug 22, 2019
Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0
Source timeline
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Source records
Each value includes its published file, download date, and weekly version. Open a link to check the source record. Verify this lead yourself.
| Detail | Value | Published file | Record as of | Pulled | Version |
|---|---|---|---|---|---|
| Legal name | RIVER VALLEY HEALTH AND REHABILITATION CENTER LLC | CMS Skilled Nursing Facility Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · e83b3d |
| NPI | 1578111589 | CMS Skilled Nursing Facility Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · e83b3d |
| Medicare certification number | 245237 | CMS Skilled Nursing Facility Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · e83b3d |
| CMS associate ID | 5597096859 | CMS Skilled Nursing Facility Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · e83b3d |
| Provider type | PART A PROVIDER - SKILLED NURSING FACILITY | CMS Skilled Nursing Facility Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · e83b3d |
| Organisation type | LLC | CMS Skilled Nursing Facility Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · e83b3d |
| Incorporation date | 2019-07-03 | CMS Skilled Nursing Facility Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · e83b3d |
| State of incorporation | MN | CMS Skilled Nursing Facility Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · e83b3d |
| Street address | 200 S DEKALB ST | CMS Skilled Nursing Facility Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · e83b3d |
| City | REDWOOD FALLS | CMS Skilled Nursing Facility Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · e83b3d |
| State | MN | CMS Skilled Nursing Facility Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · e83b3d |
| ZIP | 56283-1913 | CMS Skilled Nursing Facility Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · e83b3d |
What changed
Public research history
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