CHESTNUT SNF OPERATIONS LLC

Why this was flagged

Elevated

Extreme per-patient billing

Medicare paid far more per patient than peers

In 2021 this provider was paid $39,263 per patient, against a typical $15,267 for the same kind of provider in KY. 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 →

Moderate

Owner cluster

Owner is tied to 51 providers

An owner or managing party of this provider (SHIMON IDELS) is listed on 51 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

KY 10 SNF OPERATIONS HOLDINGS LLC

5% OR GREATER DIRECT OWNERSHIP INTEREST · O · 100% ownership · since Jan 2, 2025

Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0

BTF KY HOLDINGS LLC

5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 43% ownership · since Jan 2, 2025

Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0

LION KY HOLDINGS LLC

5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 41.5% ownership · since Jan 1, 2025

Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0

SIKY TRUST

5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 21.5% ownership · since Jan 2, 2025

Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0

HIKY TRUST

5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 21.5% ownership · since Jan 2, 2025

Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0

SSKY TRUST

5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 20.75% ownership · since Jan 2, 2025

Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0

EPKY TRUST

5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 20.75% ownership · since Jan 2, 2025

Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0

JML 1836 HOLDINGS LLC

INDIRECT OWNERSHIP INTEREST · O · 2.5% ownership · since Jan 1, 2025

Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0

Unnamed party

INDIRECT OWNERSHIP INTEREST · O · 2.5% ownership · since Jan 2, 2025

Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0

MJL 2024 FAMILY TRUST

INDIRECT OWNERSHIP INTEREST · O · 1.25% ownership · since Jan 1, 2025

Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0

JNL 2024 FAM TR

INDIRECT OWNERSHIP INTEREST · O · 1.25% ownership · since Jan 1, 2025

Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0

Unnamed party

INDIRECT OWNERSHIP INTEREST · O · 1% ownership · since Jan 2, 2025

Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0

MICHAEL BOTWINICK

INDIRECT OWNERSHIP INTEREST · I · 1% ownership · since Jan 1, 2025

Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0

Unnamed party