Thursday, January 1

KBWB Operations LLC, which did business as Atrium Health and Senior Living, and its former chief executive officer and managing member, Kevin Breslin, have been sentenced in federal court for a scheme involving health care fraud and tax conspiracy tied to the operation of multiple skilled nursing facilities.

According to federal announcements, sentencing took place on Nov. 17, 2025, in the U.S. District Court for the Western District of Wisconsin. The outcome follows prior guilty pleas entered in January 2025 to one count of health care fraud and one count of tax conspiracy.

What the Case Involved

Investigators said the conspiracy defrauded federal health care programs, including Medicare and Medicaid. Funds tied to federal reimbursements were diverted as part of the scheme, affecting how the facilities were run. Breslin, as managing member of the company, played a central role in the conduct, according to the federal filings.

The investigation was led by IRS Criminal Investigation and the Department of Health and Human Services Office of Inspector General, with the Justice Department prosecuting the case. The agencies emphasized that health care fraud harms vulnerable residents and taxpayers and said the sentencing underscores ongoing efforts to safeguard federal programs.

Why It Matters for Skilled Nursing

The case highlights continued federal scrutiny of financial practices in long-term care, especially among providers that rely heavily on Medicare and Medicaid reimbursements. Operators may face stepped-up audits and compliance checks as authorities intensify enforcement against billing abuses and misuse of program funds.

The sentencing also arrives amid a wider national focus on health care fraud. Earlier in 2025, a Justice Department takedown charged 324 defendants across 50 federal districts in cases alleging more than $14.6 billion in fraud, illustrating the scale of enforcement sweeping across the sector.

KBWB-Atrium and Leadership

KBWB Operations, operating under the Atrium Health and Senior Living name, ran numerous skilled nursing facilities implicated in the scheme. Breslin served as the company’s CEO and managing member during the period covered by the charges. Specific facility names, financial penalties, or sentence lengths were not included in the federal announcements released this week.

Key Dates

  • Jan. 24, 2025: KBWB Operations LLC and Kevin Breslin plead guilty to one count of health care fraud and one count of tax conspiracy.
  • Nov. 17, 2025: Sentencing in the U.S. District Court for the Western District of Wisconsin.
  • Nov. 18–19, 2025: Federal agencies publish announcements detailing the sentencing.

Federal summaries of the case are available from the Justice Department, IRS Criminal Investigation, and the HHS Office of Inspector General.

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