The collapse of KBWB Operations LLC — known publicly as Atrium Health and Senior Living — ended in federal court this week, with a sweeping sentence that exposed the scale of abuse, exploitation, and financial misconduct that had been buried inside the corporation’s network of nursing facilities for years. Federal prosecutors confirmed that the company and its former chief executive officer, Kevin Breslin, have now been sentenced for a long-running health care fraud scheme and a parallel tax conspiracy that crippled facility operations across multiple states and placed already-vulnerable residents at risk.
Breslin, 58, of Hoboken, New Jersey, received a 90-month federal prison sentence and was ordered to pay $146 million in restitution along with $8.4 million in forfeiture. KBWB-Atrium — the corporate entity he helped manage and partially owned — was ordered to pay the same amounts, marking one of the most significant elder-care fraud penalties issued in recent years. Breslin entered his guilty plea on December 17, 2024, while the corporation pleaded guilty the following month.
According to court filings, KBWB-Atrium operated nursing facilities in New Jersey, Wisconsin, and Michigan, with administrative headquarters in Little Falls, New Jersey and a Midwest office in Appleton, Wisconsin. Behind the corporate structure was a steady flow of federal money: Medicare and Medicaid payments intended to fund staffing, medical care, resident services, and essential operations. Prosecutors said Breslin and others siphoned these funds away from bedside care and into owner distributions, guaranteed payments, and unrelated expenses — draining the system from within.
The misconduct spanned at least three years. Between early 2015 and late 2018, KBWB-Atrium ran 23 nursing facilities in Wisconsin alone. Breslin managed the company’s business, finances, and operational decisions, controlling every major dollar flowing in and out. The federal investigation found that instead of investing Medicare and Medicaid funding into patient care, the defendants diverted millions into personal and corporate pockets, ignoring vendor bills, payroll obligations, regulatory requirements, and taxes. The result was predictable: facilities deteriorated, care standards collapsed, and residents went without the services the government was paying for.
According to the government, the company and its leadership did more than just redirect money. They concealed their conduct from the very agencies responsible for oversight. Investigators found that CMS — the Centers for Medicare and Medicaid Services — was never told that funds meant for patient care were being rerouted. The company failed to disclose that it was not in regulatory compliance, had not paid vendors, and had fallen behind on multiple tax obligations.
The misconduct didn’t stop with Medicare and Medicaid. Prosecutors said KBWB-Atrium also diverted employee health insurance premiums, stole 401(k) contributions from staff paychecks, and took money from resident trust accounts. Employees discovered that taxes withheld from their checks had never been turned over to the IRS — leaving many to unknowingly file inaccurate returns. What should have been secure retirements, protected benefits, and guaranteed wages instead became collateral damage inside a corporation that treated federal funds as a private reservoir.
Federal investigators across multiple agencies built the case over several years, tracing financial paths, interviewing witnesses, and reconstructing the movement of Medicare and Medicaid funds. The final picture was unmistakable: a corporation that abandoned its responsibilities and a leadership team that chose profit over care, compliance, or basic human decency.
The sentencing brings closure to a case that impacted thousands of residents, hundreds of employees, and facilities spread across three states. Breslin’s prison term and the financial penalties imposed on both him and KBWB-Atrium underscore the consequences of exploiting federally funded elder care programs for personal gain.
What began as a network of skilled nursing facilities meant to care for the elderly ended as a cautionary story about unchecked power, mismanagement, and the vulnerability of federal health programs when corporate leaders place their interests above those they are sworn to serve.
The FBI, IRS Criminal Investigation, HHS-OIG, the U.S. Department of Labor, and the Wisconsin Department of Justice all contributed to the investigation, which now stands as one of the most significant elder-care fraud prosecutions in Wisconsin’s federal court history.

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The guy sentenced for this crime isn’t that far away from being elderly himself. He had better hope that someone takes better care of him than he did of so many who were affected by his actions. I hope that they eventually found places for all of those who had to move. This is a sad story of extreme avarice and a hard heart.
Thank you for sharing this news.
You’re welcome, Chris — and you’re absolutely right. It’s striking how someone that close to the age of the people he harmed could show so little regard for their wellbeing. The residents who depended on that care deserved stability, not the chaos and fear that came from his greed. I share your hope that every one of them eventually found a safer place to go, because no one in that situation should ever be left vulnerable.
Thanks again, Chris, for sharing your thoughts — I hope you have a great night and day ahead. God bless you and yours. 😎
You’re welcome, John, and thank you for your statement. It shows that you care about the “least of these.”
Thank you for your kind words.