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Facility Information

Facility ID: 910000022

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Primrose Post-Acute

Other previous Names(s) known as:

  • Goldstar Healthcare Center Of Inglewood
  • Goldstar Rehabilitation And Nursing Center Of Inglewood
  • Goldstar Healthcare Center Of Inglewood
  • Centinela Park Convalescent Hospital

515 Centinela Ave
Inglewood, Ca   90302

County:Los Angeles

Phone:(310) 674-4500

Fax:(310) 674-9393

Managing District Office

Please contact the following Licensing and Certification office for any questions and/or concerns:

L.A. County West District Office
600 South Commonwealth Avenue, Suite 903
Los Angeles, CA. 90005
Phone Number: (213) 351-8114
Fax Number: (213) 351-2756

License Information

Licensee: Kumquat Holdings, Llc
100 E. San Marcos Blvd., Ste. 200
San Marcos, Ca 92069

Licensee Type: Limited Liability Company

License Number: 910000024

License Status: Active

License Category: Skilled Nursing Facility

License Effective Date: 6/1/2016

Expiration Date: 11/30/2016

Total Bed Capacity: 69

Bed Classification/Services:

  • 69 Skilled Nursing

Certification Information
Title 18 = Medicare
Title 19 = Medi-Cal (Medicaid)

Provider Category:SNF/NF

Last Certification Inspection Status:In Compliance

Certification Status:Eligible to Participate

Approval Date: 11/23/2016

Nursing Home Compare Five Star Quality Ratings are provided by the Medicare.gov - Nursing Home Compare website.

Complaints/Facility Self-Reported Incidents/Inspection Results Summary


   

Year: 2016

10ComplaintsComplaints

4Facility Self-Reported IncidentsFacility Self-Reported Incidents

0State Enforcement ActionsEnforcement Actions

0Survey DeficienciesSurvey Deficiencies

Year: 2015

3ComplaintsComplaints

0Facility Self-Reported IncidentsFacility Self-Reported Incidents

2State Enforcement ActionsEnforcement Actions

9Survey DeficienciesSurvey Deficiencies

Year: 2014

22ComplaintsComplaints

0Facility Self-Reported IncidentsFacility Self-Reported Incidents

0State Enforcement ActionsEnforcement Actions

46Survey DeficienciesSurvey Deficiencies

Year: 2013

11ComplaintsComplaints

1Facility Self-Reported IncidentsFacility Self-Reported Incidents

0State Enforcement ActionsEnforcement Actions

18Survey DeficienciesSurvey Deficiencies

Year: 2012

3ComplaintsComplaints

0Facility Self-Reported IncidentsFacility Self-Reported Incidents

0State Enforcement ActionsEnforcement Actions

9Survey DeficienciesSurvey Deficiencies

Year: 2011

0ComplaintsComplaints

0Facility Self-Reported IncidentsFacility Self-Reported Incidents

0State Enforcement ActionsEnforcement Actions

7Survey DeficienciesSurvey Deficiencies

Year: 2010

0ComplaintsComplaints

0Facility Self-Reported IncidentsFacility Self-Reported Incidents

0State Enforcement ActionsEnforcement Actions

24Survey DeficienciesSurvey Deficiencies

Year: 2009

0ComplaintsComplaints

0Facility Self-Reported IncidentsFacility Self-Reported Incidents

0State Enforcement ActionsEnforcement Actions

26Survey DeficienciesSurvey Deficiencies

Year: 2008

0ComplaintsComplaints

0Facility Self-Reported IncidentsFacility Self-Reported Incidents

0State Enforcement ActionsEnforcement Actions

35Survey DeficienciesSurvey Deficiencies

Year: 2007

0ComplaintsComplaints

0Facility Self-Reported IncidentsFacility Self-Reported Incidents

0State Enforcement ActionsEnforcement Actions

21Survey DeficienciesSurvey Deficiencies

Year: 2006

0ComplaintsComplaints

0Facility Self-Reported IncidentsFacility Self-Reported Incidents

0State Enforcement ActionsEnforcement Actions

11Survey DeficienciesSurvey Deficiencies

Year: 2005

0ComplaintsComplaints

0Facility Self-Reported IncidentsFacility Self-Reported Incidents

0State Enforcement ActionsEnforcement Actions

19Survey DeficienciesSurvey Deficiencies

Year: 2004

0ComplaintsComplaints

0Facility Self-Reported IncidentsFacility Self-Reported Incidents

0State Enforcement ActionsEnforcement Actions

7Survey DeficienciesSurvey Deficiencies

Administration Information

12/1/2015
to Present

Kumquat Holdings, Llc
Relationship to Facility: Licensee

12/1/2015
to Present

Burkinshaw, Brandon
Relationship to Facility: Administrator

12/1/2015
to Present

Evangelista, Edith
Relationship to Facility: Director Of Nursing

Ownership Information

To request additional ownership information about this facility, please click the ownership name below.

3/31/2009
to Present

Goldstar Inglewood Associates, Llc
Relationship to Facility: Property Owner
Percentage of Ownership: 0

Operating Entities

None found