PRIMROSE POST-ACUTE
515 CENTINELA AVE., INGLEWOOD, CA 90302 · CCN 055608
Ratings
- Overall
- ★★☆☆☆ 2
- Health inspection
- ★★☆☆☆ 2
- Quality measures
- ★★★★★ 5
- Staffing
- ★☆☆☆☆ 1
Facility
- Ownership type
- For profit - Limited Liability company
- Certified beds
- 69
- Avg residents/day
- 62.1
- Phone
- 3106744500
Inspection history vs California & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | California avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-05-23 | 17 | 15.6 | 9.5 | +1.4 worse |
| 2 | 2024-05-10 | 21 | 17.4 | 9.8 | +3.6 worse |
| 3 | 2022-02-11 | 30 | 17.1 | 9.3 | +12.9 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 1 |
| Quality of life and care | 3 |
| Resident assessment and care planning | 4 |
| Resident rights | 2 |
| Nutrition and dietary | 3 |
| Environmental | 1 |
| Administration | 1 |
| Infection control | 2 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 4.19 | 36.4% |
| RN staffing (reported) | 0.27 | 66.7% |
| Total nurse staffing (adjusted) | 3.46 | — |
Fines & penalties
- Total fines
- $16,801
- Number of fines
- 1
- Number of penalties
- 2
- Payment denials
- 1
Chain
- Chain
- PACS GROUP
- Facilities in chain
- 264
- Chain avg overall
- 2.90 / 5
Inspection citations (68)1 immediate jeopardy
- EF0583Keep residents' personal and medical records private and confidential.2025-09-03 · Health · corrected 2025-09-19
Potential for more than minimal harm
- DF0558Reasonably accommodate the needs and preferences of each resident.2025-05-23 · Health · corrected 2025-06-15
Potential for more than minimal harm
- DF0610Respond appropriately to all alleged violations.2025-05-23 · Health · corrected 2025-06-15
Potential for more than minimal harm
- EF0641Ensure each resident receives an accurate assessment.2025-05-23 · Health · corrected 2025-06-15
Potential for more than minimal harm
- DF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2025-05-23 · Health · corrected 2025-06-15
Potential for more than minimal harm
- DF0645PASARR screening for Mental disorders or Intellectual Disabilities2025-05-23 · Health · corrected 2025-06-15
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-05-23 · Health · corrected 2025-06-15
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-05-23 · Health · corrected 2025-06-15
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-05-23 · Health · corrected 2025-06-15
Potential for more than minimal harm
- DF0745Provide medically-related social services to help each resident achieve the highest possible quality of life.2025-05-23 · Health · corrected 2025-06-15
Potential for more than minimal harm
- DF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2025-05-23 · Health · corrected 2025-06-15
Potential for more than minimal harm
- DF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.2025-05-23 · Health · corrected 2025-06-15
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-05-23 · Health · corrected 2025-06-15
Potential for more than minimal harm
- EF0865Have a plan that describes the process for conducting QAPI and QAA activities.2025-05-23 · Health · corrected 2025-06-15
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2025-05-23 · Health · corrected 2025-06-15
Potential for more than minimal harm
- DF0881Implement a program that monitors antibiotic use.2025-05-23 · Health · corrected 2025-06-15
Potential for more than minimal harm
- BF0912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.2025-05-23 · Health · corrected 2025-06-15
Potential for minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-12-11 · Health · corrected 2025-01-10
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-11-04 · Health · corrected 2024-11-25
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-10-31 · Health · corrected 2024-11-27
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-10-08 · Health · corrected 2024-11-07
Potential for more than minimal harm
- EF0558Reasonably accommodate the needs and preferences of each resident.2024-05-10 · Health · corrected 2024-06-03
Potential for more than minimal harm
- DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-05-10 · Health · corrected 2024-06-03
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2024-05-10 · Health · corrected 2024-06-03
Potential for more than minimal harm
- EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-05-10 · Health · corrected 2024-06-03
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-05-10 · Health · corrected 2024-06-03
Potential for more than minimal harm
- JF0678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.2024-05-10 · Health · corrected 2024-06-03
Immediate jeopardy
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-05-10 · Health · corrected 2024-06-03
Potential for more than minimal harm
- DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2024-05-10 · Health · corrected 2024-06-03
Potential for more than minimal harm
- DF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2024-05-10 · Health · corrected 2024-06-03
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-05-10 · Health · corrected 2024-06-03
Potential for more than minimal harm
- EF0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.2024-05-10 · Health · corrected 2024-06-03
Potential for more than minimal harm
- DF0773Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.2024-05-10 · Health · corrected 2024-06-03
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-05-10 · Health · corrected 2024-06-03
Potential for more than minimal harm
- EF0814Dispose of garbage and refuse properly.2024-05-10 · Health · corrected 2024-06-03
Potential for more than minimal harm
- FF0838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.2024-05-10 · Health · corrected 2024-06-03
Potential for more than minimal harm
- BF0912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.2024-05-10 · Health · corrected 2024-06-03
Potential for minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-03-20 · Health · corrected 2024-04-19
Potential for more than minimal harm
- DF0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.2024-01-11 · Health · corrected 2024-02-11
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-01-11 · Health · corrected 2024-02-11
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2024-01-11 · Health · corrected 2024-02-11
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2023-10-26 · Health · corrected 2023-11-04
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-09-06 · Health · corrected 2023-09-19
Potential for more than minimal harm
- DF0697Provide safe, appropriate pain management for a resident who requires such services.2023-06-28 · Health · corrected 2023-07-31
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-06-28 · Health · corrected 2023-07-31
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2023-04-05 · Health · corrected 2023-04-06
Potential for more than minimal harm
- EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2022-02-11 · Health · corrected 2022-03-16
Potential for more than minimal harm
- DF0559Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.2022-02-11 · Health · corrected 2022-03-16
Potential for more than minimal harm
- EF0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.2022-02-11 · Health · corrected 2022-03-16
Potential for more than minimal harm
- DF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2022-02-11 · Health · corrected 2022-03-16
Potential for more than minimal harm
- DF0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.2022-02-11 · Health · corrected 2022-03-16
Potential for more than minimal harm
- EF0585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.2022-02-11 · Health · corrected 2022-03-16
Potential for more than minimal harm
- DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2022-02-11 · Health · corrected 2022-03-16
Potential for more than minimal harm
- EF0641Ensure each resident receives an accurate assessment.2022-02-11 · Health · corrected 2022-03-16
Potential for more than minimal harm
- EF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2022-02-11 · Health · corrected 2022-03-16
Potential for more than minimal harm
- EF0658Ensure services provided by the nursing facility meet professional standards of quality.2022-02-11 · Health · corrected 2022-03-16
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2022-02-11 · Health · corrected 2022-03-16
Potential for more than minimal harm
- DF0745Provide medically-related social services to help each resident achieve the highest possible quality of life.2022-02-11 · Health · corrected 2022-03-16
Potential for more than minimal harm
- EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2022-02-11 · Health · corrected 2022-03-16
Potential for more than minimal harm
- EF0759Ensure medication error rates are not 5 percent or greater.2022-02-11 · Health · corrected 2022-03-16
Potential for more than minimal harm
- EF0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.2022-02-11 · Health · corrected 2022-03-16
Potential for more than minimal harm
- DF0802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.2022-02-11 · Health · corrected 2022-03-16
Potential for more than minimal harm
- EF0803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.2022-02-11 · Health · corrected 2022-03-16
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2022-02-11 · Health · corrected 2022-03-16
Potential for more than minimal harm
- EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2022-02-11 · Health · corrected 2022-03-16
Potential for more than minimal harm
- DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2022-02-11 · Health · corrected 2022-03-16
Potential for more than minimal harm
- BF0912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.2022-02-11 · Health · corrected 2022-03-16
Potential for minimal harm
- EF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2022-02-11 · Health · corrected 2022-03-16
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| PROVIDENCE GROUP NH, LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2023-06-30 |
| PACS GROUP, INC. | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2023-06-30 |
| PACS HOLDINGS, LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2023-06-30 |
| HANCOCK, MARK | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2024-04-15 |
| MURRAY, JASON | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2024-04-15 |
| HYDER, ANDREW | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2021-10-20 |
| APT, FREDERICK | Individual | CORPORATE OFFICER | — | 2024-01-01 |
| HANCOCK, MARK | Individual | CORPORATE OFFICER | — | 2024-01-01 |
| JERGENSEN, JOSHUA | Individual | CORPORATE OFFICER | — | 2024-06-05 |
| MITCHELL, JOHN | Individual | CORPORATE OFFICER | — | 2024-01-01 |
| BRINLEY, BRITTANY | Individual | CONTRACTED MANAGING EMPLOYEE | — | 2021-06-01 |
| HYDER, ANDREW | Individual | W-2 MANAGING EMPLOYEE | — | 2021-10-20 |
Other facilities in INGLEWOOD
| Name | Overall | Beds |
|---|---|---|
| CENTINELA SKILLED NURSING & WELLNESS CENTRE WEST | ★★★★★ | 59 |
| OSAGE HEALTHCARE & WELLNESS CENTRE | ★★★★☆ | 53 |
| INGLEWOOD HEALTH CARE CENTER | ★★☆☆☆ | 99 |
| CENTURY VILLA, INC | ★★☆☆☆ | 99 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.