Colonial Post Acute LLC

Ownership interest

Organization PAC 6305241951 Enrollment ID O20210820000827

Linked facilitiesFacilities

StatesStates

Portfolio HPRDPortfolio HPRD

4.54

n = 1

13 parties: 4 organizations · 9 individuals

Owners & control parties

Name	Owner/control PAC	Type	Role(s)	%
Colonial Post Acute LLC	6305241951	Organization	5% or Greater Direct Ownership Interest; Operational/Managerial Control; ADP of the SNF	100
David A Johnson	3678654977	Individual	5% or Greater Indirect Ownership Interest; Operational/Managerial Control; Managing Control - Governing Body	50
Frank A Johnson	4082521745	Individual	5% or Greater Indirect Ownership Interest; Corporate Officer; Operational/Managerial Control	50
Keino A Rutherford	0345438008	Individual	Operational/Managerial Control; ADP of the SNF	—
Krissia Rodriguez	1052830270	Individual	Operational/Managerial Control; ADP of the SNF	—
Mary Farrales	7517485576	Individual	Operational/Managerial Control; ADP of the SNF	—
Joshua Kochek	5890213847	Individual	Operational/Managerial Control; ADP of the SNF	—
Albert Esquer	0143609917	Individual	Operational/Managerial Control; ADP of the SNF	—
Micheal D Oxford	3779620521	Individual	Operational/Managerial Control; ADP of the SNF	—
Adrian Dehghanmanesh	6103907142	Individual	Operational/Managerial Control; ADP of the SNF	—
Goldstar North Hollywood Associates LLC	1456879642	Organization	5% or Greater Security Interest; ADP of the SNF	100
Cibc Bank Usa	8426229584	Organization	ADP of the SNF	—
Sun Meridian Management Services LLC	6002334299	Organization	ADP of the SNF	—

Colonial Post Acute LLCPAC 6305241951
Organization1005% or Greater Direct Ownership Interest; Operational/Managerial Control
David A JohnsonPAC 3678654977
Individual505% or Greater Indirect Ownership Interest; Operational/Managerial Control
Frank A JohnsonPAC 4082521745
Individual505% or Greater Indirect Ownership Interest; Corporate Officer
Keino A RutherfordPAC 0345438008
IndividualOperational/Managerial Control; ADP of the SNF
Krissia RodriguezPAC 1052830270
IndividualOperational/Managerial Control; ADP of the SNF
Mary FarralesPAC 7517485576
IndividualOperational/Managerial Control; ADP of the SNF
Joshua KochekPAC 5890213847
IndividualOperational/Managerial Control; ADP of the SNF
Albert EsquerPAC 0143609917
IndividualOperational/Managerial Control; ADP of the SNF
Micheal D OxfordPAC 3779620521
IndividualOperational/Managerial Control; ADP of the SNF
Adrian DehghanmaneshPAC 6103907142
IndividualOperational/Managerial Control; ADP of the SNF
Goldstar North Hollywood Associates LLCPAC 1456879642
Organization1005% or Greater Security Interest; ADP of the SNF
Cibc Bank UsaPAC 8426229584
OrganizationADP of the SNF
Sun Meridian Management Services LLCPAC 6002334299
OrganizationADP of the SNF

Facility	Location	Role / stake	HPRD	Ratings	Census	Flags
Vineland Post Acute Colonial Post Acute LLC 45 residents			4.54	Ovr★★★☆☆Stf★★☆☆☆Ins★★★☆☆QM★★★★☆	45

Vineland Post Acute
Colonial Post Acute LLC
45 res4.54 HPRD
Overall 3Staffing Staff 2

1 CMS ownership change record (showing 1)

Effective	Facility	Buyer	Seller	Side
04/01/2021	Vineland Post Acute	Colonial Post Acute LLC	Four Rivers Management Corporation	Buyer

04/01/2021
Vineland Post Acute (Buyer)
Four Rivers Management Corporation → Colonial Post Acute LLC

Related CMS associates

Also appears as enrollment entity on 1 facility.

Facility	Enrollment ID	Location	City
Vineland Post Acute Colonial Post Acute LLC 45 residents	O20210820000827		NORTH HOLLYWOOD

Vineland Post Acute
Colonial Post Acute LLC
45 residents
Enrollment O20210820000827 · North Hollywood, CA · NORTH HOLLYWOOD

Name match to Colonial Post Acute LLC in FEC filings. Similar names may appear—confirm on FEC.gov.