West Gardena Post Acute

16530 S Broadway Street · Gardena, CA · 90248 · 3103299929

50 certified beds For profit - Limited Liability company Chain: Abraham Bak & Menachem Gastwirth

Why this verdict

  • Inspection record is far worse than the national median (deficiency count and severity).

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Red flags

No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.

Score breakdown

Inspection record 30% of score 40
Serious harm & abuse 20% 88
Staffing 20% 75
Federal penalties 15% 54
Trend 10% 52
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 2 of 5 Inspections: 2 of 5 Staffing: 3 of 5 Quality measures: 3 of 5

Total nurse hours / resident-day4.703.48 min · 4.1 strong
RN hours / resident-day0.410.55–0.75
Weekend hours / resident-day3.86≈ weekday level
Nursing turnover / year40%median 45%
Fines (3-yr window)2 · $43,004

Inspection citations (39 in the current record)

  • Potential for harm · E November 20, 2025

    Ensure that residents are fully informed and understand their health status, care and treatments.

    Corrected December 15, 2025 · Resident Rights

  • Potential for harm · D November 20, 2025

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Corrected December 15, 2025 · Resident Rights

  • Potential for harm · D November 20, 2025

    PASARR screening for Mental disorders or Intellectual Disabilities

    Corrected December 15, 2025 · Resident Assessment and Care Planning

  • Potential for harm · E November 20, 2025

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected December 15, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D November 20, 2025

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected December 15, 2025 · Quality of Life and Care

  • Potential for harm · D November 20, 2025

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected December 15, 2025 · Quality of Life and Care

  • Potential for harm · E November 20, 2025

    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

    Corrected December 15, 2025 · Quality of Life and Care

  • Potential for harm · D November 20, 2025

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected December 15, 2025 · Quality of Life and Care

  • Potential for harm · D November 20, 2025

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected December 15, 2025 · Pharmacy Service

  • Potential for harm · E November 20, 2025

    Ensure 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.

    Corrected December 15, 2025 · Pharmacy Service

  • Potential for harm · D November 20, 2025

    Provide routine and 24-hour emergency dental care for each resident.

    Corrected December 15, 2025 · Quality of Life and Care

  • Potential for harm · D November 20, 2025

    Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

    Corrected December 15, 2025 · Nutrition and Dietary

  • Potential for harm · E November 20, 2025

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected December 15, 2025 · Nutrition and Dietary

  • Potential for harm · E November 20, 2025

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected December 15, 2025 · Resident Assessment and Care Planning

  • Potential for harm · E November 20, 2025

    Provide and implement an infection prevention and control program.

    Corrected December 15, 2025 · Infection Control

  • Potential for harm · D November 20, 2025

    Implement a program that monitors antibiotic use.

    Corrected December 15, 2025 · Infection Control

  • Potential for harm · D November 20, 2025

    Provide enough space and equipment to meet each resident's needs

    Corrected December 15, 2025 · Environmental

  • Potential for harm · E November 20, 2025

    Keep all essential equipment working safely.

    Corrected December 15, 2025 · Environmental

  • No harm found · B November 20, 2025

    Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

    Corrected December 15, 2025 · Environmental

  • Potential for harm · E July 15, 2025 · found via complaint

    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

    Corrected August 8, 2025 · Environmental

  • Potential for harm · D October 3, 2024

    Honor 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.

    Corrected October 26, 2024 · Resident Rights

  • Potential for harm · E October 3, 2024

    Provide activities to meet all resident's needs.

    Corrected October 26, 2024 · Quality of Life and Care

  • Potential for harm · D October 3, 2024

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected October 26, 2024 · Quality of Life and Care

  • Potential for harm · D October 3, 2024

    Provide safe, appropriate pain management for a resident who requires such services.

    Corrected October 26, 2024 · Quality of Life and Care

  • Potential for harm · D October 3, 2024

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected October 26, 2024 · Pharmacy Service

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
July 5, 2024Fine$34,660
October 1, 2023Fine$8,344

Family & resident reviews — a separate signal, never mixed into the score

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 555410 · certified since October 1, 1989. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.