★★★★★Overall Medicare rating
★★★★★Health inspections
★★★★★Staffing
★★★★★Quality measures
Medicare rates every nursing home from 1 to 5 stars. 5 is much above average, 1 is much below.
Findings, latest cycle19
Findings with harm or immediate jeopardy, 3 cycles2
Fines, 3 years$34,660
Beds50
Inspection findings
Inspectors recorded 39 findings in the last three inspection cycles.
Each entry below is a requirement that inspectors found the home did not meet on that date, in the regulator's own English wording.
| Inspection date | Area | Requirement the home did not meet (official wording, in English) | Severity | Corrected |
|---|---|---|---|---|
| Nov 20, 2025 | Building and environment | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. (F0912) | No harm, minimal risk pattern | Corrected: Dec 15, 2025 |
| Nov 20, 2025 | Building and environment | Keep all essential equipment working safely. (F0908) | No harm, but a risk of harm pattern | Corrected: Dec 15, 2025 |
| Nov 20, 2025 | Building and environment | Provide enough space and equipment to meet each resident's needs (F0907) | No harm, but a risk of harm isolated | Corrected: Dec 15, 2025 |
| Nov 20, 2025 | Infection control | Implement a program that monitors antibiotic use. (F0881) | No harm, but a risk of harm isolated | Corrected: Dec 15, 2025 |
| Nov 20, 2025 | Infection control | Provide and implement an infection prevention and control program. (F0880) | No harm, but a risk of harm pattern | Corrected: Dec 15, 2025 |
| Nov 20, 2025 | Resident assessment and care planning | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (F0842) | No harm, but a risk of harm pattern | Corrected: Dec 15, 2025 |
| Nov 20, 2025 | Food and nutrition | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (F0812) | No harm, but a risk of harm pattern | Corrected: Dec 15, 2025 |
| Nov 20, 2025 | Food and nutrition | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. (F0805) | No harm, but a risk of harm isolated | Corrected: Dec 15, 2025 |
| Nov 20, 2025 | Quality of life and care | Provide routine and 24-hour emergency dental care for each resident. (F0790) | No harm, but a risk of harm isolated | Corrected: Dec 15, 2025 |
| Nov 20, 2025 | Pharmacy and medications | 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. (F0761) | No harm, but a risk of harm pattern | Corrected: Dec 15, 2025 |
| Nov 20, 2025 | Pharmacy and medications | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (F0755) | No harm, but a risk of harm isolated | Corrected: Dec 15, 2025 |
| Nov 20, 2025 | Quality of life and care | Provide safe and appropriate respiratory care for a resident when needed. (F0695) | No harm, but a risk of harm isolated | Corrected: Dec 15, 2025 |
| Nov 20, 2025 | Quality of life and care | 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. (F0688) | No harm, but a risk of harm pattern | Corrected: Dec 15, 2025 |
| Nov 20, 2025 | Quality of life and care | Provide appropriate pressure ulcer care and prevent new ulcers from developing. (F0686) | No harm, but a risk of harm isolated | Corrected: Dec 15, 2025 |
| Nov 20, 2025 | Quality of life and care | Provide appropriate treatment and care according to orders, resident’s preferences and goals. (F0684) | No harm, but a risk of harm isolated | Corrected: Dec 15, 2025 |
| Nov 20, 2025 | Resident assessment and care planning | Ensure services provided by the nursing facility meet professional standards of quality. (F0658) | No harm, but a risk of harm pattern | Corrected: Dec 15, 2025 |
| Nov 20, 2025 | Resident assessment and care planning | PASARR screening for Mental disorders or Intellectual Disabilities (F0645) | No harm, but a risk of harm isolated | Corrected: Dec 15, 2025 |
| Nov 20, 2025 | Resident rights | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (F0580) | No harm, but a risk of harm isolated | Corrected: Dec 15, 2025 |
| Nov 20, 2025 | Resident rights | Ensure that residents are fully informed and understand their health status, care and treatments. (F0552) | No harm, but a risk of harm pattern | Corrected: Dec 15, 2025 |
| Jul 15, 2025 | Building and environment | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. (F0925) | No harm, but a risk of harm pattern · from a complaint | Corrected: Aug 8, 2025 |
| Oct 3, 2024 | Building and environment | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. (F0912) | No harm, minimal risk pattern | Corrected: Oct 26, 2024 |
| Oct 3, 2024 | Pharmacy and medications | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (F0755) | No harm, but a risk of harm isolated | Corrected: Oct 26, 2024 |
| Oct 3, 2024 | Quality of life and care | Provide safe, appropriate pain management for a resident who requires such services. (F0697) | No harm, but a risk of harm isolated | Corrected: Oct 26, 2024 |
| Oct 3, 2024 | Quality of life and care | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (F0689) | No harm, but a risk of harm isolated | Corrected: Oct 26, 2024 |
| Oct 3, 2024 | Quality of life and care | Provide activities to meet all resident's needs. (F0679) | No harm, but a risk of harm pattern | Corrected: Oct 26, 2024 |
| Oct 3, 2024 | Resident rights | 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. (F0578) | No harm, but a risk of harm isolated | Corrected: Oct 26, 2024 |
Earlier inspections (13)
| Inspection date | Area | Requirement the home did not meet (official wording, in English) | Severity | Corrected |
|---|---|---|---|---|
| Jul 29, 2024 | Resident rights | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (F0580) | Actual harm to a resident isolated · from a complaint | Corrected: Aug 28, 2024 |
| Jul 5, 2024 | Quality of life and care | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (F0689) | No harm, but a risk of harm isolated · from a complaint | Corrected: Aug 4, 2024 |
| Jul 5, 2024 | Resident assessment and care planning | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (F0656) | No harm, but a risk of harm pattern · from a complaint | Corrected: Aug 4, 2024 |
| Jul 5, 2024 | Resident rights | Honor 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. (F0584) | No harm, but a risk of harm pattern · from a complaint | Corrected: Aug 4, 2024 |
| Mar 22, 2024 | Quality of life and care | Provide appropriate treatment and care according to orders, resident’s preferences and goals. (F0684) | No harm, but a risk of harm isolated · from a complaint | Corrected: Apr 21, 2024 |
| Mar 22, 2024 | Resident assessment and care planning | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (F0656) | No harm, but a risk of harm isolated · from a complaint | Corrected: Apr 21, 2024 |
| Oct 26, 2023 | Quality of life and care | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (F0689) | Actual harm to a resident isolated · from a complaint | Corrected: Nov 17, 2023 |
| Oct 1, 2023 | Building and environment | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. (F0912) | No harm, minimal risk pattern | Corrected: Oct 31, 2023 |
| Oct 1, 2023 | Food and nutrition | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (F0812) | No harm, but a risk of harm pattern | Corrected: Oct 31, 2023 |
| Oct 1, 2023 | Pharmacy and medications | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (F0755) | No harm, but a risk of harm isolated | Corrected: Oct 31, 2023 |
| Oct 1, 2023 | Quality of life and care | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. (F0690) | No harm, but a risk of harm isolated | Corrected: Oct 31, 2023 |
| Oct 1, 2023 | Quality of life and care | Assist a resident in gaining access to vision and hearing services. (F0685) | No harm, but a risk of harm isolated | Corrected: Oct 31, 2023 |
| Oct 1, 2023 | Resident assessment and care planning | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. (F0644) | No harm, but a risk of harm isolated | Corrected: Oct 31, 2023 |
Fines and payment denials
Federal fines in the last three years: $34,660 (1). Payment denials: 0.
| Date | Type | Amount |
|---|---|---|
| Jul 5, 2024 | Fine | $34,660 |
Staffing
| Nurse staff hours per resident per day | 4.70 | California median: 4.27 |
| Registered nurse hours per resident per day | 0.31 | California median: 0.52 |
| Nurse staff hours on weekends | 3.93 | California median: 3.85 |
| Nursing staff who left within a year | 49.3% | California median: 36.0% |
About this home
| Beds | 50 |
| Residents per day, average | 45.7 |
| Ownership | For-profit, limited liability company |
| Legal business name | West Gardena Care Center LLC |
| Chain | Abraham Bak & Menachem Gastwirth (19 homes) |
| In Medicare/Medicaid since | Oct 1, 1989 |
Questions to ask when you call
- What was corrected after the last inspection?
- How many staff work at night and on weekends?
- Does anyone on staff speak my relative's language?
- May I visit at any time, without an appointment?
Source. Medicare Care Compare (CMS Provider Data), data dated Oct 1, 2026. Open this home on Medicare.gov
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