The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited February 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
Nursing home report
MEMORIAL HOSPITAL OF GARDENA D/P SNF
GARDENA, CA · Medicare-certified · 69 beds
In good standing
Non-profit
4 of 5 overall
Overall rating: 4 out of 5 stars. This facility’s health inspection, staffing, and quality measures ratings are also 4 stars, reported nurse staffing is 9.16 hours per resident per day versus the 4.1 federal benchmark, and there were no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
9.1648 hrs/resident/day
Quality measures
Last inspection: February 16, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 9.1648.
Staffing detail
- Registered nurses
- 2.52
- Licensed practical nurses
- 3.26
- Nurse aides
- 3.38
- Weekend nursing
- 8.21
Hours per resident per day.
Total staff turnover: 45%
Registered nurse turnover: 63%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
15.1%Worsening
Residents with a fall causing major injury
0%Steady
Residents with pressure ulcers (bedsores)
28.6%Improving
Residents with a urinary tract infection
0.4%Steady
Residents who lost too much weight
6.6%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
38.1%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
20.4%Worsening
Short-stay residents newly given an antipsychotic
17.4%Steady
Residents with a long-term catheter
5.3%Improving
Residents with new or worsening incontinence
1.4%Improving
Residents with depressive symptoms
0%Steady
Long-stay residents given the seasonal flu vaccine
100%Steady
Long-stay residents given the pneumonia vaccine
99.6%Steady
Short-stay residents given the pneumonia vaccine
92.1%Steady
What the inspectors found
The nursing home failed to make sure its quality review group had the required members and met at least every three months. Cited March 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 868 — 42 CFR §483.75 — S/S: F
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited February 2025 — limited pattern, potential for harm.
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F-Tag 812 — 42 CFR §483.60(i) — S/S: E
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited February 2025 — limited pattern, potential for harm.
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F-Tag 880 — 42 CFR §483.80(a) — S/S: E
The nursing home failed to develop and carry out a complete care plan that met each resident’s needs with clear steps and timelines. Cited February 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: E
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 7 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 16 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $12,831 in total fines · 1 payment denial.
- 1 days
Medicare/Medicaid payment denial
Feb 9, 2024
- $12,831
Federal fine
Feb 9, 2024
Operator & ownership
- Ownership
- Non profit - Corporation
- Occupancy
- 65.1 residents on an average day (94% of 69 beds)
- Medicare history
- Certified for 35 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.