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
GARDENA, CA · Medicare-certified · 69 beds
4 of 5 stars overall. Health inspections and quality measures are both 4 stars, staffing is 3 stars, reported nurse staffing is 9.05 hours per resident per day versus the 4.1 federal benchmark, and there were no fines in the last 24 months; recent inspection citations included pressure ulcer care, food handling, and infection prevention and control.
Health inspections
Staffing
9.049 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 9.049.
Hours per resident per day.
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
Residents with a fall causing major injury
Residents with pressure ulcers (bedsores)
Residents with a urinary tract infection
Residents who lost too much weight
Residents who were physically restrained
Residents needing more help with daily activities
Long-stay residents on antianxiety or sleep medication
Short-stay residents newly given an antipsychotic
Residents with a long-term catheter
Residents with new or worsening incontinence
Residents with depressive symptoms
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
Long-stay residents given the pneumonia vaccine
Short-stay residents given the pneumonia vaccine
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.
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited April 2026 — limited pattern, potential for harm.
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.
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.
F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: E
The home failed to ensure staff provided basic life support, including CPR, before emergency medical personnel arrived. Cited July 2023 — limited pattern, potential for harm.
F-Tag 678 — 42 CFR §483.24(a)(3) — S/S: E
Reported nurse staffing met or exceeded the federal recommendation.
Health inspection found 9 health deficiencies.
Reported nurse staffing met or exceeded the federal recommendation.
Health inspection found 7 health deficiencies.
Health inspection found 16 health deficiencies.
Health inspection found 1 health deficiency.
On record with Medicare: 1 fine · $12,831 in total fines · 1 payment denial.
Medicare/Medicaid payment denial
Feb 9, 2024
Federal fine
Feb 9, 2024
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.