The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited April 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
ROSECRANS CARE CENTER
GARDENA, CA · Medicare-certified · 106 beds
In good standing
For-profit
3 of 5 overall
ROSECRANS CARE CENTER in Gardena has an overall 3-star rating, with 3 stars for health inspections and staffing and 4 stars for quality measures. It has no fines in the last 24 months, but reported nurse staffing is slightly below the federal benchmark (4.01 vs. 4.1 hours per resident per day), and recent citations included accident safety, infection control, and food handling issues.
Facility ratings
Health inspections
Staffing
4.0138 hrs/resident/day
Quality measures
Last inspection: March 5, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.0138.
Staffing detail
- Registered nurses
- 0.36
- Licensed practical nurses
- 1.12
- Nurse aides
- 2.54
- Weekend nursing
- 3.57
Hours per resident per day.
Total staff turnover: 41%
Registered nurse turnover: 33%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
13.6%Worsening
Residents with a fall causing major injury
1.1%Worsening
Residents with pressure ulcers (bedsores)
7.5%Improving
Residents with a urinary tract infection
1.8%Improving
Residents who lost too much weight
8%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
19.5%Improving
Residents whose ability to walk got worse
13.9%Improving
Show all measures
Long-stay residents on antianxiety or sleep medication
14.5%Improving
Short-stay residents newly given an antipsychotic
4.6%Improving
Residents with a long-term catheter
1.2%Improving
Residents with new or worsening incontinence
8%Improving
Residents with depressive symptoms
11%Worsening
Long-stay residents given the seasonal flu vaccine
99%Steady
Long-stay residents given the pneumonia vaccine
99.7%Worsening
Short-stay residents given the seasonal flu vaccine
84.9%Steady
Short-stay residents given the pneumonia vaccine
92.2%Worsening
What the inspectors found
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 April 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: F
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited January 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: E
The home failed to ensure residents were treated with dignity and could make their own choices and communicate freely. Cited December 2025 — limited pattern, potential for harm.
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F-Tag 550 — 42 CFR §483.10(a) — S/S: E
The home failed to ensure residents’ medications were free from unnecessary drugs. Cited April 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 757 — 42 CFR §483.45(d) — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 3 fines · $22,767 in total fines.
- $4,587
Federal fine
Jun 26, 2023
- $4,545
Federal fine
Jun 12, 2023
- $13,635
Federal fine
May 23, 2023
Operator & ownership
- Ownership
- For profit - Corporation
- Occupancy
- 107.5 residents on an average day (101% of 106 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 45 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.