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
Data as of September 1, 2026
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 had no fines in the last 24 months, and reported nurse staffing was 4.04 hours per resident day, just below the federal benchmark of 4.1.
Facility ratings
Health inspections
Staffing
4.0376 hrs/resident/day
Quality measures
Last inspection: June 5, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.0376.
Staffing detail
- Registered nurses
- 0.30
- Licensed practical nurses
- 1.19
- Nurse aides
- 2.54
- Weekend nursing
- 3.66
Hours per resident per day.
Total staff turnover: 35%
Registered nurse turnover: 20%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
12%17.2%Worsening
Residents with a fall causing major injury
1.1%1.1%No change
Residents with pressure ulcers (bedsores)
8.5%11.3%Worsening
Residents with a urinary tract infection
1.3%0%Improving
Residents who lost too much weight
9.6%5.1%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
30.3%6.4%Improving
Residents whose ability to walk got worse
19.5%0%Improving
Long-stay residents on antianxiety or sleep medication
17.2%10.2%Improving
Short-stay residents newly given an antipsychotic
4.3%2.6%Improving
Residents with a long-term catheter
3.3%0%Improving
Residents with new or worsening incontinence
12%2.3%Improving
Residents with depressive symptoms
20%8.8%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—99%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—84.9%—
Short-stay residents given the pneumonia vaccine
97.3%88%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 complete and keep the resident’s care plan properly prepared, reviewed, and updated by the right health professionals. Cited June 2026 — limited pattern, potential for harm.
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F-Tag 657 — 42 CFR §483.21(b)(2) — S/S: E
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited June 2026 — limited pattern, potential for harm.
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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.
View the original federal record
F-Tag 550 — 42 CFR §483.10(a) — 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 13 health deficiencies.
See what inspectors found
- 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
Operator & ownership
- Ownership
- For profit - Corporation
- Occupancy
- 106.3 residents on an average day (100% 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.