Nursing homeActive
Guardian Rehabilitation Hospital
533 S. Fairfax Ave, Los Angeles, CA 90036323931106193 certified beds · 85 residentsFor profit - CorporationMedicare and Medicaid
Surveys on file
16
since 2023
Deficiencies
49
● 3● 46● 0
Penalties · 3 yrs
$32,040
1 fine
Last survey
2026-03-17
Complaint
CMS overall
3 / 5
stars as published by CMS
CMS overall 3/5
Health 3
Staffing 4
Quality 4
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · California Department of Public Health · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-03-17 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2026-03-05 | Standard | 180 | CMS-2567 (Care Compare) | — |
| 2025-12-09 | Complaint | 020 | CMS-2567 (Care Compare) | — |
| 2025-02-12 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2025-01-30 | Standard | 160 | CMS-2567 (Care Compare) | — |
| 2024-08-22 | Complaint | 020 | CMS-2567 (Care Compare) | — |
| 2024-07-09 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2024-06-20 | Complaint | 020 | CMS-2567 (Care Compare) | — |
| 2024-05-01 | Complaint | 020 | CMS-2567 (Care Compare) | — |
| 2024-03-22 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2024-03-07 | Complaint | 030 | CMS-2567 (Care Compare) | — |
| 2024-02-22 | Complaint | 020 | CMS-2567 (Care Compare) | — |
| 2024-02-11 | Standard | 1120 | CMS-2567 (Care Compare) | — |
| 2023-11-07 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2023-11-01 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2023-08-30 | Infection control | 010 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · California Department of Public Health publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-04-10Record 056008-20260317-F550
F604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-04-07Record 056008-20260305-F604
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-27Record 056008-20260305-F658
F676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-31Record 056008-20260305-F676
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-27Record 056008-20260305-F686
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-04-07Record 056008-20260305-F755
F802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-31Record 056008-20260305-F802
F803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-03-27Record 056008-20260305-F803
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-03-27Record 056008-20260305-F812
F912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.Scope/severity BPaperwork
Environment
Pattern; potential for minimal harm.Corrected 2026-03-27Record 056008-20260305-F912
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-01-09Record 056008-20251209-F656
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-01-09Record 056008-20251209-F658
F744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-06Record 056008-20250212-F744
F688Provide 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.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-02-28Record 056008-20250130-F688
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-02-28Record 056008-20250130-F689
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-02-28Record 056008-20250130-F695
F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.Scope/severity EStandard
Staffing
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-02-28Record 056008-20250130-F726
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-02-28Record 056008-20250130-F842
F908Keep all essential equipment working safely.Scope/severity EStandard
Environment
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-02-28Record 056008-20250130-F908
F912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.Scope/severity BPaperwork
Environment
Pattern; potential for minimal harm.Corrected 2025-02-28Record 056008-20250130-F912
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-09-16Record 056008-20240822-F641
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-09-16Record 056008-20240822-F689
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-08-06Record 056008-20240709-F684
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-07-15Record 056008-20240620-F550
F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-07-15Record 056008-20240620-F580
F585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-05-24Record 056008-20240501-F585
F757Ensure each resident’s drug regimen must be free from unnecessary drugs.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-05-24Record 056008-20240501-F757
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-17Record 056008-20240322-F656
F558Reasonably accommodate the needs and preferences of each resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-06Record 056008-20240307-F558
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-06Record 056008-20240307-F609
F610Respond appropriately to all alleged violations.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-06Record 056008-20240307-F610
F626Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-03-20Record 056008-20240222-F626
F760Ensure that residents are free from significant medication errors.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-03-20Record 056008-20240222-F760
F558Reasonably accommodate the needs and preferences of each resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-03-08Record 056008-20240211-F558
F578Honor 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.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-03-08Record 056008-20240211-F578
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-03-08Record 056008-20240211-F677
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-03-08Record 056008-20240211-F684
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-03-08Record 056008-20240211-F686
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-03-08Record 056008-20240211-F689
F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-03-08Record 056008-20240211-F690
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-03-08Record 056008-20240211-F695
F698Provide safe, appropriate dialysis care/services for a resident who requires such services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-03-08Record 056008-20240211-F698
F732Post nurse staffing information every day.Scope/severity FStandard
Staffing
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-03-08Record 056008-20240211-F732
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-03-08Record 056008-20240211-F755
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-03-08Record 056008-20240211-F812
F912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.Scope/severity BPaperwork
Environment
Pattern; potential for minimal harm.Corrected 2024-03-08Record 056008-20240211-F912
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-12-07Record 056008-20231107-F684
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-11-30Record 056008-20231101-F609
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-30Record 056008-20230830-F880
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2024-06-20 | Civil money penalty | $32,040 | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.65
Facility
California
National
California 0.67 · National 0.69
Total nurse hours per resident day4.87
Facility
California
National
California 4.52 · National 3.86
Weekend total nurse hours4.27
Facility
California
National
California 4.09 · National 3.42
Total nursing staff turnover31%
Facility
California
National
California 37% · National 46%
Registered nurse turnover29%
Facility
California
National
California 38% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | California | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 4.0% | 4.3% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 3.1% | 1.6% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 3.1% | 12.0% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 0.8% | 1.2% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.4% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 8.9% | 10.2% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 5.9% | 4.0% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 10.8% | 13.7% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Bardonido, Sheena Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Campos, Jose Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Castro-Garcia, Maria Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Garcia, Alfred Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Gutkin, Gary Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Mandelbaum, Simcha Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Nguyen, Kathleen Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Pham, Julie Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Punzalan, Matthew Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Quilang-Ayos, Maria Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Teoxon, Roger Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Williams, Clinton Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Bardonido, Sheena Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Campos, Jose Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Castro-Garcia, Maria Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Castro-Garcia, Maria Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Garcia, Alfred Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Gutkin, Gary Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Mandelbaum, Brenda Individual | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | NOT APPLICABLE | — | — |
| Mandelbaum, Janet Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Mandelbaum, Simcha Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Nguyen, Kathleen Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Pham, Julie Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Punzalan, Matthew Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Quilang-Ayos, Maria Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Simcha And Janet Mandelbaum Family Trust Organization | TRUSTEE OF THE SNF | NOT APPLICABLE | — | — |
| Teoxon, Roger Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| The Bentzion Mandelbaum 2021 Irrevocable Gift Trust No. 2 Organization | TRUSTEE OF THE SNF | NOT APPLICABLE | — | — |
| The Janet Mandelbaum 2021 Irrevocable Gift Trust No 2 Organization | TRUSTEE OF THE SNF | NOT APPLICABLE | — | — |
| The Simcha Mandelbaum 2021 Irrevocable Gift Trust No. 2 Organization | TRUSTEE OF THE SNF | NOT APPLICABLE | — | — |
| Williams, Clinton Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
Part of a chain
The Mandelbaum Family — 18 facilities
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or California.
No county cost figures on file for Los Angeles.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Miracle Mile Healthcare Center, LLC Los Angeles | 0.6 mi | 2026-05-20 | 11035 |
| Beverly Hills Rehabilitation Centre Los Angeles | 0.6 mi | 2026-03-17 | 0561 |
| Sharon Care Center Los Angeles | 0.7 mi | 2026-06-11 | 31113 |
| Kennedy Care Center Los Angeles | 1.1 mi | 2026-06-23 | 3861 |
| West Pico Terrace Healthcare & Wellness Centre LP Los Angeles | 1.1 mi | 2026-04-17 | 2390 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |