Nursing homeActive
West Gardena Post Acute
16530 S Broadway Street, Gardena, CA 90248310329992950 certified beds · 45 residentsFor profit - Limited Liability companyMedicare and Medicaid
Surveys on file
8
since 2023
Deficiencies
39
● 3● 34● 2
Penalties · 3 yrs
$43,004
2 fines
Last survey
2025-11-20
Standard
CMS overall
2 / 5
stars as published by CMS
CMS overall 2/5
Health 2
Staffing 3
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 |
|---|---|---|---|---|
| 2025-11-20 | Standard | 1180 | CMS-2567 (Care Compare) | — |
| 2025-07-15 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2024-10-03 | Standard | 150 | CMS-2567 (Care Compare) | — |
| 2024-07-29 | Complaint | 001 | CMS-2567 (Care Compare) | — |
| 2024-07-05 | Complaint | 030 | CMS-2567 (Care Compare) | — |
| 2024-03-22 | Complaint | 020 | CMS-2567 (Care Compare) | — |
| 2023-10-26 | Complaint | 001 | CMS-2567 (Care Compare) | — |
| 2023-10-01 | Standard | 150 | 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.
F552Ensure that residents are fully informed and understand their health status, care and treatments.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-12-15Record 555410-20251120-F552
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 2025-12-15Record 555410-20251120-F580
F645PASARR screening for Mental disorders or Intellectual DisabilitiesScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-12-15Record 555410-20251120-F645
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-12-15Record 555410-20251120-F658
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 2025-12-15Record 555410-20251120-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 2025-12-15Record 555410-20251120-F686
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 2025-12-15Record 555410-20251120-F688
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 2025-12-15Record 555410-20251120-F695
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 2025-12-15Record 555410-20251120-F755
F761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-12-15Record 555410-20251120-F761
F790Provide routine and 24-hour emergency dental care for each resident.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-12-15Record 555410-20251120-F790
F805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-12-15Record 555410-20251120-F805
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 2025-12-15Record 555410-20251120-F812
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-12-15Record 555410-20251120-F842
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-12-15Record 555410-20251120-F880
F881Implement a program that monitors antibiotic use.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-12-15Record 555410-20251120-F881
F907Provide enough space and equipment to meet each resident's needsScope/severity DStandard
Environment
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-12-15Record 555410-20251120-F907
F908Keep all essential equipment working safely.Scope/severity EStandard
Environment
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-12-15Record 555410-20251120-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 2025-12-15Record 555410-20251120-F912
F925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.Scope/severity EStandard
Environment
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-08-08Record 555410-20250715-F925
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 2024-10-26Record 555410-20241003-F578
F679Provide activities to meet all resident's needs.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-10-26Record 555410-20241003-F679
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 2024-10-26Record 555410-20241003-F689
F697Provide safe, appropriate pain management for a resident who requires such services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-10-26Record 555410-20241003-F697
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 2024-10-26Record 555410-20241003-F755
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 2024-10-26Record 555410-20241003-F912
F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Scope/severity GHarm
Dignity & rights
Isolated; actual harm that is not immediate jeopardy.Corrected 2024-08-28Record 555410-20240729-F580
F584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-08-04Record 555410-20240705-F584
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-08-04Record 555410-20240705-F656
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 2024-08-04Record 555410-20240705-F689
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 2024-04-21Record 555410-20240322-F656
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 2024-04-21Record 555410-20240322-F684
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity GHarm
Care planningFalls
Isolated; actual harm that is not immediate jeopardy.Corrected 2023-11-17Record 555410-20231026-F689
F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-10-31Record 555410-20231001-F644
F685Assist a resident in gaining access to vision and hearing services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-10-31Record 555410-20231001-F685
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 2023-10-31Record 555410-20231001-F690
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 2023-10-31Record 555410-20231001-F755
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 2023-10-31Record 555410-20231001-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 2023-10-31Record 555410-20231001-F912
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2024-07-05 | Civil money penalty | $34,660 | CMS · Penalties |
| 2023-10-01 | Civil money penalty | $8,344 | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.34
Facility
California
National
California 0.67 · National 0.69
Total nurse hours per resident day4.60
Facility
California
National
California 4.52 · National 3.86
Weekend total nurse hours4.01
Facility
California
National
California 4.09 · National 3.42
Total nursing staff turnover44%
Facility
California
National
California 37% · National 46%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | California | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 0.8% | 4.3% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 1.2% | 1.6% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 16.0% | 12.0% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 0.0% | 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 | 24.8% | 10.2% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 0.0% | 4.0% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 14.7% | 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 |
|---|---|---|---|---|
| Lehmann, Kenneth Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 32% | — | — |
| Bak, Abraham Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Gastwirth, Menachem Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Ofoegbu, Kingsley Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Pangilinan, Violeta Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| 16530 South Broadway Street,LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Abak Consulting LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Abe And Rachel Bak Family Trust Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Bagz Holdings, LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Bak, Abraham Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Bak, Abraham Individual | TRUSTEE OF THE SNF | NOT APPLICABLE | — | — |
| Bak, Abraham Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Bak, Juda Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Bak, Rachel Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Bak, Rachel Individual | TRUSTEE OF THE SNF | NOT APPLICABLE | — | — |
| Gastwirth, Henry Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Gastwirth, Menachem Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Gastwirth, Menachem Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Gewirtz, Chonoch Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Lehmann, Kenneth Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Lehmann, Kenneth Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Mgaz Consulting LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Ofoegbu, Kingsley Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Pangilinan, Violeta Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
Part of a chain
Abraham Bak & Menachem Gastwirth — 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 |
|---|---|---|---|
| Kei-Ai South Bay Healthcare Center Gardena | 1.1 mi | 2026-03-11 | 0621 |
| Gardena Convalescent Center Gardena | 1.2 mi | 2026-05-29 | 0500 |
| Clear View Sanitarium Gardena | 1.2 mi | 2026-02-27 | 1130 |
| Clear View Convalescent Center Gardena | 1.2 mi | 2026-03-27 | 0130 |
| Rosecrans Care Center Gardena | 1.5 mi | 2026-06-05 | 2482 |
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 |