California ›Los Angeles

Guardian Rehabilitation Hospital

533 S. Fairfax Ave, Los Angeles, CA 90036 · Los Angeles County · 93 certified beds · avg 85 residents/day · certified since Dec 17, 1968

Part of chain: THE MANDELBAUM FAMILY (18 facilities, chain avg rating 3.2★)

3/5
Health inspection rating (on-site)
0
Serious findings on record
$32,040
Fines, last 3 years
4.53
Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (49)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

DateSeverityWhat the facility was cited for
Mar 17, 2026E · Potential for harm, repeatedThe facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · from a complaint
Mar 5, 2026E · Potential for harm, repeatedThe facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician.
Mar 5, 2026E · Potential for harm, repeatedThe facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Mar 5, 2026D · Potential for harm, one-offThe facility used physical restraints — devices that limit a resident's movement — when they weren't needed for medical treatment.
Mar 5, 2026D · Potential for harm, one-offThe facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow.
Mar 5, 2026D · Potential for harm, one-offThe facility allowed residents to lose the ability to do daily activities — like bathing, dressing, and eating — when there was no medical reason for the decline. Good care helps residents keep the abilities they have.
Mar 5, 2026D · Potential for harm, one-offThe facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Mar 5, 2026D · Potential for harm, one-offThe facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Mar 5, 2026D · Potential for harm, one-offThe facility did not have enough support staff to safely and effectively run its food and nutrition service.
Mar 5, 2026B · Minimal risk, repeatedThe facility had resident rooms smaller than required — at least 80 square feet per person in shared rooms and 100 square feet in single rooms.
Dec 9, 2025D · Potential for harm, one-offThe facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint
Dec 9, 2025D · Potential for harm, one-offThe facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · from a complaint
Feb 12, 2025D · Potential for harm, one-offThe facility did not provide the right treatment and services for residents with dementia or signs of dementia. Dementia care requires specific approaches, training, and patience. · from a complaint
Jan 30, 2025E · Potential for harm, repeatedThe facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline.
Jan 30, 2025E · Potential for harm, repeatedThe facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident.
Jan 30, 2025E · Potential for harm, repeatedThe facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices.
Jan 30, 2025D · Potential for harm, one-offThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Jan 30, 2025D · Potential for harm, one-offThe facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
Jan 30, 2025D · Potential for harm, one-offThe facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards.
Jan 30, 2025B · Minimal risk, repeatedThe facility had resident rooms smaller than required — at least 80 square feet per person in shared rooms and 100 square feet in single rooms.
Aug 22, 2024D · Potential for harm, one-offThe facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · from a complaint
Aug 22, 2024D · Potential for harm, one-offThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
Jul 9, 2024D · Potential for harm, one-offThe facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint
Jun 20, 2024D · Potential for harm, one-offThe facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · from a complaint
Jun 20, 2024D · Potential for harm, one-offThe facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint
May 1, 2024D · Potential for harm, one-offThe facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly. · from a complaint
May 1, 2024D · Potential for harm, one-offThe facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason. · from a complaint
Mar 22, 2024D · Potential for harm, one-offThe facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint
Mar 7, 2024D · Potential for harm, one-offThe facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. · from a complaint
Mar 7, 2024D · Potential for harm, one-offThe facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint
Mar 7, 2024D · Potential for harm, one-offThe facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint
Feb 22, 2024E · Potential for harm, repeatedThe facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · from a complaint
Feb 22, 2024D · Potential for harm, one-offThe facility did not let a resident return after a hospital stay or approved leave that lasted longer than the facility's bed-hold policy allowed. Residents generally have the right to come back to the next available bed. · from a complaint
Feb 11, 2024F · Potential for harm, facility-wideThe facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day. · from a complaint
Feb 11, 2024E · Potential for harm, repeatedThe facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint
Feb 11, 2024D · Potential for harm, one-offThe facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. · from a complaint
Feb 11, 2024D · Potential for harm, one-offThe facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. · from a complaint
Feb 11, 2024D · Potential for harm, one-offThe facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · from a complaint
Feb 11, 2024D · Potential for harm, one-offThe facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint
Feb 11, 2024D · Potential for harm, one-offThe facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · from a complaint
Feb 11, 2024D · Potential for harm, one-offThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
Feb 11, 2024D · Potential for harm, one-offThe facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. · from a complaint
Feb 11, 2024D · Potential for harm, one-offThe facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. · from a complaint
Feb 11, 2024D · Potential for harm, one-offThe facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. · from a complaint
Feb 11, 2024D · Potential for harm, one-offThe facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · from a complaint
Feb 11, 2024B · Minimal risk, repeatedThe facility had resident rooms smaller than required — at least 80 square feet per person in shared rooms and 100 square feet in single rooms.
Nov 7, 2023D · Potential for harm, one-offThe facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint
Nov 1, 2023D · Potential for harm, one-offThe facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint
Aug 30, 2023D · Potential for harm, one-offThe facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (7 → 9).

YearCitationsSerious (G–L)Worst severity that year
202330D
2024260F
2025100E
2026100E

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

1 fine totaling $32,040.

DateTypeAmount / length
Jun 20, 2024Fine$32,040

Nurse staffing (from payroll records, adjusted for how much care residents need)

MeasureThis facilityCalifornia avgU.S. avgWhere it stands
Total nurse staffing (hours per resident per day)4.534.313.95top 28% in California; top 22% in the U.S.
Registered Nurse hours0.610.610.69top 32% in California; top 47% in the U.S.
Weekend total nurse staffing3.973.903.50top 35% in California; top 24% in the U.S.
Weekend RN hours (not acuity-adjusted)0.390.510.48top 47% in California; bottom 49% in the U.S.
Total nursing staff turnover (%)31.236.745.8top 34% in California; top 17% in the U.S.
RN turnover (%)28.638.142.9top 33% in California; top 26% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.87, RN 0.65, weekend 4.27. Staffing rating: 4/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 4/5 · long-stay residents: 5/5 · short-stay residents: 3/5

Who owns this facility

For profit - Corporation

Owner / managerTypeRoleStakeSince
Bardonido, SheenaIndividualOperational/Managerial ControlNOT APPLICABLE02/24/2017
Bardonido, SheenaIndividualADP of the SNFNOT APPLICABLE02/24/2017
Campos, JoseIndividualOperational/Managerial ControlNOT APPLICABLE05/13/2013
Campos, JoseIndividualADP of the SNFNOT APPLICABLE05/13/2013
Castro-Garcia, MariaIndividualCorporate OfficerNOT APPLICABLE01/01/2022
Castro-Garcia, MariaIndividualOperational/Managerial ControlNOT APPLICABLE01/01/2022
Castro-Garcia, MariaIndividualADP of the SNFNOT APPLICABLE01/01/2022
Garcia, AlfredIndividualOperational/Managerial ControlNOT APPLICABLE10/09/2023
Garcia, AlfredIndividualADP of the SNFNOT APPLICABLE10/01/2023
Gutkin, GaryIndividualOperational/Managerial ControlNOT APPLICABLE03/08/2022
Gutkin, GaryIndividualADP of the SNFNOT APPLICABLE03/08/2022
Mandelbaum, BrendaIndividualIndividual Is an Owner, Partner or Trustee of Any ADP of the SNFNOT APPLICABLE04/24/2026
Mandelbaum, JanetIndividualCorporate OfficerNOT APPLICABLE01/02/2019
Mandelbaum, SimchaIndividualOperational/Managerial ControlNOT APPLICABLE03/01/2026
Mandelbaum, SimchaIndividualADP of the SNFNOT APPLICABLE03/01/2026
Nguyen, KathleenIndividualOperational/Managerial ControlNOT APPLICABLE07/09/2018
Nguyen, KathleenIndividualADP of the SNFNOT APPLICABLE07/09/2018
Pham, JulieIndividualOperational/Managerial ControlNOT APPLICABLE01/01/2022
Pham, JulieIndividualADP of the SNFNOT APPLICABLE01/01/2022
Punzalan, MatthewIndividualOperational/Managerial ControlNOT APPLICABLE07/10/2019

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

Nearby facilities (within 20 miles)

FacilityDistanceCityOverallInspectionFlags
Beverly Hills Rehabilitation Centre0.6 miLos Angeles, CA★★★☆☆2/5
Miracle Mile Healthcare Center, LLC0.6 miLos Angeles, CA★☆☆☆☆1/5abuse
Sharon Care Center0.7 miLos Angeles, CA★★☆☆☆1/5
Kennedy Care Center1.1 miLos Angeles, CA★☆☆☆☆1/5
West Pico Terrace Healthcare & Wellness Centre LP1.1 miLos Angeles, CA★★★★★4/5
Pavilion on Pico Healthcare & Wellness Centre, LP1.2 miLos Angeles, CA★★★☆☆3/5
West Hollywood Healthcare & Wellness Centre, LP1.4 miLos Angeles, CA★★★★☆3/5
La Brea Rehabilitation Center1.5 miLos Angeles, CA★☆☆☆☆1/5
Flower Villa, INC1.6 miLos Angeles, CA★★★☆☆3/5
Crenshaw Nursing Home1.9 miLos Angeles, CA★★☆☆☆2/5
Longwood Manor Conv.hospital1.9 miLos Angeles, CA★★☆☆☆2/5
Windsor Gardens Convalescent Hospital2.4 miLos Angeles, CA★☆☆☆☆1/5

Compare this facility with the 3 closest →

All facilities in Los Angeles →

Facility data as of CMS processing date 2026-08-01. CCN 056008.