Memorial Hospital of Gardena D/P SNF
1145 W. Redondo Beach, Gardena, CA 90247 · Los Angeles County · 69 certified beds · avg 65 residents/day · certified since Dec 3, 1990
4/5
Health inspection rating (on-site)
1
Serious findings on record
$12,831
Fines, last 3 years
3.70
Nurse hours/resident/day (adjusted)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5
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.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · Feb 9, 2024 · F-0686
The 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.
Why it matters: Bedsores are painful, can become deeply infected, and in serious cases can be life-threatening.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Mar 9, 2024 (Deficient, Provider has date of correction)
All citations in the current public record (32)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Apr 10, 2026 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Apr 10, 2026 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Apr 10, 2026 | D · Potential for harm, one-off | The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. |
| Apr 10, 2026 | D · Potential for harm, one-off | The 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. |
| Apr 10, 2026 | D · Potential for harm, one-off | The facility did not safely and appropriately administer IV fluids (fluids given through a vein) for residents who needed them. |
| Apr 10, 2026 | D · Potential for harm, one-off | The 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. |
| Apr 10, 2026 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Apr 10, 2026 | D · Potential for harm, one-off | The facility did not conduct and document a facility-wide assessment of what staff, supplies, and resources it needs to care for its residents properly — during everyday operations, nights, weekends, and emergencies. |
| Apr 10, 2026 | D · Potential for harm, one-off | The 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. |
| Feb 16, 2025 | E · Potential for harm, repeated | The 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. |
| Feb 16, 2025 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Feb 16, 2025 | E · Potential for harm, repeated | The 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. |
| Feb 16, 2025 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Feb 16, 2025 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Feb 16, 2025 | D · Potential for harm, one-off | The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care. |
| Feb 16, 2025 | D · Potential for harm, one-off | The facility did not have a working call system — the button or cord residents use to summon help — in each resident's bathroom and bathing area. |
| Feb 9, 2024 | ▲ G · Actual harm, one-off | The 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. |
| Feb 9, 2024 | E · Potential for harm, repeated | The 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. |
| Feb 9, 2024 | D · Potential for harm, one-off | The 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. |
| Feb 9, 2024 | D · Potential for harm, one-off | The facility did not fully assess residents on time — a complete assessment of health, abilities, and needs is required when a resident is first admitted and at least once every 12 months after that. |
| Feb 9, 2024 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Feb 9, 2024 | D · Potential for harm, one-off | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. |
| Feb 9, 2024 | D · Potential for harm, one-off | The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle. |
| Feb 9, 2024 | D · Potential for harm, one-off | The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. |
| Feb 9, 2024 | D · Potential for harm, one-off | The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident. |
| Feb 9, 2024 | D · Potential for harm, one-off | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
| Feb 9, 2024 | D · Potential for harm, one-off | The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. |
| Feb 9, 2024 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Feb 9, 2024 | D · Potential for harm, one-off | The facility did not provide routine dental care and 24-hour emergency dental care for residents. |
| Feb 9, 2024 | D · Potential for harm, one-off | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Feb 9, 2024 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. |
| Feb 9, 2024 | D · Potential for harm, one-off | The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (7 → 9).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2024 | 16 | 1 | G ▲ |
| 2025 | 7 | 0 | E |
| 2026 | 9 | 0 | E |
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 $12,831, plus 1 Medicare payment denial period.
| Date | Type | Amount / length |
|---|---|---|
| Feb 9, 2024 | Fine | $12,831 |
| Feb 9, 2024 | Payment Denial | 1 days from Mar 12, 2024 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | California avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.70 | 4.31 | 3.95 | bottom 21% in California; bottom 47% in the U.S. |
| Registered Nurse hours | 1.10 | 0.61 | 0.69 | top 9% in California; top 12% in the U.S. |
| Weekend total nurse staffing | 3.37 | 3.90 | 3.50 | bottom 20% in California; top 49% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 2.34 | 0.51 | 0.48 | top 2% in California; top 1% in the U.S. |
| Total nursing staff turnover (%) | 57.1 | 36.7 | 45.8 | bottom 5% in California; bottom 21% in the U.S. |
| RN turnover (%) | 75.5 | 38.1 | 42.9 | bottom 5% in California; bottom 7% 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 9.05, RN 2.70, weekend 8.25. Staffing rating: 3/5.
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: 4/5 · short-stay residents: —/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Avanti Healthcare Holdings LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 05/17/2011 |
| Avanti Hospital Holdings I LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 05/17/2011 |
| Avanti Hospitals LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 05/17/2011 |
| Bell, Mark | Individual | 5% or Greater Indirect Ownership Interest | — | 12/31/2008 |
| Deerfield Private Design Fund IV, LP | Organization | 5% or Greater Indirect Ownership Interest | — | 01/28/2019 |
| DFP Opco, LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 01/28/2019 |
| Edwards, Irv | Individual | 5% or Greater Indirect Ownership Interest | — | 12/31/2008 |
| Healthplus Holdings LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 12/13/2006 |
| Hollister Health Holdings LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 01/28/2019 |
| JPM Property Holdings, LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 01/28/2019 |
| Macpherson, James | Individual | 5% or Greater Indirect Ownership Interest | — | 12/31/2008 |
| Nlo Property Holdings LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 01/28/2019 |
| Pipeline Health System Holdings, LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 01/28/2019 |
| Pipeline Health System, LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 01/28/2019 |
| Pipeline Hospital Holdings LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 01/28/2019 |
| Bell, Mark | Individual | Corporate Officer | NOT APPLICABLE | 01/28/2019 |
| Gardena Hospital Management, LLC | Organization | General Partnership Interest | NOT APPLICABLE | 01/29/1999 |
| Healthplus Holdings LLC | Organization | Limited Partnership Interest | NOT APPLICABLE | 12/13/2006 |
| Metcalfe, Robert | Individual | Contracted Managing Employee | NOT APPLICABLE | 02/26/2020 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Who completes resident assessments here, and how do you check them for accuracy?"
- "How do you identify and arrange specialized services for residents with mental health conditions or disabilities?"
- "Who on your staff manages IV therapy, and what training and monitoring is in place?"
- "How often is each resident's medication list reviewed, and who decides when a drug can be reduced or stopped?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "How do you decide you have enough staff and resources for your resident population, including nights and weekends?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Clear View Convalescent Center | 0.3 mi | Gardena, CA | ★★★★★ | 5/5 | |
| Clear View Sanitarium | 0.3 mi | Gardena, CA | ★★★★★ | 5/5 | |
| Kei-Ai South Bay Healthcare Center | 0.6 mi | Gardena, CA | ★★★☆☆ | 3/5 | |
| Gardena Convalescent Center | 0.7 mi | Gardena, CA | ★★★☆☆ | 3/5 | |
| Rosecrans Care Center | 0.9 mi | Gardena, CA | ★★☆☆☆ | 2/5 | |
| Las Flores Convalescent Hospital | 1.3 mi | Gardena, CA | ★☆☆☆☆ | 1/5 | |
| West Gardena Post Acute | 1.4 mi | Gardena, CA | ★★☆☆☆ | 2/5 | |
| Camino Healthcare | 1.9 mi | Hawthorne, CA | ★★☆☆☆ | 2/5 | |
| Lawndale Healthcare & Wellness Centre LLC | 2.3 mi | Lawndale, CA | ★☆☆☆☆ | 1/5 | abuse |
| View Heights Conv Hosp | 2.5 mi | Los Angeles, CA | ★★☆☆☆ | 1/5 | |
| Avalon Villa Care Center | 2.7 mi | Los Angeles, CA | ★☆☆☆☆ | 1/5 | SFF |
| Hawthorne Healthcare & Wellness Centre, LP | 3.8 mi | Hawthorne, CA | ★☆☆☆☆ | 3/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 555441.