01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2026-01-23 | 16 | 2026-01-23 | 1 |
| Cycle 2 | 2025-01-13 | 22 | 2025-01-13 | 1 |
| Cycle 3 | 2023-12-29 | 25 | 2023-12-29 | 7 |
CMS CCN 5553062026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Kei-Ai South Bay Healthcare Center
15115 S Vermont Ave · Gardena, CA 90247 · Los Angeles County
Certified beds98CMS provider file
Recent citation rows72current CMS citation release
Penalty rows1current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
72 rows in the current release
1 rows carry G–L scope/severity codes; 0 carry J–L. 15 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-03-11 · HEALTHF0657Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Correction field: Deficient, Provider has date of correction · 2026-03-27 · complaint2026-01-23 · HEALTHF0550Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Correction field: Deficient, Provider has date of correction · 2026-02-132026-01-23 · HEALTHF0552Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Ensure that residents are fully informed and understand their health status, care and treatments.
Correction field: Deficient, Provider has date of correction · 2026-02-132026-01-23 · HEALTHF0636Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Correction field: Deficient, Provider has date of correction · 2026-02-132026-01-23 · HEALTHF0656Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Correction field: Deficient, Provider has date of correction · 2026-02-132026-01-23 · HEALTHF0657Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Correction field: Deficient, Provider has date of correction · 2026-02-132026-01-23 · HEALTHF0684Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Deficient, Provider has date of correction · 2026-02-132026-01-23 · HEALTHF0686Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Correction field: Deficient, Provider has date of correction · 2026-02-132026-01-23 · HEALTHF0690Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Correction field: Deficient, Provider has date of correction · 2026-02-132026-01-23 · HEALTHF0694Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Correction field: Deficient, Provider has date of correction · 2026-02-132026-01-23 · HEALTHF0711Severity D · isolated; potential for more than minimal harm
Nursing and Physician Services Deficiencies
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Correction field: Deficient, Provider has date of correction · 2026-02-132026-01-23 · HEALTHF0761Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure 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.
Correction field: Deficient, Provider has date of correction · 2026-02-132026-01-23 · HEALTHF0812Severity E · pattern; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2026-02-132026-01-23 · HEALTHF0814Severity D · isolated; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Dispose of garbage and refuse properly.
Correction field: Deficient, Provider has date of correction · 2026-02-132026-01-23 · HEALTHF0880Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2026-02-132026-01-23 · FIREK0355Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Correction field: Deficient, Provider has date of correction · 2026-02-132025-08-29 · HEALTHF0628Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Correction field: Deficient, Provider has date of correction · 2025-09-15 · complaint2025-07-31 · HEALTHF0689Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2025-08-11 · complaint2025-07-15 · HEALTHF0641Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Correction field: Deficient, Provider has date of correction · 2025-08-06 · complaint2025-05-16 · HEALTHF0919Severity E · pattern; potential for more than minimal harm
Environmental Deficiencies
Make sure that a working call system is available in each resident's bathroom and bathing area.
Correction field: Deficient, Provider has date of correction · 2025-06-09 · complaint2025-02-07 · HEALTHF0623Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Correction field: Deficient, Provider has date of correction · 2025-02-23 · complaint2025-02-07 · HEALTHF0712Severity D · isolated; potential for more than minimal harm
Nursing and Physician Services Deficiencies
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Correction field: Deficient, Provider has date of correction · 2025-02-23 · complaint2025-01-13 · HEALTHF0550Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Correction field: Deficient, Provider has date of correction · 2025-02-022025-01-13 · HEALTHF0558Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Correction field: Deficient, Provider has date of correction · 2025-02-0203 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| 2024-09-19 | Fine | $17,088 | 0 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- AGVA LLCOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST100% · since 01/09/2015
- ASPEN SKILLED HEALTHCARE INCOrganization · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 05/19/2016
- JACARANDA HEALTHCARE GROUP LLCOrganization · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 01/01/2023
- BRADSHAW, PETERIndividual · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 07/07/2023
- ELSNER, ERICIndividual · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 05/19/2016
- KIRKWOOD, JAREDIndividual · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 01/01/2019
- ORGILL, CRAIGIndividual · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 01/01/2019
- PARTI, RAJESHIndividual · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 05/19/2016
- PARTI, SHRUTYIndividual · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 05/19/2016
- PAXMAN, MARCUSIndividual · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 04/01/2022
- ASPEN SKILLED HEALTHCARE INCOrganization · 5% OR GREATER MORTGAGE INTERESTNOT APPLICABLE · since 02/09/2022
- WHITE OAK HEALTHCARE FINANCE LLCOrganization · 5% OR GREATER MORTGAGE INTERESTNOT APPLICABLE · since 02/09/2022
- CASLMON, TIMOTHYIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 01/01/2023
- THOMPSON, STEPHENIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 01/01/2023
- AGVA LLCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 05/19/2016
- CASLMON, TIMOTHYIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 01/01/2023
- DAVOUDIAN, SOHAILIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 03/01/2024
- PUNZALAN, IMELDAIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 08/18/2022
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours4.14per resident day
RN hours0.32per resident day
Weekend nurse hours3.71per resident day
Staff turnover28.8%CMS reported field
06 / LOCAL RECORDS
Open the Gardena ledger →Other published facilities nearby
Clear View Convalescent Center99 beds · CMS overall 5/519 citation rowsClear View Sanitarium73 beds · CMS overall 5/516 citation rowsGardena Convalescent Center74 beds · CMS overall 3/559 citation rowsLas Flores Convalescent Hospital144 beds · CMS overall 1/596 citation rowsMemorial Hospital Of Gardena D/P Snf69 beds · CMS overall 4/548 citation rowsRosecrans Care Center106 beds · CMS overall 2/564 citation rowsWest Gardena Post Acute50 beds · CMS overall 2/555 citation rows