01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-11-20 | 19 | 2025-11-20 | 6 |
| Cycle 2 | 2024-10-03 | 7 | 2024-10-03 | 9 |
| Cycle 3 | 2023-10-01 | 13 | 2023-10-01 | 1 |
CMS CCN 5554102026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
West Gardena Post Acute
16530 S Broadway Street · Gardena, CA 90248 · Los Angeles County
Certified beds50CMS provider file
Recent citation rows55current CMS citation release
Penalty rows2current 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
55 rows in the current release
2 rows carry G–L scope/severity codes; 0 carry J–L. 9 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2025-11-20 · FIREE0032Severity C · widespread; potential for minimal harm
Emergency Preparedness Deficiencies
Provide primary/alternate means for communication.
Correction field: Deficient, Provider has date of correction · 2025-12-152025-11-20 · HEALTHF0552Severity E · pattern; 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 · 2025-12-152025-11-20 · HEALTHF0580Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Correction field: Deficient, Provider has date of correction · 2025-12-152025-11-20 · HEALTHF0645Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
Correction field: Deficient, Provider has date of correction · 2025-12-152025-11-20 · HEALTHF0658Severity E · pattern; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Correction field: Deficient, Provider has date of correction · 2025-12-152025-11-20 · 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 · 2025-12-152025-11-20 · 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 · 2025-12-152025-11-20 · HEALTHF0688Severity E · pattern; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide 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.
Correction field: Deficient, Provider has date of correction · 2025-12-152025-11-20 · HEALTHF0695Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Correction field: Deficient, Provider has date of correction · 2025-12-152025-11-20 · HEALTHF0755Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Correction field: Deficient, Provider has date of correction · 2025-12-152025-11-20 · HEALTHF0761Severity E · pattern; 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 · 2025-12-152025-11-20 · HEALTHF0790Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide routine and 24-hour emergency dental care for each resident.
Correction field: Deficient, Provider has date of correction · 2025-12-152025-11-20 · HEALTHF0805Severity D · isolated; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Correction field: Deficient, Provider has date of correction · 2025-12-152025-11-20 · 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 · 2025-12-152025-11-20 · HEALTHF0842Severity E · pattern; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Correction field: Deficient, Provider has date of correction · 2025-12-152025-11-20 · HEALTHF0880Severity E · pattern; 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 · 2025-12-152025-11-20 · HEALTHF0881Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Implement a program that monitors antibiotic use.
Correction field: Deficient, Provider has date of correction · 2025-12-152025-11-20 · HEALTHF0907Severity D · isolated; potential for more than minimal harm
Environmental Deficiencies
Provide enough space and equipment to meet each resident's needs
Correction field: Deficient, Provider has date of correction · 2025-12-152025-11-20 · HEALTHF0908Severity E · pattern; potential for more than minimal harm
Environmental Deficiencies
Keep all essential equipment working safely.
Correction field: Deficient, Provider has date of correction · 2025-12-152025-11-20 · HEALTHF0912Severity B · pattern; potential for minimal harm
Environmental Deficiencies
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Correction field: Deficient, Provider has date of correction · 2025-12-152025-11-20 · FIREK0342Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.
Correction field: Deficient, Provider has date of correction · 2025-12-152025-11-20 · FIREK0353Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2025-12-152025-11-20 · FIREK0741Severity C · widespread; potential for minimal harm
Miscellaneous Deficiencies
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Correction field: Deficient, Provider has date of correction · 2025-12-152025-11-20 · FIREK0914Severity F · widespread; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Correction field: Deficient, Provider has date of correction · 2025-12-1503 / 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 |
|---|---|---|---|
| 2024-07-05 | Fine | $34,660 | 0 |
| 2023-10-01 | Fine | $8,344 | 0 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- LEHMANN, KENNETHIndividual · 5% OR GREATER DIRECT OWNERSHIP INTEREST32% · since 11/01/2019
- BAK, ABRAHAMIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 09/06/2019
- GASTWIRTH, MENACHEMIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 08/19/2020
- LEHMANN, KENNETHIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 10/07/2019
- BAK, ABRAHAMIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 10/07/2019
- GASTWIRTH, MENACHEMIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 10/07/2019
- OFOEGBU, KINGSLEYIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 06/13/2022
- PANGILINAN, VIOLETAIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 10/16/2023
- BAK, ABRAHAMIndividual · TRUSTEE OF THE SNFNOT APPLICABLE · since 01/13/2016
- BAK, RACHELIndividual · TRUSTEE OF THE SNFNOT APPLICABLE · since 01/13/2016
- 16530 SOUTH BROADWAY STREET,LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 09/06/2019
- ABAK CONSULTING LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 12/27/2021
- ABE AND RACHEL BAK FAMILY TRUSTOrganization · ADP OF THE SNFNOT APPLICABLE · since 11/10/2021
- BAGZ HOLDINGS, LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 11/10/2021
- MGAZ CONSULTING LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 12/27/2021
- BAK, ABRAHAMIndividual · ADP OF THE SNFNOT APPLICABLE · since 09/06/2019
- BAK, JUDAIndividual · ADP OF THE SNFNOT APPLICABLE · since 09/06/2019
- BAK, RACHELIndividual · ADP OF THE SNFNOT APPLICABLE · since 09/06/2019
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 hours4.60per resident day
RN hours0.34per resident day
Weekend nurse hours4.01per resident day
Staff turnover43.5%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 rowsKei-Ai South Bay Healthcare Center98 beds · CMS overall 3/572 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 rows