Hearth Record

West Gardena Post Acute

A nursing home in Gardena, California 90248

16530 S Broadway Street, Gardena, California 90248. (310) 329-9929.

CMS’s own record, on Care Compare

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The short answer

Record last released by CMS on Oct 28, 2026.

The last 24 months 32 citations in 5 months of the last 36. Last cited Nov 2025. Most serious: actual harm (G). Every month

Each figure’s source sits beside it, in its section below.

What these words mean7
Star ratings
CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
Inspection (survey)
A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
Deficiency, citation, violation
What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
Scope and severity (A to L)
CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7).
Nurse staffing hours
The hours registered nurses, licensed practical nurses and nurse aides worked, per resident per day, from the payroll records each home sends CMS. Source: CMS, Payroll-Based Journal.
Fines and payment denials
A fine (civil money penalty) is money CMS makes a nursing home pay when it falls short of federal rules. A payment denial means Medicare and Medicaid stop paying for new admissions until the home meets the rules again. Source: CMS; 42 CFR 488.430 and 488.417.
Capacity
The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.

What did inspectors find?

19 health citations at the latest inspection cycle

The California average is 15.7.

Last standard inspection Nov 20, 2025.

Most serious in three years: actual harm (G), at a complaint inspection on Jul 29, 2024

Source:

CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

When those citations happened

32 citations in 5 months of the last 36. Last cited Nov 2025. Most serious: actual harm (G). The last 3 years, to Nov 5, 2026.

32 citations by month over the last 3 years. Each cell is one month.
JanFebMarAprMayJunJulAugSepOctNovDec
2023 Dec
2024 JanFebMarAprMayJunJulAugSepOctNovDec
2025 JanFebMarAprMayJunJulAugSepOctNovDec
2026 JanFebMarAprMayJunJulAugSepOctNov

Hover or focus a month to read it.

No visit on record Visited, nothing cited A stronger orange is more serious, on its source’s own levels, read onto four bands: from the least serious it publishes to the most
Source:

Hearth Record drew this from the dates and levels in the source’s own records.

All 32 citations in the last three years

Grouped by inspection, newest first. Each carries , from A, the least serious, to L, the most. 7 came from complaint inspections.

Source:

CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.

Nov 20, 2025: standard inspection19 citations

  • Ensure that residents are fully informed and understand their health status, care and treatments.

    Rule F0552. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Dec 15, 2025.

  • Immediately tell the resident, the resident’s doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Rule F0580. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Dec 15, 2025.

  • PASARR screening for Mental disorders or Intellectual Disabilities

    Rule F0645. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Dec 15, 2025.

  • Ensure services provided by the nursing facility meet professional standards of quality.

    Rule F0658. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Dec 15, 2025.

  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Rule F0684. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Dec 15, 2025.

  • Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Rule F0686. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Dec 15, 2025.

  • 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.

    Rule F0688. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Dec 15, 2025.

  • Provide safe and appropriate respiratory care for a resident when needed.

    Rule F0695. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Dec 15, 2025.

  • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Rule F0755. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Dec 15, 2025.

  • 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.

    Rule F0761. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Dec 15, 2025.

  • Provide routine and 24-hour emergency dental care for each resident.

    Rule F0790. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Dec 15, 2025.

  • Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

    Rule F0805. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Dec 15, 2025.

  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Rule F0812. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Dec 15, 2025.

  • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Rule F0842. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Dec 15, 2025.

  • Provide and implement an infection prevention and control program.

    Rule F0880. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Dec 15, 2025.

  • Implement a program that monitors antibiotic use.

    Rule F0881. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Dec 15, 2025.

  • Provide enough space and equipment to meet each resident’s needs

    Rule F0907. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Dec 15, 2025.

  • Keep all essential equipment working safely.

    Rule F0908. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Dec 15, 2025.

  • Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

    Rule F0912. B: no actual harm, potential for minimal harm. Correction date, as CMS recorded it: Dec 15, 2025.

Jul 15, 2025: complaint inspection1 citation

  • Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

    Rule F0925. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Aug 8, 2025.

Oct 3, 2024: standard inspection6 citations

  • Honor 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.

    Rule F0578. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Oct 26, 2024.

  • Provide activities to meet all resident’s needs.

    Rule F0679. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Oct 26, 2024.

  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Rule F0689. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Oct 26, 2024.

  • Provide safe, appropriate pain management for a resident who requires such services.

    Rule F0697. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Oct 26, 2024.

  • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Rule F0755. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Oct 26, 2024.

  • Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

    Rule F0912. B: no actual harm, potential for minimal harm. Correction date, as CMS recorded it: Oct 26, 2024.

Jul 29, 2024: complaint inspection1 citation

  • Immediately tell the resident, the resident’s doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Rule F0580. G: actual harm. From a complaint. Correction date, as CMS recorded it: Aug 28, 2024.

Jul 5, 2024: complaint inspection3 citations

  • Honor 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.

    Rule F0584. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Aug 4, 2024.

  • Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.

    Rule F0656. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Aug 4, 2024.

  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Rule F0689. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Aug 4, 2024.

Mar 22, 2024: complaint inspection2 citations

  • Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.

    Rule F0656. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Apr 21, 2024.

  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Rule F0684. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Apr 21, 2024.

Is it certified, and in good standing?

  • Certified for Medicare and Medicaid since Oct 1, 1989.
  • Not on CMS’s special focus list.
  • No abuse icon from CMS.
  • No change of ownership in the last 12 months.
  • CMS lists its ownership as for profit, limited liability company.
  • 50 certified beds.
Source:

CMS, Provider Information. Released Oct 28, 2026. Updated monthly.

Has it been fined or penalized?

  • 1 fine in the last three years, $34,660 in all.
  • No Medicare payment denials in the last three years.
  • 7 citations in the last three years came from complaint inspections.
Source:

CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

Fines and payment denials, newest first
DateKindAmount
Jul 5, 2024Fine$34,660

Who does the caring?

4.70 nurse hours per resident per day

The California average is 4.54.

CMS publishes staffing about four months after the fact.

Source:

CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.

Staffing measures
MeasureThis homeCalifornia average
Nurse hours per resident per day4.704.54
Of which registered nurses0.310.68
At weekends3.934.10
Nursing staff turnover49.3%36.6%
Registered nurse turnover40%37.8%
Administrators who left0Not given

Who owns it?

  • 22 owners or officers are people: Kenneth Lehmann (owns 5% or more directly, 32%); Abraham Bak (owns 5% or more directly, 31.5%); Menachem Gastwirth (owns 5% or more directly, 31.5%); Chonoch Gewirtz (owns 5% or more directly, 5%); Chonoch Gewirtz (additional disclosable party (controls, leases property to, or provides services to the home)); Juda Bak (additional disclosable party (controls, leases property to, or provides services to the home)); Rachel Deena Bak (trustee); Rachel Deena Bak (additional disclosable party (controls, leases property to, or provides services to the home)); Kingsley Ofoegbu (runs it (operational or managerial control)); Kingsley Ofoegbu (additional disclosable party (controls, leases property to, or provides services to the home)); Violeta Pangilinan (runs it (operational or managerial control)); Violeta Pangilinan (additional disclosable party (controls, leases property to, or provides services to the home)); Kenneth Lehmann (on the governing body (managing control)); Kenneth Lehmann (additional disclosable party (controls, leases property to, or provides services to the home)); Abraham Bak (runs it (operational or managerial control)); Abraham Bak (on the governing body (managing control)); Abraham Bak (trustee); Abraham Bak (additional disclosable party (controls, leases property to, or provides services to the home)); Henry Gastwirth (additional disclosable party (controls, leases property to, or provides services to the home)); Menachem Gastwirth (runs it (operational or managerial control)); Menachem Gastwirth (on the governing body (managing control)); Menachem Gastwirth (additional disclosable party (controls, leases property to, or provides services to the home)).
  • Part of Abraham Bak & Menachem Gastwirth (19 homes in CMS’s data).
  • No private-equity firm among the owners CMS lists.
  • No real-estate investment trust among the owners CMS lists.
Source:

CMS, All Owners. Checked Nov 5, 2026. Updated monthly.

CMS, Provider Information. Released Oct 28, 2026. Updated monthly.

Organisations CMS lists
OrganisationRoleShareSince
Mgaz Consulting LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Dec 27, 2021
Abe and Rachel Bak Family TrustAdditional disclosable party (controls, leases property to, or provides services to the home)Nov 10, 2021
16530 South Broadway Street,llcAdditional disclosable party (controls, leases property to, or provides services to the home)Sep 6, 2019
Bagz Holdings, LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Nov 10, 2021
Abak Consulting LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Dec 27, 2021

How do residents fare?

  • CMS rates its quality measures 4 of 5 (California average 4.2).
Source:

CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.

CMS’s star ratings, from 1 to 5
MeasureRating
Overall rating2 of 5
Health inspections2 of 5
Staffing2 of 5
Quality measures4 of 5

How does it compare nearby?

  • Among the 12 nearest homes, within 3.3 miles, this one had the 4th most health citations at the latest inspection cycle (19; the middle value was 18.5).
Source:

CMS, Provider Information. Released Oct 28, 2026. Updated monthly.

The 12 nearest, by straight-line distance
PlaceMiles awayCitations, latest cycle
West Gardena Post Acute This nursing home19
Kei-Ai South Bay Healthcare Center1.119
Gardena Convalescent Center1.211
Clear View Convalescent Center1.21
Clear View Sanitarium1.210
Memorial Hospital of Gardena D/P SNF1.49
Rosecrans Care Center1.519
View Heights Conv Hosp2.625
Las Flores Convalescent Hospital2.718
Avalon Villa Care Center2.940
Camino Healthcare3.314
Heritage Rehabilitation Center3.320

What the record doesn’t say

  • Complaints that didn’t lead to a citation aren’t published.
  • Inspections reach CMS’s data about six weeks after they happen, and staffing about four months after.
  • CMS publishes the inspectors’ full written findings in a separate monthly file, which isn’t loaded yet.
  • Fines and Medicare payment denials are the only enforcement CMS publishes; state licence actions aren’t included.

Sources

  • Centers for Medicare & Medicaid Services, Provider Information (4pq5-n9py).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, Health Deficiencies (r5ix-sfxw).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, Penalties (g6vv-u9sr).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).

    Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, State and US Averages (xcdc-v8bm).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.

Source:

This copy of the record was made on Nov 5, 2026.

From the home

The public record above comes first. Anything the home adds will appear here, below it, and say who wrote it.

Replies

None. Replies aren’t open yet. When they open, the home will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.

Paid listing

None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the home”, and paying will never change a finding, a rating or the order of results.

How to read a record

Four things every record does, shown on an example record made up for this guide.

An example record, made up for this guide

An example nursing home

Made up for this guide: no real place is shown

Not fully inspected in over two years (CMS flag)

11 health citations at the latest inspection cycle

The state average is 14.3.

Source:

CMS, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

From the homeNone yet. Replies and paid listings aren’t open, and when they open they will sit here, below the record.

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