B85

MEMORIAL HOSPITAL OF GARDENA D/P SNF

Grade B 85/100 composite score

Non profit - Corporation

CMS Star Ratings

Overall
4/5
Health Insp.
4/5
Quality
4/5
Staffing
4/5
RN Staffing
Not rated

Certified Beds

69

Ownership

Non profit - Corporation

Total Fines

$12,831

Last Survey

N/A

1145 W. REDONDO BEACH, GARDENA, CA 90247
3105324200

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
1.06h
LPN
1.39h
CNA
1.47h
Total
3.92h
Facility
State Average

Turnover Rates

RN Turnover
N/A
Total Nurse Turnover
N/A
Admin Turnover
N/A

Ownership

AVANTI HEALTHCARE HOLDINGS LLC

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince May 2011

AVANTI HOSPITAL HOLDINGS I LLC

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince May 2011

AVANTI HOSPITALS LLC

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince May 2011

DEERFIELD PRIVATE DESIGN FUND IV, LP

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Jan 2019

DFP OPCO, LLC

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Jan 2019

HEALTHPLUS HOLDINGS LLC

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Dec 2006

HOLLISTER HEALTH HOLDINGS LLC

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Jan 2019

JPM PROPERTY HOLDINGS, LLC

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Jan 2019

NLO PROPERTY HOLDINGS LLC

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Jan 2019

PIPELINE HEALTH SYSTEM HOLDINGS, LLC

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Jan 2019

PIPELINE HEALTH SYSTEM, LLC

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Jan 2019

PIPELINE HOSPITAL HOLDINGS LLC

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Jan 2019

BELL, MARK

Individual5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Dec 2008

EDWARDS, IRV

Individual5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Dec 2008

MACPHERSON, JAMES

Individual5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Dec 2008

GARDENA HOSPITAL MANAGEMENT, LLC

OrganizationGENERAL PARTNERSHIP INTERESTSince Jan 1999

HEALTHPLUS HOLDINGS LLC

OrganizationLIMITED PARTNERSHIP INTERESTSince Dec 2006

BELL, MARK

IndividualCORPORATE OFFICERSince Jan 2019

METCALFE, ROBERT

IndividualCONTRACTED MANAGING EMPLOYEESince Feb 2020

Penalties & Fines (2)

$12,831total fines
DateTypeDescriptionAmount
Feb 9, 2024Fine$12,831
Feb 9, 2024Payment Denial

Health Inspection Deficiencies (37)

February 16, 2025Health7 deficiencies
0641DMinimal harm, Isolated

Ensure each resident receives an accurate assessment.

Resident Assessment and Care Planning Deficiencies

Corrected Mar 6, 2025
0684DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Mar 6, 2025
0686EMinimal harm, Pattern

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

Quality of Life and Care Deficiencies

Corrected Mar 6, 2025
0725DMinimal harm, Isolated

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Nursing and Physician Services Deficiencies

Corrected Mar 6, 2025
0812EMinimal harm, Pattern

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

Nutrition and Dietary Deficiencies

Corrected Mar 6, 2025
0880EMinimal harm, Pattern

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Mar 6, 2025
0919DMinimal harm, Isolated

Make sure that a working call system is available in each resident's bathroom and bathing area.

Environmental Deficiencies

Corrected Mar 6, 2025
February 9, 2024Health16 deficiencies1 severe
0580DMinimal harm, Isolated

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

Resident Rights Deficiencies

Corrected Mar 9, 2024
0636DMinimal harm, Isolated

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Resident Assessment and Care Planning Deficiencies

Corrected Mar 9, 2024
0641DMinimal harm, Isolated

Ensure each resident receives an accurate assessment.

Resident Assessment and Care Planning Deficiencies

Corrected Mar 9, 2024
0656EMinimal harm, Pattern

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

Resident Assessment and Care Planning Deficiencies

Corrected Mar 9, 2024
0657DMinimal harm, Isolated

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Resident Assessment and Care Planning Deficiencies

Corrected Mar 9, 2024
0679DMinimal harm, Isolated

Provide activities to meet all resident's needs.

Quality of Life and Care Deficiencies

Corrected Mar 9, 2024
0686GActual harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Mar 9, 2024
0698DMinimal harm, Isolated

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Quality of Life and Care Deficiencies

Corrected Mar 9, 2024
0726DMinimal harm, Isolated

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Nursing and Physician Services Deficiencies

Corrected Mar 9, 2024
0755DMinimal harm, Isolated

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

Pharmacy Service Deficiencies

Corrected Mar 9, 2024
0760DMinimal harm, Isolated

Ensure that residents are free from significant medication errors.

Pharmacy Service Deficiencies

Corrected Mar 9, 2024
0761DMinimal harm, Isolated

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.

Pharmacy Service Deficiencies

Corrected Mar 9, 2024
0790DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Mar 9, 2024
0812DMinimal harm, Isolated

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

Nutrition and Dietary Deficiencies

Corrected Mar 9, 2024
0842DMinimal harm, Isolated

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

Resident Assessment and Care Planning Deficiencies

Corrected Mar 9, 2024
0867DMinimal harm, Isolated

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Administration Deficiencies

Corrected Mar 9, 2024
July 7, 2023Health1 deficiency
0678EMinimal harm, Pattern

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

Quality of Life and Care Deficiencies

Corrected Aug 1, 2023
March 10, 2023Health13 deficiencies
0550DMinimal harm, Isolated

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Resident Rights Deficiencies

Corrected Mar 31, 2023
0580EMinimal harm, Pattern

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

Resident Rights Deficiencies

Corrected Mar 31, 2023
0604EMinimal harm, Pattern

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Mar 31, 2023
0658EMinimal harm, Pattern

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

Resident Assessment and Care Planning Deficiencies

Corrected Mar 31, 2023
0690EMinimal harm, Pattern

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Quality of Life and Care Deficiencies

Corrected Mar 31, 2023
0693EMinimal harm, Pattern

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Quality of Life and Care Deficiencies

Corrected Mar 31, 2023
0698EMinimal harm, Pattern

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Quality of Life and Care Deficiencies

Corrected Mar 31, 2023
0710DMinimal harm, Isolated

Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.

Nursing and Physician Services Deficiencies

Corrected Mar 31, 2023
0758DMinimal harm, Isolated

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Pharmacy Service Deficiencies

Corrected Mar 31, 2023
0759EMinimal harm, Pattern

Ensure medication error rates are not 5 percent or greater.

Pharmacy Service Deficiencies

Corrected Mar 31, 2023
0812EMinimal harm, Pattern

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

Nutrition and Dietary Deficiencies

Corrected Mar 31, 2023
0868FMinimal harm, Widespread

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Administration Deficiencies

Corrected Mar 31, 2023
0888EMinimal harm, Pattern

Ensure staff are vaccinated for COVID-19

Infection Control Deficiencies

Corrected Mar 31, 2023

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Frequently Asked Questions

What is the CareGrader rating for MEMORIAL HOSPITAL OF GARDENA D/P SNF?

MEMORIAL HOSPITAL OF GARDENA D/P SNF in GARDENA, California has a CareGrader grade of B (Good), with a composite score of 85 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.

What is the CMS star rating for MEMORIAL HOSPITAL OF GARDENA D/P SNF?

MEMORIAL HOSPITAL OF GARDENA D/P SNF has an overall CMS star rating of 4 out of 5, a health inspection rating of 4/5, and a staffing rating of 4/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does MEMORIAL HOSPITAL OF GARDENA D/P SNF have?

MEMORIAL HOSPITAL OF GARDENA D/P SNF has 37 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). View the full inspection timeline above for details on each deficiency.

Has MEMORIAL HOSPITAL OF GARDENA D/P SNF been fined?

Yes. MEMORIAL HOSPITAL OF GARDENA D/P SNF has $12,831 in total fines from CMS enforcement actions across 2 penalties.

How many beds does MEMORIAL HOSPITAL OF GARDENA D/P SNF have?

MEMORIAL HOSPITAL OF GARDENA D/P SNF has 69 certified beds with approximately 63 current residents (91% occupancy). The facility is located at 1145 W. REDONDO BEACH, GARDENA, California 90247. It is a non profit - corporation facility.

Data Disclaimer

Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.