SNF

MEMORIAL HOSPITAL OF GARDENA D/P SNF

CCN: 555441 · GARDENA, CA 90247 · Los Angeles County

Overview

Address
1145 W. REDONDO BEACH, GARDENA, CA 90247
Phone
3105324200
Certified beds
69
Avg daily residents
64 (92% of beds filled)
Ownership
Non-profit corporation
Provider type
Medicare and Medicaid
Medicare/Medicaid since
1990-12-03
Setting
Urban
4 /5
★★★★★
CMS Overall Rating

CMS 5-Star Ratings

CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.

Overall Rating
Composite of Health Inspection, Staffing, and Quality Measures.
★★★★★ 4/5
Health Inspection
Based on the three most recent standard surveys, with more weight on recent results.
★★★★★ 4/5
Staffing
Weighted combination of RN and total nurse staffing hours per resident per day, case-mix adjusted.
★★★★★ 4/5
Quality Measures
15 resident-level quality measures split between long-stay and short-stay (post-acute) residents.
★★★★★ 4/5
Quality Measures breakdown
Long-Stay Quality Measures ★★★★★ 4/5
Short-Stay Quality Measures — Data not available.

Staffing & Workforce

Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.

Role Reported Case-mix expected Adjusted Federal floor
Total nurse
All nursing staff combined: RN + LPN + Aide
 9.67 9.51 3.92 ≥ 3.48
Registered Nurse (RN)
Licensed RN hours. Strongest driver of clinical outcomes.
 2.61 1.66 1.06 ≥ 0.55
Licensed Practical Nurse (LPN)
LPN/LVN hours. Often handles medication administration.
 3.42 2.11 1.39 —
Nurse aide
CNA hours. Bulk of direct resident care — bathing, feeding, mobility.
 3.63 5.74 1.47 —
Licensed (RN + LPN)
Combined licensed nurse coverage.
 6.04 — — —
Physical therapist
Rehabilitation therapist hours — important for post-acute / rehab admissions.
 0.01 — — —

Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.

Weekend staffing

Total nurse (weekend)
8.70
hrs / resident / day
RN (weekend)
2.41
hrs / resident / day
Total nurse (adjusted, weekend)
3.53
hrs / resident / day

Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.

Staff turnover

Total nursing staff turnover
46.1%
annual
RN turnover
60.5%
annual
Administrators departed
0
last 12 months

Resident acuity

Nursing Case-Mix Index
3.37
higher acuity than avg
Case-Mix Index Ratio
2.45
facility / state ratio

Health Inspections

CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.

Cycle Date Total defs. Standard Complaint Deficiency score Revisits Total score
Cycle 1 (most recent) 2025-02-16 7 7 0 40 1 40
Cycle 2/3 (prior) 2024-02-09 17 16 1 92 1 92
Total weighted health score
53.0
lower is better

Deficiencies (37)

Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).

36 D/E/F Actual harm — potential for minor
1 G/H/I Actual harm
Tag Description Scope/Severity Survey date Corrected
0641 Ensure each resident receives an accurate assessment. D 2025-02-16 2025-03-06
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. D 2025-02-16 2025-03-06
0686 Provide appropriate pressure ulcer care and prevent new ulcers from developing. E 2025-02-16 2025-03-06
0725 Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. D 2025-02-16 2025-03-06
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. E 2025-02-16 2025-03-06
0880 Provide and implement an infection prevention and control program. E 2025-02-16 2025-03-06
0919 Make sure that a working call system is available in each resident's bathroom and bathing area. D 2025-02-16 2025-03-06
0580 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. D 2024-02-09 2024-03-09
0636 Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. D 2024-02-09 2024-03-09
0641 Ensure each resident receives an accurate assessment. D 2024-02-09 2024-03-09
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. E 2024-02-09 2024-03-09
0657 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. D 2024-02-09 2024-03-09
0679 Provide activities to meet all resident's needs. D 2024-02-09 2024-03-09
0686 Provide appropriate pressure ulcer care and prevent new ulcers from developing. G 2024-02-09 2024-03-09
0698 Provide safe, appropriate dialysis care/services for a resident who requires such services. D 2024-02-09 2024-03-09
0726 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. D 2024-02-09 2024-03-09
0755 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. D 2024-02-09 2024-03-09
0760 Ensure that residents are free from significant medication errors. D 2024-02-09 2024-03-09
0761 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. D 2024-02-09 2024-03-09
0790 Provide routine and 24-hour emergency dental care for each resident. D 2024-02-09 2024-03-09
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. D 2024-02-09 2024-03-09
0842 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. D 2024-02-09 2024-03-09
0867 Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. D 2024-02-09 2024-03-09
0678 Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. E 2023-07-07 2023-08-01
0550 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. D 2023-03-10 2023-03-31
0580 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. E 2023-03-10 2023-03-31
0604 Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. E 2023-03-10 2023-03-31
0658 Ensure services provided by the nursing facility meet professional standards of quality. E 2023-03-10 2023-03-31
0690 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. E 2023-03-10 2023-03-31
0693 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. E 2023-03-10 2023-03-31
0698 Provide safe, appropriate dialysis care/services for a resident who requires such services. E 2023-03-10 2023-03-31
0710 Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. D 2023-03-10 2023-03-31
0758 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. D 2023-03-10 2023-03-31
0759 Ensure medication error rates are not 5 percent or greater. E 2023-03-10 2023-03-31
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. E 2023-03-10 2023-03-31
0868 Have the Quality Assessment and Assurance group have the required members and meet at least quarterly F 2023-03-10 2023-03-31
0888 Ensure staff are vaccinated for COVID-19 E 2023-03-10 2023-03-31

Penalties (2)

Fines issued
1
last 3 years
Total fines
$12,831
Payment denials
1
Date Type Fine amount
2024-02-09 Fine $12,831
2024-02-09 Payment Denial —

Source: CMS Nursing Home Penalties.

Ownership & Corporate Structure

Owner / manager organizations (14)

Organization Role Association
AVANTI HEALTHCARE HOLDINGS LLC 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 05/17/2011
AVANTI HOSPITAL HOLDINGS I LLC 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 05/17/2011
AVANTI HOSPITALS LLC 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 05/17/2011
DEERFIELD PRIVATE DESIGN FUND IV, LP 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 01/28/2019
DFP OPCO, LLC 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 01/28/2019
HEALTHPLUS HOLDINGS LLC 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 12/13/2006
HOLLISTER HEALTH HOLDINGS LLC 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 01/28/2019
JPM PROPERTY HOLDINGS, LLC 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 01/28/2019
NLO PROPERTY HOLDINGS LLC 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 01/28/2019
PIPELINE HEALTH SYSTEM HOLDINGS, LLC 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 01/28/2019
PIPELINE HEALTH SYSTEM, LLC 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 01/28/2019
PIPELINE HOSPITAL HOLDINGS LLC 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 01/28/2019
GARDENA HOSPITAL MANAGEMENT, LLC GENERAL PARTNERSHIP INTEREST since 01/29/1999
HEALTHPLUS HOLDINGS LLC LIMITED PARTNERSHIP INTEREST since 12/13/2006

Owner / manager individuals (5)

Name Role Association
BELL, MARK 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 12/31/2008
EDWARDS, IRV 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 12/31/2008
MACPHERSON, JAMES 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 12/31/2008
BELL, MARK CORPORATE OFFICER since 01/28/2019
METCALFE, ROBERT CONTRACTED MANAGING EMPLOYEE since 02/26/2020

Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.

Facility Features

CCRC
No
Hospital-based
No
Resident / family council
None
Sprinkler systems
Yes
Abuse citation flag
No
Methodology & sources

Full methodology →

All Data

Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.

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Show 99 rows
Source Metric Value Raw key
Provider Information Abuse Icon N Abuse Icon
Provider Information Adjusted LPN Staffing Hours per Resident per Day 1.38959 Adjusted LPN Staffing Hours per Resident per Day
Provider Information Adjusted Nurse Aide Staffing Hours per Resident per Day 1.47407 Adjusted Nurse Aide Staffing Hours per Resident per Day
Provider Information Adjusted RN Staffing Hours per Resident per Day 1.06111 Adjusted RN Staffing Hours per Resident per Day
Provider Information Adjusted Total Nurse Staffing Hours per Resident per Day 3.92477 Adjusted Total Nurse Staffing Hours per Resident per Day
Provider Information Adjusted Weekend Total Nurse Staffing Hours per Resident per Day 3.53130 Adjusted Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Administrator turnover footnote — Administrator turnover footnote
Provider Information Automatic Sprinkler Systems in All Required Areas Yes Automatic Sprinkler Systems in All Required Areas
Provider Information Average Number of Residents per Day 63.6 Average Number of Residents per Day
Provider Information Average Number of Residents per Day Footnote — Average Number of Residents per Day Footnote
Provider Information Case-Mix LPN Staffing Hours per Resident per Day 2.11158 Case-Mix LPN Staffing Hours per Resident per Day
Provider Information Case-Mix Nurse Aide Staffing Hours per Resident per Day 5.73881 Case-Mix Nurse Aide Staffing Hours per Resident per Day
Provider Information Case-Mix RN Staffing Hours per Resident per Day 1.66439 Case-Mix RN Staffing Hours per Resident per Day
Provider Information Case-Mix Total Nurse Staffing Hours per Resident per Day 9.51479 Case-Mix Total Nurse Staffing Hours per Resident per Day
Provider Information Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day 8.38628 Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Chain Average Health Inspection Rating — Chain Average Health Inspection Rating
Provider Information Chain Average Overall 5-star Rating — Chain Average Overall 5-star Rating
Provider Information Chain Average QM Rating — Chain Average QM Rating
Provider Information Chain Average Staffing Rating — Chain Average Staffing Rating
Provider Information Chain ID — Chain ID
Provider Information Chain Name — Chain Name
Provider Information City/Town GARDENA City/Town
Provider Information CMS Certification Number (CCN) 555441 CMS Certification Number (CCN)
Provider Information Continuing Care Retirement Community N Continuing Care Retirement Community
Provider Information County/Parish Los Angeles County/Parish
Provider Information Date First Approved to Provide Medicare and Medicaid Services 1990-12-03 Date First Approved to Provide Medicare and Medicaid Services
Provider Information Geocoding Footnote — Geocoding Footnote
Provider Information Health Inspection Rating 4 Health Inspection Rating
Provider Information Health Inspection Rating Footnote — Health Inspection Rating Footnote
Provider Information Latitude 33.8924 Latitude
Provider Information Legal Business Name GARDENA HOSPITAL, L.P. Legal Business Name
Provider Information Location 1145 W. REDONDO BEACH,GARDENA,CA,90247 Location
Provider Information Long-Stay QM Rating 4 Long-Stay QM Rating
Provider Information Long-Stay QM Rating Footnote — Long-Stay QM Rating Footnote
Provider Information Longitude -118.3 Longitude
Provider Information Most Recent Health Inspection More Than 2 Years Ago N Most Recent Health Inspection More Than 2 Years Ago
Provider Information Number of administrators who have left the nursing home 0 Number of administrators who have left the nursing home
Provider Information Number of Certified Beds 69 Number of Certified Beds
Provider Information Number of Citations from Infection Control Inspections — Number of Citations from Infection Control Inspections
Provider Information Number of Facilities in Chain — Number of Facilities in Chain
Provider Information Number of Fines 1 Number of Fines
Provider Information Number of Payment Denials 1 Number of Payment Denials
Provider Information Nursing Case-Mix Index 3.37066 Nursing Case-Mix Index
Provider Information Nursing Case-Mix Index Ratio 2.44668 Nursing Case-Mix Index Ratio
Provider Information Overall Rating 4 Overall Rating
Provider Information Overall Rating Footnote — Overall Rating Footnote
Provider Information Ownership Type Non profit - Corporation Ownership Type
Provider Information Physical Therapist Staffing Footnote — Physical Therapist Staffing Footnote
Provider Information Processing Date 2026-03-01 Processing Date
Provider Information Provider Address 1145 W. REDONDO BEACH Provider Address
Provider Information Provider Changed Ownership in Last 12 Months N Provider Changed Ownership in Last 12 Months
Provider Information Provider Name MEMORIAL HOSPITAL OF GARDENA D/P SNF Provider Name
Provider Information Provider Resides in Hospital N Provider Resides in Hospital
Provider Information Provider SSA County Code 200 Provider SSA County Code
Provider Information Provider Type Medicare and Medicaid Provider Type
Provider Information QM Rating 4 QM Rating
Provider Information QM Rating Footnote — QM Rating Footnote
Provider Information Rating Cycle 1 Health Deficiency Score 40 Rating Cycle 1 Health Deficiency Score
Provider Information Rating Cycle 1 Health Revisit Score 0 Rating Cycle 1 Health Revisit Score
Provider Information Rating Cycle 1 Number of Complaint Health Deficiencies 0 Rating Cycle 1 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 1 Number of Health Revisits 1 Rating Cycle 1 Number of Health Revisits
Provider Information Rating Cycle 1 Number of Standard Health Deficiencies 7 Rating Cycle 1 Number of Standard Health Deficiencies
Provider Information Rating Cycle 1 Standard Survey Health Date 2025-02-16 Rating Cycle 1 Standard Survey Health Date
Provider Information Rating Cycle 1 Total Health Score 40 Rating Cycle 1 Total Health Score
Provider Information Rating Cycle 1 Total Number of Health Deficiencies 7 Rating Cycle 1 Total Number of Health Deficiencies
Provider Information Rating Cycle 2 Number of Standard Health Deficiencies 16 Rating Cycle 2 Number of Standard Health Deficiencies
Provider Information Rating Cycle 2 Standard Health Survey Date 2024-02-09 Rating Cycle 2 Standard Health Survey Date
Provider Information Rating Cycle 2/3 Health Deficiency Score 92 Rating Cycle 2/3 Health Deficiency Score
Provider Information Rating Cycle 2/3 Health Revisit Score 0 Rating Cycle 2/3 Health Revisit Score
Provider Information Rating Cycle 2/3 Number of Complaint Health Deficiencies 1 Rating Cycle 2/3 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 2/3 Number of Health Revisits 1 Rating Cycle 2/3 Number of Health Revisits
Provider Information Rating Cycle 2/3 Total Health Score 92 Rating Cycle 2/3 Total Health Score
Provider Information Rating Cycle 2/3 Total Number of Health Deficiencies 17 Rating Cycle 2/3 Total Number of Health Deficiencies
Provider Information Registered Nurse hours per resident per day on the weekend 2.40922 Registered Nurse hours per resident per day on the weekend
Provider Information Registered Nurse turnover 60.5 Registered Nurse turnover
Provider Information Registered Nurse turnover footnote — Registered Nurse turnover footnote
Provider Information Reported Licensed Staffing Hours per Resident per Day 6.03945 Reported Licensed Staffing Hours per Resident per Day
Provider Information Reported LPN Staffing Hours per Resident per Day 3.42448 Reported LPN Staffing Hours per Resident per Day
Provider Information Reported Nurse Aide Staffing Hours per Resident per Day 3.63266 Reported Nurse Aide Staffing Hours per Resident per Day
Provider Information Reported Physical Therapist Staffing Hours per Resident Per Day 0.01394 Reported Physical Therapist Staffing Hours per Resident Per Day
Provider Information Reported RN Staffing Hours per Resident per Day 2.61497 Reported RN Staffing Hours per Resident per Day
Provider Information Reported Staffing Footnote — Reported Staffing Footnote
Provider Information Reported Total Nurse Staffing Hours per Resident per Day 9.67211 Reported Total Nurse Staffing Hours per Resident per Day
Provider Information Short-Stay QM Rating — Short-Stay QM Rating
Provider Information Short-Stay QM Rating Footnote 2 Short-Stay QM Rating Footnote
Provider Information Special Focus Status — Special Focus Status
Provider Information Staffing Rating 4 Staffing Rating
Provider Information Staffing Rating Footnote — Staffing Rating Footnote
Provider Information State CA State
Provider Information Telephone Number 3105324200 Telephone Number
Provider Information Total Amount of Fines in Dollars 12831.00 Total Amount of Fines in Dollars
Provider Information Total number of nurse staff hours per resident per day on the weekend 8.70245 Total number of nurse staff hours per resident per day on the weekend
Provider Information Total Number of Penalties 2 Total Number of Penalties
Provider Information Total nursing staff turnover 46.1 Total nursing staff turnover
Provider Information Total nursing staff turnover footnote — Total nursing staff turnover footnote
Provider Information Total Weighted Health Survey Score 53.000 Total Weighted Health Survey Score
Provider Information Urban Y Urban
Provider Information With a Resident and Family Council None With a Resident and Family Council
Provider Information ZIP Code 90247 ZIP Code