West Gardena Post Acute
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 38 Google reviews
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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low overall rating (2/5 stars)
- Low staffing rating (2/5 stars)
- Above-median deficiencies (20 vs median 13.0)
Below average in CA · Critically understaffed (RN) · Above recommended total nurse staffing · $43,004 in fines
What this means for your family
This facility is an excellent choice if you prioritize a warm, family-like atmosphere and highly attentive nursing care. However, because one reviewer reported a significant safety lapse during a night shift, you should specifically ask management about their protocols for monitoring high-risk patients during overnight hours.
Google Reviews
Google Reviews
38 reviews on Google“Families considering West Gardena Post Acute will find a facility highly praised for its exceptionally kind, attentive, and professional nursing staff. While most reviewers report high satisfaction with the level of care and the welcoming atmosphere, one critical report highlighted a serious incident regarding patient supervision and safety during a night shift.”
Quality Themes
Tap a score for detailsStrengths
- Compassionate and attentive nursing staff
- Welcoming and friendly administrative team
- Effective rehabilitation and therapy services
- Flexible 24/7 visiting hours
Concerns
- Lack of patient supervision during night shifts
Rating Trends
Tap a year to see what changed
Distribution · 39 analyzed
How They Respond to Reviews
The owner uses a near-identical template ('Thank you so much for the review!') for almost every response, regardless of the specific praise or details provided in the review. Only two responses include a contact phone number, and none of the responses acknowledge the specific staff members or care details mentioned by reviewers.
Questions for Your Tour
- 1It's wonderful to see how much the administration engages with the community through their responses; how does the leadership team stay involved with the residents' daily well-being?
- 2We've heard such lovely things about the compassion of your nursing staff; how do you ensure that level of attentive care is maintained throughout every shift?
- 3Since we value being able to spend time with our loved one, could you tell us more about how the 24/7 visiting hours work for families?
- 4What specific steps are in place to ensure residents are closely supervised and safe during the overnight hours?
- 5Could you walk us through the protocols for handling a medical emergency or a sudden change in a resident's health status?
- 6What kind of daily activities or social programs are available to keep the residents engaged and active?
Personalized based on this facility's data
Key Review Excerpts
“Small but a great place. The staff is great and very attentive. 24/7 visiting hours makes it easy to see loved ones. Larger places seem to keep patients more medicated. My mom is much more alert here.”
“I'am very fortunate to be able of been a resident of west Gardena Post Acute as I can describe my staying here is a very pleasant filling for the way I have been treated, as it is give me respect dignity, and compassion as well the ambience is very pleasant, the food I enjoy so much, very neat and peacefully,,the nurses very professional, CNAalso very dedicated”
“I attribute my brother's recovery to the care & therapy provided by the Professional & Support Staff of West Gardena Post Acute & we thank them for their support & care.”
Staffing
Staffing Hours
per resident/day · Medicare 2026RN hours are below the national benchmark. RNs handle complex medical needs and medication, so ask about coverage during your visit.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
9
measures
3
measures
5
measures
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents needing more daily help over time
Residents on anti-anxiety or sleep medication
Residents vaccinated for pneumonia
Residents whose bladder or bowel control got worse
Residents who lost too much weight
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
This facility has significant issues with families filing 10 complaints that triggered federal investigations, revealing recurring problems with resident safety and accident prevention, medication management, and care planning. The most concerning pattern involves repeated deficiencies in preventing accidents and providing adequate supervision, which has persisted across multiple surveys and complaint investigations. While all identified issues show correction dates, the high volume of complaints and recurring safety violations suggest ongoing operational challenges that families should carefully consider.
Nov 20, 2025Routine25
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
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.
Resident Rights Deficiencies
Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
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.
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.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Environmental Deficiencies
Keep all essential equipment working safely.
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.
Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Quality of Life and Care Deficiencies
Provide routine and 24-hour emergency dental care for each resident.
Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Infection Control Deficiencies
Implement a program that monitors antibiotic use.
Environmental Deficiencies
Provide enough space and equipment to meet each resident's needs
Smoke Deficiencies
Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Emergency Preparedness Deficiencies
Provide primary/alternate means for communication.
Miscellaneous Deficiencies
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Environmental Deficiencies
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Jul 15, 2025Complaint1
Environmental Deficiencies
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Oct 3, 2024Routine15
Smoke Deficiencies
Construct fire resistant interior walls.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Quality of Life and Care Deficiencies
Provide activities to meet all resident's needs.
Smoke Deficiencies
Install an approved automatic sprinkler system.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Resident Rights Deficiencies
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.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Emergency Preparedness Deficiencies
Implement emergency and standby power systems.
Environmental Deficiencies
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Jul 29, 2024Complaint1
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.
Jul 5, 2024Complaint3
Resident Rights Deficiencies
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.
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.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Mar 22, 2024Complaint2
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.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Federal Penalties
Fine
Jul 5, 2024
$34,660
Fine
Oct 1, 2023
$8,344
Ownership & Operations
Who Operates This Facility
West Gardena Post Acute
for profit
Chain Affiliation
Abraham Bak & Menachem Gastwirth
16 facilities nationwide
Chain avg rating: 2.4/5 · Rank 10 of 16
Ownership & Management
Owners
Lehmann, Kenneth
Owner
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
38 reviews from families & visitors
Official Website
Visit westgardenapostacute.com
Medicare data downloads
Original nursing home datasets
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Safer Alternatives Nearby
Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.
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Torrance Memorial Med Ctr Snf/dp
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Sunset Villa Post Acute
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Century Villa, INC
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