Is your loved one at Gardena Convalescent Center?
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Gardena Convalescent Center at a glance: owner, beds and ratings
* California separately requires at least 3.5 direct care service hours per patient day, counted under state rules, so the two numbers are not measured the same way.
Records: Cal Health Find ↗ · Medicare Care Compare ↗
Gardena Convalescent Center citations and inspection findings
Newest first. State citations come from CDPH; federal deficiencies come from the CMS-2567 inspection report CDPH writes for Medicare. Every row links to the government record.
| Date | Source | Finding | Record |
|---|---|---|---|
| February 21, 2025 | State (CDPH) | Class B citation (Abuse/Facility Not Self Reported), penalty $3,000 Abuse | Government record (CDPH) ↗ |
| January 21, 2025 | Federal (CMS-2567), Certification | F607 – Develop/Implement Abuse/Neglect Policies, severity D (no actual harm, potential for more than minimal harm, isolated) F609 – Reporting of Alleged Violations, severity D (no actual harm, potential for more than minimal harm, isolated) Abuse | Government record (CDPH) ↗ |
| January 10, 2024 | State (CDPH) | Class B Trebled citation (Abuse/Facility Not Self Reported), penalty $9,000 Abuse | Government record (CDPH) ↗ |
| December 26, 2023 | Federal (CMS-2567), Complaint | F609 – Reporting of Alleged Violations, severity D (no actual harm, potential for more than minimal harm, isolated) F610 – Investigate/Prevent/Correct Alleged Violation, severity D (no actual harm, potential for more than minimal harm, isolated) Abuse | Government record (CDPH) ↗ |
| July 18, 2023 | State (CDPH) | Class A citation (Patient Care), penalty $25,000 Read what inspectors found ↓ | Government record (CDPH) ↗ |
| July 11, 2023 | State (CDPH) | Class B citation (Abuse/Facility Not Self Reported), penalty $3,000 Abuse | Government record (CDPH) ↗ |
What inspectors found at Gardena Convalescent Center
Tap a finding to read the summary. Each one is written from the government report linked under it.
July 2023: Class A citation after a resident's finger was fractured during a shower given by a CNA
According to the citation, CDPH received a complaint on October 24, 2022, and made an unannounced visit on October 27. Resident 1, a 75-year-old woman who could understand and make her own decisions, told inspectors that on October 22, CNA 1 sprayed her with very hot water during a shower. She said that when she raised her hands to protect her face, CNA 1 threw the shower head on the floor, grabbed her right hand and pushed her fingers backward with her weight, and did not stop when she yelled that her hand was breaking.
Inspectors found the resident reported the incident to a CNA and a licensed vocational nurse that night, and the nurse saw that her right hand was swollen and bluish-purple. A family member told inspectors a different nurse said the resident had hit herself, and the family member asked for an X-ray. The X-ray on October 24 showed a fracture of the right pinky finger. A hospital emergency department splinted the finger and sent her back to the facility. On October 27, inspectors saw purple and green bruising at the base of her fourth and fifth fingers. The facility's own final report found she was mishandled during care.
CDPH found the facility failed to protect Resident 1 from physical abuse by CNA 1 and failed to follow its abuse prohibition policy. CDPH issued a Class A citation with a $25,000 penalty, and the department determined the violations presented either imminent danger or a substantial probability of death or serious physical harm.
Complaints against Gardena Convalescent Center
| Year | Intakes | Complaints | Facility-reported incidents | Substantiated (at least one allegation) |
|---|---|---|---|---|
| 2023 | 9 | 6 | 3 | 6 |
| 2024 | 10 | 7 | 3 | 5 |
| 2025 | 7 | 3 | 4 | 3 |
| 2026 | 5 | 5 | 0 | 1 |
Cal Health Find lists 31 complaint and facility-reported incident intakes for this facility from 2023 through October 30, 2026. CDPH substantiated at least one allegation in 15 of them. 9 intakes involved an allegation in CDPH’s abuse category, and 2 of those had an abuse allegation substantiated. An intake can contain several allegations; “unsubstantiated” means CDPH did not find enough evidence, not that nothing happened.
Sexual abuse reports at Gardena Convalescent Center
Cal Health Find lists 1 intake for Gardena Convalescent Center from 2023 through October 30, 2026 that included an allegation CDPH classified as sexual abuse (0 from complaints and 1 reported by the facility itself). CDPH substantiated a sexual abuse allegation in 0 of them. Federal rules require a nursing home to report an abuse allegation to the state within two hours, so a facility-reported incident means staff raised the allegation, not that it was proven. “Unsubstantiated” means CDPH did not find enough evidence; it does not mean nothing happened.
| Year | Intakes with a sexual abuse allegation | Substantiated |
|---|---|---|
| 2025 | 1 | 0 |
Warning signs include bruising or bleeding in the genital area or inner thighs, a new genital infection, torn or stained underclothing, and a resident who suddenly fears a particular staff member or resists being bathed or changed. If you suspect sexual abuse, call 911 or local police first, ask that the resident not be bathed before a medical exam, and then report it to CDPH and the long-term care ombudsman. Sexual abuse reports at Los Angeles County nursing homes →
Gardena Convalescent Center lawsuits and criminal cases
Our search of California Attorney General and Los Angeles County District Attorney announcements, court reports and news coverage for Gardena Convalescent Center is not finished yet. This section will be updated when it is; until then, do not read the absence of a case here as a finding that none exists.
What this record means for your family
California uses classes for state citations. Under Health and Safety Code section 1424 ↗, a Class AA citation is a Class A violation that CDPH determined was a direct proximate cause of a resident’s death. A Class A citation means CDPH found an imminent danger, or a substantial probability, that death or serious physical harm would result. Class B covers violations with a direct or immediate relationship to residents’ health, safety or security.
Federal deficiencies carry a letter from A to L. G, H and I mean inspectors found actual harm to residents; J, K and L mean immediate jeopardy, the most serious level. F600 is the federal rule that residents be free from abuse and neglect; F609 and F610 cover reporting and investigating allegations; F689 covers accidents and supervision; F686 covers pressure injuries.
Warning signs worth asking about: unexplained bruises or fractures, new bed sores, sudden weight loss or dehydration, a resident who becomes fearful or withdrawn around certain staff, and calls that go unanswered.
What to do now
- If someone is in danger, call 911.
- File a complaint with CDPH about Gardena Convalescent Center: CDPH complaint form ↗
- Contact the long-term care ombudsman, the state-funded advocate for nursing home residents: California Long-Term Care Ombudsman ↗
- Ask the facility in writing for a copy of the resident’s chart, and write down dates, names of staff on shift, and photos of any injury.
- Talk to a Los Angeles nursing home abuse lawyer →
Free nursing home case review
We read the inspection record and the chart with you and tell you plainly whether there is a case. You pay no fees and no costs unless we win.
Questions families ask
Has Gardena Convalescent Center been cited by the State of California?
Cal Health Find lists 5 state citations for Gardena Convalescent Center since 2023, including 0 Class AA and 1 Class A. Each one is listed in the timeline above with a link to the CDPH record.
How many complaints have been filed against Gardena Convalescent Center?
From 2023 through October 30, 2026, Cal Health Find lists 31 complaint and facility-reported incident intakes, and CDPH substantiated at least one allegation in 15 of them.
Does Medicare flag Gardena Convalescent Center for abuse?
As of our data date, Medicare Care Compare does not show its abuse icon for Gardena Convalescent Center. The icon is only one signal; read the citations above.
Have there been sexual abuse reports at Gardena Convalescent Center?
Cal Health Find lists 1 complaint or facility-reported incident intake at Gardena Convalescent Center since 2023 that included an allegation CDPH classified as sexual abuse, and CDPH substantiated 0. The section above breaks them down by year.
Where can I read reviews and complaints about Gardena Convalescent Center?
Online reviews are opinions. The official record is the state and federal inspection file: this page summarizes it and links each citation, complaint outcome and inspection report on Cal Health Find and Medicare Care Compare, so you can read the source yourself.
How many beds does Gardena Convalescent Center have?
Gardena Convalescent Center is licensed by CDPH for 74 beds and has a CMS overall rating of 3 out of 5 stars.
Who owns or operates Gardena Convalescent Center?
CDPH lists the licensee as B & E CONVALESCENT CENTER INC.. CMS does not list a chain for this facility.
My parent was hurt at Gardena Convalescent Center. What should I do?
Get medical care first, then report it to CDPH and the long-term care ombudsman, ask for the chart in writing and keep notes and photos. For a free, confidential review of a possible case, call Beverly Law at (310) 552-6959.
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If your loved one was hurt at Gardena Convalescent Center, talk to a California elder abuse attorney. Free, confidential, English or Spanish. You pay no fees and no costs unless we win.
Other nursing homes near Gardena Convalescent Center
| Facility | City | Distance | CMS stars | Class AA/A | Federal G–L |
|---|---|---|---|---|---|
| Kei-Ai South Bay Healthcare Center | Gardena | 0.2 mi | 2/5 | 2 | 2 |
| Memorial Hospital of Gardena D/P SNF | Gardena | 0.3 mi | 4/5 | 0 | 1 |
| Rosecrans Care Center | Gardena | 0.4 mi | 3/5 | 0 | 2 |
| Clear View Sanitarium | Gardena | 1.2 mi | 5/5 | 0 | 0 |
| Clear View Convalescent Center | Gardena | 1.2 mi | 5/5 | 0 | 0 |
| West Gardena Post Acute | Gardena | 1.4 mi | 2/5 | 2 | 2 |
Methodology and sources
We pulled this facility’s complaints, state enforcement actions and survey deficiencies from Cal Health Find for 2023 through October 30, 2026, downloaded the CDPH citation notices and CMS-2567 reports behind every Class AA or A citation and every federal deficiency at level G or higher, and wrote the summaries above from those documents. Facility details come from the CDPH licensing file and the CMS Provider Data Catalog. Residents are described only as the government documents describe them. See the methodology page to report an error; we review correction requests within five business days.
Sources
Important: This page reports findings from public records of the California Department of Public Health and the Centers for Medicare & Medicaid Services. A citation or deficiency is a regulatory finding by a government agency; it is not a court judgment and not proof of civil or criminal liability. Criminal defendants are presumed innocent unless proven guilty. Lawsuit allegations are claims, not findings. This page is general information, not legal advice, and reading it does not create an attorney-client relationship with Beverly Law. Attorney advertising. Prior results do not guarantee a similar outcome. Data as of: October 30, 2026. Methodology and corrections.
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