Home / California / Los Angeles
533 S. Fairfax Ave, Los Angeles, CA 90036 · Los Angeles County · (323) 931-1061
93 certified beds, about 85 residents a day · For profit - Corporation · Medicare and Medicaid since 1968
CMS Care Compare ratings, data as of September 1, 2026 · CCN 056008 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on March 5, 2026, inspectors cited 9 health deficiencies (the California average is 15.6, the national average 9.2).
None of its 48 health citations since November 2023 was rated as actual harm or immediate jeopardy.
CMS lists 1 fine totaling $32,040 in the last three years; the largest was $32,040, and the latest is dated June 20, 2024.
Nurses and nurse aides worked 4.87 hours per resident per day, against 4.52 across California and 3.86 nationally. Registered nurses accounted for 0.65 of those hours.
31.2% of nursing staff left within the year CMS measured (California average 36.7%).
CMS links it to The Mandelbaum Family, an affiliated group of 18 nursing homes.
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 48 health citations on file.
Inspectors wroteBased on interview and record review, the facility failed to ensure Certified Nursing Assistant (CNA) 1 did not violate the resident's rights to be treated with respect and dignity for one of four sampled residents (Resident 1) by failing to ensure:1. CNA 1 did not record a video of Resident 1 without Resident 1 and/or Resident 1 Responsible Party 1's (RP 1) consent in multiple occassions.2. CNA 1 did not post a video of Resident 1 on social media3. CNA 1 did not take videos and use personal cellphone inside the facility and inside residents' room during working hours. These deficient practices violated Resident 1's right to be treated with respect and dignity and the potential to subject Resident 1 and other residents to humiliation (the act of being made to feel ashamed, embarrassed, or worthless, often publicly).
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure the standardized recipes for lunch menu were followed on 3/2/2026 by failing to: 1. Ensure 13 residents (unidentified) on pureed diet (foods that do not require chewing and are easily swallowed, all food should be smooth and pureed to the consistency of pudding) received bread texture in form that meet their needs and in accordance with international Dysphagia Diet Initiative (IDDSI- a framework made up of levels and describes food textures and drink thickness) Level Four (pureed foods and extremely thick drinks) when the texture of the pureed bread was lumpy and liquid seeping out, not smooth and had small pieces of bread crust present requiring chewing before swallowing. 2. [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure safe and sanitary food storage and preparation practices in the kitchen when: 1. The dishware was not sanitized with adequate amount of sanitizer. Sanitizers and disinfectants were used on food contact surfaces such as dishes to prevent food borne illness (food poisoning). 2. The kitchen towel used to wipe food contact surfaces was not stored in the sanitizer solution bucket. 3. One medium container of sliced ham with use by date 2/25/2026 and one medium container of previously prepared tuna salad with use by date of 2/26/26 exceeding storage period for deli meat and tuna salad were stored in the walk-in refrigerator. [...]
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure one of two sampled residents (Resident 4) was free from physical restraints (any manual method, physical or mechanical device, material or equipment that is attached or adjacent to the resident's body that he or she cannot easily remove that restricts freedom of movement or normal access to one's body) by failing to: -Ensure nursing staff (in general) released Resident 4's lap tray (is considered a physical restraint in a nursing home when it is attached to a wheelchair or chair in a manner that restricts a resident's freedom of movement, prevents them from rising, and cannot be easily removed by the resident) every two hours and reposition as indicated in Resident 4's Physical Restraint Care Plan and the facility's Physical Restraint policy and procedure (P&P). [...]
Inspectors wroteBased on interview and record review, the facility failed to provide care in accordance with professional standards for one of one sampled resident (Resident 33) by failing to rotate (a method to ensure repeated injections are not administered in the same area) the injection sites for subcutaneous (beneath the skin) insulin (a hormone that removes excess sugar from the blood, can be produced by the body or given artificially via medication) administration. This failure had the potential for Resident 33 to experience complications such as hardening of the skin, pain, redness, itching, swelling, and inflammation at the skin injection sites.
Inspectors wroteBased on observation, interview, and record review the facility failed to provide proper care and treatment to help improve the communication abilities for one of one sampled resident (Resident 75) by failing to: -Ensure to provide Resident 75 with a communication board (is a device that displays photos, symbols, or illustrations to help people with limited language skills express themselves) and with interpreter services. This failure had the potential for Resident 75 not to be able to communicate her (Resident 75) needs with the facility's staff (in general) and had the potential to delay care/treatment.
Inspectors wroteBased on observation, interview, and record review, the facility failed to set the appropriate setting for a Low Air Loss Mattress (LALM - a pressure-relieving mattress used to prevent and treat pressure injuries, localized damage to the skin and/or underlying soft tissue usually over a bony prominence or related to a medical or other device) for one of four sampled residents (Resident 8) reviewed for pressure ulcers/injuries (localized, pressure-related damage to the skin and/or underlying tissue usually over a bony prominence) This failure had the potential to cause harm to Resident 8 by increasing the risk of skin breakdown and development of pressure ulcers/injuries.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure to administer one of six medications correctly to one of three sampled residents (Resident 79) as prescribed in the morning of 3/3/2026. This failure had the potential of medication errors that might cause adverse reactions (a harmful, unintended result caused by taking medication).
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure one of three sampled kitchen staff (Dietary Aide 2 [DA2]) was routinely trained and evaluated for competency related to their kitchen duties when: -DA2 did not know the proper sanitizer test strip to use for the manual dishwashing sanitizer solution. On 3/2/2026 at 10AM, DA2 tested the sanitizer solution using the wrong test strip and procedure. These deficient practices had the potential to result in unsafe and unsanitary food production that could place 75 out of 79 residents in the facility who received food at risk for food borne illness (food poising).
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure two of 32 sampled residents' rooms (room [ROOM NUMBER] and room [ROOM NUMBER]) met the minimum space requirements of 80 square feet for each resident. This failure had the potential to result in inadequate space to provide safe nursing care and privacy for the residents in room [ROOM NUMBER] and room [ROOM NUMBER].
Inspectors wroteBased on interview and record review, the facility failed to implement a comprehensive care plan that met the care/services based on the resident's individual assessed needs for one of four sampled residents (Resident 1) when Resident 1 was admitted with a medical device called a Leaf Sensor (uses a wearable sensor and display monitor for turn status and alert that provides point-of-care turn reminders and measures turn quality). This deficient practice had the potential to result negative impact on residents' health and safety, as well as the quality of care and services received. [...]
Inspectors wroteBased on interview, and record review, the facility failed to follow professional standards of practice by failing to manage, assess and monitor resident and implement the facility policy and procedure (P&P) titled, Licensed Nurses - Assessments and Notes, for one of four sampled residents (Resident 1), when resident was admitted with a medical device called a Leaf Sensor (uses a wearable sensor and display monitor for turn status and alert that provides point-of-care turn reminders and measures turn quality). This deficient practice placed Resident 1 at risk of developing skin-related risks such as skin irritation or damage, allergic reactions, skin tears, bruising and infection. [...]
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure one of three sampled residents (Resident 1), who had diagnosis of dementia (condition of a person losing the ability to think, remember and reason) and history of fall, received care and services to prevent fall by failing to: 1. Implement Resident 1's Dementia Care Plan and At Risk for Fall Care Plan to ensure: Licensed Vocational Nurse (LVN) 1 and Certified Nurse Assistant (CNA) 1 explained procedure, remind not to have position change, remind for safety, reassure resident safety, and avoid environmental hazard (using multiple ramps) to Resident 1 before transporting Resident 1 in a wheelchair. 2. [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure two of seven sampled residents (Residents 49 and 54) received appropriate services to prevent a decline in range of motion (ROM, full movement potential of a joint) and mobility by failing to: -For Resident 49, put on a left knee splint correctly during the 1/28/25 Restorative Nursing Aide (RNA, nursing aide program that help residents to maintain their function and joint mobility) treatment session as ordered by a physician. -For Resident 49, provide an appropriate RNA order for wearing both knee splints for no more than three hours as determined by physical therapy. [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure annual competencies were completed for six of six sampled Restorative Nursing Aides, who perform RNA program tasks including putting on and taking off splints and braces. This deficient practice had the potential to result in injury, worsening contractures (a stiffening/shortening at any joint, that reduces the joint's range of motion), and skin breakdown for residents who require splints and braces for physical therapy.
Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain six of six electrical rehabilitation therapy (given to restore an individual back to their highest possible level of physical, mental, and psychosocial well-being) equipment for resident use. This deficient practice had the potential for injury to residents using the therapy equipment during therapy treatment.
Inspectors wroteBased on observation, interview, and record review, the facility failed to implement interventions to prevent accident risks and hazards for one of five sampled residents (Resident 77. Resident 77 was not provided supervision and assistance with transfers. This deficient practice resulted in Resident 77 sustaining a fall on 1/27/2025, which had the potential for the resident to develop an injury.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure one sampled resident (Resident 230) receiving oxygen therapy had properly labeled nasal cannula (tubing that provides additional oxygen through the nose), pre-filled humidifier (a medical device that adds water vapor to oxygen to help prevent dry air from irritating the sinuses and lungs), and a physician's order to administer the oxygen therapy. This deficient practice caused an increased risk in Resident 230 having skin breakdown and exacerbation of symptoms.
Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain complete and accurate documentation for one of six sampled residents (Resident 49), when Resident 49's tolerance of both knee splints (rigid material or apparatus used to support and immobilize a broken bone or impaired joint) were not documented with the accurate time. This deficient practice had the potential for inaccurate medical documentation and reporting of RNA treatments, which can minimize the facility's ability to recognize a change of condition and reassess Resident 49's tolerance for knee splints.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure two of 32 sampled resident rooms (room [ROOM NUMBER] and 125) met the minimum space requirements of 80 square feet for each resident in multiple resident bedrooms. This deficient practice had the potential to result in inadequate space to provide safe nursing care and privacy for the residents in rooms [ROOM NUMBERS].
Inspectors wroteBased on interview and record review, the facility failed to ensure one of three sampled residents (Residents 1's) comprehensive assessment accurately reflected the residents' history of fall and functional limitation in range of motion [ROM, full movement potential of a joint (where two bones meet)]. This deficient practice had the potential to result in a negative effect to Resident 1's plan of care that can lead to an injury or fall.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure one of three sampled residents (Resident 1), who had a history of falls, received supervision per the Interdisciplinary Team (IDT) plan to provide a sitter from 3 PM to 7 AM. Resident 1 was observed in the room without a staff member present. This deficient practice caused an increased risk of another fall with injury for Resident 1.
Inspectors wroteBased on interview and record review, the facility failed to provide care in a manner that promote or enhanced resident's dignity and respect for one of two sampled resident (Resident 1) by failing to ensure facility staff gave some time to Resident 1 when Resident 1 had an episode of resisting care with combativeness during activities of daily living (ADL-bed mobility, surface transfer, eating, walk in room, dressing, toileting, and personal hygiene). This deficient practice had the potential to cause psychosocial harm to the Resident 1 and can violate resident's right to be treated with dignity.
Inspectors wroteBased on interview and record review, the facility staff failed to ensure physician (MD) notification and change of condition (COC/SBAR [situation, background, appearance and review/notify- structured tool for healthcare provider that provides communication between members. Also, being used as documentation for any changes of condition]) documentation was done for one of one sampled resident (Resident 1). Resident 1 had multiple, scattered skin discolorations on upper extremities (arm/leg) and had an episode of resisting care with combativeness during activities of daily living (ADL-bed mobility, surface transfer, eating, walk in room, dressing, toileting, and personal hygiene). These deficient practices had the potential to result in possible delayed provision of necessary care and services specific for Resident 1.
Inspectors wroteBased on interview and record review, the facility failed to ensure documentation of grievances was completed for one of three sampled residents (Resident 1). This deficient practice violated Resident 1 ' s family right to have their grievance addressed.
Inspectors wroteBased on interview and record review, the facility failed to document a medication intolerance for cephalexin (medication to treat infection) medication in the medication allergy profile between 3/12/2024 and 4/15/2024 for one of three sampled residents (Resident 1). Resident 1 received the first dose on 3/12/2024, causing Resident 1 to have an episode of nausea and vomiting. Facility staff failed to document intolerance of cephalexin medication use for Resident 1 ' s medication allergy profile. This deficient practice caused Resident 1 to receive another dose on 4/15/2024, causing Resident 1 to experience another episode of nausea and vomiting related to the use of cephalexin.
Inspectors wroteBased on interview and record review, the facility failed to develop and implement a comprehensive care plan that met the care/services based on the resident's individual assessed needs for one of four sampled residents (Resident 1) by failing to develop a comprehensive care plan for physician ' s order of, May go out on pass with two responsible parties for four (4) hours at all times. This deficient practice had the potential to result negative impact on residents ' health and safety, as well as the quality of care and services received.
Inspectors wroteBased on interview and record review, the facility failed to provide reasonable accommodations for resident needs and preferences for one of one sampled resident (Resident 1) by failing to assist resident to the restroom timely and change her wet and soiled incontinent brief. This deficient practice had the potential to affect Resident 1 ' s wellbeing, level of satisfaction with life and feeling of self-worth and self-esteem due to lack of or delay in receiving sufficient services to maintain personal hygiene.
Inspectors wroteBased on interview and record review, the facility failed to implement their policy regarding reporting of residents ' allegation of sexual abuse and to submit a conclusion report of investigation within five days or in accordance with state or federal law for one of six sampled residents (Resident 2). This resulted in a delay of an onsite inspection by the Department of Public Health to ensure the residents' allegation of abuse was investigated which can also lead to a delay in prevention of further sexual abuse for Resident 2.
Inspectors wroteBased on interview and record review, the facility failed to implement its abuse prevention policy by failing to report an allegation of abuse within 2 hours or in accordance with state or federal law for one of six sampled residents, Resident 2. This resulted in a delay of an onsite inspection by the Department of Public Health to ensure the residents' allegation of abuse was investigated which can also lead to a delay in prevention of further sexual abuse for Resident 2.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure one of three sampled resident (Resident 2) was free from significant medication error by failing to properly administer Resident 2's medications by the Licensed Vocational Nursing 1 (LVN 1) who prepared the medications and administered medications in the scheduled timeframe per physician's order. These deficient practices resulted in the Resident 2 missed the medication as scheduled and placed Resident 2 at risk of inadequate pain relief and experienced health complications from her medication therapy.
Inspectors wroteBased on interview and record review, the facility failed to allow and readmit one of three sampled resident (Resident 1) to return to the facility following therapeutic leave at General Acute Care Hospital 1 (GACH 1) on 1/15/2024 according to the facility's policy and procedure (P&P) titled Bed hold and Notice. As a result, Resident 1 experienced sadness as Resident 1 was sent to another facility after hospitalization and was not allowed to be readmitted to her original facility where she had resided.
Inspectors wroteBased on observation, interview and record review, the facility failed to post daily actual hours worked by licensed and unlicensed staff providing direct care to the residents for 1/1/2023 to 2/10/2024. As a result, residents and visitors did not know the accurate number of hours of staff working.
Inspectors wroteBased on observation, interview, and record review, the facility failed properly store and dispose of seven used Fentanyl (a medication classified as a narcotic which is a drug that produces pain relief, narcosis [state of stupor or deep sleep], and possible addiction [physical dependence on the drug]) patches (a medicated adhesive patch that is placed on the skin to deliver a specific dose of medication through the skin) per the facility's policy. This deficient practice had the potential to result in the untimely disposal of narcotic waste.
Inspectors wroteBased on observation, interview, and record review, the facility failed to provide reasonable accommodations for one of three sampled residents (Resident 25), by failing to ensure the resident's call light was answered timely. This deficient practice had the potential to result in Resident 25 not having their needs met resulting in possibly injury.
Inspectors wroteBased on interview and record review, the facility failed to ensure a current copy of the resident's advance directive (a written instruction, recognized under State law, relating to the provision of health care when the individual was unable to make decisions for themselves) was in the resident's medical chart for one of seven sampled residents (Resident 26). This deficient practice had the potential for the facility to not honor the resident's medical decisions regarding end-of-life treatment.
Inspectors wroteBased on observation, interview, and record review, the facility failed to provide assistance with activities of daily living (ADL) for one of six sampled residents (Resident 69). For Resident 69, who was unable to feed herself, staff did not provide assistance to feed the resident during lunch while the lunch tray sat untouched in front of Resident 69. This deficient practice had the potential for the resident to experience poor oral intake, loss of dignity and risk for weight loss.
Inspectors wroteBased on interview and record review, the facility failed to monitor and record the intake and output for one of five sampled residents (Resident 26), who was dependent on staff for fluid intake and at risk of dehydration, per the care plan and physician's order. This deficient practice had the potential to cause Resident 26 to suffer dehydration or fluid overload.
Inspectors wroteBased on observation, interview, and record review, the facility failed to provide services that promote the prevention of pressure ulcer injury (injury to the skin caused by pressure) for one of three sampled residents (Resident 69). For Resident 69, who was a high risk for pressure ulcer injury, the low air loss mattress (LALM-mattress designed to treat and prevent pressure ulcers) was not monitored to ensure turned on, properly functioning, and maintained proper weight settings for the mattress. These deficient practices had the potential for worsening of pressure ulcer and harm to Resident 69.
Inspectors wroteBased on interview and record review, the facility failed to follow its policy and procedure titled,Fall Risk and Prevention of Injuries, for one of three sampled residents (Resident 51). For Resident 51, who was a high fall risk and found on the floor, there was no post fall risk assessment completed. This deficient practice placed Resident 51 at increased risk for recurrent falls and injuries.
Inspectors wroteBased on observation, interview, and record review, the facility failed to provide the care and services necessary to prevent urinary tract infections (UTI, infection in the urinary system) for one of three sampled residents (Resident 25) by failing to maintain the resident's urinary catheter bag below the level of the bladder. This deficient practice placed Resident 25 at risk for urine backflow through the catheter tubing and back into the resident's bladder and kidneys, placing the resident at risk for a UTI, sepsis (infection throughout the blood), and possible death.
Inspectors wroteBased on observation, interview, and record review, the facility failed to provide necessary respiratory care services for one of four sampled residents (Resident 132) by failing to ensure the resident had a date on the nasal cannula (a device used to deliver supplemental oxygen) tubing and humidifier bottle (a medical device used to increase humidity or moisture and decrease dryness of supplemental oxygen during therapy) for prompt weekly changing. This deficient practice had the potential to cause complications associated with oxygen therapy, including infections and/or respiratory distress.
Inspectors wroteBased on interview and record review, the facility failed to ensure one of two sampled residents (Resident 15) who received dialysis (process of removing waste products and excess fluid from the body) treatment received care in accordance with standards of practice, by failing to: -Review the Dialysis Unit Progress and Post Dialysis Checklist following Resident 15 returning from dialysis treatment. -Contact the dialysis center to provide the missing documentation. These deficient practices had the potential to place Resident 15 at risk for a delay in detecting complications related to dialysis including, infections, hypotension and bleeding.
Inspectors wroteBased on observation, interview, and record review the facility failed to: -Ensure all opened food items stored in one of one walk-in freezers were labeled with the name of the food item, open date, and expiration date. -Ensure one metal container of minced garlic was properly sealed in one of one walk-in refrigerator. These deficient practices had the potential to cause food-borne illnesses.
Inspectors wroteBased on observation and record review, the facility failed to ensure two of 32 sampled resident rooms (rooms [ROOM NUMBERS]) met the minimum space requirements of 80 square feet for each resident in multiple resident bedrooms. This deficient practice had the potential to result in inadequate space to provide safe nursing care and privacy for the residents in rooms [ROOM NUMBERS].
Inspectors wroteBased on interview, and record review, the facility failed to ensure one of three sampled residents (Resident 1) received treatment and care in accordance with physician's orders to maintain the highest practicable physical, mental, and psychosocial well-being by failing to ensure: -Licensed staff followed Resident 1's Nurse Practitioner's (NP- a nurse who is qualified to treat certain medical conditions without the direct supervision of a doctor) order to inform NP that an In and Out catheter (a catheter that is inserted and left in only long enough to empty the bladder and then is removed) was placed and kept inside for Resident 1. -A person-centered care plan was initiated for indwelling urinary catheter (a tube inserted inside the bladder which drains urine from bladder into a bag outside the body) after the insertion and catheter monitoring was conducted. [...]
Inspectors wroteBased on interview and record review the facility failed to implement its' abuse prevention policy and procedures (P &P) for one of three sampled residents, (Resident 1), when Resident 1's son reported to the Administrator that his mom told him that a male nurse touched her inappropriately in her private area on 05/13/2022. This deficeint practice resulted in the delay of an onsite inspection by the State Survey Agency (SSA), to rule out abuse placing Resident 1 and others residents at risk for further abuse and to ensure the safety of all residents.
12 fire safety citations on file: 5 on March 5, 2026, 3 on January 30, 2025, 4 on February 11, 2024.
| Date | Penalty | Amount or length |
|---|---|---|
| June 20, 2024 | Fine | $32,040 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | California | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 4.87 | 4.52 | 3.86 |
| Registered nurses | 0.65 | 0.67 | 0.69 |
| All nursing staff on weekends | 4.27 | 4.09 | 3.42 |
| Nurse aides | 2.94 | ||
| Licensed practical nurses | 1.28 | ||
| Nursing staff turnover (share who left in a year) | 31.2% | 36.7% | 45.8% |
| Registered nurse turnover | 28.6% | 38.1% | 42.9% |
| Administrators who left | 0 |
CMS expects 4.13 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 5.12 on weekdays and 4.27 on weekends, 17% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.44 in April to June 2025 to 4.87 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 4.87 | 0.65 | 5.12 | 4.27 | 0.0% | 0 of 90 | 85 |
| Oct to Dec 2025 | 4.77 | 0.62 | 4.96 | 4.27 | 0.0% | 0 of 92 | 84 |
| Jul to Sep 2025 | 4.59 | 0.56 | 4.80 | 4.06 | 0.0% | 0 of 92 | 86 |
| Apr to Jun 2025 | 4.44 | 0.63 | 4.67 | 3.89 | 0.0% | 0 of 91 | 85 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| California, Jan to Mar 2026 | 4.36 | 0.59 | 4.52 | 3.97 | 2.3% | 0.5% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| California, all employers | |||
| CNAs (nursing assistants) | $22.90 | $22.04 to $26.35 | 110,060 |
| LPNs and LVNs | $38.34 | $35.98 to $45.06 | 82,850 |
| Registered nurses | $67.44 | $58.87 to $83.25 | 338,940 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | California | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 8.9 | 10.3 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 3.2 | 0.8 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.8 | 1.2 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 3.1 | 1.6 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.5 | 1.4 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 4.8 | 9.8 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 4.0 | 4.3 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 3.1 | 12.0 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 21.3 | 22.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 11.7 | 11.2 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.7 | 2.3 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.8 | 1.6 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Guardian Rehabilitation Hospital's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (54.9% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
54.9% this home
No different from the national rate
US median of homes 51.5% · California: 301 better, 190 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 411 eligible stays.
12.7% this home
No different from the national rate
US median of homes 10.7% · California: 10 better, 22 worse
Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 467 eligible stays.
9.4% this home
No different from the national rate
US median of homes 7.1% · California: 8 better, 48 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 241 eligible stays.
47.7% this home
Median of homes: California59.2% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 153 residents counted.
0.4% this home
Median of homes: California0.0% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 238 residents counted.
0.6% this home
Median of homes: California0.6% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 238 residents counted.
87.5% this home
Median of homes: California96.2% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 24 residents counted.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Legal business name: 533 SOUTH FAIRFAX AVENUE INC. CMS links this home to The Mandelbaum Family, a group of 18 nursing homes averaging 3.1 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Castro-Garcia, Maria | Corporate officer | Individual | 01/01/2022 | |
| Mandelbaum, Janet | Corporate officer | Individual | 01/02/2019 | |
| Bardonido, Sheena | Operational/managerial control | Individual | 02/24/2017 | |
| Campos, Jose | Operational/managerial control | Individual | 05/13/2013 | |
| Castro-Garcia, Maria | Operational/managerial control | Individual | 01/01/2022 | |
| Garcia, Alfred | Operational/managerial control | Individual | 10/09/2023 | |
| Gutkin, Gary | Operational/managerial control | Individual | 03/08/2022 | |
| Mandelbaum, Simcha | Operational/managerial control | Individual | 03/01/2026 | |
| Nguyen, Kathleen | Operational/managerial control | Individual | 07/09/2018 | |
| Pham, Julie | Operational/managerial control | Individual | 01/01/2022 | |
| Punzalan, Matthew | Operational/managerial control | Individual | 07/10/2019 | |
| Quilang-Ayos, Maria | Operational/managerial control | Individual | 10/09/2023 | |
| Teoxon, Roger | Operational/managerial control | Individual | 07/15/2024 | |
| Williams, Clinton | Operational/managerial control | Individual | 05/04/2010 | |
| Mandelbaum, Brenda | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 04/24/2026 | |
| Simcha and Janet Mandelbaum Family Trust | Trustee of the SNF | Organization | 01/01/2023 | |
| The Bentzion Mandelbaum 2021 Irrevocable Gift Trust No. 2 | Trustee of the SNF | Organization | 01/01/2023 | |
| The Janet Mandelbaum 2021 Irrevocable Gift Trust No 2 | Trustee of the SNF | Organization | 01/01/2023 | |
| The Simcha Mandelbaum 2021 Irrevocable Gift Trust No. 2 | Trustee of the SNF | Organization | 01/01/2023 | |
| Bardonido, Sheena | Adp of the SNF | Individual | 02/24/2017 | |
| Campos, Jose | Adp of the SNF | Individual | 05/13/2013 | |
| Castro-Garcia, Maria | Adp of the SNF | Individual | 01/01/2022 | |
| Garcia, Alfred | Adp of the SNF | Individual | 10/01/2023 | |
| Gutkin, Gary | Adp of the SNF | Individual | 03/08/2022 | |
| Mandelbaum, Simcha | Adp of the SNF | Individual | 03/01/2026 | |
| Nguyen, Kathleen | Adp of the SNF | Individual | 07/09/2018 | |
| Pham, Julie | Adp of the SNF | Individual | 01/01/2022 | |
| Punzalan, Matthew | Adp of the SNF | Individual | 07/10/2019 | |
| Quilang-Ayos, Maria | Adp of the SNF | Individual | 10/09/2023 | |
| Teoxon, Roger | Adp of the SNF | Individual | 07/15/2024 | |
| Williams, Clinton | Adp of the SNF | Individual | 05/04/2010 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Chosen from this home's own inspection record.
Licensed assisted living homes in the same town or within 5 miles, each with its California inspection record.
These are the official offices in California. NursingHomeClear cannot take or act on complaints.