Federal inspection record · CMS data as of October 1, 2026
Guardian Rehabilitation Hospital
533 S. Fairfax Ave, Los Angeles, CA · (323) 931-1061
- Certified beds
- 93
- Residents per day
- 83
- Ownership
- For-Profit
- Chain
- The Mandelbaum Family
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- December 17, 1968
1
How this home got 4 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in California.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★+1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★4 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among California homes
Guardian Rehabilitation Hospital carries 84 inspection points. That is fewer than 51% of California's 1,154 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in California: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–33 pts
- 4★ 33–66 pts
- 3★ 66–96 pts
- 2★ 96–146 pts
- 1★ over 146 pts
Bars show every rated home in California by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
48 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Quality of Life and Care16E
- D
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
- E
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.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Resident Rights8E
- E
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
- D
Reasonably accommodate the needs and preferences of each resident.
- D
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
- D
Reasonably accommodate the needs and preferences of each resident.
- D
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.
Resident Assessment and Care Planning6D
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Ensure each resident receives an accurate assessment.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Nutrition and Dietary4E
- E
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
- D
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Freedom from Abuse, Neglect, and Exploitation4D
- D
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Respond appropriately to all alleged violations.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Pharmacy Service4E
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- E
Ensure that residents are free from significant medication errors.
- E
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Environmental4E
- B
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
- E
Keep all essential equipment working safely.
- B
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
- B
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Nursing and Physician Services2F
- E
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.
- F
Post nurse staffing information every day.
Inspection history
2026-03-05
12 health deficiencies · 5 fire-safety deficiencies
Top issue: Nutrition and Dietary (3 deficiencies)
2025-01-30
8 health deficiencies · 3 fire-safety deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
2024-02-11
28 health deficiencies · 4 fire-safety deficiencies
Top issue: Quality of Life and Care (10 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 5 h 1 min of nursing staff time a day, 36 min of it from a registered nurse.
This home
5 h 1 min
California average
4 h 33 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 33% of nursing staff and 36% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$32,040 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-06-20 | Fine | $32,040 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.5 pts better | 1.7 | 2.2 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.5 pts better | 1.0 | 1.5 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine1.3 pts better | 100.0% | 98.7% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine2.1 pts better | 100.0% | 97.9% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.1 pts worse | 2.7% | 1.6% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms7.6 pts better | 0.0% | 7.6% | 13.5% |
| Percentage of long-stay residents who lose too much weight1 pts worse | 5.1% | 4.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication4.5 pts better | 9.2% | 13.7% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication8.8 pts better | 3.5% | 12.3% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.3 pts better | 0.0% | 0.3% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened5 pts better | 3.9% | 8.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased0.1 pts better | 10.1% | 10.2% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder2.2 pts worse | 2.9% | 0.7% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.8 pts better | 0.4% | 1.2% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence7.1 pts worse | 16.9% | 9.8% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.6 pts better | 2.7% | 4.3% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine5.4 pts better | 100.0% | 94.6% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit1 pts worse | 12.1% | 11.1% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.1 pts better | 1.2% | 1.3% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine6.9 pts better | 100.0% | 93.1% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission4 pts better | 18.6% | 22.6% | 23.4% |
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Who owns and runs it
31 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Bardonido, Sheena | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Bardonido, Sheena | Adp Of The SNF · Individual | 0% | 1 facilities |
| Campos, Jose | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Campos, Jose | Adp Of The SNF · Individual | 0% | 1 facilities |
| Castro-Garcia, Maria | Corporate Officer · Individual | 0% | 15 facilities |
| Castro-Garcia, Maria | Operational/Managerial Control · Individual | 0% | 15 facilities |
| Castro-Garcia, Maria | Adp Of The SNF · Individual | 0% | 15 facilities |
| Garcia, Alfred | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Garcia, Alfred | Adp Of The SNF · Individual | 0% | 1 facilities |
| Gutkin, Gary | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Gutkin, Gary | Adp Of The SNF · Individual | 0% | 1 facilities |
| Mandelbaum, Brenda | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 16 facilities |
| Mandelbaum, Janet | Corporate Officer · Individual | 0% | 18 facilities |
| Mandelbaum, Simcha | Operational/Managerial Control · Individual | 0% | 15 facilities |
| Mandelbaum, Simcha | Adp Of The SNF · Individual | 0% | 15 facilities |
| Nguyen, Kathleen | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Nguyen, Kathleen | Adp Of The SNF · Individual | 0% | 1 facilities |
| Pham, Julie | Operational/Managerial Control · Individual | 0% | 15 facilities |
| Pham, Julie | Adp Of The SNF · Individual | 0% | 15 facilities |
| Punzalan, Matthew | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Punzalan, Matthew | Adp Of The SNF · Individual | 0% | 1 facilities |
| Quilang-Ayos, Maria | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Quilang-Ayos, Maria | Adp Of The SNF · Individual | 0% | 1 facilities |
| Simcha And Janet Mandelbaum Family Trust | Trustee Of The SNF · Organization | 0% | 8 facilities |
| Teoxon, Roger | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Teoxon, Roger | Adp Of The SNF · Individual | 0% | 1 facilities |
| The Bentzion Mandelbaum 2021 Irrevocable Gift Trust No. 2 | Trustee Of The SNF · Organization | 0% | 10 facilities |
| The Janet Mandelbaum 2021 Irrevocable Gift Trust No 2 | Trustee Of The SNF · Organization | 0% | 10 facilities |
| The Simcha Mandelbaum 2021 Irrevocable Gift Trust No. 2 | Trustee Of The SNF · Organization | 0% | 9 facilities |
| Williams, Clinton | Operational/Managerial Control · Individual | 0% | 14 facilities |
| Williams, Clinton | Adp Of The SNF · Individual | 0% | 14 facilities |
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Fire safety
12 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke6E
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D
Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.
- E
Inspect, test, and maintain automatic sprinkler systems.
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D
Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.
- E
Construct fire resistant interior walls.
Gas, Vacuum, and Electrical Systems3F
- F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- D
Have proper medical gas storage and administration areas.
Egress1D
- D
Have properly located and lighted "Exit" signs.
Miscellaneous1C
- C
Have simulated fire drills held at unexpected times.
Emergency Preparedness1C
- C
Provide emergency officials' contact information.
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Other homes nearby
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Beverly Hills Rehabilitation Centre
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★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 4 h 31 min
- Fines
- $0
-
Miracle Mile Healthcare Center, LLC
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- J
- Nursing / resident / day
- 3 h 54 min
- Fines
- $274,183
-
Sharon Care Center
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★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 58 min
- Fines
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