7 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
6 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Hawthorne, CA
4-star overall rating with 4-star inspections with 7 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
11630 South Grevillea Ave., Hawthorne, CA
(310) 679-9732
Overall
4 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
0 / 5
Resident outcomes and process measures
Quick facts
Beds
88
Certified beds
Average residents
82
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1996-09-13
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
RN hours / resident day
0.38
Registered nurse staffing · state 0.65 · national 0.68
LPN hours / resident day
1.01
Licensed practical nurse staffing · state 1.22 · national 0.87
Aide hours / resident day
2.74
Nurse aide staffing · state 2.64 · national 2.35
Total nurse hours
4.13
All reported nurse hours · state 4.51 · national 3.89
Licensed hours
1.38
RN + LPN hours · state 1.87 · national 1.54
Weekend hours
3.65
Weekend nurse staffing · state 4.08 · national 3.43
Weekend RN hours
0.23
Weekend registered nurse coverage · state 0.50 · national 0.47
Physical therapist
0.07
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
0.32
CMS adjusted RN staffing hours
Adjusted total hours
3.50
CMS adjusted total nurse staffing hours
Case-mix index
1.61
Higher values indicate more complex resident acuity
RN turnover
43%
Annual RN turnover · state 42% · national 45%
Total nurse turnover
34%
Annual nurse turnover · state 38% · national 46%
SNF VBP
Program rank
4,339
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
40.36
Composite VBP score used to determine payment impact.
Payment multiplier
0.9933
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
0.18
Baseline 22.10% · Performance 21.76% · Measure score 0.18 · Achievement 0 · Improvement 0.18
Healthcare-associated infections
7.01
Baseline 5.30% · Performance 5.74% · Measure score 7.01 · Achievement 7.01 · Improvement 0
Total nurse turnover
7.53
Baseline 44.12% · Performance 32.91% · Measure score 7.53 · Achievement 7.53 · Improvement 5.32
Adjusted total nurse staffing
1.43
Baseline 3.45 hours · Performance 3.48 hours · Measure score 1.43 · Achievement 1.43 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.1% |
10.72%
0.6 pts better
|
No Different than the National Rate · Eligible stays 198 · Observed rate 9.6% · Lower 95% interval 7.29% |
| Discharge to community | 23.31% |
50.57%
27.3 pts worse
|
Worse than the National Rate · Eligible stays 92 · Observed rate 11.96% · Lower 95% interval 16.51% |
| Medicare spending per beneficiary | 1.81 |
1.02
0.8 pts worse
|
|
| Drug regimen review with follow-up | 98.41% |
95.27%
3.1 pts better
|
Numerator 186 · Denominator 189 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 189 |
| Discharge self-care score | 90.98% |
53.69%
37.3 pts better
|
Numerator 111 · Denominator 122 |
| Discharge mobility score | 71.31% |
50.94%
20.4 pts better
|
Numerator 87 · Denominator 122 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 189 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 5.74% |
7.12%
1.4 pts better
|
No Different than the National Rate · Eligible stays 147 · Observed rate 4.08% · Lower 95% interval 3.77% |
| Staff COVID-19 vaccination coverage | 14.68% |
8.2%
6.5 pts better
|
Numerator 16 · Denominator 109 |
| Staff flu vaccination coverage | 32.8% |
42%
9.2 pts worse
|
Numerator 41 · Denominator 125 |
| Discharge function score | 91.8% |
56.45%
35.3 pts better
|
Numerator 112 · Denominator 122 |
| Transfer of health information to provider | 98.31% |
95.95%
2.4 pts better
|
Numerator 58 · Denominator 59 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 17 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 70% |
25.2%
44.8 pts better
|
Numerator 63 · Denominator 90 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 3.8 |
2.3
1.5 pts worse
|
1.9
1.9 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 3.8 · Observed 5.8 · Expected 2.9 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.5 |
1.6
1.1 pts better
|
1.8
1.3 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.5 · Observed 0.6 · Expected 2.2 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
98.5%
1.5 pts better
|
93.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% |
98.2%
1.8 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.0% |
1.6%
0.6 pts better
|
3.3%
2.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.3% · Q3 1.2% · Q4 1.3% · 4Q avg 1.0% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 29.5% |
6.8%
22.7 pts worse
|
11.4%
18.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 22.1% · Q2 35.4% · Q3 29.6% · Q4 31.3% · 4Q avg 29.5% |
| Percentage of long-stay residents who lose too much weight | 1.2% |
4.1%
2.9 pts better
|
5.4%
4.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.5% · Q2 3.3% · Q3 0.0% · Q4 0.0% · 4Q avg 1.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 14.1% |
13.7%
0.4 pts worse
|
19.6%
5.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 13.3% · Q2 13.9% · Q3 13.8% · Q4 15.4% · 4Q avg 14.1% |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.4%
0.4 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 25.6% |
11.0%
14.6 pts worse
|
16.3%
9.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 26.4% · Q2 39.0% · Q3 12.4% · Q4 21.2% · 4Q avg 25.6% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 36.3% |
10.7%
25.6 pts worse
|
14.9%
21.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 30.8% · Q2 42.0% · Q3 37.3% · Q4 34.8% · 4Q avg 36.3% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.8% |
1.0%
0.2 pts better
|
1.0%
0.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.3% · Q2 1.7% · Q3 0.0% · Q4 0.0% · 4Q avg 0.8% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.2% |
1.2%
About the same
|
1.7%
0.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.5% · Q2 0.0% · Q3 0.0% · Q4 3.4% · 4Q avg 1.2% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 12.6% |
10.9%
1.7 pts worse
|
19.8%
7.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.0% · Q2 15.3% · Q3 7.9% · Q4 25.5% · 4Q avg 12.6% |
| Percentage of long-stay residents with pressure ulcers | 5.1% |
4.7%
0.4 pts worse
|
5.1%
About the same
|
Long Stay · 2024Q4-2025Q3 · Q1 5.3% · Q2 7.6% · Q3 6.1% · Q4 1.3% · 4Q avg 5.1% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 98.7% |
94.0%
4.7 pts better
|
81.7%
17 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 97.4% · Q3 97.2% · Q4 100.0% · 4Q avg 98.7% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 3.0% |
11.2%
8.2 pts better
|
12.0%
9 pts better
|
Short Stay · 20240701-20250630 · Adjusted 3.0% · Observed 3.7% · Expected 13.5% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% |
1.5%
1.5 pts better
|
1.6%
1.6 pts better
|
Short Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 95.1% |
93.2%
1.9 pts better
|
79.7%
15.4 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 95.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 14.8% |
23.2%
8.4 pts better
|
23.9%
9.1 pts better
|
Short Stay · 20240701-20250630 · Adjusted 14.8% · Observed 19.6% · Expected 31.7% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (2 deficiencies)
6 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Top issue: Nutrition and Dietary (4 deficiencies)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Top issue: Quality of Life and Care (5 deficiencies)
2 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Fire safety
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2025-02-14
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2025-02-14
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2025-02-14
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2025-02-14
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2025-02-14
Fire Safety
Conduct testing and exercise requirements.
Corrected 2025-02-14
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-02-16
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2021-07-27
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2021-07-27
Inspection history
Health
Provide and implement an infection prevention and control program.
Corrected 2025-06-17
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-02-14
Health
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.
Corrected 2025-02-14
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2025-02-14
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-02-14
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-02-14
Health
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.
Corrected 2025-02-14
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-02-16
Health
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected 2024-02-16
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2024-02-16
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2024-02-16
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-02-16
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-02-16
Health
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Corrected 2024-02-16
Health
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Corrected 2024-02-16
Health
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.
Corrected 2024-02-16
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-02-16
Health
Provide and implement an infection prevention and control program.
Corrected 2024-02-16
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-11-02
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-11-02
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2021-07-12
Health
Provide activities to meet all resident's needs.
Corrected 2021-07-12
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2021-07-12
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2021-07-12
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2021-07-12
Health
Provide and implement an infection prevention and control program.
Corrected 2021-07-12
Health
Implement a program that monitors antibiotic use.
Corrected 2021-07-12
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2021-07-12
Health
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected 2021-07-12
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2021-07-12
Health
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.
Corrected 2021-07-12
Health
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.
Corrected 2021-07-12
Health
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected 2021-07-12
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2021-07-12
Health
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2021-07-12
Penalties and ownership
Operational/Managerial Control · Organization
General Partnership Interest · Organization
Operational/Managerial Control · Individual
Limited Partnership Interest · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Organization
Operational/Managerial Control · Individual
Nearby options
Hawthorne, CA
3-star overall rating with 3-star inspections with $9,174 in total fines with 17 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
Inglewood, CA
4-star overall rating with 4-star inspections with 15 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
Inglewood, CA
5-star overall rating with 4-star inspections with 13 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
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