Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around January 2027
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Clear View Sanitarium during CMS and state inspections, most recent first.
A facility failed to resubmit a PASRR for a resident diagnosed with bipolar disorder, PTSD, and depression. The initial PASRR Level 1 screening incorrectly indicated no mental health disorder, despite documented diagnoses. Interviews with the RCC and DON confirmed the oversight, acknowledging the need for a resubmission as per facility policy.
A resident was prescribed Seroquel, an anti-psychotic medication, to manage dementia symptoms without a mental illness diagnosis. The resident's MDS assessment showed moderate cognitive impairment but no psychosis or behavioral symptoms. A nurse confirmed the prescription was for dementia behaviors, acknowledging the risk of falls from such medication use.
The facility did not have a room thermometer in the medication storage room to monitor and record temperatures, as observed during an interview with the DON. The absence of a thermometer and a logbook for room temperatures was noted, with the DON stating that maintenance would be contacted if the room felt too warm or cold. This deficiency could affect medication efficacy due to improper storage conditions.
The facility failed to remove a spoiled bag of cilantro from the walk-in refrigerator, which was found with brown leaves and liquid. The Dietary Supervisor acknowledged the cilantro was expired and should be removed but could not specify the consequences of consumption. This oversight posed a risk of foodborne illness for residents.
The facility failed to keep dumpsters closed and contain all trash, potentially attracting rodents. During an observation with the DS, both dumpsters were open, one was overflowing, and three uncovered bins with loose trash were in front of the dumpsters. The DS confirmed that dumpsters should be closed to prevent attracting animals.
Failure to Resubmit PASRR for Resident with Mental Health Disorders
Penalty
Summary
The facility failed to ensure a Pre-Admission Screening and Resident Review (PASRR) assessment was resubmitted for a resident who had been diagnosed with mental health disorders, including bipolar disorder, PTSD, and depression. The resident's PASRR Level 1 screening incorrectly indicated that the resident did not have a mental health disorder. This discrepancy was identified during a review of the resident's face sheet and diagnosis list, which showed the presence of these mental health conditions upon admission. Interviews with the Resident Care Coordinator (RCC) and the Director of Nursing (DON) revealed that PASRR assessments are required before admission and upon any change in a resident's condition. Both the RCC and DON acknowledged that a PASRR should have been resubmitted for the resident, as the initial screening results were negative despite the resident's documented mental health diagnoses. The facility's policy mandates a Level 2 review for residents with newly evident or possible serious mental disorders, which was not followed in this case.
Inappropriate Prescription of Anti-Psychotic Medication
Penalty
Summary
The facility failed to ensure that a resident, identified as Resident 30, was not prescribed Seroquel, an anti-psychotic medication, to control dementia symptoms without a diagnosis of a mental illness. Resident 30 was admitted with diagnoses including dementia, diabetes, and hypertension. The Minimum Data Set (MDS) assessment indicated that the resident's cognition was moderately impaired, but there were no indicators of psychosis or behavioral symptoms. Despite this, the resident was prescribed Seroquel 50 mg three times a day for dementia with behavioral disturbances, specifically striking out. During an interview and record review, a registered nurse confirmed that Resident 30 did not have a diagnosed mental illness and was taking Seroquel to control dementia behaviors. The nurse acknowledged that administering an anti-psychotic to an elderly person with dementia could be harmful, as it increases the risk of falls. This practice put Resident 30 at risk of an adverse reaction from taking an anti-psychotic medication without a proper diagnosis of a mental illness.
Medication Storage Room Lacks Temperature Monitoring
Penalty
Summary
The facility failed to ensure that the medication storage room was equipped with a room thermometer to monitor and record the temperature, which is necessary to maintain a safe environment for medication storage. During an observation and interview with the Director of Nursing (DON), it was noted that there was no room thermometer present, and the DON was unaware of its location following a reorganization of the room. Additionally, there was no logbook available to record room temperatures, as the facility only maintained a log for the refrigerator. The DON mentioned that maintenance would be called to check the room temperature if it felt too warm or cold. This oversight had the potential to compromise the effectiveness of medications due to improper storage conditions.
Spoiled Cilantro Found in Walk-in Refrigerator
Penalty
Summary
The facility failed to ensure that the walk-in refrigerator did not contain spoiled food, specifically a bag of cilantro. During an observation and interview with the Dietary Supervisor (DS), a bag of cilantro was found with brown leaves and brown liquid at the bottom, indicating spoilage. The bag was labeled with a received date, and the DS acknowledged that the cilantro was expired and should be removed, stating it was not safe to eat. However, the DS was unable to articulate the potential consequences if a resident consumed the expired cilantro. This oversight had the potential to result in foodborne illness for any resident consuming the spoiled cilantro.
Improper Disposal of Garbage and Refuse
Penalty
Summary
The facility failed to ensure that dumpsters were kept closed and all trash was properly contained, which had the potential to attract rodents to the trash area. During an observation and interview with the Dietary Supervisor (DS) at the dumpster area, it was noted that both dumpsters were open, and one was overflowing. Additionally, three uncovered gray bins containing loose trash were placed in front of the dumpsters. The DS acknowledged that the dumpsters should be closed at all times and stated that leaving them open could attract animals.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Gardena
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Clear View Convalescent Center | 0 mi | — | 4 | 0 |
| Memorial Hospital Of Gardena D/p Snf | 0.3 mi | — | 13 | 0 |
| Kei-ai South Bay Healthcare Center | 0.7 mi | — | 16 | 0 |
| Gardena Convalescent Center | 0.8 mi | — | 15 | 0 |
| Rosecrans Care Center | 1.1 mi | — | 6 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.