Monrovia Gardens Healthcare Center

615 W. Duarte Rd., Monrovia, CA 91016 · (626) 358-4547
For profit - Limited Liability company · 96 certified beds

Monrovia Gardens Healthcare Center has a 1-star overall rating from Medicare, out of 5. Its last standard inspection, in December 2025, found 15 citations (the California average is 15.6). It hasn't been fined in the last three years.

Medicare ratings

How to read a nursing home's star ratings

Most recent health inspection

The standard health inspection on December 19, 2025 found 15 citations. What an inspection citation means

• 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.December 19, 2025 · F0578 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide appropriate treatment and care according to orders, resident’s preferences and goals.December 19, 2025 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.December 19, 2025 · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.December 19, 2025 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.December 19, 2025 · F0550 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Not hire anyone with a finding of abuse, neglect, exploitation, or theft.December 19, 2025 · F0606 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.December 19, 2025 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.December 19, 2025 · F0657 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide activities to meet all resident's needs.December 19, 2025 · F0679 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide appropriate pressure ulcer care and prevent new ulcers from developing.December 19, 2025 · F0686 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.December 19, 2025 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.December 19, 2025 · F0693 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide safe and appropriate respiratory care for a resident when needed.December 19, 2025 · F0695 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide and implement an infection prevention and control program.December 19, 2025 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Implement a program that monitors antibiotic use.December 19, 2025 · F0881 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few

Complaint inspections, last three years

Inspections after complaints found 55 citations.

• Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.July 15, 2026 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide care and assistance to perform activities of daily living for any resident who is unable.July 8, 2026 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• 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.July 8, 2026 · F0803 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Make sure that a working call system is available in each resident's bathroom and bathing area.July 8, 2026 · F0919 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure that residents are fully informed and understand their health status, care and treatments.June 23, 2026 · F0552 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure each resident’s drug regimen must be free from unnecessary drugs.June 23, 2026 · F0757 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.June 4, 2026 · F0676 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.March 3, 2026 · F0657 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide appropriate foot care.March 3, 2026 · F0687 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide safe, appropriate dialysis care/services for a resident who requires such services.March 3, 2026 · F0698 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.October 31, 2025 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.September 17, 2025 · F0557 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Reasonably accommodate the needs and preferences of each resident.September 3, 2025 · F0558 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide care and assistance to perform activities of daily living for any resident who is unable.September 3, 2025 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.September 3, 2025 · F0808 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Keep all essential equipment working safely.August 27, 2025 · F0908 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Reasonably accommodate the needs and preferences of each resident.August 5, 2025 · F0558 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide care and assistance to perform activities of daily living for any resident who is unable.August 5, 2025 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.August 5, 2025 · F0867 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Reasonably accommodate the needs and preferences of each resident.July 9, 2025 · F0558 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.July 9, 2025 · F0604 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide appropriate treatment and care according to orders, resident’s preferences and goals.July 9, 2025 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Reasonably accommodate the needs and preferences of each resident.May 13, 2025 · F0558 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Develop and implement policies and procedures to prevent abuse, neglect, and theft.May 13, 2025 · F0607 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide care and assistance to perform activities of daily living for any resident who is unable.May 13, 2025 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.April 24, 2025 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide and implement an infection prevention and control program.April 24, 2025 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Keep residents' personal and medical records private and confidential.March 27, 2025 · F0583 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide care and assistance to perform activities of daily living for any resident who is unable.March 27, 2025 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide safe, appropriate pain management for a resident who requires such services.March 27, 2025 · F0697 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.March 27, 2025 · F0725 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.March 27, 2025 · F0806 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.March 27, 2025 · F0807 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.February 26, 2025 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• 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.February 26, 2025 · F0688 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.February 26, 2025 · F0842 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.February 10, 2025 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure residents have reasonable access to and privacy in their use of communication methods.January 24, 2025 · F0576 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.January 24, 2025 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide care and assistance to perform activities of daily living for any resident who is unable.January 24, 2025 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide appropriate treatment and care according to orders, resident’s preferences and goals.January 24, 2025 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.January 24, 2025 · F0689 · Level of harm: Actual harm · Residents affected: Few
• Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.January 24, 2025 · F0725 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• 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.January 24, 2025 · F0726 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.December 31, 2024 · F0725 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.December 24, 2024 · F0550 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide appropriate treatment and care according to orders, resident’s preferences and goals.December 24, 2024 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Respond appropriately to all alleged violations.November 25, 2024 · F0610 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.June 21, 2024 · F0600 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.May 29, 2024 · F0580 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• 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.May 9, 2024 · F0688 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide and implement an infection prevention and control program.May 9, 2024 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.May 9, 2024 · F0882 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.October 19, 2023 · F0550 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.October 11, 2023 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some

Fines and payment denials

No fines or payment denials in the last three years.

Nurse staffing

Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.

About this home