MONROVIA GARDENS HEALTHCARE CENTER
MONROVIA GARDENS HEALTHCARE CENTER is a 96-bed nursing home in MONROVIA, California. CMS has certified it for Medicare and Medicaid since 1971-12-31. It averages 79.6 residents a day.
What harm was found in the violations cited at MONROVIA GARDENS HEALTHCARE CENTER?
CMS lists 100 health-inspection deficiencies for MONROVIA GARDENS HEALTHCARE CENTER, all of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is G; the most recent health inspection was 2026-06-23.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2026-06-23 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | E |
| 2026-06-23 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D |
| 2026-06-04 | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D |
| 2026-03-03 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E |
| 2026-03-03 | F0687, F0698 | Provide appropriate foot care. / Provide safe, appropriate dialysis care/services for a resident who requires such services. | D |
| 2025-12-19 | F0578, F0684, F0755, F0812 | 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. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E |
| 2025-12-19 | F0550, F0606, F0656, F0657, F0679, F0686, F0689, F0693, F0695, F0880, F0881 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Not hire anyone with a finding of abuse, neglect, exploitation, or theft. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide activities to meet all resident's needs. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / 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. / Provide safe and appropriate respiratory care for a resident when needed. / Provide and implement an infection prevention and control program. / Implement a program that monitors antibiotic use. | D |
| 2025-10-31 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D |
| 2025-09-17 | F0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D |
| 2025-09-03 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E |
| 2025-09-03 | F0558, F0808 | Reasonably accommodate the needs and preferences of each resident. / 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. | D |
| 2025-08-27 | F0908 | Keep all essential equipment working safely. | E |
| 2025-08-05 | F0558, F0677, F0867 | Reasonably accommodate the needs and preferences of each resident. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | E |
| 2025-07-09 | F0558, F0604, F0684 | Reasonably accommodate the needs and preferences of each resident. / Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D |
| 2025-05-13 | F0558, F0607, F0677 | Reasonably accommodate the needs and preferences of each resident. / Develop and implement policies and procedures to prevent abuse, neglect, and theft. / Provide care and assistance to perform activities of daily living for any resident who is unable. | D |
| 2025-04-24 | F0880 | Provide and implement an infection prevention and control program. | E |
| 2025-04-24 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D |
| 2025-03-27 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E |
| 2025-03-27 | F0583, F0677, F0697, F0806, F0807 | Keep residents' personal and medical records private and confidential. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide safe, appropriate pain management for a resident who requires such services. / Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. / Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | D |
| 2025-02-26 | F0688, F0842 | 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. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E |
| 2025-02-26 | F0584 | 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. | D |
| 2025-02-10 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D |
| 2025-01-24 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G |
| 2025-01-24 | F0677, F0725 | Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E |
| 2025-01-24 | F0576, F0656, F0684, F0726 | Ensure residents have reasonable access to and privacy in their use of communication methods. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / 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. | D |
| 2024-12-31 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E |
| 2024-12-24 | F0550, F0684 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D |
| 2024-11-25 | F0610 | Respond appropriately to all alleged violations. | D |
| 2024-10-31 | F0558, F0578, F0684, F0686, F0690, F0725, F0812, F0880 | Reasonably accommodate the needs and preferences of each resident. / 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. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Provide and implement an infection prevention and control program. | E |
| 2024-10-31 | F0550, F0580, F0625, F0641, F0656, F0676, F0692, F0790, F0803, F0919 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. / Ensure each resident receives an accurate assessment. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. / Provide enough food/fluids to maintain a resident's health. / Provide routine and 24-hour emergency dental care for each resident. / 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. / Make sure that a working call system is available in each resident's bathroom and bathing area. | D |
| 2024-06-21 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D |
| 2024-05-29 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D |
| 2024-05-09 | F0882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | E |
| 2024-05-09 | F0688, F0880 | 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. / Provide and implement an infection prevention and control program. | D |
| 2023-10-19 | F0761, F0812, F0880 | 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. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Provide and implement an infection prevention and control program. | E |
| 2023-10-19 | F0550, F0645, F0656, F0657, F0658, F0685, F0690, F0692, F0756, F0759, F0770, F0773, F0825, F0837 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / PASARR screening for Mental disorders or Intellectual Disabilities / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Ensure services provided by the nursing facility meet professional standards of quality. / Assist a resident in gaining access to vision and hearing services. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Provide enough food/fluids to maintain a resident's health. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / Ensure medication error rates are not 5 percent or greater. / Provide timely, quality laboratory services/tests to meet the needs of residents. / Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. / Provide or get specialized rehabilitative services as required for a resident. / Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. | D |
| 2023-10-11 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E |
How is MONROVIA GARDENS HEALTHCARE CENTER staffed relative to the CA average?
| Measure | This facility | CA average |
|---|---|---|
| Total nurse staffing hours per resident per day | 4.37777 | 4.51570 |
| Total nursing staff turnover (%) | 50.5 | 36.7 |
| Average number of residents per day | 79.6 | 87.9 |
Who owns MONROVIA GARDENS HEALTHCARE CENTER, and what chain is it in?
MONROVIA GARDENS HEALTHCARE CENTER is registered with CMS as For profit - Limited Liability company, operates under the legal business name AG MONROVIA, LLC and belongs to the CAMBRIDGE HEALTHCARE SERVICES chain.
| Role | Owner | Association date |
|---|---|---|
| 5% OR GREATER DIRECT OWNERSHIP INTEREST | AG FACILITIES OPERATIONS, LLC | since 08/11/2003 |
| 5% OR GREATER INDIRECT OWNERSHIP INTEREST | IRA E SMEDRA LIVING TRUST, WIN WIN ENTERPRISES, LLC | since 08/11/2003 |
| MANAGING CONTROL - GOVERNING BODY | SOHAL, JASPAL, VIDALES, MIGUEL | since 03/01/2021 |
| CORPORATE OFFICER | WINTNER, JACOB | since 08/11/2003 |
| OPERATIONAL/MANAGERIAL CONTROL | CAMBRIDGE HEALTHCARE SERVICES LLC, BALACUIT, DONALD, BUTENKO, JULIE, CAPELA, HEIDI, CRUZ, HAYLEY, HASSELL, LANCE, LUTZ, LINDA, SALAZAR, PAULINA, SMEDRA, IRA, SOHAL, JASPAL, VIDALES, MIGUEL, WINTNER, JACOB | since 02/01/2012 |
| ADP OF THE SNF | 615 W. DUARTE, LLC, CAMBRIDGE HEALTHCARE SERVICES LLC, WIN WIN ENTERPRISES, LLC, BALACUIT, DONALD, BUTENKO, JULIE, CAPELA, HEIDI, HASSELL, LANCE, LUTZ, LINDA, SALAZAR, PAULINA, SMEDRA, IRA, SOHAL, JASPAL, VIDALES, MIGUEL, WINTNER, JACOB | since 02/01/2012 |
Were you or a family member harmed at MONROVIA GARDENS HEALTHCARE CENTER?