Monrovia Post Acute
MONROVIA POST ACUTE in DUARTE, CA — inspection on October 27, 2025.
Found 2 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
During a review of the facility's P&P titled, Maintenance Service, revised 12/2009, the P&P indicated the maintenance department is responsible for maintaining the buildings, grounds, and equipment in a safe and operable manner at all times.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
10/27/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Monrovia Post Acute
1220 E.
Huntington Drive Duarte, CA 91010
SUMMARY STATEMENT OF DEFICIENCIES
During a review of Resident 7's H&P dated 8/22/2025, the HP indicated Resident 7 had the capacity to understand and make own decisions.
During an interview on 10/23/2025 at 10:59 AM with Treatment Nurse 2 (TN 2), TN2 stated every medication received from the pharmacy should have a receipt with signature, date, and time of pharmacy delivery.
During a concurrent interview on 10/27/2025 at 3:32pm with Registered Nurse 3 (RN 3) and record review of the facility's Prescription Delivery Receipt (PDR) as of 7/14/25, RN 3 stated there was no date, time or signature of the licensed nurse who received the medications for Residents 1, 6 and 7. RN 3 stated the licensed nurse should sign, date and indicate the time on the receipt upon receiving the medications, and make a copy of the signed receipt as part of the residents' record.
During a review of the facility's undated P&P titled, Medication Orders and Receipt Record, the P&P indicated, .The medication order/receipt record shall contain:g.
The date and quantity received; andh.
Name and title of the person receiving the order.
Facility ID:
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.