Monrovia Post Acute
Inspection Findings
F-Tag F0558
F 0558 Level of Harm - Minimal harm or potential for actual harm
functional at all times. 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.
Residents Affected - Some
FORM CMS-2567 (02/99) Previous Versions Obsolete
Event ID:
Facility ID:
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Printed: 04/13/2026 Form Approved OMB No. 0938-0391
Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
B. Wing
A. Building
(X3) DATE SURVEY COMPLETED
10/27/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Monrovia Post Acute
1220 E. Huntington Drive Duarte, CA 91010
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F-Tag F0755
F 0755 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some
FORM CMS-2567 (02/99) Previous Versions Obsolete
Doxycycline Hyclate Oral Tablet 100 MG, one tablet by mouth two times a day for facial redness for 60 Days. The last medication ordered date was 7/17/2025. 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.
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MONROVIA POST ACUTE in DUARTE, CA inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
Frequently Asked Questions
- What is an F-tag violation?
- F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
- Were these violations corrected?
- Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
- How often do nursing home inspections happen?
- CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
- What should families do about these violations?
- Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in DUARTE, CA, (5) Report new concerns to state authorities.
- Where can I see the full inspection report?
- Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from MONROVIA POST ACUTE or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.