Skip to main content
Complaint Investigation

The Gardens Of El Monte

June 17, 2024 · El Monte, CA · 5044 Buffington Rd
Citations 2
CMS Rating 3/5
Beds 53
Provider ID 555903
Healthcare Facility
The Gardens Of El Monte
El Monte, CA  ·  View full profile →
Inspection Summary

THE GARDENS OF EL MONTE in EL MONTE, CA — inspection on June 17, 2024.

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.

Advertisement

Inspection Findings

FF580
Actual harm think, remember, and reason). The MDS indicated, Resident 1 was independent (resident completed the Few supervision or touching assistance (helper provided verbal cues and/or touching/steadying and/or contact affected

During a review of Resident 1's General Chemistry (group of tests routinely ordered to determine a person's overall health status) laboratory results (results from testing a sample of blood), dated 5/15/2024, the laboratory results indicated, Resident 1's serum (blood) sodium (Na- amount of sodium [a mineral needed by the body to keep body fluids in balance] in the blood) level was 151 milliequivalents per liter (mEq/L- unit of measurement)(Normal Na level is 135 mEq/L to 145 mEq/L).

During a review of Resident 1's Comprehensive Resident Assessment (CRA) dated 5/16/2024, the CRA indicated, Resident 1 needed assistance with eating/nutrition and was dependent on staff for oral hygiene.

During a review of Resident 1's first Untitled Care Plan (UPC), dated 5/16/2024, the first UPC indicated, Resident 1 was at risk for dehydration.

The first UPC goal indicated, facility staff would identify signs and symptoms (s/s) of dehydration such as dry eyes or mouth, fever, vomiting, urinary tract infection (UTI - infection in any part of the urinary tract, the system of organs that makes urine), poor skin turgor (skin's ability to change its shape and return to normal), change in mental status, and increased in confusion.

The first UPC interventions indicated, for staff to provide Resident 1's diet as ordered, assist Resident 1 at mealtime and for all food and fluid offerings, offer fluids during activities, and monitor Resident 1 for s/s of dehydration.

During a review of Resident 1's second UPC, dated 5/16/2024, the second UPC indicated, Resident 1 had the potential for fluid-electrolyte (electrolyte is mineral in the blood or other body fluids that carry electric charge and affect how the body functions) imbalance (the level of one or more electrolytes [in the body is too low or too high) related to hypernatremia.

The second UPC goal indicated, Resident 1 would have no s/s of hypernatremia.

The second UPC interventions indicated, for staff to ensure adequate fluid intake, monitor intake and output, and give diet as ordered.

A review of Resident 1's Physician Order (PO) dated 5/19/2024, the PO indicated, an order for No Added Salt (NAS) diet, pureed (all food has been ground, pressed, and/or strained to a soft, smooth consistency, like a pudding) texture, and nectar/mildly thick liquid (liquids that are easily pourable and are comparable to heavy syrup in canned fruit) consistency.

555903

Form Approved OMB

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.

Building 555903 B.

Wing 06/17/2024

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

The Gardens of El Monte 5044 Buffington Rd El Monte, CA 91732

During a review of Resident 1's General Chemistry (group of tests routinely ordered to determine a person's overall health status) laboratory results (results from testing a sample of blood), dated 5/15/2024, the laboratory results indicated, Resident 1's serum (blood) sodium (Na- amount of sodium [a mineral needed by the body to keep body fluids in balance] in the blood) level was 151 milliequivalents per liter (mEq/L- unit of measurement)(Normal Na level is 135 mEq/L to 145 mEq/L).

During a review of Resident 1's Comprehensive Resident Assessment (CRA) dated 5/16/2024, the CRA indicated, Resident 1 needed assistance with eating/nutrition and was dependent on staff for oral hygiene.

During a review of Resident 1's Untitled Care Plan (UPC), dated 5/16/2024, the UPC indicated, Resident 1 had the potential for fluid-electrolyte (electrolyte is mineral in the blood or other body fluids that carry electric charge and affect how the body functions) imbalance (the level of one or more electrolytes [in the body is too low or too high) related to hypernatremia.

The UPC goal indicated, Resident 1 would have no s/s of hypernatremia.

The UPC interventions indicated, for staff to ensure adequate fluid intake, monitor intake and output, and give diet as ordered.

A review of Resident 1's Physician Order (PO) dated 5/19/2024, the PO indicated, an order for No Added Salt (NAS) diet, pureed (all food has been ground, pressed, and/or strained to a soft, smooth consistency, like a pudding) texture, and nectar/mildly thick liquid (liquids that are easily pourable and are comparable to heavy syrup in canned fruit) consistency.

During a review of Resident 1's Registered Dietician (RD) Nutrition Risk Assessment (RDNRA) completed by RD 1 dated 5/21/2024, the RDNRA indicated, Resident 1 was on nectar thick liquid consistency and drank 400 mL to 900 mL of fluids per day plus the water pitcher at bedside (specific amount not indicated).

The RDNRA indicated, Resident 1's estimated fluid needs per day was between 1950 mL to 2040 mL of fluids per day.

The RDNRA indicated, Resident 1's oral intake appeared adequate to meet Resident 1's estimated needs.

The RDNRA indicated, RD 1's recommendation was to continue the current plan.

During a review of Resident 1's Order Summary Report (OSR), active as of 6/1/2024, the OSR indicated there was no order to monitor Resident 1's intake and output.

555903

Form Approved OMB

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.

Building 555903 B.

Wing 06/17/2024

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

The Gardens of El Monte 5044 Buffington Rd El Monte, CA 91732

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 EL MONTE, 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 THE GARDENS OF EL MONTE or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


More Reports

Advertisement