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Complaint Investigation

The Gardens Of El Monte

November 6, 2025 · El Monte, CA · 5044 Buffington Rd
Citations 1
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 November 6, 2025.

Found 1 citation. 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.

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Inspection Findings

FF0656
Resident Assessment and Care Planning Deficiencies
Potential for More Than Minimal Harm

During a review of the facility's current Policy & Procedure (P&P) titled, Falls by A Resident, revised 7/2017, the P&P indicated, It is the policy of the facility that if a resident sustains a fall, an incident report will be completed. A post fall assessment is also completed to identify factors that may have contributed to the fall. A care plan or an update to an existing care plan will then be generated.A post fall assessment is completed to identify possible causative factors that could have contributed to a fall.

The information is then used to formulate a plan of care in an attempt to prevent further falls or accidents.The licensed nurse will complete the form as follows: Document on the post fall assessment that the care plan was updated to reflect an action plan or approaches developed for prevention of falls; If there is an existing care plan for falls, it should be updated to reflect newly identified risk factors or approaches developed; If there was no existing care plan, a care plan for prevention of falls will be developed.

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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.


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