The Gardens Of El Monte
THE GARDENS OF EL MONTE in EL MONTE, CA — inspection on November 14, 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 an interview on 11/14/25 at 11:41 p.m. with CNA 2, CNA 2 stated, A restraint is when you tie up a patient and hold them from doing something. CNA 2 was asked, Do you ever see residents tied to chairs, so they can't get up? CNA 2 stated, In the early morning I have seen residents that are already in chairs covered with blankets and tied to the Geri chairs [a large, padded, and reclinable chair]. CNA 2 was unable to state the names of the residents, how many residents, and when CNA 2 saw residents tied to Geri chairs.
During an interview on 11/14/25 at 1:04 p.m. with CNA 4, CNA 4 stated, A restraint is a form of abuse because it restricts freedom of movement. CNA 4 stated the facility did not use restraints.
During a review of Resident 2's medical record, there were no physician orders for any type of restraint during Residents 2's stay at the facility.
During a review of the facility's current Policy & Procedure (P&P) titled, Resident Rights, revised 9/2017, the P&P indicated, Policy: The resident has a right to a dignified existence, self-determination, and communication with and access to persons and services inside and outside the facility. A facility must protect and promote the rights of each resident, including each of the following rights: 1) To be free from mental and physical abuse; 2) To be free from psychotherapeutic drugs and physical restraints used for the purpose of discipline or staff convenience.
During a review of Resident 2's medical record, there were no physician orders for any type of restraint during Residents 2's stay at the facility.
During a review of the facility's current Policy & Procedure (P&P) titled, Resident Rights, revised 9/2017, the P&P indicated, Policy: The resident has a right to a dignified existence, self-determination, and communication with and access to persons and services inside and outside the facility. A facility must protect and promote the rights of each resident, including each of the following rights: 1) To be free from mental and physical abuse; 2) To be free from psychotherapeutic drugs and physical restraints used for the purpose of discipline or staff convenience.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
11/14/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
The Gardens of El Monte
5044 Buffington Rd El Monte, CA 91732
SUMMARY STATEMENT OF DEFICIENCIES
Federal health inspectors cited THE GARDENS OF EL MONTE in EL MONTE, CA for a deficiency under regulatory tag F-F0742 during a complaint investigation conducted on 2025-11-14.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 2 deficiencies cited during this inspection of THE GARDENS OF EL MONTE.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-12-11.