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Monrovia Gardens Healthcare Center

📍 615 W. Duarte Rd., Monrovia, CA 91016 📞 (626) 358-4547 🛏️ 95 beds

Inspection History Overview

Detailed Inspection Reports

No detailed inspection reports available yet. Check back soon as we're processing new reports daily.

Fines and Penalties by Year

2021 15 penalties totaling $27,186

$4,258
May 17, 2021

Fine

$4,258
May 10, 2021

Fine

$4,258
May 3, 2021

Fine

$4,258
Apr 26, 2021

Fine

$4,258
Apr 19, 2021

Fine

$3,603
Mar 22, 2021

Fine

$3,275
Mar 15, 2021

Fine

$2,948
Mar 8, 2021

Fine

$2,620
Mar 1, 2021

Fine

$2,293
Feb 22, 2021

Fine

$1,965
Feb 15, 2021

Fine

$1,638
Feb 8, 2021

Fine

$1,310
Feb 1, 2021

Fine

$3,603
Jan 25, 2021

Fine

$3,276
Jan 18, 2021

Fine

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Health Violations by Year

2025 22 violations

Tag 0558 D May 13, 2025

Reasonably accommodate the needs and preferences of each resident.

✓ Corrected: May 14, 2025
Tag 0607 D May 13, 2025

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

✓ Corrected: May 14, 2025
Tag 0677 D May 13, 2025

Provide care and assistance to perform activities of daily living for any resident who is unable.

✓ Corrected: May 14, 2025
Tag 0656 D Apr 24, 2025

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: May 13, 2025
Tag 0880 E Apr 24, 2025

Provide and implement an infection prevention and control program.

✓ Corrected: Apr 25, 2025
Tag 0583 D Mar 27, 2025

Keep residents' personal and medical records private and confidential.

✓ Corrected: Apr 1, 2025
Tag 0677 D Mar 27, 2025

Provide care and assistance to perform activities of daily living for any resident who is unable.

✓ Corrected: Apr 1, 2025
Tag 0697 D Mar 27, 2025

Provide safe, appropriate pain management for a resident who requires such services.

✓ Corrected: Apr 1, 2025
Tag 0725 E Mar 27, 2025

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

✓ Corrected: Apr 1, 2025
Tag 0806 D Mar 27, 2025

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

✓ Corrected: Mar 28, 2025
Tag 0807 D Mar 27, 2025

Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.

✓ Corrected: Mar 28, 2025
Tag 0584 D Feb 26, 2025

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

✓ Corrected: Mar 21, 2025
Tag 0688 E Feb 26, 2025

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

✓ Corrected: Mar 20, 2025
Tag 0842 E Feb 26, 2025

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

✓ Corrected: Mar 20, 2025
Tag 0656 D Feb 10, 2025

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Feb 12, 2025
Tag 0576 D Jan 24, 2025

Ensure residents have reasonable access to and privacy in their use of communication methods.

✓ Corrected: Jan 29, 2025
Tag 0656 D Jan 24, 2025

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Jan 29, 2025
Tag 0677 E Jan 24, 2025

Provide care and assistance to perform activities of daily living for any resident who is unable.

✓ Corrected: Feb 12, 2025
Tag 0684 D Jan 24, 2025

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Feb 20, 2025
Tag 0689 G Jan 24, 2025

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Feb 20, 2025

2024 5 violations

Tag 0600 D Jun 21, 2024

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

✓ Corrected: Jun 27, 2024
Tag 0580 D May 29, 2024

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

✓ Corrected: Aug 2, 2024
Tag 0688 D May 9, 2024

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

✓ Corrected: May 15, 2024
Tag 0880 D May 9, 2024

Provide and implement an infection prevention and control program.

✓ Corrected: May 9, 2024
Tag 0882 E May 9, 2024

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

✓ Corrected: May 10, 2024
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2023 24 violations

Tag 0550 D Oct 19, 2023

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

✓ Corrected: Nov 14, 2023
Tag 0645 D Oct 19, 2023

PASARR screening for Mental disorders or Intellectual Disabilities

✓ Corrected: Nov 14, 2023
Tag 0656 D Oct 19, 2023

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Nov 14, 2023
Tag 0657 D Oct 19, 2023

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

✓ Corrected: Nov 14, 2023
Tag 0658 D Oct 19, 2023

Ensure services provided by the nursing facility meet professional standards of quality.

✓ Corrected: Nov 14, 2023
Tag 0685 D Oct 19, 2023

Assist a resident in gaining access to vision and hearing services.

✓ Corrected: Nov 14, 2023
Tag 0690 D Oct 19, 2023

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

✓ Corrected: Nov 14, 2023
Tag 0692 D Oct 19, 2023

Provide enough food/fluids to maintain a resident's health.

✓ Corrected: Nov 14, 2023
Tag 0756 D Oct 19, 2023

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

✓ Corrected: Nov 14, 2023
Tag 0759 D Oct 19, 2023

Ensure medication error rates are not 5 percent or greater.

✓ Corrected: Nov 14, 2023
Tag 0761 E Oct 19, 2023

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

✓ Corrected: Nov 14, 2023
Tag 0770 D Oct 19, 2023

Provide timely, quality laboratory services/tests to meet the needs of residents.

✓ Corrected: Nov 14, 2023
Tag 0773 D Oct 19, 2023

Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.

✓ Corrected: Nov 14, 2023
Tag 0812 E Oct 19, 2023

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: Nov 14, 2023
Tag 0825 D Oct 19, 2023

Provide or get specialized rehabilitative services as required for a resident.

✓ Corrected: Nov 14, 2023
Tag 0837 D Oct 19, 2023

Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.

✓ Corrected: Nov 14, 2023
Tag 0880 E Oct 19, 2023

Provide and implement an infection prevention and control program.

✓ Corrected: Nov 14, 2023
Tag 0609 E Oct 11, 2023

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

✓ Corrected: Oct 25, 2023
Tag 0584 E Jul 15, 2023

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

✓ Corrected: Aug 7, 2023
Tag 0656 D Jun 6, 2023

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Jul 7, 2023

2022 41 violations

Tag 0921 E Dec 13, 2022

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

✓ Corrected: Jan 14, 2023
Tag 0558 D Nov 13, 2022

Reasonably accommodate the needs and preferences of each resident.

✓ Corrected: Dec 16, 2022
Tag 0561 D Nov 13, 2022

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

✓ Corrected: Dec 16, 2022
Tag 0578 D Nov 13, 2022

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

✓ Corrected: Dec 16, 2022
Tag 0584 E Nov 13, 2022

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

✓ Corrected: Dec 16, 2022
Tag 0604 D Nov 13, 2022

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

✓ Corrected: Dec 16, 2022
Tag 0641 D Nov 13, 2022

Ensure each resident receives an accurate assessment.

✓ Corrected: Dec 16, 2022
Tag 0656 E Nov 13, 2022

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Dec 16, 2022
Tag 0657 D Nov 13, 2022

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

✓ Corrected: Dec 16, 2022
Tag 0658 D Nov 13, 2022

Ensure services provided by the nursing facility meet professional standards of quality.

✓ Corrected: Dec 16, 2022
Tag 0679 D Nov 13, 2022

Provide activities to meet all resident's needs.

✓ Corrected: Dec 16, 2022
Tag 0684 D Nov 13, 2022

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Dec 16, 2022
Tag 0685 D Nov 13, 2022

Assist a resident in gaining access to vision and hearing services.

✓ Corrected: Dec 16, 2022
Tag 0686 D Nov 13, 2022

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

✓ Corrected: Dec 16, 2022
Tag 0689 E Nov 13, 2022

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Dec 16, 2022
Tag 0692 E Nov 13, 2022

Provide enough food/fluids to maintain a resident's health.

✓ Corrected: Dec 16, 2022
Tag 0693 D Nov 13, 2022

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

✓ Corrected: Dec 16, 2022
Tag 0698 D Nov 13, 2022

Provide safe, appropriate dialysis care/services for a resident who requires such services.

✓ Corrected: Dec 16, 2022
Tag 0700 D Nov 13, 2022

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

✓ Corrected: Dec 16, 2022
Tag 0712 E Nov 13, 2022

Ensure that the resident and his/her doctor meet face-to-face at all required visits.

✓ Corrected: Dec 16, 2022
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2021 11 violations

Tag 0880 E Dec 16, 2021

Provide and implement an infection prevention and control program.

✓ Corrected: Jan 6, 2022
Tag 0880 E Nov 18, 2021

Provide and implement an infection prevention and control program.

✓ Corrected: Nov 29, 2021
Tag 0725 E Sep 10, 2021

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

✓ Corrected: Sep 20, 2021
Tag 0656 D Sep 2, 2021

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Sep 17, 2021
Tag 0758 E Sep 2, 2021

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

✓ Corrected: Sep 17, 2021
Tag 0689 D Apr 30, 2021

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: May 18, 2021
Tag 0755 D Apr 30, 2021

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

✓ Corrected: May 18, 2021
Tag 0758 D Apr 30, 2021

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

✓ Corrected: May 18, 2021
Tag 0880 E Apr 30, 2021

Provide and implement an infection prevention and control program.

✓ Corrected: May 18, 2021
Tag 0880 E Mar 18, 2021

Provide and implement an infection prevention and control program.

Tag 0880 E Feb 9, 2021

Provide and implement an infection prevention and control program.

2020 2 violations

Tag 0880 E Nov 4, 2020

Provide and implement an infection prevention and control program.

✓ Corrected: Nov 18, 2020
Tag 0686 D Oct 2, 2020

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

✓ Corrected: Oct 14, 2020
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2019 13 violations

Tag 0550 D Nov 8, 2019

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

✓ Corrected: Dec 5, 2019
Tag 0557 D Nov 8, 2019

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

✓ Corrected: Dec 5, 2019
Tag 0604 D Nov 8, 2019

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

✓ Corrected: Dec 5, 2019
Tag 0656 D Nov 8, 2019

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Dec 5, 2019
Tag 0661 D Nov 8, 2019

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

✓ Corrected: Dec 5, 2019
Tag 0677 D Nov 8, 2019

Provide care and assistance to perform activities of daily living for any resident who is unable.

✓ Corrected: Dec 5, 2019
Tag 0684 E Nov 8, 2019

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Dec 5, 2019
Tag 0686 D Nov 8, 2019

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

✓ Corrected: Dec 5, 2019
Tag 0690 D Nov 8, 2019

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

✓ Corrected: Dec 5, 2019
Tag 0700 D Nov 8, 2019

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

✓ Corrected: Dec 5, 2019
Tag 0758 D Nov 8, 2019

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

✓ Corrected: Dec 5, 2019
Tag 0610 E Sep 11, 2019

Respond appropriately to all alleged violations.

✓ Corrected: Sep 25, 2019
Tag 0729 D Mar 28, 2019

Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.

✓ Corrected: Apr 4, 2019

2018 12 violations

Tag 0577 B Nov 9, 2018

Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

✓ Corrected: Dec 12, 2018
Tag 0600 D Nov 9, 2018

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

✓ Corrected: Dec 12, 2018
Tag 0610 D Nov 9, 2018

Respond appropriately to all alleged violations.

✓ Corrected: Dec 12, 2018
Tag 0636 D Nov 9, 2018

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

✓ Corrected: Dec 12, 2018
Tag 0675 E Nov 9, 2018

Honor each resident's preferences, choices, values and beliefs.

✓ Corrected: Dec 12, 2018
Tag 0686 D Nov 9, 2018

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

✓ Corrected: Dec 12, 2018
Tag 0689 E Nov 9, 2018

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Dec 12, 2018
Tag 0732 D Nov 9, 2018

Post nurse staffing information every day.

✓ Corrected: Dec 12, 2018
Tag 0812 E Nov 9, 2018

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: Dec 12, 2018
Tag 0867 E Nov 9, 2018

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

✓ Corrected: Dec 12, 2018
Tag 0908 D Nov 9, 2018

Keep all essential equipment working safely.

✓ Corrected: Dec 12, 2018
Tag 0600 D Jan 24, 2018

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

✓ Corrected: Feb 7, 2018
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2017 13 violations

Tag 0173 D Oct 31, 2017

Let a representative of the State Ombudsman look at a resident's records, if the resident agreed.

✓ Corrected: Dec 4, 2017
Tag 0246 D Oct 31, 2017

Reasonably accommodate the needs and preferences of each resident.

✓ Corrected: Dec 4, 2017
Tag 0279 D Oct 31, 2017

Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Dec 4, 2017
Tag 0309 E Oct 31, 2017

Provide necessary care and services to maintain or improve the highest well being of each resident .

✓ Corrected: Dec 4, 2017
Tag 0314 D Oct 31, 2017

Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.

✓ Corrected: Dec 4, 2017
Tag 0328 D Oct 31, 2017

Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses.

✓ Corrected: Dec 4, 2017
Tag 0356 C Oct 31, 2017

Post nurse staffing information/data on a daily basis.

✓ Corrected: Dec 4, 2017
Tag 0425 E Oct 31, 2017

Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.

✓ Corrected: Dec 4, 2017
Tag 0431 E Oct 31, 2017

Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.

✓ Corrected: Dec 4, 2017
Tag 0456 D Oct 31, 2017

Keep all essential equipment working safely.

✓ Corrected: Dec 4, 2017
Tag 0469 E Oct 31, 2017

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

✓ Corrected: Dec 4, 2017
Tag 0221 D Apr 7, 2017

Keep each resident free from physical restraints, unless needed for medical treatment.

✓ Corrected: May 2, 2017
Tag 0353 E Apr 7, 2017

Have enough nurses to care for every resident in a way that maximizes the resident's well being.

✓ Corrected: May 2, 2017
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