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Complaint Investigation

Monrovia Gardens Healthcare Center

February 26, 2025 · Monrovia, CA · 615 W. Duarte Rd.
Citations 2
CMS Rating 1/5
Beds 96
Provider ID 055367
Healthcare Facility
Monrovia Gardens Healthcare Center
Monrovia, CA  ·  View full profile →
Inspection Summary

MONROVIA GARDENS HEALTHCARE CENTER in MONROVIA, CA — inspection on February 26, 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.

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Inspection Findings

FF688
Minimal harm or MDS indicated Resident 2 was dependent (helper does ALL the effort or the assistance of 2 or more helpers Some substantial/maximal assistance (helper does more than half the effort. Helper lifts or holds trunk or limbs and affected

During a review of Resident 2's physician order (PO) dated 6/11/2024 the PO indicated Resident 2 to have RNA for bilateral lower extremity (BLE- both legs) active-assisted ROM exercises (AAROM- the joint receives partial assistance from an outside force) daily, five (5) days per week of 20 repetitions, three (3) sets of each exercise or as tolerated by patient.

055367

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 055367 B.

Wing 02/26/2025

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

Monrovia Gardens Healthcare Center 615 W.

Duarte Rd.

Monrovia, CA 91016

During a review of Resident 2's physician order (PO) dated 6/11/2024 the PO indicated Resident 2 to have RNA for bilateral lower extremity (BLE- both legs) active-assisted ROM exercises (AAROM- the joint receives partial assistance from an outside force) daily, five (5) days per week of 20 repetitions, three (3) sets of each exercise or as tolerated by patient.

055367

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 055367 B.

Wing 02/26/2025

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

Monrovia Gardens Healthcare Center 615 W.

Duarte Rd.

Monrovia, CA 91016

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 MONROVIA, 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 GARDENS HEALTHCARE CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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