Heritage Manor
HERITAGE MANOR in MONTEREY PARK, CA — inspection on February 26, 2026.
Found 3 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 a review of facility's P&P titled, Food Safety and Food Storage, revised 11/2024, the P&P indicated, staff shall adhere to safe hygienic practices to prevent contamination of foods from hands on physical objects.
Dietary staff must wear hair restraints (e.g. hairnet, hat and or beard restraint) to prevent hair form contacting food.
During a review of facility P&P titled, Sanitizer use concentrations for food service and food production facilities, revised 4/2020, the P&P indicated, sanitation buckets must be established with appropriate sanitizing solution.sanitizing cloths should be placed in the sanitizing buckets to be used for sanitizing all work surfaces and equipment.
Dietary should change these buckets at least 3 times a day and test with the appropriate test strips each time the solution is changed to ensure accurate levels of sanitizer.Some corporations require red sanitizing buckets. A review of the 2022 U.S.
Food and Drug Administration Food Code, Code 3-304.14 Wiping Cloths, use Limitation, indicated, (B) Cloths in-use for wiping counters and other EQUIPMENT surfaces shall be:(1) Held between uses in a chemical sanitizer solution at a concentration specified under S 4-501.114; 3.
During an observation of the lunch service in the conference room on 2/24/2026 at 11:30 AM, a temperatures check of the milk was conducted using the facility's thermometer.
The obtained temperature registered the milk temperature at 52.5 degrees Fahrenheit (F).
During a concurrent observation and interview with DS and dietary aide (DA) 1, DA 1 stated the beverages were stored in the freezer in the kitchen to ensure they were very cold when brought up to the conference room. DS stated the conference room gets warm during meal service and temperatures of cold beverage did not stay at 41degrees F or lower. DS stated there was no ice in the conference room to store the beverages on ice before meal services. DS stated if room temperature milk was served to residents, residents would complain, and if milk was left out too long, the milk would go bad.
During a review of the facility's P&P titled food Safety and Food Storage, revised 11/2024, the P&P indicated, when preparing food, staff shall take precautions in critical control points in the food preparation process to prevent, reduce or eliminate potential hazards.Holding - staff shall monitor food temperatures while holding for delivery to ensure proper hot and cold holding temperatures are maintained.
Staff shall refer to the current FDA Food Code.
Foods and beverages shall be distributed and served to residents in a manner to prevent contamination and maintain food at the proper temperature and out of the Danger zone.
During a review of the 2022 U.S.
Food and Drug Administration Food Code 3-501.16 titled Time/Temperature control for safety food, hot and cold holding indicated, except during preparation, cooking or cooling, time/temperature control for safety food shall be maintained at 135degrees F or above, and at 41 degrees F or below.
055989 02/26/2026
Heritage Manor 610 North Garfield Avenue Monterey Park, CA 91754
During a review of facility policy and procedures (P&P) titled, Quality Assessment and Assurance Committee (dated 12/19/2022), the p&p indicated, the facility will maintain a quality Assessment and Assurance (QAA) committee to identify quality issues and develop appropriate plans of action to correct quality deficiencies thought an interdisciplinary approach.
The committee will: c: identify and respond to quality deficiencies thought the facility; d: develop and implement corrective plans of action and monitor to ensure performance goals or targets are achieved and sustained; e: Revise corrective action as necessary, based on QAA committee monitoring and evaluation.
055989 02/26/2026
Heritage Manor 610 North Garfield Avenue Monterey Park, CA 91754
During an interview with ADM on 2/26/2026 at 10:30AM ADM stated they tried to fix the elevator several times, but then it was not repairable and needed to be replaced. ADM stated they did not try to repair it further since they were told by elevator repair company that it needed to be replaced. ADM stated the elevator failed in October 2024. ADM stated notified HCAI (department of healthcare access and information) on 10/2025 of the elevator replacement project but did not notify the district office of the existing inoperable elevator.
During a review of a report from the elevator company titled Maintenance Time Ticket dated 4/4/2024 the maintenance report indicated, recommend replacing oil, cleaning valves, change [NAME], packing and doing 5-year load test During a review of the Maintenance Time Ticket dated 5/23/24, 7/26/24; 7/31/24; 8/2/2024 report did not indicate the recommended services from previous months were done.
During a review of the Maintenance Time Ticket dated 8/21/2024 indicated, report due emergency alarm bell not working found broken wire replaced and checked return to service.
During a review of the Maintenance Time Ticket dated 9/9/2024 indicated a routine maintenance was completed.
There is no other maintenance completed on the elevator after 9/9/2024.
During a review of facility Program Flexibility request dated 2/23/2026, the program flexibility indicated, A temporary meal staging area has been established in the upstairs conference room to support service during the elevator outage.
During a review of the 2022 U.S.
Food and Drug Administration Food Code 3-501.16 titled Time/Temperature control for safety food, hot and cold holding indicated, except during preparation, cooking or cooling, time/temperature control for safety food shall be maintained at 135degrees F or above, and at 41 degrees F or below.
During a review of facility policy and procedure(P&P) titled, Food safety and Food Storage (revised 11/2024) the P&P indicated, When preparing food, staff shall take precautions in critical control points in the food preparation process to prevent, reduce, or eliminate potential hazards.
Holding: staff shall monitor food temperatures while holding for delivery to ensure proper hot and cold holding temperatures are maintained.
During a review of facility policy and procedure(P&P) titled, Food safety and Food Storage (revised 11/2024) the P&P indicated, Foods and beverages shall be distributed and served to residents in a manner to prevent contamination and maintain food at the proper temperature and out of the danger zone.
Strategies include Timely distribution of all meals/snacks.
During a review of facility policy and procedure(P&P) titled, Food safety and Food Storage (revised 11/2024) the P&P indicated, refrigerated storage-foods that require refrigeration shall be refrigerated immediately upon receipt or placed in freezer, whichever is applicable.
During a review of facility policy and procedures titled Receiving Food and Supplies (revised 2/2019) the policy and procedure indicated, Food items should be received and handled in accordance with good sanitary practice.
Keep cold food at room temperature for a minimum length of time. Do not allow cold foods to rise greater than 41degrees F or frozen foods to thaw.
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.