Starfile / California

MONROVIA GARDENS HEALTHCARE CENTER

615 W. DUARTE RD., MONROVIA, CA 91016 · CCN 055367

Inspection history vs California & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$0

Number of fines

0

Number of penalties

0

Payment denials

0

Chain

Chain

CAMBRIDGE HEALTHCARE SERVICES

Facilities in chain

32

Chain avg overall

2.60 / 5

Inspection citations (99)1 actual harm

1. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-12-19 · Health · corrected 2025-12-30

   Potential for more than minimal harm

2. EF0578Honor 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.2025-12-19 · Health · corrected 2025-12-29

   Potential for more than minimal harm

3. DF0606Not hire anyone with a finding of abuse, neglect, exploitation, or theft.2025-12-19 · Health · corrected 2025-12-29

   Potential for more than minimal harm

4. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-12-19 · Health · corrected 2025-12-29

   Potential for more than minimal harm

5. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2025-12-19 · Health · corrected 2025-12-29

   Potential for more than minimal harm

6. DF0679Provide activities to meet all resident's needs.2025-12-19 · Health · corrected 2025-12-29

   Potential for more than minimal harm

7. EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-12-19 · Health · corrected 2025-12-29

   Potential for more than minimal harm

8. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-12-19 · Health · corrected 2025-12-29

   Potential for more than minimal harm

9. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-12-19 · Health · corrected 2025-12-29

   Potential for more than minimal harm

10. DF0693Ensure 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.2025-12-19 · Health · corrected 2025-12-29

    Potential for more than minimal harm

11. DF0695Provide safe and appropriate respiratory care for a resident when needed.2025-12-19 · Health · corrected 2025-12-29

    Potential for more than minimal harm

12. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-12-19 · Health · corrected 2025-12-29

    Potential for more than minimal harm

13. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-12-19 · Health · corrected 2025-12-29

    Potential for more than minimal harm

14. DF0880Provide and implement an infection prevention and control program.2025-12-19 · Health · corrected 2025-12-29

    Potential for more than minimal harm

15. DF0881Implement a program that monitors antibiotic use.2025-12-19 · Health · corrected 2025-12-29

    Potential for more than minimal harm

16. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-10-31 · Health · corrected 2025-11-18

    Potential for more than minimal harm

17. DF0557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.2025-09-17 · Health · corrected 2025-11-23

    Potential for more than minimal harm

18. DF0558Reasonably accommodate the needs and preferences of each resident.2025-09-03 · Health · corrected 2025-09-23

    Potential for more than minimal harm

19. EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-09-03 · Health · corrected 2025-09-24

    Potential for more than minimal harm

20. DF0808Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.2025-09-03 · Health · corrected 2025-09-23

    Potential for more than minimal harm

21. EF0908Keep all essential equipment working safely.2025-08-27 · Health · corrected 2025-09-15

    Potential for more than minimal harm

22. EF0558Reasonably accommodate the needs and preferences of each resident.2025-08-05 · Health · corrected 2025-08-27

    Potential for more than minimal harm

23. EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-08-05 · Health · corrected 2025-08-30

    Potential for more than minimal harm

24. EF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2025-08-05 · Health · corrected 2025-08-21

    Potential for more than minimal harm

25. DF0558Reasonably accommodate the needs and preferences of each resident.2025-07-09 · Health · corrected 2025-07-11

    Potential for more than minimal harm

26. DF0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.2025-07-09 · Health · corrected 2025-06-27

    Potential for more than minimal harm

27. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-07-09 · Health · corrected 2025-07-11

    Potential for more than minimal harm

28. DF0558Reasonably accommodate the needs and preferences of each resident.2025-05-13 · Health · corrected 2025-05-14

    Potential for more than minimal harm

29. DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2025-05-13 · Health · corrected 2025-05-14

    Potential for more than minimal harm

30. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-05-13 · Health · corrected 2025-05-14

    Potential for more than minimal harm

31. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-04-24 · Health · corrected 2025-05-13

    Potential for more than minimal harm

32. EF0880Provide and implement an infection prevention and control program.2025-04-24 · Health · corrected 2025-04-25

    Potential for more than minimal harm

33. DF0583Keep residents' personal and medical records private and confidential.2025-03-27 · Health · corrected 2025-04-01

    Potential for more than minimal harm

34. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-03-27 · Health · corrected 2025-04-01

    Potential for more than minimal harm

35. DF0697Provide safe, appropriate pain management for a resident who requires such services.2025-03-27 · Health · corrected 2025-04-01

    Potential for more than minimal harm

36. EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2025-03-27 · Health · corrected 2025-04-01

    Potential for more than minimal harm

37. DF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.2025-03-27 · Health · corrected 2025-03-28

    Potential for more than minimal harm

38. DF0807Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.2025-03-27 · Health · corrected 2025-03-28

    Potential for more than minimal harm

39. DF0584Honor 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.2025-02-26 · Health · corrected 2025-03-21

    Potential for more than minimal harm

40. EF0688Provide 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.2025-02-26 · Health · corrected 2025-03-20

    Potential for more than minimal harm

41. EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-02-26 · Health · corrected 2025-03-20

    Potential for more than minimal harm

42. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-02-10 · Health · corrected 2025-02-12

    Potential for more than minimal harm

43. DF0576Ensure residents have reasonable access to and privacy in their use of communication methods.2025-01-24 · Health · corrected 2025-01-29

    Potential for more than minimal harm

44. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-01-24 · Health · corrected 2025-01-29

    Potential for more than minimal harm

45. EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-01-24 · Health · corrected 2025-02-12

    Potential for more than minimal harm

46. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-01-24 · Health · corrected 2025-02-20

    Potential for more than minimal harm

47. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-01-24 · Health · corrected 2025-02-20

    Actual harm

48. EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2025-01-24 · Health · corrected 2025-01-27

    Potential for more than minimal harm

49. DF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2025-01-24 · Health · corrected 2025-01-29

    Potential for more than minimal harm

50. EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2024-12-31 · Health · corrected 2025-01-02

    Potential for more than minimal harm

51. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-12-24 · Health · corrected 2025-01-14

    Potential for more than minimal harm

52. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-12-24 · Health · corrected 2024-12-26

    Potential for more than minimal harm

53. DF0610Respond appropriately to all alleged violations.2024-11-25 · Health · corrected 2024-11-28

    Potential for more than minimal harm

54. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-10-31 · Health · corrected 2024-11-18

    Potential for more than minimal harm

55. EF0558Reasonably accommodate the needs and preferences of each resident.2024-10-31 · Health · corrected 2024-10-31

    Potential for more than minimal harm

56. EF0578Honor 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.2024-10-31 · Health · corrected 2024-11-18

    Potential for more than minimal harm

57. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-10-31 · Health · corrected 2024-11-18

    Potential for more than minimal harm

58. DF0625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.2024-10-31 · Health · corrected 2024-11-20

    Potential for more than minimal harm

59. DF0641Ensure each resident receives an accurate assessment.2024-10-31 · Health · corrected 2024-11-19

    Potential for more than minimal harm

60. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-10-31 · Health · corrected 2024-11-24

    Potential for more than minimal harm

61. DF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.2024-10-31 · Health · corrected 2024-11-18

    Potential for more than minimal harm

62. EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-10-31 · Health · corrected 2024-11-20

    Potential for more than minimal harm

63. EF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-10-31 · Health · corrected 2024-11-20

    Potential for more than minimal harm

64. EF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2024-10-31 · Health · corrected 2024-11-20

    Potential for more than minimal harm

65. DF0692Provide enough food/fluids to maintain a resident's health.2024-10-31 · Health · corrected 2024-11-15

    Potential for more than minimal harm

66. EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2024-10-31 · Health · corrected 2024-11-05

    Potential for more than minimal harm

67. DF0790Provide routine and 24-hour emergency dental care for each resident.2024-10-31 · Health · corrected 2024-11-19

    Potential for more than minimal harm

68. DF0803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.2024-10-31 · Health · corrected 2024-11-01

    Potential for more than minimal harm

69. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-10-31 · Health · corrected 2024-11-04

    Potential for more than minimal harm

70. EF0880Provide and implement an infection prevention and control program.2024-10-31 · Health · corrected 2024-11-15

    Potential for more than minimal harm

71. DF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2024-10-31 · Health · corrected 2024-11-19

    Potential for more than minimal harm

72. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-06-21 · Health · corrected 2024-06-27

    Potential for more than minimal harm

73. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-05-29 · Health · corrected 2024-08-02

    Potential for more than minimal harm

74. DF0688Provide 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.2024-05-09 · Health · corrected 2024-05-15

    Potential for more than minimal harm

75. DF0880Provide and implement an infection prevention and control program.2024-05-09 · Health · corrected 2024-05-09

    Potential for more than minimal harm

76. EF0882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.2024-05-09 · Health · corrected 2024-05-10

    Potential for more than minimal harm

77. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2023-10-19 · Health · corrected 2023-11-14

    Potential for more than minimal harm

78. DF0645PASARR screening for Mental disorders or Intellectual Disabilities2023-10-19 · Health · corrected 2023-11-14

    Potential for more than minimal harm

79. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-10-19 · Health · corrected 2023-11-14

    Potential for more than minimal harm

80. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-10-19 · Health · corrected 2023-11-14

    Potential for more than minimal harm

81. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2023-10-19 · Health · corrected 2023-11-14

    Potential for more than minimal harm

82. DF0685Assist a resident in gaining access to vision and hearing services.2023-10-19 · Health · corrected 2023-11-14

    Potential for more than minimal harm

83. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2023-10-19 · Health · corrected 2023-11-14

    Potential for more than minimal harm

84. DF0692Provide enough food/fluids to maintain a resident's health.2023-10-19 · Health · corrected 2023-11-14

    Potential for more than minimal harm

85. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2023-10-19 · Health · corrected 2023-11-14

    Potential for more than minimal harm

86. DF0759Ensure medication error rates are not 5 percent or greater.2023-10-19 · Health · corrected 2023-11-14

    Potential for more than minimal harm

87. EF0761Ensure 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.2023-10-19 · Health · corrected 2023-11-14

    Potential for more than minimal harm

88. DF0770Provide timely, quality laboratory services/tests to meet the needs of residents.2023-10-19 · Health · corrected 2023-11-14

    Potential for more than minimal harm

89. DF0773Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.2023-10-19 · Health · corrected 2023-11-14

    Potential for more than minimal harm

90. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-10-19 · Health · corrected 2023-11-14

    Potential for more than minimal harm

91. DF0825Provide or get specialized rehabilitative services as required for a resident.2023-10-19 · Health · corrected 2023-11-14

    Potential for more than minimal harm

92. DF0837Establish 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.2023-10-19 · Health · corrected 2023-11-14

    Potential for more than minimal harm

93. EF0880Provide and implement an infection prevention and control program.2023-10-19 · Health · corrected 2023-11-14

    Potential for more than minimal harm

94. EF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-10-11 · Health · corrected 2023-10-25

    Potential for more than minimal harm

95. EF0584Honor 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.2023-07-15 · Health · corrected 2023-08-07

    Potential for more than minimal harm

96. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-06-06 · Health · corrected 2023-07-07

    Potential for more than minimal harm

97. DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2023-04-20 · Health · corrected 2023-05-10

    Potential for more than minimal harm

98. EF0760Ensure that residents are free from significant medication errors.2023-04-20 · Health · corrected 2023-05-10

    Potential for more than minimal harm

99. EF0908Keep all essential equipment working safely.2023-04-20 · Health · corrected 2023-05-10

    Potential for more than minimal harm

Ownership

Other facilities in MONROVIA

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.