Starfile / California

THE GARDENS OF EL MONTE

5044 BUFFINGTON RD, EL MONTE, CA 91732 · CCN 555903

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

1

Payment denials

1

Chain

Chain

THE MANDELBAUM FAMILY

Facilities in chain

15

Chain avg overall

3.50 / 5

Inspection citations (62)1 actual harm

1. EF0559Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.2025-12-12 · Health · corrected 2026-01-11

   Potential for more than minimal harm

2. EF0627Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.2025-12-12 · Health · corrected 2026-01-11

   Potential for more than minimal harm

3. EF0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.2025-12-12 · Health · corrected 2026-01-11

   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.2025-12-12 · Health · corrected 2026-01-11

   Potential for more than minimal harm

5. DF0745Provide medically-related social services to help each resident achieve the highest possible quality of life.2025-12-12 · Health · corrected 2026-01-11

   Potential for more than minimal harm

6. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-12-01 · Health · corrected 2025-12-25

   Potential for more than minimal harm

7. DF0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.2025-11-14 · Health · corrected 2025-12-11

   Potential for more than minimal harm

8. DF0742Provide 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.2025-11-14 · Health · corrected 2025-12-11

   Potential for more than minimal harm

9. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-11-06 · Health · corrected 2025-12-06

   Potential for more than minimal harm

10. DF0558Reasonably accommodate the needs and preferences of each resident.2025-03-16 · Health · corrected 2025-04-07

    Potential for more than minimal harm

11. 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.2025-03-16 · Health · corrected 2025-04-07

    Potential for more than minimal harm

12. DF0641Ensure each resident receives an accurate assessment.2025-03-16 · Health · corrected 2025-04-07

    Potential for more than minimal harm

13. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-03-16 · Health · corrected 2025-04-07

    Potential for more than minimal harm

14. EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-03-16 · Health · corrected 2025-04-07

    Potential for more than minimal harm

15. 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.2025-03-16 · Health · corrected 2025-04-07

    Potential for more than minimal harm

16. EF0695Provide safe and appropriate respiratory care for a resident when needed.2025-03-16 · Health · corrected 2025-04-07

    Potential for more than minimal harm

17. EF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2025-03-16 · Health · corrected 2025-04-07

    Potential for more than minimal harm

18. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-03-16 · Health · corrected 2025-04-07

    Potential for more than minimal harm

19. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-03-16 · Health · corrected 2025-04-07

    Potential for more than minimal harm

20. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-03-16 · Health · corrected 2025-04-07

    Potential for more than minimal harm

21. BF0912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.2025-03-16 · Health · corrected 2025-04-07

    Potential for minimal harm

22. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-12-23 · Health · corrected 2025-01-10

    Potential for more than minimal harm

23. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-12-23 · Health · corrected 2025-01-10

    Potential for more than minimal harm

24. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-12-23 · Health · corrected 2025-01-10

    Potential for more than minimal harm

25. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-08-05 · Health · corrected 2024-08-30

    Potential for more than minimal harm

26. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-06-17 · Health · corrected 2024-07-18

    Potential for more than minimal harm

27. GF0692Provide enough food/fluids to maintain a resident's health.2024-06-17 · Health · corrected 2024-07-18

    Actual harm

28. DF0624Prepare residents for a safe transfer or discharge from the nursing home.2024-04-16 · Health · corrected 2024-05-06

    Potential for more than minimal harm

29. DF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.2024-04-08 · Health · corrected 2024-04-12

    Potential for more than minimal harm

30. EF0558Reasonably accommodate the needs and preferences of each resident.2024-03-15 · Health · corrected 2024-04-12

    Potential for more than minimal harm

31. 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.2024-03-15 · Health · corrected 2024-04-12

    Potential for more than minimal harm

32. DF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2024-03-15 · Health · corrected 2024-04-12

    Potential for more than minimal harm

33. 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.2024-03-15 · Health · corrected 2024-04-12

    Potential for more than minimal harm

34. EF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-03-15 · Health · corrected 2024-04-12

    Potential for more than minimal harm

35. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2024-03-15 · Health · corrected 2024-04-12

    Potential for more than minimal harm

36. EF0695Provide safe and appropriate respiratory care for a resident when needed.2024-03-15 · Health · corrected 2024-04-12

    Potential for more than minimal harm

37. EF0727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.2024-03-15 · Health · corrected 2024-04-12

    Potential for more than minimal harm

38. DF0732Post nurse staffing information every day.2024-03-15 · Health · corrected 2024-04-12

    Potential for more than minimal harm

39. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2024-03-15 · Health · corrected 2024-04-12

    Potential for more than minimal harm

40. DF0758Implement 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.2024-03-15 · Health · corrected 2024-04-12

    Potential for more than minimal harm

41. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-03-15 · Health · corrected 2024-04-12

    Potential for more than minimal harm

42. DF0880Provide and implement an infection prevention and control program.2024-03-15 · Health · corrected 2024-04-12

    Potential for more than minimal harm

43. BF0912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.2024-03-15 · Health · corrected 2024-04-12

    Potential for minimal harm

44. EF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2024-03-15 · Health · corrected 2024-04-12

    Potential for more than minimal harm

45. DF0573Let each resident or the resident's legal representative access or purchase copies of all the resident's records.2023-08-15 · Health · corrected 2023-09-06

    Potential for more than minimal harm

46. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-08-01 · Health · corrected 2023-08-28

    Potential for more than minimal harm

47. 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.2023-05-08 · Health · corrected 2023-05-17

    Potential for more than minimal harm

48. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2023-04-14 · Health · corrected 2023-05-12

    Potential for more than minimal harm

49. EF0625Notify 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.2023-04-14 · Health · corrected 2023-05-12

    Potential for more than minimal harm

50. DF0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.2023-04-14 · Health · corrected 2023-05-12

    Potential for more than minimal harm

51. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-04-14 · Health · corrected 2023-05-12

    Potential for more than minimal harm

52. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2023-04-14 · Health · corrected 2023-05-12

    Potential for more than minimal harm

53. 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.2023-04-14 · Health · corrected 2023-05-12

    Potential for more than minimal harm

54. DF0758Implement 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.2023-04-14 · Health · corrected 2023-05-12

    Potential for more than minimal harm

55. DF0760Ensure that residents are free from significant medication errors.2023-04-14 · Health · corrected 2023-05-12

    Potential for more than minimal harm

56. 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.2023-04-14 · Health · corrected 2023-05-12

    Potential for more than minimal harm

57. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-04-14 · Health · corrected 2023-05-12

    Potential for more than minimal harm

58. DF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2023-04-14 · Health · corrected 2023-05-12

    Potential for more than minimal harm

59. EF0880Provide and implement an infection prevention and control program.2023-04-14 · Health · corrected 2023-05-12

    Potential for more than minimal harm

60. BF0912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.2023-04-14 · Health · corrected 2023-05-12

    Potential for minimal harm

61. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-04-11 · Health · corrected 2023-04-20

    Potential for more than minimal harm

62. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-03-07 · Health · corrected 2023-03-16

    Potential for more than minimal harm

Ownership

Other facilities in EL MONTE

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