Elder Care Record

California › Los Angeles County › Monrovia

Monrovia Gardens Healthcare Center

615 W. Duarte Rd., Monrovia, CA 91016

CCN 055367 · For-profit, limited liability company · 96 certified beds · chain Cambridge Healthcare Services

Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.

Certified for 96 beds, Monrovia Gardens Healthcare Center serves Monrovia in Los Angeles County, California and has taken Medicare and Medicaid residents since 1971.

CMS gives it 1 of 5 stars overall, below the California median of 3; the health inspection rating is 1, staffing 3 and quality measures 3.

Inspectors recorded 100 health deficiencies across the three most recent survey cycles (30, 47, 23 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 104.2 per 100 beds, more than the state median of 51.1.

CMS lists no fines or payment denials against the facility in the period covered.

Reported nurse staffing is 4.4 hours per resident per day (0.4 RN), close to the California median of 4.2; nursing staff turnover is 50.5%.

100health deficiencies, 3 survey cycles1 at actual harm or worse
$0fines listed by CMS0 penalties in period
4.4nurse hours per resident per daystate median 4.2
83%occupancy (residents ÷ beds)80 residents a day

Compared with county, state and nation

MeasureThis facilityLos Angeles Co. medianCalifornia medianUS average
Overall star rating1233.0
Health citations, 3 cycles100614428.7
Citations per 100 beds104.269.151.126.8
Total nurse hours per resident day4.44.34.23.9
RN hours per resident day0.40.40.50.7
Nursing staff turnover50.5%34.4%36.4%45.8%
Fines listed$0$12,831$0—

County and state figures are medians across facilities (369 in the county, 1165 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)30
Cycle 247
Cycle 323

Dark bar: this facility. Grey bar: California average per facility for the same cycle, as published by CMS. Standard health survey dates: 19 Dec 2025, 31 Oct 2024.

Severity mix: G ×1 D ×68 E ×31

Health deficiencies

Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.

Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
23 Jun 2026F0757Ensure each resident’s drug regimen must be free from unnecessary drugs.EComplaint investigation25 Jun 2026
23 Jun 2026F0552Ensure that residents are fully informed and understand their health status, care and treatments.DComplaint investigation13 Jul 2026
4 Jun 2026F0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.DComplaint investigation5 Jun 2026
3 Mar 2026F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.EComplaint investigation23 Mar 2026
3 Mar 2026F0687Provide appropriate foot care.DComplaint investigation23 Mar 2026
3 Mar 2026F0698Provide safe, appropriate dialysis care/services for a resident who requires such services.DComplaint investigation23 Mar 2026
19 Dec 2025F0578Honor 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.EStandard survey29 Dec 2025
19 Dec 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EStandard survey29 Dec 2025
19 Dec 2025F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EStandard survey29 Dec 2025
19 Dec 2025F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey29 Dec 2025
19 Dec 2025F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard survey30 Dec 2025
19 Dec 2025F0606Not hire anyone with a finding of abuse, neglect, exploitation, or theft.DStandard survey29 Dec 2025
19 Dec 2025F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey29 Dec 2025
19 Dec 2025F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard survey29 Dec 2025
19 Dec 2025F0679Provide activities to meet all resident's needs.DStandard survey29 Dec 2025
19 Dec 2025F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard survey29 Dec 2025
19 Dec 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey29 Dec 2025
19 Dec 2025F0693Ensure 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.DStandard survey29 Dec 2025
19 Dec 2025F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey29 Dec 2025
19 Dec 2025F0880Provide and implement an infection prevention and control program.DStandard survey29 Dec 2025
19 Dec 2025F0881Implement a program that monitors antibiotic use.DStandard survey29 Dec 2025
31 Oct 2025F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation18 Nov 2025
17 Sep 2025F0557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.DComplaint investigation23 Nov 2025
3 Sep 2025F0677Provide care and assistance to perform activities of daily living for any resident who is unable.EComplaint investigation24 Sep 2025
3 Sep 2025F0558Reasonably accommodate the needs and preferences of each resident.DComplaint investigation23 Sep 2025
3 Sep 2025F0808Ensure 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.DComplaint investigation23 Sep 2025
27 Aug 2025F0908Keep all essential equipment working safely.EComplaint investigation15 Sep 2025
5 Aug 2025F0558Reasonably accommodate the needs and preferences of each resident.EComplaint investigation27 Aug 2025
5 Aug 2025F0677Provide care and assistance to perform activities of daily living for any resident who is unable.EComplaint investigation30 Aug 2025
5 Aug 2025F0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.EComplaint investigation21 Aug 2025
9 Jul 2025F0558Reasonably accommodate the needs and preferences of each resident.DComplaint investigation11 Jul 2025
9 Jul 2025F0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.DComplaint investigation27 Jun 2025
9 Jul 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation11 Jul 2025
13 May 2025F0558Reasonably accommodate the needs and preferences of each resident.DComplaint investigation14 May 2025
13 May 2025F0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.DComplaint investigation14 May 2025
13 May 2025F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint investigation14 May 2025
24 Apr 2025F0880Provide and implement an infection prevention and control program.EComplaint investigation25 Apr 2025
24 Apr 2025F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint investigation13 May 2025
27 Mar 2025F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EComplaint investigation1 Apr 2025
27 Mar 2025F0583Keep residents' personal and medical records private and confidential.DComplaint investigation1 Apr 2025
27 Mar 2025F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint investigation1 Apr 2025
27 Mar 2025F0697Provide safe, appropriate pain management for a resident who requires such services.DComplaint investigation1 Apr 2025
27 Mar 2025F0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.DComplaint investigation28 Mar 2025
27 Mar 2025F0807Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.DComplaint investigation28 Mar 2025
26 Feb 2025F0688Provide 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.EComplaint investigation20 Mar 2025
26 Feb 2025F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.EComplaint investigation20 Mar 2025
26 Feb 2025F0584Honor 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.DComplaint investigation21 Mar 2025
10 Feb 2025F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint investigation12 Feb 2025
24 Jan 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint investigation20 Feb 2025
24 Jan 2025F0677Provide care and assistance to perform activities of daily living for any resident who is unable.EComplaint investigation12 Feb 2025
24 Jan 2025F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EComplaint investigation27 Jan 2025
24 Jan 2025F0576Ensure residents have reasonable access to and privacy in their use of communication methods.DComplaint investigation29 Jan 2025
24 Jan 2025F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint investigation29 Jan 2025
24 Jan 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation20 Feb 2025
24 Jan 2025F0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.DComplaint investigation29 Jan 2025
31 Dec 2024F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EComplaint investigation2 Jan 2025
24 Dec 2024F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint investigation14 Jan 2025
24 Dec 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation26 Dec 2024
25 Nov 2024F0610Respond appropriately to all alleged violations.DComplaint investigation28 Nov 2024
31 Oct 2024F0558Reasonably accommodate the needs and preferences of each resident.EStandard survey31 Oct 2024
31 Oct 2024F0578Honor 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.EStandard survey18 Nov 2024
31 Oct 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EStandard survey20 Nov 2024
31 Oct 2024F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.EStandard survey20 Nov 2024
31 Oct 2024F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.EStandard survey20 Nov 2024
31 Oct 2024F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EStandard survey5 Nov 2024
31 Oct 2024F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey4 Nov 2024
31 Oct 2024F0880Provide and implement an infection prevention and control program.EStandard survey15 Nov 2024
31 Oct 2024F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard survey18 Nov 2024
31 Oct 2024F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard survey18 Nov 2024
31 Oct 2024F0625Notify 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.DStandard survey20 Nov 2024
31 Oct 2024F0641Ensure each resident receives an accurate assessment.DStandard survey19 Nov 2024
31 Oct 2024F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey24 Nov 2024
31 Oct 2024F0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.DStandard survey18 Nov 2024
31 Oct 2024F0692Provide enough food/fluids to maintain a resident's health.DStandard survey15 Nov 2024
31 Oct 2024F0790Provide routine and 24-hour emergency dental care for each resident.DStandard survey19 Nov 2024
31 Oct 2024F0803Ensure 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.DStandard survey1 Nov 2024
31 Oct 2024F0919Make sure that a working call system is available in each resident's bathroom and bathing area.DStandard survey19 Nov 2024
21 Jun 2024F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint investigation27 Jun 2024
29 May 2024F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint investigation2 Aug 2024
9 May 2024F0882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.EComplaint investigation10 May 2024
9 May 2024F0688Provide 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.DComplaint investigation15 May 2024
9 May 2024F0880Provide and implement an infection prevention and control program.DComplaint investigation9 May 2024
19 Oct 2023F0761Ensure 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.EStandard survey14 Nov 2023
19 Oct 2023F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey14 Nov 2023
19 Oct 2023F0880Provide and implement an infection prevention and control program.EStandard survey14 Nov 2023
19 Oct 2023F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint investigation14 Nov 2023
19 Oct 2023F0645PASARR screening for Mental disorders or Intellectual DisabilitiesDStandard survey14 Nov 2023
19 Oct 2023F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey14 Nov 2023
19 Oct 2023F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard survey14 Nov 2023
19 Oct 2023F0658Ensure services provided by the nursing facility meet professional standards of quality.DStandard survey14 Nov 2023
19 Oct 2023F0685Assist a resident in gaining access to vision and hearing services.DStandard survey14 Nov 2023
19 Oct 2023F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard survey14 Nov 2023
19 Oct 2023F0692Provide enough food/fluids to maintain a resident's health.DStandard survey14 Nov 2023
19 Oct 2023F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard survey14 Nov 2023
19 Oct 2023F0759Ensure medication error rates are not 5 percent or greater.DStandard survey14 Nov 2023
19 Oct 2023F0770Provide timely, quality laboratory services/tests to meet the needs of residents.DStandard survey14 Nov 2023
19 Oct 2023F0773Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.DStandard survey14 Nov 2023
19 Oct 2023F0825Provide or get specialized rehabilitative services as required for a resident.DStandard survey14 Nov 2023
19 Oct 2023F0837Establish 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.DStandard survey14 Nov 2023
11 Oct 2023F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.EComplaint investigation25 Oct 2023

Penalties

CMS lists no fines or payment denials for this facility in the period covered.

Staffing

Total nursing4.38 h
Nurse aides2.71 h
LPN1.23 h
RN0.44 h
Weekend total3.8 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the California average. Turnover: nursing staff 50.5%, RNs 50.0%; 1 administrator left in the reporting year.

Quality measures

MeasureResidentsThis facilityCalifornia medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay9.4%8.9%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.0%0.3%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay0.4%0.7%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay1.5%1.3%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay0.9%0.8%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay11.2%8.6%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay5.2%3.6%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay18.7%9.1%13.4%

Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.

Ownership

Ownership type: for-profit, limited liability company. Legal business name: Ag Monrovia, Llc. Chain: Cambridge Healthcare Services (32 facilities).

OrganisationRole in the CMS recordInterestSince
Ag Facilities Operations, LLC5% or greater direct ownership interest100%08/11/2003
Win Win Enterprises, LLC5% or greater indirect ownership interest48%08/11/2003
Cambridge Healthcare Services LLCOperational/managerial controlNOT APPLICABLE10/01/2013
615 W. Duarte, LLCAdp of the snfNOT APPLICABLE10/01/2003
Cambridge Healthcare Services LLCAdp of the snfNOT APPLICABLE10/24/2025
Win Win Enterprises, LLCAdp of the snfNOT APPLICABLE10/01/2003

Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.

Other nursing homes in Los Angeles County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Alcott Rehabilitation HospitalLos Angeles1215444234.7$9K23 Dec 2025
Alden Terrace Convalescent HospitalLos Angeles2105443516.7—20 Nov 2025
Angels Nursing Health CenterLos Angeles495443775.5$72K11 Jun 2026
Ararat Post AcuteGlendale2854530107.1$42K23 Jan 2026
Atherton Baptist HomeAlhambra1135442824.8—16 Jan 2026
Atlantic Memorial Healthcare CenterLong Beach1045542524.0—16 Jun 2026
Beachside Post AcuteTorrance1105443128.2—19 Dec 2025
Beacon Healthcare CenterWest Covina545433259.3—14 May 2026

All 369 facilities in Los Angeles County

Questions and answers

How many deficiencies has Monrovia Gardens Healthcare Center been cited for?

100 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The California median is 44 per facility.

Has Monrovia Gardens Healthcare Center been fined?

CMS lists no fines against the facility in the period covered.

How does staffing at Monrovia Gardens Healthcare Center compare?

Reported total nurse staffing is 4.4 hours per resident per day against a California median of 4.2 and a national average of 3.9.

Who operates Monrovia Gardens Healthcare Center?

It is part of the Cambridge Healthcare Services chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Ag Facilities Operations, LLC, Win Win Enterprises, LLC and Cambridge Healthcare Services LLC. Individual owners and managers are not listed on this site.

When was Monrovia Gardens Healthcare Center last inspected?

The most recent survey or investigation in the CMS record is dated 23 Jun 2026; the most recent standard health survey was 19 Dec 2025.

Where does this data come from?

All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.

Provenance

Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.