Elder Care Record

California › Los Angeles County › El Monte

The Gardens of El Monte

5044 Buffington Rd, El Monte, CA 91732

CCN 555903 · For-profit, corporation · 53 certified beds

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.

The Gardens of El Monte is a For-profit, corporation nursing home in El Monte, California, certified for 53 beds and caring for about 51 residents a day.

CMS gives it 2 of 5 stars overall, below the California median of 3; the health inspection rating is 2, staffing 3 and quality measures 4.

Inspectors recorded 60 health deficiencies across the three most recent survey cycles (23, 16, 21 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 113.2 per 100 beds, more than the state median of 51.1.

CMS lists 1 penalty in the period covered: no fines and 1 payment denial.

Reported nurse staffing is 4.8 hours per resident per day (0.3 RN), close to the California median of 4.2; nursing staff turnover is 57.4%.

60health deficiencies, 3 survey cycles1 at actual harm or worse
$0fines listed by CMS1 penalty in period
4.8nurse hours per resident per daystate median 4.2
97%occupancy (residents ÷ beds)51 residents a day

Compared with county, state and nation

MeasureThis facilityLos Angeles Co. medianCalifornia medianUS average
Overall star rating2233.0
Health citations, 3 cycles60614428.7
Citations per 100 beds113.269.151.126.8
Total nurse hours per resident day4.84.34.23.9
RN hours per resident day0.30.40.50.7
Nursing staff turnover57.4%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)23
Cycle 216
Cycle 321

Dark bar: this facility. Grey bar: California average per facility for the same cycle, as published by CMS. Standard health survey dates: 10 Apr 2026, 16 Mar 2025.

Severity mix: G ×1 D ×35 E ×21 B ×3

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
24 Jun 2026F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EComplaint investigation17 Jul 2026
24 Jun 2026F0761Ensure 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.EComplaint investigation17 Jul 2026
4 Jun 2026F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.EComplaint investigation28 Jun 2026
10 Apr 2026F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EStandard survey1 May 2026
10 Apr 2026F0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.EStandard survey1 May 2026
10 Apr 2026F0578Honor 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.DStandard survey12 Apr 2026
10 Apr 2026F0641Ensure each resident receives an accurate assessment.DStandard survey28 Apr 2026
10 Apr 2026F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard survey1 May 2026
10 Apr 2026F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation28 Apr 2026
10 Apr 2026F0732Post nurse staffing information every day.DStandard survey22 Apr 2026
10 Apr 2026F0761Ensure 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.DStandard survey28 Apr 2026
10 Apr 2026F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard survey30 Apr 2026
10 Apr 2026F0912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.BStandard survey30 Apr 2026
2 Apr 2026F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint investigation23 Apr 2026
12 Dec 2025F0559Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.EComplaint investigation11 Jan 2026
12 Dec 2025F0627Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.EComplaint investigation11 Jan 2026
12 Dec 2025F0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.EComplaint investigation11 Jan 2026
12 Dec 2025F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint investigation11 Jan 2026
12 Dec 2025F0745Provide medically-related social services to help each resident achieve the highest possible quality of life.DComplaint investigation11 Jan 2026
1 Dec 2025F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint investigation25 Dec 2025
14 Nov 2025F0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.DComplaint investigation11 Dec 2025
14 Nov 2025F0742Provide 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.DComplaint investigation11 Dec 2025
6 Nov 2025F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint investigation6 Dec 2025
16 Mar 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 survey7 Apr 2025
16 Mar 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EStandard survey7 Apr 2025
16 Mar 2025F0695Provide safe and appropriate respiratory care for a resident when needed.EStandard survey7 Apr 2025
16 Mar 2025F0698Provide safe, appropriate dialysis care/services for a resident who requires such services.EStandard survey7 Apr 2025
16 Mar 2025F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EStandard survey7 Apr 2025
16 Mar 2025F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey7 Apr 2025
16 Mar 2025F0558Reasonably accommodate the needs and preferences of each resident.DStandard survey7 Apr 2025
16 Mar 2025F0641Ensure each resident receives an accurate assessment.DStandard survey7 Apr 2025
16 Mar 2025F0658Ensure services provided by the nursing facility meet professional standards of quality.DStandard survey7 Apr 2025
16 Mar 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 survey7 Apr 2025
16 Mar 2025F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard survey7 Apr 2025
16 Mar 2025F0912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.BStandard survey7 Apr 2025
23 Dec 2024F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint investigation10 Jan 2025
23 Dec 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation10 Jan 2025
23 Dec 2024F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint investigation10 Jan 2025
5 Aug 2024F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint investigation30 Aug 2024
17 Jun 2024F0692Provide enough food/fluids to maintain a resident's health.GComplaint investigation18 Jul 2024
17 Jun 2024F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint investigation18 Jul 2024
16 Apr 2024F0624Prepare residents for a safe transfer or discharge from the nursing home.DComplaint investigation6 May 2024
8 Apr 2024F0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.DComplaint investigation12 Apr 2024
15 Mar 2024F0558Reasonably accommodate the needs and preferences of each resident.EStandard survey12 Apr 2024
15 Mar 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 survey12 Apr 2024
15 Mar 2024F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.EStandard survey12 Apr 2024
15 Mar 2024F0695Provide safe and appropriate respiratory care for a resident when needed.EStandard survey12 Apr 2024
15 Mar 2024F0727Have 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.EStandard survey12 Apr 2024
15 Mar 2024F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey12 Apr 2024
15 Mar 2024F0919Make sure that a working call system is available in each resident's bathroom and bathing area.EStandard survey12 Apr 2024
15 Mar 2024F0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.DStandard survey12 Apr 2024
15 Mar 2024F0584Honor 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.DStandard survey12 Apr 2024
15 Mar 2024F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard survey12 Apr 2024
15 Mar 2024F0732Post nurse staffing information every day.DStandard survey12 Apr 2024
15 Mar 2024F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard survey12 Apr 2024
15 Mar 2024F0758Implement 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.DStandard survey12 Apr 2024
15 Mar 2024F0880Provide and implement an infection prevention and control program.DStandard survey12 Apr 2024
15 Mar 2024F0912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.BStandard survey12 Apr 2024
15 Aug 2023F0573Let each resident or the resident's legal representative access or purchase copies of all the resident's records.DComplaint investigation6 Sep 2023
1 Aug 2023F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation28 Aug 2023

Penalties

DateTypeAmountDetail
17 Jun 2024Payment denial—1 days

Staffing

Total nursing4.78 h
Nurse aides2.8 h
LPN1.68 h
RN0.3 h
Weekend total4.29 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the California average. Turnover: nursing staff 57.4%, RNs 87.5%; 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 Stay22.6%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 Stay2.1%0.7%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay0.6%1.3%2.8%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay10.7%8.6%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay4.1%3.6%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay60.6%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, corporation. CMS groups this facility with 18 facilities under an individual owner's name; this site does not publish people's names, so no chain page is linked. Legal business name: The Gardens Of El Monte Llc.

OrganisationRole in the CMS recordInterestSince
5044 Buffington Road LLCAdp of the snfNOT APPLICABLE01/01/2023
Skillserve IncAdp of the snfNOT APPLICABLE12/20/2007

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 The Gardens of El Monte been cited for?

60 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 The Gardens of El Monte been fined?

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

How does staffing at The Gardens of El Monte compare?

Reported total nurse staffing is 4.8 hours per resident per day against a California median of 4.2 and a national average of 3.9.

Who operates The Gardens of El Monte?

CMS groups it with other facilities under an individual owner, whose name this site does not publish. Ownership type is for-profit, corporation. Individual owners and managers are not listed on this site.

When was The Gardens of El Monte last inspected?

The most recent survey or investigation in the CMS record is dated 24 Jun 2026; the most recent standard health survey was 10 Apr 2026.

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.