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Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 055367

Monrovia Gardens Healthcare Center

99 federal citations on record .

Record summary

Federal record · Q1 2026
99
Total citations
96
Last 3 years
1
Actual harm+
0
Federal penalties
$0
Total fines
1
Overall ★ rating

Most common violation categories here

Quality of Care28 Resident Rights19 Care Planning14 Abuse & Neglect7 Nutrition & Dietary7

Most common F-tags at this facility

F6567 F5585 F6775 F6845 F8805

Citation history

99 on record
SurveyF-TagViolationSeveritySource
Dec 19, 2025F881Implement a program that monitors antibiotic use.DStandard
Dec 19, 2025F880Provide and implement an infection prevention and control program.DStandard
Dec 19, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Dec 19, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EStandard
Dec 19, 2025F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
Dec 19, 2025F693Ensure 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
Dec 19, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Dec 19, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard
Dec 19, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EStandard
Dec 19, 2025F679Provide activities to meet all resident's needs.DStandard
Dec 19, 2025F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
Dec 19, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Dec 19, 2025F606Not hire anyone with a finding of abuse, neglect, exploitation, or theft.DStandard
Dec 19, 2025F578Honor 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
Dec 19, 2025F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard
Oct 31, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Sep 17, 2025F557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.DComplaint
Sep 3, 2025F808Ensure 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
Sep 3, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.EComplaint
Sep 3, 2025F558Reasonably accommodate the needs and preferences of each resident.DComplaint
Aug 27, 2025F908Keep all essential equipment working safely.EComplaint
Aug 5, 2025F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.EComplaint
Aug 5, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.EComplaint
Aug 5, 2025F558Reasonably accommodate the needs and preferences of each resident.EComplaint
Jul 9, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Jul 9, 2025F604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.DComplaint
Jul 9, 2025F558Reasonably accommodate the needs and preferences of each resident.DComplaint
May 13, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint
May 13, 2025F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.DComplaint
May 13, 2025F558Reasonably accommodate the needs and preferences of each resident.DComplaint
Apr 24, 2025F880Provide and implement an infection prevention and control program.EComplaint
Apr 24, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Mar 27, 2025F807Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.DComplaint
Mar 27, 2025F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.DComplaint
Mar 27, 2025F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EComplaint
Mar 27, 2025F697Provide safe, appropriate pain management for a resident who requires such services.DComplaint
Mar 27, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint
Mar 27, 2025F583Keep residents' personal and medical records private and confidential.DComplaint
Feb 26, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.EComplaint
Feb 26, 2025F688Provide 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
Feb 26, 2025F584Honor 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
Feb 10, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Jan 24, 2025F726Ensure 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
Jan 24, 2025F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EComplaint
Jan 24, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint
Jan 24, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Jan 24, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.EComplaint
Jan 24, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Jan 24, 2025F576Ensure residents have reasonable access to and privacy in their use of communication methods.DComplaint
Dec 31, 2024F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EComplaint
Dec 24, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Dec 24, 2024F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint
Nov 25, 2024F610Respond appropriately to all alleged violations.DComplaint
Oct 31, 2024F919Make sure that a working call system is available in each resident's bathroom and bathing area.DStandard
Oct 31, 2024F880Provide and implement an infection prevention and control program.EStandard
Oct 31, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Oct 31, 2024F803Ensure 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
Oct 31, 2024F790Provide routine and 24-hour emergency dental care for each resident.DStandard
Oct 31, 2024F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EStandard
Oct 31, 2024F692Provide enough food/fluids to maintain a resident's health.DStandard
Oct 31, 2024F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.EStandard
Oct 31, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.EStandard
Oct 31, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EStandard
Oct 31, 2024F676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.DStandard
Oct 31, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Oct 31, 2024F641Ensure each resident receives an accurate assessment.DStandard
Oct 31, 2024F625Notify 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
Oct 31, 2024F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard
Oct 31, 2024F578Honor 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
Oct 31, 2024F558Reasonably accommodate the needs and preferences of each resident.EStandard
Oct 31, 2024F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard
Jun 21, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
May 29, 2024F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
May 9, 2024F882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.EComplaint
May 9, 2024F880Provide and implement an infection prevention and control program.DComplaint
May 9, 2024F688Provide 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
Oct 19, 2023F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint
Oct 19, 2023F880Provide and implement an infection prevention and control program.EStandard
Oct 19, 2023F837Establish 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
Oct 19, 2023F825Provide or get specialized rehabilitative services as required for a resident.DStandard
Oct 19, 2023F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Oct 19, 2023F773Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.DStandard
Oct 19, 2023F770Provide timely, quality laboratory services/tests to meet the needs of residents.DStandard
Oct 19, 2023F761Ensure 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
Oct 19, 2023F759Ensure medication error rates are not 5 percent or greater.DStandard
Oct 19, 2023F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard
Oct 19, 2023F692Provide enough food/fluids to maintain a resident's health.DStandard
Oct 19, 2023F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard
Oct 19, 2023F685Assist a resident in gaining access to vision and hearing services.DStandard
Oct 19, 2023F658Ensure services provided by the nursing facility meet professional standards of quality.DStandard
Oct 19, 2023F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
Oct 19, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Oct 19, 2023F645PASARR screening for Mental disorders or Intellectual DisabilitiesDStandard
Oct 11, 2023F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.EComplaint
Jul 15, 2023F584Honor 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.EComplaint
Jun 6, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Apr 20, 2023F908Keep all essential equipment working safely.EComplaint
Apr 20, 2023F760Ensure that residents are free from significant medication errors.EComplaint
Apr 20, 2023F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDComplaint
About this record A citation is a finding by a state survey team working under federal contract. It is not a court judgment. The description above is drawn verbatim from federal public datasets. Facilities have the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.

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