Nursing HomeInspections

Monrovia Gardens Healthcare Center

Nursing home in Monrovia, CA

Medicare & Medicaid certified1★ overall (CMS)

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Public-record details

Address
615 W. Duarte Rd., Monrovia, CA 91016
Phone
(626) 358-4547
Listed under
For-profit, No fines or payment denials in 3 years
Medicare CCN
055367
Overall star rating
1 of 5 ★☆☆☆☆
Health inspection rating
1 of 5
Staffing rating
3 of 5
Quality measures rating
2 of 5
Certified beds
96
Average residents per day
82
Ownership
For-profit, limited Liability company
Legal business name
Ag Monrovia, LLC
Chain
Cambridge Healthcare Services (32 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Dec 31, 1971
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 055367. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-11-07.

Inspection record

Most recent standard health inspection: Dec 19, 2025. CMS lists 104 health citations for this facility across its last three standard inspection cycles and complaint inspections (Oct 11, 2023 to Jul 15, 2026): 55 from complaint inspections, 1 at the “actual harm” level or higher.

InspectionCitationSeverity
Jul 15, 2026Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning · complaint inspection		D
Potential for more than minimal harm, isolated
Jul 8, 2026Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
Jul 8, 2026Ensure 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.
Nutrition and Dietary · complaint inspection		D
Potential for more than minimal harm, isolated
Jul 8, 2026Make sure that a working call system is available in each resident's bathroom and bathing area.
Environmental · complaint inspection		D
Potential for more than minimal harm, isolated
Jun 23, 2026Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights · complaint inspection		D
Potential for more than minimal harm, isolated
Jun 23, 2026Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service · complaint inspection		E
Potential for more than minimal harm, pattern
Jun 4, 2026Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
Mar 3, 2026Provide appropriate foot care.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
Mar 3, 2026Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
Mar 3, 2026Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning · complaint inspection		E
Potential for more than minimal harm, pattern
Dec 19, 2025Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights		D
Potential for more than minimal harm, isolated
Dec 19, 2025Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
Freedom from Abuse, Neglect, and Exploitation		D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 104. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Oct 1, 2026.

Fines and payment denials

CMS records no fines or payment denials for this facility in the last three years.

Source: CMS Penalties file, processed Oct 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
4.28 hours
Registered nurse (RN) time per resident per day
0.47 hours
Nurse aide time per resident per day
2.65 hours
Total nurse staffing on weekends
3.86 hours
Nursing staff turnover (yearly)
50%
RN turnover (yearly)
33%
Administrators who left in the past year
0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

Public record, not an endorsement. This listing was compiled from public records as of 2026-11-07 and may be incomplete or out of date. Nursing Home Inspections does not vet, employ, recommend or guarantee nursing homes; a badge reflects only what the public record showed on that date. Confirm current details with the official record before you decide. The information on Nursing Home Inspections is not medical advice and does not replace a doctor, nurse, discharge planner or other qualified professional. Do not use it to make decisions about diagnosis or treatment. If you have a medical emergency, call 911. Full disclaimer · Report an error