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Monrovia Gardens Healthcare Center

615 W. DUARTE RD., MONROVIA, CA, 91016
(626) 358-4547
96 licensed beds

CMS rates Monrovia Gardens Healthcare Center 1 out of 5 overall. Federal inspectors issued 119 citations across 31 inspections in the last three years, with no federal fines. Listing last updated 2026-11-06.

★★★★★1/5CMS Five-Star overall1/5 health inspections3/5 staffing2/5 quality measuresSource: CMS Care Compare

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What we can show you for free.
Bed capacity
96
CMS facility ID
055367
Care type
Nursing home
County
Los Angeles
Facility name
Monrovia Gardens Healthcare Center
Street address
615 W. DUARTE RD.
City / state / ZIP
Monrovia, CA 91016
Phone
(626) 358-4547

Monrovia Gardens Healthcare Center is a Medicare/Medicaid-certified skilled nursing facility in Monrovia, California. It is licensed for 96 beds — close to the median for skilled nursing facilities in California (98 beds).

It is one of 8 senior care facilities in Monrovia and 1,165 skilled nursing facilities across California. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

It is listed as part of Cambridge Healthcare Services, a group of 32 facilities on this site.

Federal inspectors have cited Monrovia Gardens Healthcare Center 119 times across 31 inspections in the last three years, including 8 food-safety citations; no federal fines are on record. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on November 6, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

What the public record shows.

Ownership & operator

Parent company
Cambridge Healthcare Services
Ownership type
For profit - Limited Liability company

Registered owners & officers

Ag Facilities Operations, Llc
Direct owner — 100% stake — since 2003
Ira E Smedra Living Trust
Indirect owner — 48% stake — since 2003
Win Win Enterprises, Llc
Indirect owner · Additional disclosable party — 48% stake — since 2003
615 W. Duarte, Llc
Additional disclosable party — since 2003
Balacuit, Donald
Operational control · Additional disclosable party — since 2024
Butenko, Julie
Operational control · Additional disclosable party — since 2023
Cambridge Healthcare Services Llc
Operational control · Additional disclosable party — since 2013
Capela, Heidi
Operational control · Additional disclosable party — since 2023
Cruz, Hayley
Operational control — since 2025
Hassell, Lance
Operational control · Additional disclosable party — since 2022
Lutz, Linda
Operational control · Additional disclosable party — since 2012
Salazar, Paulina
Operational control · Additional disclosable party — since 2020
Smedra, Ira
Operational control · Additional disclosable party — since 2003
Sohal, Jaspal
Governing body · Operational control · Additional disclosable party — since 2024
Vidales, Miguel
Governing body · Operational control · Additional disclosable party — since 2021
Wintner, Jacob
Officer · Operational control · Additional disclosable party — since 2003

Regulatory standing

Federal court records
2 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)
Licensed / certified since
1971-12-31
CMS overall rating
1 of 5 stars
Health deficiencies
26 at the last standard inspection
Federal fines
None on record
Last standard inspection
2025-12-19
Nurse staffing
4.3 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$350 per day (≈ $10,640/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
83% Medicaid · 8% Medicare · 9% private/other
Occupancy
87% (fiscal year 2023)
Vs. state median
32% below the CA median of $514/day — full state cost breakdown

Services & coverage

Licensed beds
96
Medicare
Accepted
Medicaid
Accepted
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-11-06. Facilities can submit a correction.
Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 8 food-safety citations on its three-year record — flagged below among the inspections.
2026-07-15Health inspectionComplaint-triggered1 citation
F-0656
D · No harm foundFrom a complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2026-07-17
2026-07-08Health inspectionComplaint-triggered3 citations
F-0677
D · No harm foundFrom a complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2026-07-10
F-0803
D · No harm foundFood safetyFrom a complaint
Ensure 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.
Corrected 2026-07-10
F-0919
D · No harm foundFrom a complaint
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2026-07-10
28 earlier / fire-safety inspections (115 citations)
2026-06-23Health inspectionComplaint-triggered2 citations
F-0552
D · No harm foundFrom a complaint
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2026-07-13
F-0757
E · No harm foundFrom a complaint
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2026-06-25
2026-06-04Health inspectionComplaint-triggered1 citation
F-0676
D · No harm foundFrom a complaint
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected 2026-06-05
2026-03-03Health inspectionComplaint-triggered3 citations
F-0657
E · No harm foundFrom a complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2026-03-23
F-0687
D · No harm foundFrom a complaint
Provide appropriate foot care.
Corrected 2026-03-23
F-0698
D · No harm foundFrom a complaint
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2026-03-23
2025-12-19Health inspection15 citations
F-0550
D · No harm found
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-12-30
F-0578
E · No harm found
Honor 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.
Corrected 2025-12-29
F-0606
D · No harm found
Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
Corrected 2025-12-29
F-0656
D · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-12-29
F-0657
D · No harm found
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2025-12-29
F-0679
D · No harm found
Provide activities to meet all resident's needs.
Corrected 2025-12-29
F-0684
E · No harm found
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-12-29
F-0686
D · No harm found
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-12-29
F-0689
D · No harm found
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-12-29
F-0693
D · No harm found
Ensure 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.
Corrected 2025-12-29
F-0695
D · No harm found
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-12-29
F-0755
E · No harm found
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-12-29
F-0812
E · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-12-29
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2025-12-29
F-0881
D · No harm found
Implement a program that monitors antibiotic use.
Corrected 2025-12-29
2025-10-31Health inspectionComplaint-triggered1 citation
F-0609
D · No harm foundFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-11-18
2025-09-17Health inspectionComplaint-triggered1 citation
F-0557
D · No harm foundFrom a complaint
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected 2025-11-23
2025-09-03Health inspectionComplaint-triggered3 citations
F-0558
D · No harm foundFrom a complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected 2025-09-23
F-0677
E · No harm foundFrom a complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-09-24
F-0808
D · No harm foundFood safetyFrom a complaint
Ensure 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.
Corrected 2025-09-23
2025-08-27Health inspectionComplaint-triggered1 citation
F-0908
E · No harm foundFrom a complaint
Keep all essential equipment working safely.
Corrected 2025-09-15
2025-08-05Health inspectionComplaint-triggered3 citations
F-0558
E · No harm foundFrom a complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected 2025-08-27
F-0677
E · No harm foundFrom a complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-08-30
F-0867
E · No harm foundFrom a complaint
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2025-08-21
2025-07-09Health inspectionComplaint-triggered3 citations
F-0558
D · No harm foundFrom a complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected 2025-07-11
F-0604
D · No harm foundFrom a complaint
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected 2025-06-27
F-0684
D · No harm foundFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-07-11
2025-05-13Health inspectionComplaint-triggered3 citations
F-0558
D · No harm foundFrom a complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected 2025-05-14
F-0607
D · No harm foundFrom a complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2025-05-14
F-0677
D · No harm foundFrom a complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-05-14
2025-04-24Health inspectionComplaint-triggered2 citations
F-0656
D · No harm foundFrom a complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-05-13
F-0880
E · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2025-04-25
2025-03-27Health inspectionComplaint-triggered6 citations
F-0583
D · No harm foundFrom a complaint
Keep residents' personal and medical records private and confidential.
Corrected 2025-04-01
F-0677
D · No harm foundFrom a complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-04-01
F-0697
D · No harm foundFrom a complaint
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2025-04-01
F-0725
E · No harm foundFrom a complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2025-04-01
F-0806
D · No harm foundFood safetyFrom a complaint
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected 2025-03-28
F-0807
D · No harm foundFood safetyFrom a complaint
Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.
Corrected 2025-03-28
2025-02-26Health inspectionComplaint-triggered3 citations
F-0584
D · No harm foundFrom a complaint
Honor 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.
Corrected 2025-03-21
F-0688
E · No harm foundFrom a complaint
Provide 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.
Corrected 2025-03-20
F-0842
E · No harm foundFrom a complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-03-20
2025-02-10Health inspectionComplaint-triggered1 citation
F-0656
D · No harm foundFrom a complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-02-12
2025-01-24Health inspectionComplaint-triggered7 citations
F-0576
D · No harm foundFrom a complaint
Ensure residents have reasonable access to and privacy in their use of communication methods.
Corrected 2025-01-29
F-0656
D · No harm foundFrom a complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-01-29
F-0677
E · No harm foundFrom a complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-02-12
F-0684
D · No harm foundFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-02-20
F-0689
G · Actual harmFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-02-20
F-0725
E · No harm foundFrom a complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2025-01-27
F-0726
D · No harm foundFrom a complaint
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected 2025-01-29
2024-12-31Health inspectionComplaint-triggered1 citation
F-0725
E · No harm foundFrom a complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2025-01-02
2024-12-24Health inspectionComplaint-triggered2 citations
F-0550
D · No harm foundFrom a complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-01-14
F-0684
D · No harm foundFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-12-26
2024-11-25Health inspectionComplaint-triggered1 citation
F-0610
D · No harm foundFrom a complaint
Respond appropriately to all alleged violations.
Corrected 2024-11-28
2024-10-31Health inspection18 citations
F-0550
D · No harm found
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-11-18
F-0558
E · No harm found
Reasonably accommodate the needs and preferences of each resident.
Corrected 2024-10-31
F-0578
E · No harm found
Honor 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.
Corrected 2024-11-18
F-0580
D · No harm found
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2024-11-18
F-0625
D · No harm found
Notify 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.
Corrected 2024-11-20
F-0641
D · No harm found
Ensure each resident receives an accurate assessment.
Corrected 2024-11-19
F-0656
D · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-11-24
F-0676
D · No harm found
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected 2024-11-18
F-0684
E · No harm found
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-11-20
F-0686
E · No harm found
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-11-20
F-0690
E · No harm found
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2024-11-20
F-0692
D · No harm found
Provide enough food/fluids to maintain a resident's health.
Corrected 2024-11-15
F-0725
E · No harm found
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2024-11-05
F-0790
D · No harm found
Provide routine and 24-hour emergency dental care for each resident.
Corrected 2024-11-19
F-0803
D · No harm foundFood safety
Ensure 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.
Corrected 2024-11-01
F-0812
E · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-11-04
F-0880
E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2024-11-15
F-0919
D · No harm found
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2024-11-19
2024-06-21Health inspectionComplaint-triggered1 citation
F-0600
D · No harm foundFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-06-27
2024-05-29Health inspectionComplaint-triggered1 citation
F-0580
D · No harm foundFrom a complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2024-08-02
2024-05-09Health inspectionComplaint-triggered3 citations
F-0688
D · No harm foundFrom a complaint
Provide 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.
Corrected 2024-05-15
F-0880
D · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2024-05-09
F-0882
E · No harm foundFrom a complaint
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Corrected 2024-05-10
2023-10-19Health inspectionComplaint-triggered17 citations
F-0550
D · No harm foundFrom a complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2023-11-14
F-0645
D · No harm found
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2023-11-14
F-0656
D · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-11-14
F-0657
D · No harm found
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2023-11-14
F-0658
D · No harm found
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-11-14
F-0685
D · No harm found
Assist a resident in gaining access to vision and hearing services.
Corrected 2023-11-14
F-0690
D · No harm found
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2023-11-14
F-0692
D · No harm found
Provide enough food/fluids to maintain a resident's health.
Corrected 2023-11-14
F-0756
D · No harm found
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2023-11-14
F-0759
D · No harm found
Ensure medication error rates are not 5 percent or greater.
Corrected 2023-11-14
F-0761
E · No harm found
Ensure 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.
Corrected 2023-11-14
F-0770
D · No harm found
Provide timely, quality laboratory services/tests to meet the needs of residents.
Corrected 2023-11-14
F-0773
D · No harm found
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Corrected 2023-11-14
F-0812
E · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-11-14
F-0825
D · No harm found
Provide or get specialized rehabilitative services as required for a resident.
Corrected 2023-11-14
F-0837
D · No harm found
Establish 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.
Corrected 2023-11-14
F-0880
E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2023-11-14
2023-10-11Health inspectionComplaint-triggered1 citation
F-0609
E · No harm foundFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2023-10-25
2025-12-19Fire-safety inspection7 citations
K-0321
D · No harm found
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2025-12-19
K-0342
D · No harm found
Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.
Corrected 2025-12-19
K-0345
F · No harm found
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-12-19
K-0351
D · No harm found
Install an approved automatic sprinkler system.
Corrected 2025-12-19
K-0353
E · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-12-19
K-0761
F · No harm found
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2025-12-19
K-0918
F · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-12-19
2024-10-31Fire-safety inspection6 citations
E-0041
F · No harm found
Implement emergency and standby power systems.
Corrected 2024-11-30
K-0291
F · No harm found
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2024-11-30
K-0321
E · No harm found
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2024-11-30
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-11-30
K-0918
F · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-11-30
K-0920
E · No harm found
Ensure proper usage of power strips and extension cords.
Corrected 2024-11-30
2023-10-19Fire-safety inspection2 citations
K-0321
F · No harm found
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2023-11-11
K-0341
D · No harm found
Install a fire alarm system that can be heard throughout the facility.
Corrected 2023-11-11
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 055367.
How it compares in California.
Inspection citations, 3 years
119
More than 93% of nursing homes in the state
State median: 65
Federal fines, 3 years
$0
No federal fines on record
State median: $0
Nurse staffing, hours per resident per day
4.3
Higher than 51% of nursing homes in the state
State median: 4.3
Nursing staff turnover, annual
50%
Higher than 86% of nursing homes in the state
State median: 36%

Resident outcomes

On 21 federal quality measures, this facility does better than the California average on 5 and worse on 7. Differences within 10% of the average are shown as near average.

Long-stay residentsThis facilityStateUSCompared with state
Need for help with daily activities has increased7.9%10.2%13.5%Better than state
Lose too much weight5.8%4.1%5.1%Worse than state
With a catheter inserted and left in their bladder0.0%0.7%0.7%Better than state
With a urinary tract infection1.2%1.2%1.5%Near state average
Have depressive symptoms22.4%7.6%13.5%Worse than state
Were physically restrained0.0%0.3%0.1%Better than state
Experiencing one or more falls with major injury2.0%1.6%3.2%Worse than state
Assessed and appropriately given the pneumococcal vaccine100.0%98.7%93.7%Near state average
Ability to walk independently worsened9.7%8.9%12.7%Near state average
Received an antianxiety or hypnotic medication8.9%13.7%19.5%Better than state
Assessed and appropriately given the seasonal influenza vaccine100.0%97.9%95.3%Near state average
With pressure ulcers4.6%4.3%4.5%Near state average
With new or worsened bowel or bladder incontinence9.3%9.8%18.3%Near state average
Received an antipsychotic medication17.8%12.3%15.4%Worse than state
Hospitalizations per 1000 long-stay resident days4.482.211.81Worse than state
Outpatient emergency department visits per 1000 long-stay resident days2.941.501.69Worse than state
Short-stay residentsThis facilityStateUSCompared with state
Assessed and appropriately given the pneumococcal vaccine100.0%94.6%82.3%Near state average
Newly received an antipsychotic medication1.1%1.3%1.5%Better than state
Were assessed and appropriately given the seasonal influenza vaccine100.0%93.1%80.1%Near state average
Were rehospitalized after a nursing home admission26.9%22.6%23.4%Worse than state
Had an outpatient emergency department visit11.3%11.1%11.8%Near state average
Source: CMS MDS and Medicare claims quality measures, measure period 2025Q3-2026Q2. Averages are computed from all nursing homes reporting each measure.

Cited more than once

The same rule cited at separate inspections can point to a problem that wasn't fully fixed.

  • F-0656 7 inspections. Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  • F-0677 6 inspections. Provide care and assistance to perform activities of daily living for any resident who is unable.
  • F-0684 5 inspections. Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  • F-0880 5 inspections. Provide and implement an infection prevention and control program.
  • F-0558 5 inspections. Reasonably accommodate the needs and preferences of each resident.
  • F-0550 4 inspections. Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

What its owners also hold

  • Win Win Enterprises, Llc has an ownership stake on file at 28 nursing homes, averaging 2.6 of 5 on CMS's overall rating.
  • Ira E Smedra Living Trust has an ownership stake on file at 13 nursing homes, averaging 2.3 of 5 on CMS's overall rating.
  • Ag Facilities Operations, Llc has an ownership stake on file at 11 nursing homes, averaging 2.5 of 5 on CMS's overall rating.
Source: CMS ownership filings. Shows organizations with an ownership stake; people are left out.
Where to check, and what's nearby.

Who to contact in California

  • Licensing: California Department of Public Health, Center for Health Care Quality, Licensing and Certification
  • File a complaint: 844-538-8766 · Online
  • Long-Term Care Ombudsman: 800-231-4024. A free advocate for residents and families.
  • Adult Protective Services: 833-401-0832. Some states send facility cases to licensing instead. In an emergency, call 911.
  • Eldercare Locator: 800-677-1116, a federal service for local aging help.

Nearest emergency hospitals

  • Usc Arcadia Hospital, about 1.8 miles. CMS rating 3 of 5.
  • San Gabriel Valley Medical Center, about 5.8 miles. CMS rating 4 of 5.
  • Emanate Health Inter-community Hospital, about 7.3 miles. CMS rating 1 of 5.
Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

What unlocks when you order.

Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 119 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
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Citations, owner history, lawsuits — decoded into one PDF.
Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-11-06
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered