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Nursing homeFAID #13881

The Gardens of El Monte

5044 BUFFINGTON RD, EL MONTE, CA, 91732
(626) 443-1351
53 licensed beds
★★★★★2/5CMS Five-Star overall2/5 health inspections3/5 staffing4/5 quality measuresSource: CMS Care Compare

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What we can show you for free.
Bed capacity
53
CMS facility ID
555903
Care type
Nursing home
County
Los Angeles
Facility name
The Gardens of El Monte
Street address
5044 BUFFINGTON RD
City / state / ZIP
El Monte, CA 91732
Phone
(626) 443-1351

The Gardens of El Monte is a Medicare/Medicaid-certified skilled nursing facility in El Monte, California. It is licensed for 53 beds — below the median for skilled nursing facilities in California (98 beds).

It is one of 20 senior care facilities in El Monte 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.

Federal inspectors have cited The Gardens of El Monte 70 times across 22 inspections in the last three years, including 2 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 August 31, 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
The Mandelbaum Family
Ownership type
For profit - Corporation

Registered owners & officers

The Bentzion Mandelbaum 2021 Irrevocable Gift Trust No. 2
Indirect owner — 50% stake — since 2023
Simcha and Janet Mandelbaum Family Trust
Indirect owner — 20% stake — since 2022
The Janet Mandelbaum 2021 Irrevocable Gift Trust No 2
Indirect owner — 16% stake — since 2021
The Simcha Mandelbaum 2021 Irrevocable Gift Trust No. 2
Indirect owner — 14% stake — since 2023
5044 Buffington Road Llc
Additional disclosable party — since 2023
Castro-garcia, Maria
Operational control · Additional disclosable party — since 2019
Chiong, Mark
Additional disclosable party — since 2022
Katiraie, Michael
Operational control · Additional disclosable party — since 2023
Mandelbaum, Brenda
Owner of a disclosable party — since 2025
Mandelbaum, Janet
Officer — since 2019
Mandelbaum, Simcha
Operational control · Additional disclosable party — since 2026
Nlemchy-okolo, Callista
Additional disclosable party — since 2023
Olmos, Sergio
Additional disclosable party — since 2020
Pham, Julie
Additional disclosable party — since 2000
Randhawa, Harinder
Additional disclosable party — since 2023
Schachten, Jeff
Operational control · Additional disclosable party — since 2025
Skillserve Inc
Additional disclosable party — since 2007
Villasenor, Blanca
Additional disclosable party — since 2024
Williams, Clinton
Operational control · Additional disclosable party — since 2010

Regulatory standing

Licensed / certified since
2017-04-18
CMS overall rating
2 of 5 stars
Health deficiencies
23 at the last standard inspection
Federal fines
None on record
Last standard inspection
2026-04-10
Nurse staffing
4.8 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$396 per day (≈ $12,040/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
49% Medicaid · 46% Medicare · 4% private/other
Occupancy
91% (fiscal year 2023)
Vs. state median
23% below the CA median of $514/day — full state cost breakdown

Services & coverage

Licensed beds
53
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 2026-08-31. 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 2 food-safety citations on its three-year record — flagged below among the inspections.
2026-06-24Health inspectionComplaint-triggered2 citations
F-0684
E · No harm foundFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2026-07-17
F-0761
E · No harm foundFrom a complaint
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 2026-07-17
2026-06-04Health 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 2026-06-28
19 earlier / fire-safety inspections (67 citations)
2026-04-10Health inspectionComplaint-triggered10 citations
F-0550
E · No harm found
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2026-05-01
F-0578
D · 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 2026-04-12
F-0628
E · No harm found
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected 2026-05-01
F-0641
D · No harm found
Ensure each resident receives an accurate assessment.
Corrected 2026-04-28
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 2026-05-01
F-0689
D · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2026-04-28
F-0732
D · No harm found
Post nurse staffing information every day.
Corrected 2026-04-22
F-0761
D · 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 2026-04-28
F-0842
D · No harm found
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2026-04-30
F-0912
B · No harm found
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Corrected 2026-04-30
2026-04-02Health inspectionComplaint-triggered1 citation
F-0755
D · No harm foundFrom a complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2026-04-23
2025-12-12Health inspectionComplaint-triggered5 citations
F-0559
E · No harm foundFrom a complaint
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
Corrected 2026-01-11
F-0627
E · No harm foundFrom a complaint
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Corrected 2026-01-11
F-0628
E · No harm foundFrom a complaint
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected 2026-01-11
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 2026-01-11
F-0745
D · No harm foundFrom a complaint
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Corrected 2026-01-11
2025-12-01Health inspectionComplaint-triggered1 citation
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 2025-12-25
2025-11-14Health inspectionComplaint-triggered2 citations
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 2025-12-11
F-0742
D · No harm foundFrom a complaint
Provide 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.
Corrected 2025-12-11
2025-11-06Health 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 2025-12-06
2025-03-16Health inspection12 citations
F-0558
D · No harm found
Reasonably accommodate the needs and preferences of each resident.
Corrected 2025-04-07
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 2025-04-07
F-0641
D · No harm found
Ensure each resident receives an accurate assessment.
Corrected 2025-04-07
F-0658
D · No harm found
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-04-07
F-0684
E · No harm found
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-04-07
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 2025-04-07
F-0695
E · No harm found
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-04-07
F-0698
E · No harm found
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2025-04-07
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 2025-04-07
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 2025-04-07
F-0842
D · No harm found
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-04-07
F-0912
B · No harm found
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Corrected 2025-04-07
2024-12-23Health inspectionComplaint-triggered3 citations
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 2025-01-10
F-0684
D · No harm foundFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-01-10
F-0842
D · 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 2025-01-10
2024-08-05Health inspectionComplaint-triggered1 citation
F-0842
D · 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 2024-08-30
2024-06-17Health inspectionComplaint-triggered2 citations
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 2024-07-18
F-0692
G · Actual harmFrom a complaint
Provide enough food/fluids to maintain a resident's health.
Corrected 2024-07-18
2024-04-16Health inspectionComplaint-triggered1 citation
F-0624
D · No harm foundFrom a complaint
Prepare residents for a safe transfer or discharge from the nursing home.
Corrected 2024-05-06
2024-04-08Health inspectionComplaint-triggered1 citation
F-0925
D · No harm foundFrom a complaint
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected 2024-04-12
2024-03-15Health inspection15 citations
F-0558
E · No harm found
Reasonably accommodate the needs and preferences of each resident.
Corrected 2024-04-12
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 2024-04-12
F-0582
D · No harm found
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2024-04-12
F-0584
D · No harm found
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 2024-04-12
F-0609
E · No harm found
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-04-12
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 2024-04-12
F-0695
E · No harm found
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-04-12
F-0727
E · No harm found
Have 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.
Corrected 2024-04-12
F-0732
D · No harm found
Post nurse staffing information every day.
Corrected 2024-04-12
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 2024-04-12
F-0758
D · No harm found
Implement 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.
Corrected 2024-04-12
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 2024-04-12
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2024-04-12
F-0912
B · No harm found
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Corrected 2024-04-12
F-0919
E · No harm found
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2024-04-12
2023-08-15Health inspectionComplaint-triggered1 citation
F-0573
D · No harm foundFrom a complaint
Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
Corrected 2023-09-06
2023-08-01Health inspectionComplaint-triggered1 citation
F-0689
D · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-08-28
2026-04-10Fire-safety inspection3 citations
E-0025
C · No harm found
Create arrangements with other facilities to receive patients.
Corrected 2026-05-04
K-0341
D · No harm found
Install a fire alarm system that can be heard throughout the facility.
Corrected 2026-05-04
K-0345
D · No harm found
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2026-05-04
2025-07-25Fire-safety inspectionComplaint-triggered2 citations
K-0711
F · No harm foundFrom a complaint
Provide a written emergency evacuation plan.
Corrected 2025-08-15
K-0918
F · No harm foundFrom a complaint
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-08-15
2025-03-16Fire-safety inspection2 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 2025-04-17
K-0511
D · No harm found
Have properly installed electrical wiring and gas equipment.
Corrected 2025-04-17
2024-03-15Fire-safety inspection3 citations
K-0342
D · No harm found
Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.
Corrected 2024-04-15
K-0353
D · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-04-15
K-0362
D · No harm found
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Corrected 2024-04-15

Federal penalties

2024-06-17Medicare payment denial — 1 days
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 555903.
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 70 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
Unlock the full file
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 2026-08-31
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