CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Monrovia Gardens Healthcare Center
View the most recent health deficiencies and inspection results for Monrovia Gardens Healthcare Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Monrovia Gardens Healthcare Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2026-03-03 | 2026-03-23 | Y |
| Provide appropriate foot care. | Health | 2026-03-03 | 2026-03-23 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2026-03-03 | 2026-03-23 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-12-19 | 2025-12-30 | N |
| 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. | Health | 2025-12-19 | 2025-12-29 | N |
| Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | Health | 2025-12-19 | 2025-12-29 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-12-19 | 2025-12-29 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2025-12-19 | 2025-12-29 | N |
| Provide activities to meet all resident's needs. | Health | 2025-12-19 | 2025-12-29 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-12-19 | 2025-12-29 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-12-19 | 2025-12-29 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-12-19 | 2025-12-29 | N |
| 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. | Health | 2025-12-19 | 2025-12-29 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-12-19 | 2025-12-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-12-19 | 2025-12-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-12-19 | 2025-12-29 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-12-19 | 2025-12-29 | N |
| Implement a program that monitors antibiotic use. | Health | 2025-12-19 | 2025-12-29 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2025-12-19 | 2025-12-19 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2025-12-19 | 2025-12-19 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-12-19 | 2025-12-19 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-12-19 | 2025-12-19 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2025-12-19 | 2025-12-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-12-19 | 2025-12-19 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2025-12-19 | 2025-12-19 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2025-09-17 | 2025-11-23 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-10-31 | 2025-11-18 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-09-03 | 2025-09-24 | Y |
| 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. | Health | 2025-09-03 | 2025-09-23 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2025-09-03 | 2025-09-23 | Y |
| Keep all essential equipment working safely. | Health | 2025-08-27 | 2025-09-15 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-08-05 | 2025-08-30 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2025-08-05 | 2025-08-27 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2025-08-05 | 2025-08-21 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2025-07-09 | 2025-07-11 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-07-09 | 2025-07-11 | Y |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2025-07-09 | 2025-06-27 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-05-13 | 2025-05-14 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2025-05-13 | 2025-05-14 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2025-05-13 | 2025-05-14 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-04-24 | 2025-05-13 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-04-24 | 2025-04-25 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2025-03-27 | 2025-04-01 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2025-03-27 | 2025-04-01 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2025-03-27 | 2025-04-01 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-03-27 | 2025-04-01 | Y |
| Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | Health | 2025-03-27 | 2025-03-28 | Y |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2025-03-27 | 2025-03-28 | Y |
| 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. | Health | 2025-02-26 | 2025-03-21 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-02-26 | 2025-03-20 | Y |
| 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. | Health | 2025-02-26 | 2025-03-20 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-01-24 | 2025-02-20 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-01-24 | 2025-02-20 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-01-24 | 2025-02-12 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-02-10 | 2025-02-12 | Y |
| 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. | Health | 2025-01-24 | 2025-01-29 | Y |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2025-01-24 | 2025-01-29 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-01-24 | 2025-01-29 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2025-01-24 | 2025-01-27 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-12-24 | 2025-01-14 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2024-12-31 | 2025-01-02 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-12-24 | 2024-12-26 | Y |
| Implement emergency and standby power systems. | Fire Safety | 2024-10-31 | 2024-11-30 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-10-31 | 2024-11-30 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2024-10-31 | 2024-11-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-10-31 | 2024-11-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-10-31 | 2024-11-30 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-10-31 | 2024-11-30 | N |
| Respond appropriately to all alleged violations. | Health | 2024-11-25 | 2024-11-28 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-10-31 | 2024-11-24 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2024-10-31 | 2024-11-20 | N |
| 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. | Health | 2024-10-31 | 2024-11-20 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-10-31 | 2024-11-20 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-10-31 | 2024-11-20 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-10-31 | 2024-11-19 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2024-10-31 | 2024-11-19 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2024-10-31 | 2024-11-19 | N |
| 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. | Health | 2024-10-31 | 2024-11-18 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-10-31 | 2024-11-18 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-10-31 | 2024-11-18 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2024-10-31 | 2024-11-18 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-10-31 | 2024-11-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-10-31 | 2024-11-15 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2024-10-31 | 2024-11-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-10-31 | 2024-11-04 | N |
| 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. | Health | 2024-10-31 | 2024-11-01 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-10-31 | 2024-10-31 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-05-29 | 2024-08-02 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-06-21 | 2024-06-27 | Y |
| 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. | Health | 2024-05-09 | 2024-05-15 | Y |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2024-05-09 | 2024-05-10 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-05-09 | 2024-05-09 | Y |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2023-10-19 | 2023-11-14 | N |
| 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. | Health | 2023-10-19 | 2023-11-14 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-10-19 | 2023-11-14 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-10-19 | 2023-11-14 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2023-10-19 | 2023-11-14 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-10-19 | 2023-11-14 | Y |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2023-10-19 | 2023-11-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-10-19 | 2023-11-14 | N |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2023-10-19 | 2023-11-14 | N |
| 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. | Health | 2023-10-19 | 2023-11-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-10-19 | 2023-11-14 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2023-10-19 | 2023-11-14 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2023-10-19 | 2023-11-14 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-10-19 | 2023-11-14 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-10-19 | 2023-11-14 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-10-19 | 2023-11-14 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-10-19 | 2023-11-14 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2023-10-19 | 2023-11-11 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-10-19 | 2023-11-11 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-10-11 | 2023-10-25 | Y |
| 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. | Health | 2023-07-15 | 2023-08-07 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-06-06 | 2023-07-07 | Y |