All citations for Monrovia Gardens Healthcare Center

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Monrovia Gardens Healthcare Center

Last standard health inspection on record

December 19, 2025

Showing 1 to 25 of 57 citations

  1. Harm to a resident

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Isolated (one or a few residents). CMS level G.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of January 24, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (February 20, 2025).

  2. No harm, with potential for more than minimal harm

    Implement emergency and standby power systems.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0041, Emergency Preparedness Deficiencies. Inspection of October 31, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 30, 2024).

  3. No harm, with potential for more than minimal harm

    Install emergency lighting that can last at least 1 1/2 hours.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0291, Egress Deficiencies. Inspection of October 31, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 30, 2024).

  4. No harm, with potential for more than minimal harm

    Inspect, test, and maintain automatic sprinkler systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of October 31, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 30, 2024).

  5. No harm, with potential for more than minimal harm

    Have generator or other power source capable of supplying service within 10 seconds.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of October 31, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 30, 2024).

  6. No harm, with potential for more than minimal harm

    Keep all essential equipment working safely.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0908, Environmental Deficiencies. Inspection of August 27, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (September 15, 2025).

  7. No harm, with potential for more than minimal harm

    Reasonably accommodate the needs and preferences of each resident.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0558, Resident Rights Deficiencies. Inspection of August 5, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 27, 2025).

  8. No harm, with potential for more than minimal harm

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0677, Quality of Life and Care Deficiencies. Inspection of August 5, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 30, 2025).

  9. No harm, with potential for more than minimal harm

    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0867, Administration Deficiencies. Inspection of August 5, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 21, 2025).

  10. No harm, with potential for more than minimal harm

    Provide and implement an infection prevention and control program.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0880, Infection Control Deficiencies. Inspection of April 24, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 25, 2025).

  11. No harm, with potential for more than minimal harm

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0725, Nursing and Physician Services Deficiencies. Inspection of March 27, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 1, 2025).

  12. No harm, with potential for more than minimal harm

    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.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0688, Quality of Life and Care Deficiencies. Inspection of February 26, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 20, 2025).

  13. No harm, with potential for more than minimal harm

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0842, Resident Assessment and Care Planning Deficiencies. Inspection of February 26, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 20, 2025).

  14. No harm, with potential for more than minimal harm

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0677, Quality of Life and Care Deficiencies. Inspection of January 24, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (February 12, 2025).

  15. No harm, with potential for more than minimal harm

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0725, Nursing and Physician Services Deficiencies. Inspection of January 24, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (January 27, 2025).

  16. No harm, with potential for more than minimal harm

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0725, Nursing and Physician Services Deficiencies. Inspection of December 31, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (January 2, 2025).

  17. No harm, with potential for more than minimal harm

    Reasonably accommodate the needs and preferences of each resident.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0558, Resident Rights Deficiencies. Inspection of October 31, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 31, 2024).

  18. No harm, with potential for more than minimal harm

    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.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0578, Resident Rights Deficiencies. Inspection of October 31, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 18, 2024).

  19. No harm, with potential for more than minimal harm

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of October 31, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 20, 2024).

  20. No harm, with potential for more than minimal harm

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of October 31, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 20, 2024).

  21. No harm, with potential for more than minimal harm

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0690, Quality of Life and Care Deficiencies. Inspection of October 31, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 20, 2024).

  22. No harm, with potential for more than minimal harm

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0725, Nursing and Physician Services Deficiencies. Inspection of October 31, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 5, 2024).

  23. No harm, with potential for more than minimal harm

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of October 31, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 4, 2024).

  24. No harm, with potential for more than minimal harm

    Provide and implement an infection prevention and control program.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0880, Infection Control Deficiencies. Inspection of October 31, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 15, 2024).

  25. No harm, with potential for more than minimal harm

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0321, Smoke Deficiencies. Inspection of October 31, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 30, 2024).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.