Heritage Manor
610 North Garfield Avenue · Monterey Park, CA · 91754 · 6265733141
99 certified beds For profit - Limited Liability company Chain: David Johnson
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Inspection record is far worse than the national median (deficiency count and severity).
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 1 of 5 Staffing: 2 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.98 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.37 | 0.55–0.75 |
| Weekend hours / resident-day | 3.71 | ≈ weekday level |
| Nursing turnover / year | 25% | median 45% |
| Fines (3-yr window) | 1 · $17,940 |
Inspection citations (62 in the current record)
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Potential for harm · E February 26, 2026 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected March 20, 2026 · Nutrition and Dietary
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Potential for harm · E February 26, 2026 · found via complaint
Have a plan that describes the process for conducting QAPI and QAA activities.
Corrected March 20, 2026 · Administration
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Potential for harm · E February 26, 2026 · found via complaint
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected March 20, 2026 · Environmental
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Potential for harm · D August 14, 2025 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected September 5, 2025 · Resident Assessment and Care Planning
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Potential for harm · E August 14, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected September 5, 2025 · Quality of Life and Care
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Potential for harm · D August 14, 2025 · found via 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 September 5, 2025 · Nursing and Physician Services
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Potential for harm · D August 14, 2025 · found via complaint
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected September 5, 2025 · Pharmacy Service
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Immediate jeopardy · J March 28, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected April 21, 2025 · Quality of Life and Care
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Potential for harm · D March 28, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected April 21, 2025 · Resident Rights
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Potential for harm · D March 28, 2025
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected April 21, 2025 · Resident Rights
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Potential for harm · E March 28, 2025
Keep residents' personal and medical records private and confidential.
Corrected April 21, 2025 · Resident Rights
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Potential for harm · D March 28, 2025
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 April 21, 2025 · Resident Rights
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Potential for harm · D March 28, 2025
Ensure each resident receives an accurate assessment.
Corrected April 21, 2025 · Resident Assessment and Care Planning
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Potential for harm · D March 28, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected April 21, 2025 · Resident Assessment and Care Planning
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Potential for harm · D March 28, 2025
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected April 21, 2025 · Quality of Life and Care
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Potential for harm · D March 28, 2025
Ensure medication error rates are not 5 percent or greater.
Corrected April 21, 2025 · Pharmacy Service
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Potential for harm · D March 28, 2025
Ensure that residents are free from significant medication errors.
Corrected April 21, 2025 · Pharmacy Service
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Potential for harm · E March 28, 2025
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Corrected April 21, 2025 · Nutrition and Dietary
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Potential for harm · D March 28, 2025
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected April 21, 2025 · Nutrition and Dietary
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Potential for harm · E March 28, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected April 21, 2025 · Nutrition and Dietary
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Potential for harm · E March 28, 2025
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected April 21, 2025 · Administration
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Potential for harm · D March 28, 2025
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected April 21, 2025 · Environmental
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Potential for harm · D February 18, 2025 · found via complaint
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected March 10, 2025 · Resident Rights
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Actual harm · G December 5, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected December 27, 2024 · Quality of Life and Care
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Potential for harm · D December 5, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected December 27, 2024 · Freedom from Abuse, Neglect, and Exploitation
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| March 28, 2025 | Fine | $17,940 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 055989 · certified since September 1, 1970. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.