Monrovia Post Acute
1220 E. Huntington Drive · Duarte, CA · 91010 · 6263596618
82 certified beds For profit - Limited Liability company Chain: Serrano Group
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- No federal fines or payment denials in CMS’s 3-year window.
The composite number cleared 72 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.
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
No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 2 of 5 Staffing: 3 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 4.49 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.39 | 0.55–0.75 |
| Weekend hours / resident-day | 3.97 | ≈ weekday level |
| Nursing turnover / year | 39% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (65 in the current record)
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Potential for harm · D February 12, 2026 · found via complaint
Provide and implement an infection prevention and control program.
Corrected March 5, 2026 · Infection Control
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Potential for harm · D February 6, 2026 · found via complaint
Keep residents' personal and medical records private and confidential.
Corrected February 26, 2026 · Resident Rights
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Potential for harm · D February 6, 2026 · found via complaint
Provide and implement an infection prevention and control program.
Corrected February 26, 2026 · Infection Control
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Potential for harm · D January 6, 2026 · found via complaint
Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
Corrected January 26, 2026 · Resident Rights
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Potential for harm · E October 27, 2025 · found via complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected November 23, 2025 · Resident Rights
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Potential for harm · E October 27, 2025 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected November 23, 2025 · Pharmacy Service
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Potential for harm · D August 20, 2025 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected September 12, 2025 · Resident Rights
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Potential for harm · D August 20, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected September 12, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D August 20, 2025 · found via complaint
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected September 12, 2025 · Quality of Life and Care
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Potential for harm · D August 20, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected September 12, 2025 · Quality of Life and Care
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Potential for harm · D August 20, 2025 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected September 12, 2025 · Quality of Life and Care
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Potential for harm · D August 20, 2025 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected September 12, 2025 · Pharmacy Service
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Potential for harm · D August 20, 2025 · found via complaint
Provide or get specialized rehabilitative services as required for a resident.
Corrected September 12, 2025 · Quality of Life and Care
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Potential for harm · D August 20, 2025 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected September 12, 2025 · Resident Assessment and Care Planning
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Potential for harm · D June 10, 2025 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected June 30, 2025 · Resident Rights
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Potential for harm · D May 15, 2025 · found via complaint
Ensure each resident receives an accurate assessment.
Corrected June 4, 2025 · Resident Assessment and Care Planning
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Potential for harm · D May 15, 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 June 6, 2025 · Resident Assessment and Care Planning
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Potential for harm · D May 15, 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 June 5, 2025 · Pharmacy Service
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Potential for harm · D May 15, 2025 · found via complaint
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected June 4, 2025 · Pharmacy Service
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Potential for harm · D March 20, 2025 · found via complaint
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected April 11, 2025 · Resident Rights
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Potential for harm · D March 20, 2025 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected April 11, 2025 · Resident Assessment and Care Planning
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Potential for harm · D March 6, 2025 · found via complaint
Ensure each resident receives an accurate assessment.
Corrected April 16, 2025 · Resident Assessment and Care Planning
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Potential for harm · E March 6, 2025 · found via complaint
Provide safe, appropriate pain management for a resident who requires such services.
Corrected April 7, 2025 · Quality of Life and Care
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Potential for harm · E March 6, 2025 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected April 7, 2025 · Pharmacy Service
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Potential for harm · D March 6, 2025 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected April 8, 2025 · Resident Assessment and Care Planning
Showing the 25 most recent. The Safety Report includes every citation with full findings.
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 055259 · certified since November 1, 1967. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.