The Gardens of El Monte
5044 Buffington Rd · El Monte, CA · 91732 · 6264431351
53 certified beds For profit - Corporation Chain: The Mandelbaum Family
The composite number cleared 70 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
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
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 | 4.65 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.43 | 0.55–0.75 |
| Weekend hours / resident-day | 3.96 | ≈ weekday level |
| Nursing turnover / year | 53% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (57 in the current record)
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Potential for harm · E April 10, 2026
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected May 1, 2026 · Resident Rights
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Potential for harm · D April 10, 2026
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 April 12, 2026 · Resident Rights
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Potential for harm · E April 10, 2026
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected May 1, 2026 · Resident Rights
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Potential for harm · D April 10, 2026
Ensure each resident receives an accurate assessment.
Corrected April 28, 2026 · Resident Assessment and Care Planning
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Potential for harm · D April 10, 2026
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected May 1, 2026 · Resident Assessment and Care Planning
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Potential for harm · D April 10, 2026
Post nurse staffing information every day.
Corrected April 22, 2026 · Nursing and Physician Services
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Potential for harm · D April 10, 2026
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 April 28, 2026 · Pharmacy Service
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Potential for harm · D April 10, 2026
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected April 30, 2026 · Resident Assessment and Care Planning
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Potential for harm · D April 10, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 28, 2026 · Quality of Life and Care
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No harm found · B April 10, 2026
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Corrected April 30, 2026 · Environmental
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Potential for harm · D April 2, 2026 · 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 23, 2026 · Pharmacy Service
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Potential for harm · E December 12, 2025 · found via 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 January 11, 2026 · Resident Rights
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Potential for harm · E December 12, 2025 · found via complaint
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Corrected January 11, 2026 · Resident Rights
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Potential for harm · E December 12, 2025 · found via complaint
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected January 11, 2026 · Resident Rights
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Potential for harm · D December 12, 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 January 11, 2026 · Resident Assessment and Care Planning
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Potential for harm · D December 12, 2025 · found via complaint
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Corrected January 11, 2026 · Quality of Life and Care
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Potential for harm · D December 1, 2025 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected December 25, 2025 · Resident Rights
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Potential for harm · D November 14, 2025 · found via complaint
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected December 11, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D November 14, 2025 · found via 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 December 11, 2025 · Quality of Life and Care
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Potential for harm · D November 6, 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 December 6, 2025 · Resident Assessment and Care Planning
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Potential for harm · D March 16, 2025
Reasonably accommodate the needs and preferences of each resident.
Corrected April 7, 2025 · Resident Rights
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Potential for harm · E March 16, 2025
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 April 7, 2025 · Resident Rights
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Potential for harm · D March 16, 2025
Ensure each resident receives an accurate assessment.
Corrected April 7, 2025 · Resident Assessment and Care Planning
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Potential for harm · D March 16, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected April 7, 2025 · Resident Assessment and Care Planning
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Potential for harm · E March 16, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 7, 2025 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| June 17, 2024 | Payment Denial | 1 days |
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 555903 · certified since April 18, 2017. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.