The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited July 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
MONROVIA POST ACUTE
DUARTE, CA · Medicare-certified · 82 beds
In good standing
For-profitChain member
Data as of July 1, 2026
3 of 5 overall
Monrovia Post Acute in Duarte, CA has an overall 3-star rating. Its strongest area is quality measures at 5 stars, while health inspections are lower at 2 stars and staffing is 3 stars; reported nurse staffing is 4.36 hours per resident day, slightly above the federal benchmark of 4.1, and there were no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
4.3617 hrs/resident/day
Quality measures
Last inspection: April 24, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.3617.
Staffing detail
- Registered nurses
- 0.38
- Licensed practical nurses
- 1.44
- Nurse aides
- 2.55
- Weekend nursing
- 3.83
Hours per resident per day.
Total staff turnover: 40%
Registered nurse turnover: 64%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
0%0%No change
Residents with a fall causing major injury
0%1.6%Worsening
Residents with pressure ulcers (bedsores)
1.7%1.8%No change
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
4.8%8.2%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
0%16%Worsening
Residents whose ability to walk got worse
0%22.7%Worsening
Long-stay residents on antianxiety or sleep medication
9.4%10.3%Worsening
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
0%6.1%Worsening
Residents with depressive symptoms
5%11.5%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—100%—
Short-stay residents given the pneumonia vaccine
100%99%Worsening
What the inspectors found
The home failed to ensure residents had a safe, clean, comfortable, homelike environment and daily care supports were provided safely. Cited April 2026 — limited pattern, potential for harm.
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F-Tag 584 — 42 CFR §483.10 — S/S: E
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited April 2026 — limited pattern, potential for harm.
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F-Tag 684 — 42 CFR §483.25 — S/S: E
The nursing home failed to reasonably accommodate each resident’s needs and preferences. Cited October 2025 — limited pattern, potential for harm.
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F-Tag 558 — 42 CFR §483.10 — S/S: E
The home failed to provide pharmacy services and a licensed pharmacist needed to meet each resident’s medication needs. Cited October 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 755 — 42 CFR §483.45 — S/S: E
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 10 health deficiencies.
See what inspectors found
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Operator & ownership
Recent ownership change · Jan 1, 2016
Now operated by Monrovia Post Acute, previously Monrovia Convalescent Hospital.
- Ownership
- For profit - Limited Liability company
- Chain
- Part of SERRANO GROUP · 11 homes · 2 stars avg
- Occupancy
- 74.9 residents on an average day (91% of 82 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 58 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.