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
3 of 5 overall
Monrovia Post Acute in Duarte, CA has a 3-star overall rating. It has a 2-star health inspection rating, 3-star staffing, and 5-star quality measures; reported nurse staffing is 4.49 hours per resident per day, above the 4.1 federal benchmark, and there were no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
4.4851 hrs/resident/day
Quality measures
Last inspection: February 12, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.4851.
Staffing detail
- Registered nurses
- 0.39
- Licensed practical nurses
- 1.54
- Nurse aides
- 2.55
- Weekend nursing
- 3.97
Hours per resident per day.
Total staff turnover: 39%
Registered nurse turnover: 55%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
1.4%Improving
Residents with a fall causing major injury
0%Steady
Residents with pressure ulcers (bedsores)
3.7%Improving
Residents with a urinary tract infection
1.2%Worsening
Residents who lost too much weight
4.3%Worsening
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
5.8%Worsening
Residents whose ability to walk got worse
7%Worsening
Show all measures
Long-stay residents on antianxiety or sleep medication
10.8%Worsening
Short-stay residents newly given an antipsychotic
0%Steady
Residents with a long-term catheter
0%Steady
Residents with new or worsening incontinence
2%Improving
Residents with depressive symptoms
9.3%Worsening
Long-stay residents given the seasonal flu vaccine
100%Steady
Long-stay residents given the pneumonia vaccine
100%Steady
Short-stay residents given the seasonal flu vaccine
100%Steady
Short-stay residents given the pneumonia vaccine
100%Steady
What the inspectors found
The nursing home failed to reasonably accommodate each resident’s needs and preferences. Cited October 2025 — limited pattern, potential for harm.
View the original federal record
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.
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F-Tag 755 — 42 CFR §483.45 — S/S: E
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited March 2025 — limited pattern, potential for harm.
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F-Tag 880 — 42 CFR §483.80(a) — S/S: E
The home failed to provide safe, appropriate pain management for a resident who needed it. Cited March 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 697 — 42 CFR §483.25(k) — S/S: E
Recent history
- 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
- Ownership
- For profit - Limited Liability company
- Chain
- Part of SERRANO GROUP · 11 homes · 2.5 stars avg
- Occupancy
- 72.9 residents on an average day (89% 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.