The home failed to provide enough food and fluids to keep residents healthy. Cited June 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 692 — 42 CFR §483.25(g) — S/S: G
Nursing home report
THE GARDENS OF EL MONTE
EL MONTE, CA · Medicare-certified · 53 beds
In good standing
For-profitChain member
3 of 5 overall
THE GARDENS OF EL MONTE has a 3 out of 5 overall star rating. Its health inspection rating is 2 stars and staffing is 3 stars, with reported nurse staffing above the federal benchmark (4.65 vs. 4.1 hours per resident per day); there were no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
4.647 hrs/resident/day
Quality measures
Last inspection: December 12, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.647.
Staffing detail
- Registered nurses
- 0.43
- Licensed practical nurses
- 1.59
- Nurse aides
- 2.62
- Weekend nursing
- 3.96
Hours per resident per day.
Total staff turnover: 53%
Registered nurse turnover: 100%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
44.4%Steady
Residents with a fall causing major injury
0.6%Improving
Residents with pressure ulcers (bedsores)
4.9%Improving
Residents with a urinary tract infection
3%Improving
Residents who lost too much weight
5.5%Worsening
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
28.1%Improving
Residents whose ability to walk got worse
15.7%Improving
Show all measures
Long-stay residents on antianxiety or sleep medication
50.9%Worsening
Residents with a long-term catheter
0%Steady
Residents with new or worsening incontinence
2.8%Worsening
Residents with depressive symptoms
3.7%Steady
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
96.2%Steady
Short-stay residents given the pneumonia vaccine
98.3%Worsening
What the inspectors found
The home failed to respect the resident’s right to choose a roommate or spouse and to give written notice before changing the room arrangement. Cited December 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 559 — 42 CFR §483.10 — S/S: E
The home failed to make sure the resident’s transfer or discharge met their needs and preferences and was safe. Cited December 2025 — limited pattern, potential for harm.
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F-Tag 627 — 42 CFR §483.15(c) — S/S: E
The nursing home failed to provide the required notice or documentation about a resident’s needs, appeal rights, or bed-hold policy. Cited December 2025 — limited pattern, potential for harm.
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F-Tag 628 — 42 CFR §483.15(c)(2) — S/S: E
The home failed to honor residents’ choices about treatment, research participation, and advance care instructions. Cited March 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 578 — 42 CFR §483.10 — S/S: E
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- PENALTY
A federal payment denial was recorded.
Penalties & enforcement
On record with Medicare: 1 payment denial.
- 1 days
Medicare/Medicaid payment denial
Jun 17, 2024
Operator & ownership
- Ownership
- For profit - Individual
- Chain
- Part of THE MANDELBAUM FAMILY · 16 homes · 3.6 stars avg
- Occupancy
- 49.9 residents on an average day (94% of 53 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 9 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.