Nursing home
Monrovia Gardens Healthcare Center
615 W. Duarte Rd., Monrovia, CA 91016 · Map
For profit - Limited Liability company · Part of Cambridge Healthcare Services (32 facilities) · 96 certified beds
Monrovia Gardens Healthcare Center is a Medicare-certified nursing home in Monrovia, California. CMS rates it 1 out of 5 stars overall (2/5 for staffing, 1/5 for health inspections). Nurse staffing is 4.24 hours per resident per day, below the California average of 4.51. Its most recent inspection on Dec 19, 2025 cited 38 deficiencies.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Monrovia Gardens Healthcare Center compares
This facility vs. the California and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | California avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 4.24 | 4.51 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.43 | 0.65 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.67 | 2.64 | 2.34 | above avg |
| Nursing staff turnover | 61.8% | 38.1% | 46.4% | above avg |
| Deficiencies cited, last inspection | 38.0 | 15.4 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
What inspectors found at Monrovia Gardens Healthcare Center
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · Mar 3, 2026 · Full report (PDF) - Potential for harm
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care Deficiencies · Mar 3, 2026 · Full report (PDF) - Potential for harm
Provide appropriate foot care.
Quality of Life and Care Deficiencies · Mar 3, 2026 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Dec 19, 2025 · Full report (PDF) - Potential for harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Dec 19, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Dec 19, 2025 · Full report (PDF) - Potential for harm
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.
Resident Rights Deficiencies · Dec 19, 2025 · Full report (PDF) - Potential for harm
Implement a program that monitors antibiotic use.
Infection Control Deficiencies · Dec 19, 2025 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Dec 19, 2025 · Full report (PDF) - Potential for harm
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Dec 19, 2025 · Full report (PDF) - Potential for harm
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Quality of Life and Care Deficiencies · Dec 19, 2025 · Full report (PDF) - Potential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Dec 19, 2025 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 615 W. Duarte Rd.
Monrovia, CA 91016 - CMS certification #
- 055367
- Ownership
- For profit - Limited Liability company
- Certified beds
- 96
- Avg residents/day
- 81.2
- Provider type
- Medicare and Medicaid
- First certified
- 1971-12-31
- Chain
- Cambridge Healthcare Services (32 facilities)
- Setting
- Urban
Part of Cambridge Healthcare Services
Cambridge Healthcare Services operates 32 nursing facilities across the United States. View all Cambridge Healthcare Services facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Monrovia Gardens Healthcare Center using Google Maps.
Other public records
- Website says Respite stays, works with hospice, transportation
- Workplace safety 2 OSHA workplace safety inspections since 2018, 2 violations cited
Full public records, with dates and sources
Care and services
From the community’s website
What Monrovia Gardens Healthcare Center says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
Staff pay and workplace safety
Federal records about how the employer here treats its staff.
OSHA workplace safety inspections
OSHA inspects workplaces for staff safety, such as lifting, needles, chemicals and workplace violence. It does not inspect resident care.
- May 27, 2020: accident investigation inspection, partial (health). Case closed Apr 19, 2023. 2 violations cited (2 other). Penalties: $11,185 proposed, $3,300 now. OSHA record. OSHA recorded the employer as Ag Monrovia LLC.
Details
- Other than serious: Cited rule 342(A). Penalty $5,000 proposed, $2,750 now. Contested by the employer.
- Other than serious: Cited rule 5199(C)(5)(C). Penalty $6,185 proposed, $550 now. Contested by the employer.
- Oct 30, 2018: complaint inspection, partial (safety). Case closed Mar 22, 2019. No violations cited. OSHA record. OSHA recorded the employer as Monrovia Gardens Healthcare Center.
Source: U.S. Department of Labor OSHA enforcement data, as of Oct 15, 2026, inspections since 2016. Penalties can change while a case is open or contested.
Location and nearby care
- Nearest hospital with an emergency room
- Usc Arcadia Hospital, Arcadia. 1.8 miles away, straight line. CMS overall hospital rating: 3 of 5 stars.
- Nearest Medicare nursing home
- Community Care Center, Duarte. 1.3 miles away, straight line.
- Nearest home health agency office
- Senior Safe Home Health, Inc, Arcadia. 1.0 mile away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Walgreens. 0.5 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 91016 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Monrovia Dialysis Facility, Monrovia, 0.6 miles away, straight line (has a shift starting after 5 pm; CMS rating 3 of 5 stars)
Mountain View Dialysis Center, Inc., Monrovia, 1.6 miles away, straight line (CMS rating 2 of 5 stars)
Davita Arcadia Oaks Dialysis, Arcadia, 2.6 miles away, straight line (CMS rating 4 of 5 stars) - Hospice
- 105 Medicare hospices tell CMS they serve ZIP code 91016.
Helpful Hands Hospice Care Inc, office in Monrovia, 1.2 miles away, straight line
Pacific Sun Hospice, office in Arcadia, 1.2 miles away, straight line
Hospice Of Grace And Palliative Care Inc, office in Arcadia, 1.5 miles away, straight line - Nearest geriatric medicine practice
- Huntington Geriatric Medical Group, Pasadena. 5.6 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively moderate. By hazard: inland flooding relatively high, tornado very low, heat wave relatively low, earthquake relatively high. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | See above |
| Los Angeles County Department of Public Health, Environmental Health kitchen inspections | Oct 15, 2026 | No kitchen matched |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: no FEMA wildfire rating of moderate or higher here |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | See above |
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Frequently asked questions
Is Monrovia Gardens Healthcare Center a good nursing home?
CMS gives Monrovia Gardens Healthcare Center an overall rating of 1 out of 5 stars, including 2/5 for staffing and 1/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Monrovia Gardens Healthcare Center staffed?
Monrovia Gardens Healthcare Center reports 4.24 total nurse hours per resident per day, compared with the California average of 4.51.
Has Monrovia Gardens Healthcare Center had inspection problems?
Its most recent CMS inspection cited 38 deficiencies.
How many beds does Monrovia Gardens Healthcare Center have?
Monrovia Gardens Healthcare Center is certified for 96 beds.