California ›Duarte

Monrovia Post Acute

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1220 E. Huntington Drive, Duarte, CA 91010 (opens Google Maps) · Los Angeles County · (626) 359-6618· 82 certified beds · avg 75 residents/day · certified since Nov 1, 1967 · Medicare and Medicaid certified

Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →

Part of chain: SERRANO GROUP (11 facilities, chain avg rating 1.9★)

2/5
Health inspection rating (on-site)
inspected Apr 24, 2026
2
Serious findings on record
most recent Jun 10, 2026
$0
Fines, last 3 years
4.11
Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

New to these records? How to read an inspection report →

Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 3/5 · how star ratings work →

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and quality measures from resident assessments and claims.

Most serious findings (actual harm or immediate jeopardy)

▲ Actual harm, isolated · Jun 10, 2026 · F-0689 · triggered by a complaint

The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.

Severity (G): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: Jun 25, 2026 (Deficient, Provider has date of correction)

▲ Actual harm, isolated · Jul 22, 2024 · F-0689 · triggered by a complaint

The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.

Severity (G): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: Aug 15, 2024 (Deficient, Provider has date of correction)

Inspection findings in the public record

Showing the latest 3 of 58 inspection findings. Open the full record below to read every finding.

  1. G · Actual harm, isolated

    The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint F-0689

  2. E · Potential for more than minimal harm, pattern

    The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. F-0584

  3. E · Potential for more than minimal harm, pattern

    The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. F-0684

View all 58 inspection findingsShow only the latest 3 findings

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.

DateSeverityWhat the facility was cited for
Jun 10, 2026▲ G · Actual harm, isolatedThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint · F-0689
Apr 24, 2026E · Potential for more than minimal harm, patternThe facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · F-0584
Apr 24, 2026E · Potential for more than minimal harm, patternThe facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684
Apr 24, 2026D · Potential for more than minimal harm, isolatedThe facility did not make sure a transfer or discharge met the resident's needs and preferences, or did not properly prepare the resident to leave safely. · F-0627
Apr 24, 2026D · Potential for more than minimal harm, isolatedThe facility did not fully assess residents on time — a complete assessment of health, abilities, and needs is required when a resident is first admitted and at least once every 12 months after that. · F-0636
Apr 24, 2026D · Potential for more than minimal harm, isolatedThe facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · F-0656
Apr 24, 2026D · Potential for more than minimal harm, isolatedThe facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · F-0686
Apr 24, 2026D · Potential for more than minimal harm, isolatedThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689
Apr 24, 2026D · Potential for more than minimal harm, isolatedThe facility did not provide routine dental care and 24-hour emergency dental care for residents. · F-0790
Apr 24, 2026D · Potential for more than minimal harm, isolatedThe facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician. · F-0803
Apr 24, 2026D · Potential for more than minimal harm, isolatedThe facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812
Feb 12, 2026D · Potential for more than minimal harm, isolatedThe facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint · F-0880
Feb 6, 2026D · Potential for more than minimal harm, isolatedThe facility did not keep residents' personal and medical information private and confidential. · from a complaint · F-0583
Feb 6, 2026D · Potential for more than minimal harm, isolatedThe facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint · F-0880
Jan 6, 2026D · Potential for more than minimal harm, isolatedThe facility did not let a resident or their legal representative see or buy copies of the resident's own records. · from a complaint · F-0573
Oct 27, 2025E · Potential for more than minimal harm, patternThe facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. · from a complaint · F-0558
Oct 27, 2025E · Potential for more than minimal harm, patternThe facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint · F-0755
Aug 20, 2025D · Potential for more than minimal harm, isolatedThe facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint · F-0580
Aug 20, 2025D · Potential for more than minimal harm, isolatedThe facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint · F-0609
Aug 20, 2025D · Potential for more than minimal harm, isolatedThe facility allowed residents to lose the ability to do daily activities — like bathing, dressing, and eating — when there was no medical reason for the decline. Good care helps residents keep the abilities they have. · from a complaint · F-0676
Aug 20, 2025D · Potential for more than minimal harm, isolatedThe facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint · F-0684
Aug 20, 2025D · Potential for more than minimal harm, isolatedThe facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · from a complaint · F-0686
Aug 20, 2025D · Potential for more than minimal harm, isolatedThe facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint · F-0755
Aug 20, 2025D · Potential for more than minimal harm, isolatedThe facility did not provide or arrange specialized rehabilitation services — such as physical, occupational, or speech therapy — for residents who needed them. · from a complaint · F-0825
Aug 20, 2025D · Potential for more than minimal harm, isolatedThe facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint · F-0842
Jun 10, 2025D · Potential for more than minimal harm, isolatedThe facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint · F-0580
May 15, 2025D · Potential for more than minimal harm, isolatedThe facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · from a complaint · F-0641
May 15, 2025D · Potential for more than minimal harm, isolatedThe facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint · F-0656
May 15, 2025D · Potential for more than minimal harm, isolatedThe facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems. · from a complaint · F-0756
May 15, 2025D · Potential for more than minimal harm, isolatedThe facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason. · from a complaint · F-0757
Mar 20, 2025D · Potential for more than minimal harm, isolatedThe facility did not treat residents with respect and dignity, or did not let them keep and use their own personal belongings. · from a complaint · F-0557
Mar 20, 2025D · Potential for more than minimal harm, isolatedThe facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint · F-0842
Mar 6, 2025E · Potential for more than minimal harm, patternThe facility did not provide safe and appropriate pain management for a resident who needed it. · from a complaint · F-0697
Mar 6, 2025E · Potential for more than minimal harm, patternThe facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint · F-0755
Mar 6, 2025E · Potential for more than minimal harm, patternThe facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint · F-0880
Mar 6, 2025D · Potential for more than minimal harm, isolatedThe facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · from a complaint · F-0641
Mar 6, 2025D · Potential for more than minimal harm, isolatedThe facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint · F-0842
Feb 21, 2025D · Potential for more than minimal harm, isolatedThe facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · F-0550
Feb 21, 2025D · Potential for more than minimal harm, isolatedThe facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · F-0584
Feb 21, 2025D · Potential for more than minimal harm, isolatedThe facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · F-0656
Feb 21, 2025D · Potential for more than minimal harm, isolatedThe facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle. · F-0679
Feb 21, 2025D · Potential for more than minimal harm, isolatedThe facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. · F-0690
Feb 21, 2025D · Potential for more than minimal harm, isolatedThe facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · F-0842
Jul 22, 2024▲ G · Actual harm, isolatedThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint · F-0689
Jul 22, 2024D · Potential for more than minimal harm, isolatedThe facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. · from a complaint · F-0657
Apr 5, 2024D · Potential for more than minimal harm, isolatedThe facility used physical restraints — devices that limit a resident's movement — when they weren't needed for medical treatment. · from a complaint · F-0604
Apr 5, 2024D · Potential for more than minimal harm, isolatedThe facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · from a complaint · F-0686
Feb 8, 2024E · Potential for more than minimal harm, patternThe facility did not make its inspection results easy for residents to see, or made it hard for residents to contact advocacy agencies like the ombudsman. · F-0577
Feb 8, 2024E · Potential for more than minimal harm, patternThe facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. · F-0804
Feb 8, 2024E · Potential for more than minimal harm, patternThe facility did not provide a neutral and fair arbitration process. Arbitration is a way of settling disputes outside of court, and if it's used, the facility must agree with the resident on a neutral arbitrator and a convenient location. · F-0848
Feb 8, 2024D · Potential for more than minimal harm, isolatedThe facility did not let a resident help develop and carry out their own plan of care — the written roadmap of the services and support they'll receive, built around their personal goals and preferences. · F-0553
Feb 8, 2024D · Potential for more than minimal harm, isolatedThe facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · F-0580
Feb 8, 2024D · Potential for more than minimal harm, isolatedThe facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684
Feb 8, 2024D · Potential for more than minimal harm, isolatedThe facility did not help a resident get vision and hearing services — such as eye exams, glasses, hearing tests, or hearing aids. · F-0685
Feb 8, 2024D · Potential for more than minimal harm, isolatedThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689
Feb 8, 2024D · Potential for more than minimal harm, isolatedThe facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · F-0842
Feb 8, 2024D · Potential for more than minimal harm, isolatedThe facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · F-0880
Aug 4, 2023E · Potential for more than minimal harm, patternThe facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint · F-0755

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (6 → 10).

Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01
All citationsSerious citations (G–L)
2023
All citations: 1
Serious citations (G–L): 0
2024
All citations: 14
Serious citations (G–L): 1
2025
All citations: 28
Serious citations (G–L): 0
2026
All citations: 15
Serious citations (G–L): 1

All bars start at zero. Exact values and supporting details remain below.

YearCitationsSerious (G–L)Worst severity that year
202310E
2024141G ▲
2025280E
2026151G ▲

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

How to file a complaint about care →

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

What these staffing numbers mean →

Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01
This facilityCalifornia averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 4.11
California average: 4.31
U.S. average: 3.95
Registered Nurse hours
This facility: 0.36
California average: 0.61
U.S. average: 0.69
Weekend total nurse staffing
This facility: 3.60
California average: 3.90
U.S. average: 3.50

All bars start at zero. Exact values and supporting details remain below.

MeasureThis facilityCalifornia avgU.S. avgWhere it stands
Total nurse staffing (hours per resident per day)4.114.313.95bottom 49% in California; top 35% in the U.S.
Registered Nurse hours0.360.610.69bottom 22% in California; bottom 16% in the U.S.
Weekend total nurse staffing3.603.903.50bottom 39% in California; top 38% in the U.S.
Weekend RN hours (not acuity-adjusted)0.220.510.48bottom 15% in California; bottom 16% in the U.S.
Total nursing staff turnover (%)39.536.745.8bottom 40% in California; top 35% in the U.S.
RN turnover (%)63.638.142.9bottom 12% in California; bottom 17% in the U.S.

Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.36, RN 0.38, weekend 3.83.Comparing with Medicare Care Compare? Care Compare shows the raw figure (4.36 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 3/5.

Quality measures: assessments & claims

Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.

Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 5/5

Costs & payment

Price evidence · separate from quality

No verified facility-specific private-pay price is available in our data for Monrovia Post Acute. CMS inspection and staffing records do not tell us what this home will charge you.

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Understand who pays for care · How we handle price evidence · Report an incorrect price

Who owns this facility

How to read ownership records →

Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →

For profit - Limited Liability company

Owner / managerTypeRoleStakeSince
Bin Mendel LLCOrganization5% or Greater Indirect Ownership Interest—01/01/2016
BL Cali Partners LLCOrganization5% or Greater Indirect Ownership Interest—01/01/2016
Fensterman, HowardIndividual5% or Greater Indirect Ownership Interest—01/01/2016
Fensterman, JordanIndividual5% or Greater Indirect Ownership Interest—01/01/2016
Fensterman, RobertIndividual5% or Greater Indirect Ownership Interest—01/01/2016
Jacobs, DovIndividual5% or Greater Indirect Ownership Interest—01/01/2016
JS Fenton LLCOrganization5% or Greater Indirect Ownership Interest—01/01/2016
Leibson, StaciIndividual5% or Greater Indirect Ownership Interest—01/01/2016
Monrovia Licensee 6 LLCOrganization5% or Greater Direct Ownership Interest100%01/01/2016
RGF Consulting LLCOrganization5% or Greater Indirect Ownership Interest—01/01/2016
Serrano Group LLCOrganization5% or Greater Indirect Ownership Interest—01/01/2016
Serrano Partners LLCOrganization5% or Greater Indirect Ownership Interest—01/01/2016
Taub, JudahIndividual5% or Greater Indirect Ownership Interest—01/01/2016
Yaame LLCOrganization5% or Greater Indirect Ownership Interest—01/01/2016
Jacobs, DovIndividualCorporate OfficerNOT APPLICABLE01/01/2016
Monrovia Licensee 6 LLCOrganizationOperational/Managerial ControlNOT APPLICABLE01/01/2016
Wise, YolandaIndividualOperational/Managerial ControlNOT APPLICABLE01/01/2016

All 17 owning or managing parties CMS has on file are shown — none excluded.

Other facilities in the same chain

CMS lists this facility under the chain Serrano Group — 11 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.

Listed by state, then facility name — not a ranking. Showing 8 of the 10 others, continuing from this facility's own place in that list.

Questions to ask on your visit

Full visit checklist →

Print visit checklist

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

  • "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
  • "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
  • "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
  • "Before a resident is discharged or transferred, how do you make sure the new place can actually meet their needs?"
  • "How soon after admission is a full assessment completed, and how are the findings shared with the family?"
  • "Can you show me an example care plan, and how are families included when it's created and updated?"
  • "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
  • "How do residents get routine dental care, and what happens if someone has a dental emergency at night?"

Also worth asking anywhere

  • "Your weekend nurse staffing is reported below the California midpoint — how does the weekend schedule differ from a weekday?"
  • "Can I see the plan of correction for the findings in your most recent state inspection?"
  • "CMS reports 40% total nursing staff turnover here — who on the care team has been with you longest?"
  • "The ownership record on file lists 17 owning or managing parties — who makes the decisions about staffing levels?"
  • "Can I visit again unannounced, at a mealtime or on a weekend?"

Nearby facilities (12 closest of 211 within 20 miles)

FacilityDistanceCityOverallInspectionFlags
Monte Vista Healthcare Center0.3 miDuarte, CA★★☆☆☆2/5
Royal Terrace Healthcare0.6 miDuarte, CA★★★☆☆2/5
Royal Oaks Manor-Bradbury Oaks0.6 miDuarte, CA★★★★☆3/5
Monrovia Gardens Healthcare Center1.8 miMonrovia, CA★☆☆☆☆1/5
Santa Fe Lodge2.9 miEl Monte, CA★★☆☆☆2/5
Mayflower Care Center2.9 miEl Monte, CA★★★☆☆3/5
Sierra View Care Center3.3 miBaldwin Park, CA★★★★☆3/5
Coast Care Convalescent Center3.5 miBaldwin Park, CA★★★★☆4/5
The Gardens of el Monte3.6 miEl Monte, CA★★☆☆☆2/5
Fidelity Health Care4.0 miEl Monte, CA★★★☆☆2/5abuse
Temple City Healthcare4.0 miTemple City, CA★★☆☆☆2/5
Huntington Drive Health and Rehabilitation Center4.1 miArcadia, CA★☆☆☆☆1/5

Compare this facility with the 3 closest →

Other facilities in the same county

CMS records place this facility in Los Angeles, CA — 369 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.

Listed by facility name — not a ranking. Homes already in the table above are not repeated here.

All facilities in Duarte →

Facility data as of CMS processing date 2026-08-01. CCN 055259.

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