Overview

Address
615 W. DUARTE RD., MONROVIA, CA 91016
Phone
6263584547
Certified beds
96
Avg daily residents
81 (85% of beds filled)
Ownership
For-profit LLC
Provider type
Medicare and Medicaid
Medicare/Medicaid since
1971-12-31
Setting
Urban
1 /5
CMS Overall Rating

CMS 5-Star Ratings

CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.

Overall Rating
Composite of Health Inspection, Staffing, and Quality Measures.
1/5
Health Inspection
Based on the three most recent standard surveys, with more weight on recent results.
1/5
Staffing
Weighted combination of RN and total nurse staffing hours per resident per day, case-mix adjusted.
2/5
Quality Measures
15 resident-level quality measures split between long-stay and short-stay (post-acute) residents.
3/5
Quality Measures breakdown
Long-Stay Quality Measures 4/5
Short-Stay Quality Measures 2/5

Staffing & Workforce

Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.

Role Reported Case-mix expected Adjusted Federal floor
Total nurse
All nursing staff combined: RN + LPN + Aide
4.24 4.07 4.02 ≥ 3.48
Registered Nurse (RN)
Licensed RN hours. Strongest driver of clinical outcomes.
0.43 0.71 0.41 ≥ 0.55 Below floor
Licensed Practical Nurse (LPN)
LPN/LVN hours. Often handles medication administration.
1.13 0.90 1.07
Nurse aide
CNA hours. Bulk of direct resident care — bathing, feeding, mobility.
2.67 2.45 2.54
Licensed (RN + LPN)
Combined licensed nurse coverage.
1.56
Physical therapist
Rehabilitation therapist hours — important for post-acute / rehab admissions.
0.08

Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.

Weekend staffing

Total nurse (weekend)
3.71
hrs / resident / day
RN (weekend)
0.23
hrs / resident / day
Total nurse (adjusted, weekend)
3.52
hrs / resident / day

Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.

Staff turnover

Total nursing staff turnover
61.8%
annual
RN turnover
66.7%
annual
Administrators departed
2
last 12 months

Resident acuity

Nursing Case-Mix Index
1.44
higher acuity than avg
Case-Mix Index Ratio
1.05
facility / state ratio

Health Inspections

CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.

Cycle Date Total defs. Standard Complaint Deficiency score Revisits Total score
Cycle 1 (most recent) 2025-12-19 38 15 23 196 1 196
Cycle 2/3 (prior) 2024-10-31 45 18 27 268 1 268
Total weighted health score
214.0
lower is better

Deficiencies (99)

Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).

98 D/E/F Actual harm — potential for minor
1 G/H/I Actual harm
Tag Description Scope/Severity Survey date Corrected
0550 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. D 2025-12-19 2025-12-30
0578 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. E 2025-12-19 2025-12-29
0606 Not hire anyone with a finding of abuse, neglect, exploitation, or theft. D 2025-12-19 2025-12-29
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. D 2025-12-19 2025-12-29
0657 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. D 2025-12-19 2025-12-29
0679 Provide activities to meet all resident's needs. D 2025-12-19 2025-12-29
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. E 2025-12-19 2025-12-29
0686 Provide appropriate pressure ulcer care and prevent new ulcers from developing. D 2025-12-19 2025-12-29
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. D 2025-12-19 2025-12-29
0693 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. D 2025-12-19 2025-12-29
0695 Provide safe and appropriate respiratory care for a resident when needed. D 2025-12-19 2025-12-29
0755 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. E 2025-12-19 2025-12-29
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. E 2025-12-19 2025-12-29
0880 Provide and implement an infection prevention and control program. D 2025-12-19 2025-12-29
0881 Implement a program that monitors antibiotic use. D 2025-12-19 2025-12-29
0609 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. D 2025-10-31 2025-11-18
0557 Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. D 2025-09-17 2025-11-23
0558 Reasonably accommodate the needs and preferences of each resident. D 2025-09-03 2025-09-23
0677 Provide care and assistance to perform activities of daily living for any resident who is unable. E 2025-09-03 2025-09-24
0808 Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. D 2025-09-03 2025-09-23
0908 Keep all essential equipment working safely. E 2025-08-27 2025-09-15
0558 Reasonably accommodate the needs and preferences of each resident. E 2025-08-05 2025-08-27
0677 Provide care and assistance to perform activities of daily living for any resident who is unable. E 2025-08-05 2025-08-30
0867 Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. E 2025-08-05 2025-08-21
0558 Reasonably accommodate the needs and preferences of each resident. D 2025-07-09 2025-07-11
0604 Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. D 2025-07-09 2025-06-27
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. D 2025-07-09 2025-07-11
0558 Reasonably accommodate the needs and preferences of each resident. D 2025-05-13 2025-05-14
0607 Develop and implement policies and procedures to prevent abuse, neglect, and theft. D 2025-05-13 2025-05-14
0677 Provide care and assistance to perform activities of daily living for any resident who is unable. D 2025-05-13 2025-05-14
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. D 2025-04-24 2025-05-13
0880 Provide and implement an infection prevention and control program. E 2025-04-24 2025-04-25
0583 Keep residents' personal and medical records private and confidential. D 2025-03-27 2025-04-01
0677 Provide care and assistance to perform activities of daily living for any resident who is unable. D 2025-03-27 2025-04-01
0697 Provide safe, appropriate pain management for a resident who requires such services. D 2025-03-27 2025-04-01
0725 Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. E 2025-03-27 2025-04-01
0806 Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. D 2025-03-27 2025-03-28
0807 Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. D 2025-03-27 2025-03-28
0584 Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. D 2025-02-26 2025-03-21
0688 Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. E 2025-02-26 2025-03-20
0842 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. E 2025-02-26 2025-03-20
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. D 2025-02-10 2025-02-12
0576 Ensure residents have reasonable access to and privacy in their use of communication methods. D 2025-01-24 2025-01-29
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. D 2025-01-24 2025-01-29
0677 Provide care and assistance to perform activities of daily living for any resident who is unable. E 2025-01-24 2025-02-12
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. D 2025-01-24 2025-02-20
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. G 2025-01-24 2025-02-20
0725 Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. E 2025-01-24 2025-01-27
0726 Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. D 2025-01-24 2025-01-29
0725 Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. E 2024-12-31 2025-01-02

Showing 50 most recent of 99. See the All Data CSV for the full list.

Financial Health (FY 2023)

Payer mix (share of resident days)

Medicare 8.3% Medicaid 83.0% Other 8.7%

Operating performance

Operating Margin
-1.5%
Total Margin
0.9%
Occupancy Rate
86.6%
Cost per Resident Day
$34

Revenue & costs

Net Patient Revenue
$10.3M
Total Costs
$1.0M
Net Income
$91K

Balance sheet

Total Assets
$6.5M
Total Liabilities
$1.2M
Fund Balance
$5.3M
Current Ratio
6.29

Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.

Ownership & Corporate Structure

Chain: CAMBRIDGE HEALTHCARE SERVICES

Chain ID
98
Facilities in chain
32
Legal business name
AG MONROVIA, LLC
Chain-average star ratings (for peer context)
Overall
2.6
Health
2.3
Staffing
3.0
QM
3.9

Owner / manager organizations (5)

Organization Role Association
AG FACILITIES OPERATIONS, LLC 5% OR GREATER DIRECT OWNERSHIP INTEREST since 08/11/2003
BH ALLIANCE 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 08/11/2003
IRA E SMEDRA LIVING TRUST 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 08/11/2003
THE WINTNER LIVING TRUST DATED 7/08/1992 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 08/11/2003
WIN WIN ENTERPRISES, LLC 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 08/11/2003

Owner / manager individuals (7)

Name Role Association
WINTNER, JACOB 5% OR GREATER DIRECT OWNERSHIP INTEREST since 08/11/2003
SMEDRA, IRA 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 08/11/2003
WINTNER, FRANCINE 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 08/11/2003
SMEDRA, IRA OPERATIONAL/MANAGERIAL CONTROL since 08/11/2003
WINTNER, JACOB OPERATIONAL/MANAGERIAL CONTROL since 08/11/2003
SMEDRA, IRA CORPORATE OFFICER since 08/11/2003
WINTNER, JACOB CORPORATE OFFICER since 08/11/2003

Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.

Facility Features

CCRC
No
Hospital-based
No
Resident / family council
Resident
Sprinkler systems
Yes
Abuse citation flag
No
Methodology & sources

Full methodology →

All Data

Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.

Download CSV

Show 113 rows
Source Metric Value Raw key
Cost Report Cost per Resident Day ($) $34 metrics.cost_per_resident_day
Cost Report Current Ratio 6.29 metrics.current_ratio
Cost Report fiscal_year 2,023 fiscal_year
Cost Report Medicaid Day Share (%) 83.0% metrics.medicaid_day_share
Cost Report Medicare Day Share (%) 8.3% metrics.medicare_day_share
Cost Report Net Income ($) $90,816 metrics.net_income
Cost Report Net Patient Revenue ($) $10,328,069 metrics.net_patient_revenue
Cost Report Occupancy Rate (%) 86.6% metrics.occupancy_rate
Cost Report Operating Margin (%) -1.5% metrics.operating_margin
Cost Report Total Assets ($) $6,529,390 metrics.total_assets
Cost Report Total Costs ($) $1,030,629 metrics.total_costs
Cost Report Total Fund Balances ($) $5,344,165 metrics.fund_balance
Cost Report Total Liabilities ($) $1,185,225 metrics.total_liabilities
Cost Report Total Margin (%) 0.9% metrics.total_margin
Provider Information Abuse Icon N Abuse Icon
Provider Information Adjusted LPN Staffing Hours per Resident per Day 1.07002 Adjusted LPN Staffing Hours per Resident per Day
Provider Information Adjusted Nurse Aide Staffing Hours per Resident per Day 2.53663 Adjusted Nurse Aide Staffing Hours per Resident per Day
Provider Information Adjusted RN Staffing Hours per Resident per Day 0.41212 Adjusted RN Staffing Hours per Resident per Day
Provider Information Adjusted Total Nurse Staffing Hours per Resident per Day 4.01877 Adjusted Total Nurse Staffing Hours per Resident per Day
Provider Information Adjusted Weekend Total Nurse Staffing Hours per Resident per Day 3.52271 Adjusted Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Administrator turnover footnote Administrator turnover footnote
Provider Information Automatic Sprinkler Systems in All Required Areas Yes Automatic Sprinkler Systems in All Required Areas
Provider Information Average Number of Residents per Day 81.2 Average Number of Residents per Day
Provider Information Average Number of Residents per Day Footnote Average Number of Residents per Day Footnote
Provider Information Case-Mix LPN Staffing Hours per Resident per Day 0.90295 Case-Mix LPN Staffing Hours per Resident per Day
Provider Information Case-Mix Nurse Aide Staffing Hours per Resident per Day 2.45401 Case-Mix Nurse Aide Staffing Hours per Resident per Day
Provider Information Case-Mix RN Staffing Hours per Resident per Day 0.71172 Case-Mix RN Staffing Hours per Resident per Day
Provider Information Case-Mix Total Nurse Staffing Hours per Resident per Day 4.06868 Case-Mix Total Nurse Staffing Hours per Resident per Day
Provider Information Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day 3.58611 Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Chain Average Health Inspection Rating 2.3 Chain Average Health Inspection Rating
Provider Information Chain Average Overall 5-star Rating 2.6 Chain Average Overall 5-star Rating
Provider Information Chain Average QM Rating 3.9 Chain Average QM Rating
Provider Information Chain Average Staffing Rating 3.0 Chain Average Staffing Rating
Provider Information Chain ID 98 Chain ID
Provider Information Chain Name CAMBRIDGE HEALTHCARE SERVICES Chain Name
Provider Information City/Town MONROVIA City/Town
Provider Information CMS Certification Number (CCN) 055367 CMS Certification Number (CCN)
Provider Information Continuing Care Retirement Community N Continuing Care Retirement Community
Provider Information County/Parish Los Angeles County/Parish
Provider Information Date First Approved to Provide Medicare and Medicaid Services 1971-12-31 Date First Approved to Provide Medicare and Medicaid Services
Provider Information Geocoding Footnote Geocoding Footnote
Provider Information Health Inspection Rating 1 Health Inspection Rating
Provider Information Health Inspection Rating Footnote Health Inspection Rating Footnote
Provider Information Latitude 34.1322 Latitude
Provider Information Legal Business Name AG MONROVIA, LLC Legal Business Name
Provider Information Location 615 W. DUARTE RD.,MONROVIA,CA,91016 Location
Provider Information Long-Stay QM Rating 4 Long-Stay QM Rating
Provider Information Long-Stay QM Rating Footnote Long-Stay QM Rating Footnote
Provider Information Longitude -118.01 Longitude
Provider Information Most Recent Health Inspection More Than 2 Years Ago N Most Recent Health Inspection More Than 2 Years Ago
Provider Information Number of administrators who have left the nursing home 2 Number of administrators who have left the nursing home
Provider Information Number of Certified Beds 96 Number of Certified Beds
Provider Information Number of Citations from Infection Control Inspections Number of Citations from Infection Control Inspections
Provider Information Number of Facilities in Chain 32 Number of Facilities in Chain
Provider Information Number of Fines 0 Number of Fines
Provider Information Number of Payment Denials 0 Number of Payment Denials
Provider Information Nursing Case-Mix Index 1.44135 Nursing Case-Mix Index
Provider Information Nursing Case-Mix Index Ratio 1.04624 Nursing Case-Mix Index Ratio
Provider Information Overall Rating 1 Overall Rating
Provider Information Overall Rating Footnote Overall Rating Footnote
Provider Information Ownership Type For profit - Limited Liability company Ownership Type
Provider Information Physical Therapist Staffing Footnote Physical Therapist Staffing Footnote
Provider Information Processing Date 2026-03-01 Processing Date
Provider Information Provider Address 615 W. DUARTE RD. Provider Address
Provider Information Provider Changed Ownership in Last 12 Months N Provider Changed Ownership in Last 12 Months
Provider Information Provider Name MONROVIA GARDENS HEALTHCARE CENTER Provider Name
Provider Information Provider Resides in Hospital N Provider Resides in Hospital
Provider Information Provider SSA County Code 200 Provider SSA County Code
Provider Information Provider Type Medicare and Medicaid Provider Type
Provider Information QM Rating 3 QM Rating
Provider Information QM Rating Footnote QM Rating Footnote
Provider Information Rating Cycle 1 Health Deficiency Score 196 Rating Cycle 1 Health Deficiency Score
Provider Information Rating Cycle 1 Health Revisit Score 0 Rating Cycle 1 Health Revisit Score
Provider Information Rating Cycle 1 Number of Complaint Health Deficiencies 23 Rating Cycle 1 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 1 Number of Health Revisits 1 Rating Cycle 1 Number of Health Revisits
Provider Information Rating Cycle 1 Number of Standard Health Deficiencies 15 Rating Cycle 1 Number of Standard Health Deficiencies
Provider Information Rating Cycle 1 Standard Survey Health Date 2025-12-19 Rating Cycle 1 Standard Survey Health Date
Provider Information Rating Cycle 1 Total Health Score 196 Rating Cycle 1 Total Health Score
Provider Information Rating Cycle 1 Total Number of Health Deficiencies 38 Rating Cycle 1 Total Number of Health Deficiencies
Provider Information Rating Cycle 2 Number of Standard Health Deficiencies 18 Rating Cycle 2 Number of Standard Health Deficiencies
Provider Information Rating Cycle 2 Standard Health Survey Date 2024-10-31 Rating Cycle 2 Standard Health Survey Date
Provider Information Rating Cycle 2/3 Health Deficiency Score 268 Rating Cycle 2/3 Health Deficiency Score
Provider Information Rating Cycle 2/3 Health Revisit Score 0 Rating Cycle 2/3 Health Revisit Score
Provider Information Rating Cycle 2/3 Number of Complaint Health Deficiencies 27 Rating Cycle 2/3 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 2/3 Number of Health Revisits 1 Rating Cycle 2/3 Number of Health Revisits
Provider Information Rating Cycle 2/3 Total Health Score 268 Rating Cycle 2/3 Total Health Score
Provider Information Rating Cycle 2/3 Total Number of Health Deficiencies 45 Rating Cycle 2/3 Total Number of Health Deficiencies
Provider Information Registered Nurse hours per resident per day on the weekend 0.22733 Registered Nurse hours per resident per day on the weekend
Provider Information Registered Nurse turnover 66.7 Registered Nurse turnover
Provider Information Registered Nurse turnover footnote Registered Nurse turnover footnote
Provider Information Reported Licensed Staffing Hours per Resident per Day 1.56189 Reported Licensed Staffing Hours per Resident per Day
Provider Information Reported LPN Staffing Hours per Resident per Day 1.12759 Reported LPN Staffing Hours per Resident per Day
Provider Information Reported Nurse Aide Staffing Hours per Resident per Day 2.67312 Reported Nurse Aide Staffing Hours per Resident per Day
Provider Information Reported Physical Therapist Staffing Hours per Resident Per Day 0.07939 Reported Physical Therapist Staffing Hours per Resident Per Day
Provider Information Reported RN Staffing Hours per Resident per Day 0.43430 Reported RN Staffing Hours per Resident per Day
Provider Information Reported Staffing Footnote Reported Staffing Footnote
Provider Information Reported Total Nurse Staffing Hours per Resident per Day 4.23501 Reported Total Nurse Staffing Hours per Resident per Day
Provider Information Short-Stay QM Rating 2 Short-Stay QM Rating
Provider Information Short-Stay QM Rating Footnote Short-Stay QM Rating Footnote
Provider Information Special Focus Status Special Focus Status
Provider Information Staffing Rating 2 Staffing Rating
Provider Information Staffing Rating Footnote Staffing Rating Footnote
Provider Information State CA State
Provider Information Telephone Number 6263584547 Telephone Number
Provider Information Total Amount of Fines in Dollars 0.00 Total Amount of Fines in Dollars
Provider Information Total number of nurse staff hours per resident per day on the weekend 3.71226 Total number of nurse staff hours per resident per day on the weekend
Provider Information Total Number of Penalties 0 Total Number of Penalties
Provider Information Total nursing staff turnover 61.8 Total nursing staff turnover
Provider Information Total nursing staff turnover footnote Total nursing staff turnover footnote
Provider Information Total Weighted Health Survey Score 214.000 Total Weighted Health Survey Score
Provider Information Urban Y Urban
Provider Information With a Resident and Family Council Resident With a Resident and Family Council
Provider Information ZIP Code 91016 ZIP Code