SNF

THE GARDENS OF EL MONTE

CCN: 555903 · EL MONTE, CA 91732 · Los Angeles County

Overview

Address
5044 BUFFINGTON RD, EL MONTE, CA 91732
Phone
6264431351
Certified beds
53
Avg daily residents
50 (94% of beds filled)
Ownership
For-profit (individual owner)
Provider type
Medicare and Medicaid
Medicare/Medicaid since
2017-04-18
Setting
Urban
2 /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.
★★★★★ 2/5
Health Inspection
Based on the three most recent standard surveys, with more weight on recent results.
★★★★★ 2/5
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.
★★★★★ 4/5
Quality Measures breakdown
Long-Stay Quality Measures ★★★★★ 3/5
Short-Stay Quality Measures ★★★★★ 5/5

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
 4.52 4.21 4.15 ≥ 3.48
Registered Nurse (RN)
Licensed RN hours. Strongest driver of clinical outcomes.
 0.39 0.74 0.36 ≥ 0.55 Below floor
Licensed Practical Nurse (LPN)
LPN/LVN hours. Often handles medication administration.
 1.49 0.93 1.36 —
Nurse aide
CNA hours. Bulk of direct resident care — bathing, feeding, mobility.
 2.65 2.54 2.43 —
Licensed (RN + LPN)
Combined licensed nurse coverage.
 1.88 — — —
Physical therapist
Rehabilitation therapist hours — important for post-acute / rehab admissions.
 0.12 — — —

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)
3.92
hrs / resident / day
RN (weekend)
0.27
hrs / resident / day
Total nurse (adjusted, weekend)
3.60
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
50.8%
annual
RN turnover
83.3%
annual
Administrators departed
2
last 12 months

Resident acuity

Nursing Case-Mix Index
1.49
higher acuity than avg
Case-Mix Index Ratio
1.08
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) 2025-03-16 20 11 9 116 1 116
Cycle 2/3 (prior) 2024-03-15 27 14 13 152 1 152
Total weighted health score
125.0
lower is better

Deficiencies (62)

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).

3 A/B/C No actual harm — minor
58 D/E/F Actual harm — potential for minor
1 G/H/I Actual harm
Tag Description Scope/Severity Survey date Corrected
0559 Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. E 2025-12-12 2026-01-11
0627 Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. E 2025-12-12 2026-01-11
0628 Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. E 2025-12-12 2026-01-11
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. D 2025-12-12 2026-01-11
0745 Provide medically-related social services to help each resident achieve the highest possible quality of life. D 2025-12-12 2026-01-11
0550 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. D 2025-12-01 2025-12-25
0604 Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. D 2025-11-14 2025-12-11
0742 Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. D 2025-11-14 2025-12-11
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. D 2025-11-06 2025-12-06
0558 Reasonably accommodate the needs and preferences of each resident. D 2025-03-16 2025-04-07
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 2025-03-16 2025-04-07
0641 Ensure each resident receives an accurate assessment. D 2025-03-16 2025-04-07
0658 Ensure services provided by the nursing facility meet professional standards of quality. D 2025-03-16 2025-04-07
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. E 2025-03-16 2025-04-07
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 2025-03-16 2025-04-07
0695 Provide safe and appropriate respiratory care for a resident when needed. E 2025-03-16 2025-04-07
0698 Provide safe, appropriate dialysis care/services for a resident who requires such services. E 2025-03-16 2025-04-07
0755 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. E 2025-03-16 2025-04-07
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. E 2025-03-16 2025-04-07
0842 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. D 2025-03-16 2025-04-07
0912 Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. B 2025-03-16 2025-04-07
0580 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. D 2024-12-23 2025-01-10
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. D 2024-12-23 2025-01-10
0842 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. D 2024-12-23 2025-01-10
0842 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. D 2024-08-05 2024-08-30
0580 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. D 2024-06-17 2024-07-18
0692 Provide enough food/fluids to maintain a resident's health. G 2024-06-17 2024-07-18
0624 Prepare residents for a safe transfer or discharge from the nursing home. D 2024-04-16 2024-05-06
0925 Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. D 2024-04-08 2024-04-12
0558 Reasonably accommodate the needs and preferences of each resident. E 2024-03-15 2024-04-12
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 2024-03-15 2024-04-12
0582 Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. D 2024-03-15 2024-04-12
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 2024-03-15 2024-04-12
0609 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. E 2024-03-15 2024-04-12
0690 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. D 2024-03-15 2024-04-12
0695 Provide safe and appropriate respiratory care for a resident when needed. E 2024-03-15 2024-04-12
0727 Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. E 2024-03-15 2024-04-12
0732 Post nurse staffing information every day. D 2024-03-15 2024-04-12
0756 Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. D 2024-03-15 2024-04-12
0758 Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. D 2024-03-15 2024-04-12
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. E 2024-03-15 2024-04-12
0880 Provide and implement an infection prevention and control program. D 2024-03-15 2024-04-12
0912 Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. B 2024-03-15 2024-04-12
0919 Make sure that a working call system is available in each resident's bathroom and bathing area. E 2024-03-15 2024-04-12
0573 Let each resident or the resident's legal representative access or purchase copies of all the resident's records. D 2023-08-15 2023-09-06
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. D 2023-08-01 2023-08-28
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 2023-05-08 2023-05-17
0550 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. D 2023-04-14 2023-05-12
0625 Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. E 2023-04-14 2023-05-12
0636 Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. D 2023-04-14 2023-05-12

Showing 50 most recent of 62. See the All Data CSV for the full list.

Penalties (1)

Fines issued
0
last 3 years
Payment denials
1
Date Type Fine amount
2024-06-17 Payment Denial —

Source: CMS Nursing Home Penalties.

Financial Health (FY 2023)

Payer mix (share of resident days)

Medicare 46.2% Medicaid 49.3% Other 4.5%

Operating performance

Operating Margin
9.2%
Total Margin
10.2%
Occupancy Rate
91.1%
Cost per Resident Day
$87

Revenue & costs

Net Patient Revenue
$9.2M
Total Costs
$1.5M
Net Income
$969K

Balance sheet

Total Assets
$2.7M
Total Liabilities
$408K
Fund Balance
$2.3M
Current Ratio
5.32

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

Ownership & Corporate Structure

Chain: THE MANDELBAUM FAMILY

Chain ID
798
Facilities in chain
15
Legal business name
THE GARDENS OF EL MONTE LLC
Chain-average star ratings (for peer context)
Overall
3.5
Health
3.0
Staffing
3.3
QM
4.5

Owner / manager organizations (5)

Organization Role Association
GLOBAL SKILLED LLC 5% OR GREATER DIRECT OWNERSHIP INTEREST since 01/01/2023
SIMCHA AND JANET MANDELBAUM FAMILY TRUST 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 01/01/2022
THE BENTZION MANDELBAUM 2021 IRREVOCABLE GIFT TRUST NO. 2 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 01/01/2023
THE JANET MANDELBAUM 2021 IRREVOCABLE GIFT TRUST NO 2 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 12/01/2021
THE SIMCHA MANDELBAUM 2021 IRREVOCABLE GIFT TRUST NO. 2 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 01/01/2023

Owner / manager individuals (2)

Name Role Association
MANDELBAUM, JANET CORPORATE OFFICER since 11/01/2016
YANGUBA, CHONDALA W-2 MANAGING EMPLOYEE since 01/01/2018

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 ($) $87 metrics.cost_per_resident_day
Cost Report Current Ratio 5.32 metrics.current_ratio
Cost Report fiscal_year 2,023 fiscal_year
Cost Report Medicaid Day Share (%) 49.3% metrics.medicaid_day_share
Cost Report Medicare Day Share (%) 46.2% metrics.medicare_day_share
Cost Report Net Income ($) $968,559 metrics.net_income
Cost Report Net Patient Revenue ($) $9,214,422 metrics.net_patient_revenue
Cost Report Occupancy Rate (%) 91.1% metrics.occupancy_rate
Cost Report Operating Margin (%) 9.2% metrics.operating_margin
Cost Report Total Assets ($) $2,696,325 metrics.total_assets
Cost Report Total Costs ($) $1,531,396 metrics.total_costs
Cost Report Total Fund Balances ($) $2,288,712 metrics.fund_balance
Cost Report Total Liabilities ($) $407,613 metrics.total_liabilities
Cost Report Total Margin (%) 10.2% metrics.total_margin
Provider Information Abuse Icon N Abuse Icon
Provider Information Adjusted LPN Staffing Hours per Resident per Day 1.36225 Adjusted LPN Staffing Hours per Resident per Day
Provider Information Adjusted Nurse Aide Staffing Hours per Resident per Day 2.42630 Adjusted Nurse Aide Staffing Hours per Resident per Day
Provider Information Adjusted RN Staffing Hours per Resident per Day 0.35977 Adjusted RN Staffing Hours per Resident per Day
Provider Information Adjusted Total Nurse Staffing Hours per Resident per Day 4.14832 Adjusted Total Nurse Staffing Hours per Resident per Day
Provider Information Adjusted Weekend Total Nurse Staffing Hours per Resident per Day 3.60010 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 50.0 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 0.93411 Case-Mix LPN Staffing Hours per Resident per Day
Provider Information Case-Mix Nurse Aide Staffing Hours per Resident per Day 2.53870 Case-Mix Nurse Aide Staffing Hours per Resident per Day
Provider Information Case-Mix RN Staffing Hours per Resident per Day 0.73628 Case-Mix RN Staffing Hours per Resident per Day
Provider Information Case-Mix Total Nurse Staffing Hours per Resident per Day 4.20910 Case-Mix Total Nurse Staffing Hours per Resident per Day
Provider Information Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day 3.70987 Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Chain Average Health Inspection Rating 3.0 Chain Average Health Inspection Rating
Provider Information Chain Average Overall 5-star Rating 3.5 Chain Average Overall 5-star Rating
Provider Information Chain Average QM Rating 4.5 Chain Average QM Rating
Provider Information Chain Average Staffing Rating 3.3 Chain Average Staffing Rating
Provider Information Chain ID 798 Chain ID
Provider Information Chain Name THE MANDELBAUM FAMILY Chain Name
Provider Information City/Town EL MONTE City/Town
Provider Information CMS Certification Number (CCN) 555903 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 2017-04-18 Date First Approved to Provide Medicare and Medicaid Services
Provider Information Geocoding Footnote — Geocoding Footnote
Provider Information Health Inspection Rating 2 Health Inspection Rating
Provider Information Health Inspection Rating Footnote — Health Inspection Rating Footnote
Provider Information Latitude 34.0931 Latitude
Provider Information Legal Business Name THE GARDENS OF EL MONTE LLC Legal Business Name
Provider Information Location 5044 BUFFINGTON RD,EL MONTE,CA,91732 Location
Provider Information Long-Stay QM Rating 3 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 53 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 15 Number of Facilities in Chain
Provider Information Number of Fines 0 Number of Fines
Provider Information Number of Payment Denials 1 Number of Payment Denials
Provider Information Nursing Case-Mix Index 1.49109 Nursing Case-Mix Index
Provider Information Nursing Case-Mix Index Ratio 1.08235 Nursing Case-Mix Index Ratio
Provider Information Overall Rating 2 Overall Rating
Provider Information Overall Rating Footnote — Overall Rating Footnote
Provider Information Ownership Type For profit - Individual 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 5044 BUFFINGTON RD Provider Address
Provider Information Provider Changed Ownership in Last 12 Months N Provider Changed Ownership in Last 12 Months
Provider Information Provider Name THE GARDENS OF EL MONTE 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 4 QM Rating
Provider Information QM Rating Footnote — QM Rating Footnote
Provider Information Rating Cycle 1 Health Deficiency Score 116 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 9 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 11 Rating Cycle 1 Number of Standard Health Deficiencies
Provider Information Rating Cycle 1 Standard Survey Health Date 2025-03-16 Rating Cycle 1 Standard Survey Health Date
Provider Information Rating Cycle 1 Total Health Score 116 Rating Cycle 1 Total Health Score
Provider Information Rating Cycle 1 Total Number of Health Deficiencies 20 Rating Cycle 1 Total Number of Health Deficiencies
Provider Information Rating Cycle 2 Number of Standard Health Deficiencies 14 Rating Cycle 2 Number of Standard Health Deficiencies
Provider Information Rating Cycle 2 Standard Health Survey Date 2024-03-15 Rating Cycle 2 Standard Health Survey Date
Provider Information Rating Cycle 2/3 Health Deficiency Score 152 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 13 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 152 Rating Cycle 2/3 Total Health Score
Provider Information Rating Cycle 2/3 Total Number of Health Deficiencies 27 Rating Cycle 2/3 Total Number of Health Deficiencies
Provider Information Registered Nurse hours per resident per day on the weekend 0.26826 Registered Nurse hours per resident per day on the weekend
Provider Information Registered Nurse turnover 83.3 Registered Nurse turnover
Provider Information Registered Nurse turnover footnote — Registered Nurse turnover footnote
Provider Information Reported Licensed Staffing Hours per Resident per Day 1.87731 Reported Licensed Staffing Hours per Resident per Day
Provider Information Reported LPN Staffing Hours per Resident per Day 1.48510 Reported LPN Staffing Hours per Resident per Day
Provider Information Reported Nurse Aide Staffing Hours per Resident per Day 2.64509 Reported Nurse Aide Staffing Hours per Resident per Day
Provider Information Reported Physical Therapist Staffing Hours per Resident Per Day 0.11953 Reported Physical Therapist Staffing Hours per Resident Per Day
Provider Information Reported RN Staffing Hours per Resident per Day 0.39221 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 4.52240 Reported Total Nurse Staffing Hours per Resident per Day
Provider Information Short-Stay QM Rating 5 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 6264431351 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 3.92475 Total number of nurse staff hours per resident per day on the weekend
Provider Information Total Number of Penalties 1 Total Number of Penalties
Provider Information Total nursing staff turnover 50.8 Total nursing staff turnover
Provider Information Total nursing staff turnover footnote — Total nursing staff turnover footnote
Provider Information Total Weighted Health Survey Score 125.000 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 91732 ZIP Code