Senior Care Records.

The Gardens of el Monte

5044 BUFFINGTON RD, El Monte, CA, 91732

Nursing home53 licensed beds0 citations on record
6 more within 6 milesOpen in Maps
Has this facility been cited?

Yes. Federal inspectors cited 20 deficiencies against The Gardens of el Monte in El Monte, California at its most recent standard inspection on 2026-04-10, 11 of them arising from complaints. 1 finding has been recorded at the actual-harm level. Medicare rates it 2 out of 5 overall.

2 / 5Medicare overall rating
53certified beds
20deficiencies at the last inspection
0immediate-jeopardy findings on record
1actual-harm findings on record
0federal fines
What the inspectors found

Every deficiency on record, by how serious CMS judged it

CMS grades each finding from A to L on two axes: how badly residents were affected, and how many. These are its bands, not ours. The figures cover every standard and complaint survey on record, which is a longer window than the rating cycle above.

Immediate jeopardyA resident was placed in immediate danger. The most serious band CMS uses.0
Actual harmA resident was harmed, but not placed in immediate danger.1
Potential for more than minimal harmNo resident was harmed, but the failing could have caused it.53
Potential for minimal harmThe least serious band.3
Most recent

The last 20 findings, newest first

Each is the federal requirement the home was found not to meet, in CMS’s own wording, with the tag number so it can be looked up against the inspection report.

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Resident Rights Deficiencies · F0550 · 2026-04-10 · standard survey · No actual harm, potential for more than minimal harm

E

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Resident Rights Deficiencies · F0628 · 2026-04-10 · standard survey · No actual harm, potential for more than minimal harm

E

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 · F0578 · 2026-04-10 · standard survey · No actual harm, potential for more than minimal harm

D

Ensure each resident receives an accurate assessment.

Resident Assessment and Care Planning Deficiencies · F0641 · 2026-04-10 · standard survey · No actual harm, potential for more than minimal harm

D

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 · F0657 · 2026-04-10 · standard survey · No actual harm, potential for more than minimal harm

D

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies · F0689 · 2026-04-10 · from a complaint · No actual harm, potential for more than minimal harm

D

Post nurse staffing information every day.

Nursing and Physician Services Deficiencies · F0732 · 2026-04-10 · standard survey · No actual harm, potential for more than minimal harm

D

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Pharmacy Service Deficiencies · F0761 · 2026-04-10 · standard survey · No actual harm, potential for more than minimal harm

D

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Resident Assessment and Care Planning Deficiencies · F0842 · 2026-04-10 · standard survey · No actual harm, potential for more than minimal harm

D

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

Environmental Deficiencies · F0912 · 2026-04-10 · standard survey · No actual harm, potential for minimal harm

B

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Pharmacy Service Deficiencies · F0755 · 2026-04-02 · from a complaint · No actual harm, potential for more than minimal harm

D

Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.

Resident Rights Deficiencies · F0559 · 2025-12-12 · from a complaint · No actual harm, potential for more than minimal harm

E

Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

Resident Rights Deficiencies · F0627 · 2025-12-12 · from a complaint · No actual harm, potential for more than minimal harm

E

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Resident Rights Deficiencies · F0628 · 2025-12-12 · from a complaint · No actual harm, potential for more than minimal harm

E

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Resident Assessment and Care Planning Deficiencies · F0656 · 2025-12-12 · from a complaint · No actual harm, potential for more than minimal harm

D

Provide medically-related social services to help each resident achieve the highest possible quality of life.

Quality of Life and Care Deficiencies · F0745 · 2025-12-12 · from a complaint · No actual harm, potential for more than minimal harm

D

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Resident Rights Deficiencies · F0550 · 2025-12-01 · from a complaint · No actual harm, potential for more than minimal harm

D

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0604 · 2025-11-14 · from a complaint · No actual harm, potential for more than minimal harm

D

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.

Quality of Life and Care Deficiencies · F0742 · 2025-11-14 · from a complaint · No actual harm, potential for more than minimal harm

D

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Resident Assessment and Care Planning Deficiencies · F0656 · 2025-11-06 · from a complaint · No actual harm, potential for more than minimal harm

D
Medicare’s own rating

How CMS scores this home

These stars are Medicare’s, not ours — we publish no rating of our own. They are reproduced here because they are part of the public record.

OverallCombines the three below2 of 5
Health inspectionBased on the last three inspection cycles2 of 5
StaffingNurse hours per resident, adjusted for how sick residents are3 of 5
Quality measuresResident outcomes reported by the home4 of 5
Nurse hours per resident per dayReported by the home to CMS4.78291
Nursing staff turnoverShare of nursing staff who left in a year57.4%
Penalties

What Medicare has fined this home

FinesCivil money penalties imposed by CMS0
Total fined$0
Payment denials and other penaltiesMedicare refusing to pay for new admissions is the usual one1
Ownership

Who owns The Gardens of el Monte

Nursing homes are frequently owned through layers of companies, and the name over the door is rarely the one that holds the licence. This is the ownership CMS has on file.

OwnerRoleShareSince
SIMCHA AND JANET MANDELBAUM FAMILY TRUSTOrganization20%since 01/01/2022
THE BENTZION MANDELBAUM 2021 IRREVOCABLE GIFT TRUST NO. 2Organization50%since 01/01/2023
THE JANET MANDELBAUM 2021 IRREVOCABLE GIFT TRUST NO 2Organization16%since 12/01/2021
THE SIMCHA MANDELBAUM 2021 IRREVOCABLE GIFT TRUST NO. 2Organization14%since 01/01/2023
MANDELBAUM, JANETIndividualNOT APPLICABLEsince 01/01/2023
WILLIAMS, CLINTONIndividualNOT APPLICABLEsince 05/04/2010
CASTRO-GARCIA, MARIAIndividualNOT APPLICABLEsince 01/01/2023
MANDELBAUM, JANETIndividualNOT APPLICABLEsince 01/02/2019
PHAM, JULIEIndividualNOT APPLICABLEsince 03/16/2000
CASTRO-GARCIA, MARIAIndividualNOT APPLICABLEsince 11/06/2019
KATIRAIE, MICHAELIndividualNOT APPLICABLEsince 08/01/2023
SCHACHTEN, JEFFIndividualNOT APPLICABLEsince 02/03/2025

Part of the THE MANDELBAUM FAMILY group.

Nearby

Other licensed providers within six miles

Listed by distance. Nobody paid to appear here and the order is not for sale.

Holiday House

El Monte · 0.2 mi · 3 beds

CitationsNoneSubstantiated0
Contact

Ask The Gardens of el Monte a question

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What is needed

The Gardens of el Monte has not claimed this page, so there is nobody here to deliver a message to. We will not take your details and sit on them. Call them on 6264431351 — the number is from their licence record.

Source: Centers for Medicare & Medicaid Services, Nursing Home Care Compare. Retrieved 2026-07-29. Facility number 555903.
Figures reproduce the state’s own totals and are not re-aggregated. Methodology · Report a correction