Nursing HomeMedicaid

Monrovia Post Acute

Meets baseline Medicare standards with room for improvement. A tour and talking to current residents' families is the best next step.

1220 E. Huntington Drive, Duarte, CA 91010|82 beds|Licensed & Active

3/5

Medicare

Inspection

Quality

Staffing

Google rating

3.1/5

based on 22 Google reviews

(626) 359-6618 Directions Website

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What this means for your family

This facility has highly skilled individual nurses and therapists who provide excellent one-on-one care. However, you must be extremely vigilant regarding administrative communication and medical follow-ups, as multiple families have reported being unable to reach doctors or social services during critical moments.

Google Reviews

22 reviews on Google

“Families should be aware of significant discrepancies in care quality, as some residents report exceptional, attentive nursing and physical therapy, while others report severe neglect and lack of communication. While specific staff members are highly praised for their kindness, there are serious allegations regarding unresponsiveness from administration and medical staff during critical health changes.”

Quality Themes

Tap a score for details

Strengths

Attentive and friendly nursing staff
Effective one-on-one physical therapy
Compassionate CNAs and caregivers
Improved patient health outcomes in some cases

Concerns

Poor communication from administration and doctors (mentioned by 3 reviewers)
Staffing shortages and lack of night coverage (mentioned by 2 reviewers)
Issues with cleanliness and room preparation (mentioned by 2 reviewers)
Allegations of patient mistreatment or neglect (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

Distribution · 22 analyzed

How They Respond to Reviews

0%response rate

Questions for Your Tour

1We've heard wonderful things about how attentive and compassionate the nursing staff and CNAs are here; how do you ensure that level of care remains consistent across all shifts?
2Since we know the night shift can sometimes be a challenge in many facilities, what does your staffing look like during the overnight hours to ensure everyone is monitored?
3How does the administration ensure that families are kept closely informed about changes in a resident's medical status or daily care plan?
4Could you walk us through your process for maintaining cleanliness in the resident rooms and how you prepare a room for a new arrival?
5What is the protocol for handling a medical emergency after hours, and how quickly can a doctor be reached if a concern arises?
6What kind of daily activities or social engagement opportunities are available to help residents stay active and connected with others?

Personalized based on this facility's data

Key Review Excerpts

“The RN- Jose is Friendly and is concerned and was knowledgeable of My issues. He was Great! The LVN'S- Steffani and Christina were both Great and Friendly!!”

Rehab patient · 2025★★★★☆

“I am incredibly Thankful for Nurse Ass Veronica Rojas for going above and beyond in my stay at Monrovia she checked up on me frequently makinh sure i was comfortable and always listened to my needs.”

Resident's family · 2024★★★★★

“My father passed away after leaving this facility. We tried to get a hold of the Doctor for 2 days with no call backs. They claimed he called, he did not.”

Deceased resident's family · 2024★☆☆☆☆

Source: 22 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026

RN Hours

0.39hrs

53%

Registered nurses for medical care

Total Nursing

4.49hrs

All nurses + aides combined

Staff Turnover

39%

Lower is better (< 30% = good)

RN Turnover

55%

Lower is better (< 30% = good)

RN hours are below the national benchmark. RNs handle complex medical needs and medication, so ask about coverage during your visit.

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating

5/ 5

Better Than Avg

measures

Mixed Results

measures

Long-Stay Residents

🚿

Residents whose bladder or bowel control got worse

↓ Lower is better

This Facility2.0%

Better than Avg

Here

2.0%

19.4%

10.7%

Los angeles

9.7%

💊

Residents on antipsychotic medication

↓ Lower is better

This Facility1.4%

Better than Avg

Here

1.4%

15.4%

11.6%

Los angeles

11.4%

💊

Residents on anti-anxiety or sleep medication

↓ Lower is better

This Facility10.8%

Better than Avg

Here

10.8%

19.5%

13.7%

Los angeles

10.8%

🛏️

Residents needing more daily help over time

↓ Lower is better

This Facility5.8%

Better than Avg

Here

5.8%

14.4%

10.4%

Los angeles

12.6%

🚶

Residents whose walking got worse

↓ Lower is better

This Facility7.0%

Better than Avg

Here

7.0%

15.3%

10.5%

Los angeles

9.5%

💉

Residents vaccinated for pneumonia

↑ Higher is better

This Facility100.0%

Better than Avg

Here

100.0%

93.4%

98.6%

Los angeles

99.1%

Short-Stay Residents (Rehab / Post-Acute)

💉

Short-stay residents vaccinated for the flu

↑ Higher is better

This Facility100.0%

Better than Avg

Here

100.0%

79.7%

93.2%

Los angeles

92.5%

💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better

This Facility100.0%

Better than Avg

Here

100.0%

81.8%

94.2%

Los angeles

94.5%

💊

Short-stay residents newly given antipsychotics

↓ Lower is better

This Facility0.0%

Better than Avg

Here

0.0%

1.6%

1.5%

Los angeles

1.5%

Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

25deficiencies

Well above state avg (15.4)

40 complaint-triggered

This facility has significant ongoing issues with frequent family complaints triggering federal inspections. The most recurring problems involve medication management, medical record keeping, and safety hazard prevention. While all deficiencies show correction dates, the persistent pattern of similar violations—including repeated medication service failures and safety concerns—suggests systemic care issues that families have repeatedly reported to authorities, indicating potential quality of care concerns worth investigating thoroughly before placement.

Feb 12, 2026Complaint1 finding

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Feb 6, 2026Complaint2 findings

0583Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Keep residents' personal and medical records private and confidential.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Jan 6, 2026Complaint1 finding

0573Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Let each resident or the resident's legal representative access or purchase copies of all the resident's records.

Oct 27, 2025Complaint2 findings

0558Potential for harm · PatternCorrected

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

0755Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

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

Aug 20, 2025Complaint8 findings

0580Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0676Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0686Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0755Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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

0825Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide or get specialized rehabilitative services as required for a resident.

0842Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

Jun 10, 2025Complaint1 finding

0580Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Monrovia Post Acute

Organization Type

for profit

Chain Affiliation

Chain Name

Serrano Group

Chain Size

11 facilities nationwide

Chain avg rating: 2.3/5 · Rank 3 of 11

Ownership & Management

Owners

Monrovia Licensee 6 LLC

Owner · Organization

100%

Bin Mendel LLC