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Nursing HomeMedicaid

The Gardens of El Monte

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

5044 Buffington Rd, El Monte, CA 9173253 bedsLicensed & Active
3/5
Medicare
Inspection
Quality
Staffing
Google rating
4.8/5

based on 25 Google reviews

5
4
3
2
1
The Gardens of El Monte Nursing Home in El Monte, CA — Street View
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What this means for your family

This facility is an excellent choice for families seeking high-quality memory care and a clean, welcoming environment. While the staff is exceptionally praised for their compassion, you should verify their protocols regarding resident transfers to ensure your loved one's placement remains under your control.

Google Reviews

Google Reviews

25 reviews on Google
Families can expect a highly compassionate and professional staff that excels in managing difficult dementia symptoms and providing attentive care. While the facility is praised for its clean, family-oriented atmosphere, one serious incident regarding an unauthorized transfer of a resident was reported.

Quality Themes

Tap a score for details
FoodN/AStaff10.0Clean9.0Activities5.0MedsN/AMemory10.0Comms8.0ValueN/A

Strengths

  • Compassionate and patient staff
  • Clean and well-maintained environment
  • Effective management of dementia symptoms
  • Professional and communicative care

Concerns

  • Unauthorized transfer of a resident to another facility

Rating Trends

Tap a year to see what changed

2345.02018(2)5.02019(2)4.52020(2)4.22022(5)5.02023(2)5.02024(11)5.02026(3)

Distribution · 27 analyzed

5
25
4
1
3
0
2
0
1
1

How They Respond to Reviews

4%response rate

This facility rarely responds to reviews.

Questions for Your Tour

  • 1I noticed some wonderful comments about how compassionate and patient the staff is here; how do you ensure that level of care remains consistent across all shifts?
  • 2With the recent state inspections, what specific steps is the facility taking to address the identified deficiencies and improve overall care standards?
  • 3How do you manage staffing levels during the night and weekend shifts to ensure everyone receives the attention they need?
  • 4Can you tell me about your process for communicating with families, and how do you handle situations where a resident might need a transfer to a different level of care?
  • 5What kind of daily activities or social programs are available to keep the residents engaged and active within the community?
  • 6In the event of a medical emergency after hours, what is the immediate protocol for contacting the physician and notifying the family?

Personalized based on this facility's data


Key Review Excerpts

The staff at Gardens of El Monte made a huge difference in stabilizing the aggressive dementia symptoms of my 95yo mom. She was treated with kindness and compassion and I felt that she was safe.

Memory care family member · 2026★★★★★

The place is extra clean and doesn't smell like urine like some other nursing homes. I would recommend this place to friends and family.

Long-term resident's family · 2020★★★★★

The staff is caring, alert, patient, professional, and personal. They recognize me and other visitors and can tell me where in their clean, safe, and expansive facility their patients... are.

Visitor · 2023★★★★★
Source: 25 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.43hrs
57%
Registered nurses for medical care
Total Nursing
4.65hrs
OK
All nurses + aides combined
Staff Turnover
53%
Lower is better (< 30% = good)
RN Turnover
100%
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

Quality Measures

Resident outcomes compared with national, state, and local averages · 16 measures

Medicare Rating
5/ 5
Better Than Avg

9

measures

Worse Than Avg

7

measures

Long-Stay Residents
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility50.9%
Worse than Avg
Here
50.9%
US
19.5%
CA
13.7%
Los angeles
10.8%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility44.4%
Worse than Avg
Here
44.4%
US
15.5%
CA
11.7%
Los angeles
11.4%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility28.1%
Worse than Avg
Here
28.1%
US
14.4%
CA
10.4%
Los angeles
12.5%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility2.8%
Better than Avg
Here
2.8%
US
19.4%
CA
10.7%
Los angeles
9.7%
😔

Residents with depression symptoms

↓ Lower is better
This Facility3.7%
Better than Avg
Here
3.7%
US
12.1%
CA
7.0%
Los angeles
8.7%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
CA
98.6%
Los angeles
99.1%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility98.3%
Better than Avg
Here
98.3%
US
81.8%
CA
94.2%
Los angeles
94.5%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility96.2%
Better than Avg
Here
96.2%
US
79.8%
CA
93.2%
Los angeles
92.5%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

20deficiencies
1penalties
Above state avg (15.4)
23 complaint-triggered

This facility shows concerning patterns with numerous family complaints triggering 24 of 75 total deficiencies across multiple surveys. Recurring issues include resident rights violations, medication management problems, and food safety concerns. While all deficiencies show correction dates, the persistent nature of problems across resident communication, care planning, and basic safety suggests ongoing operational challenges that families should carefully evaluate before choosing this facility.

Apr 10, 2026Routine
12
0550Potential for harm · PatternCorrected

Resident Rights Deficiencies

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

0628Potential for harm · PatternCorrected

Resident Rights Deficiencies

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

0578Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0657Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

0732Potential for harm · IsolatedCorrected

Nursing and Physician Services Deficiencies

Post nurse staffing information every day.

0761Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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.

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.

0341Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install a fire alarm system that can be heard throughout the facility.

0345Potential for harm · IsolatedCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0025Minimal · WidespreadCorrected

Emergency Preparedness Deficiencies

Create arrangements with other facilities to receive patients.

0912Minimal · PatternCorrected

Environmental Deficiencies

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

Apr 10, 2026Complaint
1
0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

Apr 2, 2026Complaint
1
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.

Dec 12, 2025Complaint
5
0559Potential for harm · PatternCorrected

Resident Rights Deficiencies

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

0627Potential for harm · PatternCorrected

Resident Rights Deficiencies

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

0628Potential for harm · PatternCorrected

Resident Rights Deficiencies

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

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0745Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

Dec 1, 2025Complaint
1
0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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

Nov 14, 2025Complaint
2
0604Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

0742Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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.

Federal Penalties

Payment Denial

Jun 17, 2024

1-day denial

Ownership & Operations

Who Operates This Facility

Owner / Operator

The Gardens of El Monte

Organization Type

for profit

Chain Affiliation

Chain Name

The Mandelbaum Family

Chain Size

18 facilities nationwide

Chain avg rating: 3.5/5 · Rank 14 of 15

Ownership & Management

Owners

Simcha and Janet Mandelbaum Family Trust

Owner (parent company) · Organization

20%

The Bentzion Mandelbaum 2021 Irrevocable Gift Trust no. 2

Owner (parent company) · Organization

50%

The Janet Mandelbaum 2021 Irrevocable Gift Trust no 2

Owner (parent company) · Organization

16%

The Simcha Mandelbaum 2021 Irrevocable Gift Trust no. 2

Owner (parent company) · Organization

14%

Mandelbaum, Brenda

Individual is an Owner, Partner or Trustee of Any Adp of the Snf

Key personnel

Mandelbaum, JanetOfficer / DirectorWilliams, ClintonOfficer / DirectorCastro-Garcia, MariaOfficer / DirectorMandelbaum, JanetOfficer / DirectorPham, JulieOfficer / Director
Source: Medicare provider data

Contact

Get in Touch

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References & Resources

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