Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 25 Google reviews

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These current public-data fields deserve follow-up with the facility and the official Medicare record. They are not a clinical risk score or a substitute for an in-person assessment.
This facility has areas of concern that warrant careful consideration. Registered Nurse hours are 40% of the EveryPlace reference benchmark; ask how RN coverage is allocated across shifts. The latest standard survey recorded 20 findings, above the CA average of 15.4. We recommend asking the administrator directly: "How are you addressing recent staffing shortfalls?" These are not reasons to panic, but they are reasons to ask tough questions and visit in person.
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
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Concerns
Rating Trends
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Distribution · 27 analyzed
This facility rarely responds to reviews.
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.”
“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.”
RN hours are below the EveryPlace reference benchmark. RNs handle complex medical needs and medication, so ask about coverage during your visit.
Reference benchmarks (0.75 RN and 4.1 total nursing hours per resident/day) are comparison targets, not current federal minimum requirements.
Resident outcomes compared with national, state, and local averages · 16 measures
10
measures
4
measures
2
measures
Residents on antipsychotic medication
Residents on anti-anxiety or sleep medication
Residents whose bladder or bowel control got worse
Residents needing more daily help over time
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents vaccinated for pneumonia
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
US average from Medicare published data
Detailed Medicare record · up to 3-year lookback
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.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
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.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
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.
Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
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.
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.
Smoke Deficiencies
Install a fire alarm system that can be heard throughout the facility.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Emergency Preparedness Deficiencies
Create arrangements with other facilities to receive patients.
Environmental Deficiencies
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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.
Resident Rights Deficiencies
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
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.
Quality of Life and Care Deficiencies
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
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
The Gardens of El Monte
for profit
The Mandelbaum Family
18 facilities nationwide
Chain avg rating: 3.5/5 · Rank 14 of 15
Owners
Simcha and Janet Mandelbaum Family Trust
Owner (parent company) · Organization
The Bentzion Mandelbaum 2021 Irrevocable Gift Trust no. 2
Owner (parent company) · Organization
The Janet Mandelbaum 2021 Irrevocable Gift Trust no 2
Owner (parent company) · Organization
The Simcha Mandelbaum 2021 Irrevocable Gift Trust no. 2
Owner (parent company) · Organization
Mandelbaum, Brenda
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Key personnel
Contact this facility directly and verify the details that matter most to your family.
Medicare Care Compare
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Google Reviews
25 reviews from families & visitors
Official Website
Visit elmontegardens.com
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EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Some summaries, interpretations, suggested questions, and pricing research are AI-generated or AI-assisted and may contain errors or omit important context. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.
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