Federal inspection record · CMS data as of October 1, 2026
The Gardens Of El Monte
5044 Buffington Rd, El Monte, CA · (626) 443-1351
- Certified beds
- 53
- Residents per day
- 49
- Ownership
- For-Profit
- Chain
- The Mandelbaum Family
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- April 18, 2017
1
How this home got 2 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
-
Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in California.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★2 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among California homes
The Gardens Of El Monte carries 131 inspection points. That is fewer than 25% of California's 1,154 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in California: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–33 pts
- 4★ 33–66 pts
- 3★ 66–96 pts
- 2★ 96–146 pts
- 1★ over 146 pts
Bars show every rated home in California by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
61 health citations on record since 2024. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (1)
-
G
Provide enough food/fluids to maintain a resident's health.
Everything else, by area of care
Resident Rights16E
- E
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- E
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- D
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
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
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
- E
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- 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.
- D
Reasonably accommodate the needs and preferences of each resident.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D
Prepare residents for a safe transfer or discharge from the nursing home.
- E
Reasonably accommodate the needs and preferences of each resident.
- 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.
- D
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- D
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.
Quality of Life and Care12E
- E
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- E
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide medically-related social services to help each resident achieve the highest possible quality of life.
- 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.
- E
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- E
Provide safe and appropriate respiratory care for a resident when needed.
- E
Provide safe, appropriate dialysis care/services for a resident who requires such services.
- D
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
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- E
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Resident Assessment and Care Planning10D
- D
Ensure each resident receives an accurate assessment.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Ensure each resident receives an accurate assessment.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Pharmacy Service6E
- E
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.
- 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.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- E
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- D
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.
Freedom from Abuse, Neglect, and Exploitation5E
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Respond appropriately to all alleged violations.
- E
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
- E
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Environmental5E
- B
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
- B
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
- D
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
- E
Make sure that a working call system is available in each resident's bathroom and bathing area.
- B
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Nursing and Physician Services3E
- D
Post nurse staffing information every day.
- E
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.
- D
Post nurse staffing information every day.
Nutrition and Dietary2E
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control1D
- D
Provide and implement an infection prevention and control program.
Inspection history
2026-04-10
26 health deficiencies · 3 fire-safety deficiencies
Top issue: Resident Rights (7 deficiencies)
2025-03-16
15 health deficiencies · 4 fire-safety deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
2024-03-15
20 health deficiencies · 3 fire-safety deficiencies
Top issue: Resident Rights (6 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 4 h 55 min of nursing staff time a day, 22 min of it from a registered nurse.
This home
4 h 55 min
California average
4 h 33 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 51% of nursing staff and 88% of registered nurses left in the past year, along with 1 administrator.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$0 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-06-17 | Payment Denial · 1 day denial | $0 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.3 pts worse | 2.5 | 2.2 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.2 pts better | 1.3 | 1.5 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine1.3 pts better | 100.0% | 98.7% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine2.1 pts better | 100.0% | 97.9% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.1 pts worse | 1.7% | 1.6% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms5.6 pts better | 2.0% | 7.6% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.4 pts worse | 5.5% | 4.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication28.7 pts worse | 42.4% | 13.7% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication46.7 pts worse | 59.0% | 12.3% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.3 pts better | 0.0% | 0.3% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened1.1 pts worse | 10.0% | 8.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased11.5 pts worse | 21.7% | 10.2% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.7 pts better | 0.0% | 0.7% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.8 pts worse | 2.0% | 1.2% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence1.3 pts better | 8.5% | 9.8% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.4 pts better | 2.9% | 4.3% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine4.1 pts better | 98.7% | 94.6% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit3.3 pts better | 7.8% | 11.1% | 11.8% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine6.9 pts better | 100.0% | 93.1% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission7.7 pts better | 14.9% | 22.6% | 23.4% |
·
Who owns and runs it
24 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| The Bentzion Mandelbaum 2021 Irrevocable Gift Trust No. 2 | 5% Or Greater Indirect Ownership Interest · Organization | 50% | 10 facilities |
| Simcha And Janet Mandelbaum Family Trust | 5% Or Greater Indirect Ownership Interest · Organization | 20% | 8 facilities |
| The Janet Mandelbaum 2021 Irrevocable Gift Trust No 2 | 5% Or Greater Indirect Ownership Interest · Organization | 16% | 10 facilities |
| The Simcha Mandelbaum 2021 Irrevocable Gift Trust No. 2 | 5% Or Greater Indirect Ownership Interest · Organization | 14% | 9 facilities |
| 5044 Buffington Road LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Castro-Garcia, Maria | Operational/Managerial Control · Individual | 0% | 15 facilities |
| Castro-Garcia, Maria | Adp Of The SNF · Individual | 0% | 15 facilities |
| Chiong, Mark | Adp Of The SNF · Individual | 0% | 1 facilities |
| Katiraie, Michael | Operational/Managerial Control · Individual | 0% | 3 facilities |
| Katiraie, Michael | Adp Of The SNF · Individual | 0% | 3 facilities |
| Mandelbaum, Brenda | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 16 facilities |
| Mandelbaum, Janet | Corporate Officer · Individual | 0% | 18 facilities |
| Mandelbaum, Simcha | Operational/Managerial Control · Individual | 0% | 15 facilities |
| Mandelbaum, Simcha | Adp Of The SNF · Individual | 0% | 15 facilities |
| Nlemchy-Okolo, Callista | Adp Of The SNF · Individual | 0% | 2 facilities |
| Olmos, Sergio | Adp Of The SNF · Individual | 0% | 1 facilities |
| Pham, Julie | Adp Of The SNF · Individual | 0% | 15 facilities |
| Randhawa, Harinder | Adp Of The SNF · Individual | 0% | 1 facilities |
| Schachten, Jeff | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Schachten, Jeff | Adp Of The SNF · Individual | 0% | 2 facilities |
| Skillserve Inc | Adp Of The SNF · Organization | 0% | 13 facilities |
| Villasenor, Blanca | Adp Of The SNF · Individual | 0% | 1 facilities |
| Williams, Clinton | Operational/Managerial Control · Individual | 0% | 14 facilities |
| Williams, Clinton | Adp Of The SNF · Individual | 0% | 14 facilities |
·
Fire safety
10 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke6D
- D
Install a fire alarm system that can be heard throughout the facility.
- D
Have approved installation, maintenance and testing program for fire alarm systems.
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D
Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.
- D
Inspect, test, and maintain automatic sprinkler systems.
- D
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Emergency Preparedness1C
- C
Create arrangements with other facilities to receive patients.
Miscellaneous1F
- F
Provide a written emergency evacuation plan.
Gas, Vacuum, and Electrical Systems1F
- F
Have generator or other power source capable of supplying service within 10 seconds.
Services1D
- D
Have properly installed electrical wiring and gas equipment.
·
Other homes nearby
-
Fidelity Health Care
El Monte, CA · Il & Joan Lee
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 4 h 9 min
- Fines
- $0
-
Mayflower Care Center
El Monte, CA · Longwood Management Corporation
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 4 h 9 min
- Fines
- $0
-
Santa Fe Lodge
El Monte, CA · Longwood Management Corporation
★★★★★- Worst citation, 3 yrs
- K
- Nursing / resident / day
- 4 h 29 min
- Fines
- $0