Monrovia Gardens Healthcare Center

    615 W Duarte Rd, Monrovia, CA, 91016
    3.0 · 19 reviews
    • Assisted living
    • Memory care
    • Skilled nursing
    AnonymousLoved one of resident
    2.0

    Declining care despite beautiful facility

    I chose this facility for its cleanliness, proximity to my mother's doctor, lovely garden with a waterfall, and several genuinely caring nurses and therapists who helped with rehab. Unfortunately care quality has declined - understaffed shifts, residents not served promptly, poor meals, rooms often too hot (78-82°F), nurses missing high blood sugars, and I even saw cat feces in the garden. Management has had problems (abusive practices reported) and I had a bad encounter with an LVN (Lori), though upper management did address some issues and staff members like Ray were outstanding. It's a reasonable, low-cost option for someone without dementia, but I'd recommend visiting, asking about staffing and dementia care limits before deciding.

    Pricing

    Schedule a Tour

    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    3.00 · 19 reviews

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      3.7
    • Staff

      3.4
    • Meals

      2.7
    • Amenities

      2.0
    • Value

      2.0

    Pros

    • Caring and professional staff
    • Helpful and communicative staff who keep families informed
    • Excellent nurses and therapists praised by many reviewers
    • Dedicated individual staff members (notably ‘Ray’)
    • Clean facility interior
    • Attractive garden with a waterfall
    • Daily activities and programming
    • Effective physical therapy that enabled return home
    • Long-established facility
    • Reasonable value for low-income residents
    • Family-like, warm, and secure atmosphere
    • Proximity to residents' doctors

    Cons

    • Understaffing and staff shortages
    • Inconsistent nursing quality across shifts
    • Allegations of poor management practices, intimidation, and abuse by administration
    • Recent administration change and management turnover
    • Concerns about dementia care; not suitable as memory care
    • Overcrowding and high room occupancy
    • Rooms reported uncomfortably hot (78-82°F), potential respiratory risk
    • Inconsistent dining service and meal delays
    • Cleanliness issue in garden area (cat feces reported)
    • Specific reports of rude or unprofessional staff (LVN named Lori)
    • Nurses failing to report high blood sugars
    • Decline in care quality reported by some families

    Summary review

    Overall sentiment about Monrovia Gardens Healthcare Center is mixed, with a strong polarization in reviewers' experiences. Many reviewers praise the facility for delivering compassionate, professional care and effective therapy services, while a significant number raise serious concerns about staffing levels, inconsistent nursing practices, management behavior, and suitability for residents with dementia. Rather than a uniform experience, the reviews indicate notable variability depending on unit, shift, or individual staff members.

    Care quality and staff performance are recurring themes with both high praise and marked criticism. Numerous reviewers describe nurses and therapists as caring, professional, and effective—several specifically credit physical therapy with enabling residents to return home, and others highlight attentive communication with families. Dedicated staff members receive repeated mention (one named caregiver, Ray, is singled out for exemplary attention), and some reviewers use strong terms such as first-rate, exceptional, and highly recommend. At the same time, other reviewers report inconsistent nursing quality: failures to report high blood sugars, instances of poor care leading to residents getting sick again, and at least one specifically named LVN described as rude. These mixed accounts suggest variability in staff competency and behavior across shifts or personnel.

    Management and administration present conflicting impressions. A subset of reviewers report that upper management addressed prior issues and that administration changes occurred, implying some attempts at improvement. Conversely, other reviews allege abusive management practices, intimidation of employees, and poor management conduct (abuso de la dirección; intimidation and bad management practices), which is a serious red flag. This division points to instability or uneven leadership impact—some families perceive improvements while others report persistent managerial problems that affect staff morale and resident care.

    Facilities and environment are similarly mixed. The building itself and many rooms are described as clean, and the grounds include an attractive garden with a waterfall that reviewers appreciate. However, there are hygiene concerns noted in the garden (cat feces was reported), and operational issues such as overcrowding and high indoor temperatures (reported room temperatures around 78–82°F) that reviewers felt created unsafe or unhealthy conditions and could pose respiratory risks. The facility is long-established and conveniently located near some residents' doctors, which is a practical advantage for continuity of care.

    Programming, nutrition, and daily life show divergent experiences. Several reviewers appreciate daily activities, describe nutritious and tasty meals, and celebrate events such as Nursing Home Week—these comments convey an engaged, family-like atmosphere. Conversely, other reviewers report poor dining service, residents not being served promptly, and a need for closer attention to small but important details. This inconsistency suggests that resident experience with dining and daily attention can vary by unit or staffing level.

    Suitability and value: multiple reviewers characterize Monrovia Gardens as reasonable value for low-income residents and well-suited for those who do not require memory care. At the same time, dementia care is explicitly called into question by reviewers who state it is not memory care and express concerns about the facility's ability to meet specialized dementia needs. Families seeking care for residents with significant memory impairment should therefore consider this limitation carefully.

    In summary, Monrovia Gardens appears to provide compassionate, professional care in many cases—particularly praised are nurses, therapists, and certain standout caregivers—while simultaneously exhibiting operational challenges that undermine consistency. Key areas of concern to note are understaffing, management and administrative issues (including reports of intimidation), variable nursing practices (including specific clinical lapses), dining service inconsistencies, overcrowding, and temperature control. Prospective residents and families should weigh the facility's strengths (clean premises, effective PT, caring staff, affordability, and pleasant outdoor spaces) against these recurring concerns, ask targeted questions about dementia care, staffing levels, management stability, meal service procedures, and room climate control, and, if possible, seek recent references or a tour to assess current conditions and staff behavior firsthand.

    Location

    Map showing location of Monrovia Gardens Healthcare Center

    About Monrovia Gardens Healthcare Center

    Monrovia Gardens Healthcare Center sits over on 615 W Duarte Road in Monrovia, California, tucked into a space with 96 certified beds and most days there are about 81 residents staying here, which means it doesn't often feel crowded, but it's not too empty either, and you'll see the staff moving around quite a bit since there's about 3.91 nurse hours per resident each day, though the nurse turnover rate is 37.7% so some faces you get used to might change more often than you'd expect. This place is run as a for-profit business and has its ties with Cambridge Healthcare Services, and it's managed by Ira Smedra and Jacob Wintner, who have been listed in charge since 2003, and there's a head nurse named Jesse along with an administrator named Ray, and you might hear folks mention both of them if you spend a little time here. The facility does have skilled nursing care, and they're set up to handle both short-term rehabilitation and longer stays, so people with a range of needs might find themselves here, and there's always nursing and physician services available since they're certified to provide nursing home care.

    Now, inspectors have been here a fair bit, and so far they've noted 102 deficiencies in total, which does cover several areas like infection control-there are 6 infection-related deficiencies-and then others about residents' rights and their quality of care and day-to-day life, so it's worth reading into those inspection reports if you want the finer details, because every place has things to work on. This spot has a dining room where staff will serve and even feed patients who need the extra help, and there's a team of healthcare professionals always around-folks that handle all sorts of care needs in what they call a comfortable and supportive environment, so if you need help, there should be someone nearby.

    Families can come anytime since visiting hours are open around the clock all week, and if you want to walk through and see things for yourself, you can arrange for a tour, and they even offer a virtual tour option if you'd rather look from the comfort of your own home first, which is useful these days. They keep business hours from 9am to 5pm on weekdays if you need to visit the office for questions or paperwork, and you can contact the business side or reach out to loved ones through their set-up if needed. Monrovia Gardens isn't BBB accredited, and though they operate with a license from the Health and Human Services Agency that's valid until October 31, 2025 under license number 950000013, there's no glitz or glamour here-just a straightforward place focused on providing care for its residents, with privacy policies and terms of use easy to find. If you want more to read about them, there's a brochure, and if you're looking for work, they have a careers section too. The staff at this place is described as committed, which probably means you'll see some people doing their best every day, though, like anywhere, things aren't perfect.

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