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Montrose Springs Skilled Nursing & Wellness CenterCMS ratings, inspections and fines

Address
2635 Honolulu Ave, Montrose, CA 91020
CCN
056322
Ownership type
For-profit, limited liability company
Certified beds
109
Residents per day
122
CMS flags
None in the CMS record
CMS star ratings
Overall rating3 of 5
Health inspection rating2 of 5
Staffing rating3 of 5
Quality measure rating5 of 5
Care Compare record (Medicare.gov)

The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.

CMS gives Montrose Springs Skilled Nursing & Wellness Center an overall rating of 3 of 5 stars. The last standard survey was on 3 Jul 2025. The latest survey cycle has 25 health citations. The median for nursing homes in California is 14. CMS lists 1 fine of $32,139 for this home in its penalties file. CMS also lists 1 payment denial.

Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.

Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .

Since the last CMS update

The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.

Ratings

CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.

CMS star ratings of Montrose Springs Skilled Nursing & Wellness Center, with medians
Rating (1 to 5 stars)This homeLos Angeles County medianCalifornia medianUS average (CMS)
Overall rating32.03.03.0
Health inspection rating22.03.02.8
Staffing rating33.03.02.9
Quality measure rating54.04.03.6

A median is the middle value of the homes in the group: 369 homes in the county, 1,165 homes in the state. What the CMS star ratings measure

Citations by survey cycle

CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.

Health citations of Montrose Springs Skilled Nursing & Wellness Center in the last three survey cycles
Survey cycleStandard surveyCitationsCalifornia median
Cycle 1 (latest)3 Jul 20252514
Cycle 212 Jul 20242714
Cycle 3No date3015

Health citations

The record of one deficiency in an inspection. One inspection can give many citations.

Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.

Scope and severity of the 82 citations. Select a cell to show only its rows.
SeverityIsolatedPatternWidespread
Immediate jeopardy to resident health or safetyJ0K0L0
Actual harm that is not immediate jeopardyH0I0
No actual harm, potential for more than minimal harmF0
No actual harm, potential for minimal harmA0C0

Survey cycle 1 (latest): 25 citations

Standard survey of this cycle: .

Health citations of Montrose Springs Skilled Nursing & Wellness Center in survey cycle 1, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
1 Jul 2026F0552Ensure that residents are fully informed and understand their health status, care and treatments.DComplaint investigationDeficient, Provider has no plan of correction
1 Jul 2026F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigationDeficient, Provider has no plan of correction
1 Jul 2026F0770Provide timely, quality laboratory services/tests to meet the needs of residents.DComplaint investigationDeficient, Provider has no plan of correction
20 Apr 2026F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint investigation8 May 2026
7 Apr 2026F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation24 Apr 2026
26 Feb 2026F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint investigation20 Mar 2026
26 Feb 2026F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint investigation20 Mar 2026
26 Feb 2026F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation20 Mar 2026
22 Jan 2026F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint investigation14 Feb 2026
22 Jan 2026F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint investigation14 Feb 2026
3 Jul 2025F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard survey25 Jul 2025
3 Jul 2025F0552Ensure that residents are fully informed and understand their health status, care and treatments.DStandard survey25 Jul 2025
3 Jul 2025F0565Honor the resident's right to organize and participate in resident/family groups in the facility.DStandard survey25 Jul 2025
3 Jul 2025F0578Honor 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.DStandard survey25 Jul 2025
3 Jul 2025F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey25 Jul 2025
3 Jul 2025F0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.DStandard survey25 Jul 2025
3 Jul 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation25 Jul 2025
3 Jul 2025F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard survey25 Jul 2025
3 Jul 2025F0692Provide enough food/fluids to maintain a resident's health.DStandard survey25 Jul 2025
3 Jul 2025F0745Provide medically-related social services to help each resident achieve the highest possible quality of life.DStandard survey25 Jul 2025
3 Jul 2025F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey25 Jul 2025
3 Jul 2025F0880Provide and implement an infection prevention and control program.DStandard survey25 Jul 2025
3 Jul 2025F0911Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.BStandard survey25 Jul 2025
3 Jul 2025F0912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.BStandard survey25 Jul 2025
3 Jul 2025F0919Make sure that a working call system is available in each resident's bathroom and bathing area.DStandard survey25 Jul 2025

Survey cycle 2: 27 citations

Standard survey of this cycle: .

Health citations of Montrose Springs Skilled Nursing & Wellness Center in survey cycle 2, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
1 May 2025F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint investigation22 May 2025
28 Mar 2025F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.GComplaint investigation5 Apr 2025
28 Mar 2025F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation5 Apr 2025
12 Mar 2025F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.GComplaint investigation9 Apr 2025
20 Feb 2025F0660Plan the resident's discharge to meet the resident's goals and needs.DComplaint investigation14 Mar 2025
12 Jul 2024F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard survey5 Aug 2024
12 Jul 2024F0558Reasonably accommodate the needs and preferences of each resident.DStandard survey5 Aug 2024
12 Jul 2024F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard survey5 Aug 2024
12 Jul 2024F0583Keep residents' personal and medical records private and confidential.DStandard survey5 Aug 2024
12 Jul 2024F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey5 Aug 2024
12 Jul 2024F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard survey5 Aug 2024
12 Jul 2024F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard survey5 Aug 2024
12 Jul 2024F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard survey5 Aug 2024
12 Jul 2024F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey5 Aug 2024
12 Jul 2024F0697Provide safe, appropriate pain management for a resident who requires such services.DStandard survey5 Aug 2024
12 Jul 2024F0730Observe each nurse aide's job performance and give regular training.EStandard survey5 Aug 2024
12 Jul 2024F0732Post nurse staffing information every day.BStandard survey5 Aug 2024
12 Jul 2024F0745Provide medically-related social services to help each resident achieve the highest possible quality of life.DStandard survey5 Aug 2024
12 Jul 2024F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EStandard survey5 Aug 2024
12 Jul 2024F0759Ensure medication error rates are not 5 percent or greater.EStandard survey5 Aug 2024
12 Jul 2024F0761Ensure 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.EStandard survey5 Aug 2024
12 Jul 2024F0802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.EStandard survey5 Aug 2024
12 Jul 2024F0803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.EStandard survey5 Aug 2024
12 Jul 2024F0880Provide and implement an infection prevention and control program.DStandard survey5 Aug 2024
12 Jul 2024F0911Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.BStandard survey5 Aug 2024
12 Jul 2024F0912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.BStandard survey5 Aug 2024
12 Jul 2024F0919Make sure that a working call system is available in each resident's bathroom and bathing area.DStandard survey5 Aug 2024

Survey cycle 3: 30 citations

The CMS provider file has no standard survey date for this cycle.

Health citations of Montrose Springs Skilled Nursing & Wellness Center in survey cycle 3, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
17 May 2024F0557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.DComplaint investigation14 Jun 2024
17 May 2024F0558Reasonably accommodate the needs and preferences of each resident.DComplaint investigation14 Jun 2024
10 May 2024F0635Provide doctor's orders for the resident's immediate care at the time the resident was admitted.GComplaint investigation3 Jun 2024
10 May 2024F0711Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.DComplaint investigation3 Jun 2024
9 Apr 2024F0558Reasonably accommodate the needs and preferences of each resident.DComplaint investigation29 Apr 2024
9 Apr 2024F0576Ensure residents have reasonable access to and privacy in their use of communication methods.DComplaint investigation29 Apr 2024
9 Apr 2024F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint investigation29 Apr 2024
6 Mar 2024F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint investigation22 Mar 2024
6 Mar 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation22 Mar 2024
27 Feb 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation20 Mar 2024
29 Nov 2023F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint investigation26 Dec 2023
24 Mar 2022F0557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.DStandard survey26 Apr 2022
24 Mar 2022F0584Honor 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.DStandard survey26 Apr 2022
24 Mar 2022F0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.DStandard survey26 Apr 2022
24 Mar 2022F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard survey26 Apr 2022
24 Mar 2022F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey26 Apr 2022
24 Mar 2022F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard survey26 Apr 2022
24 Mar 2022F0658Ensure services provided by the nursing facility meet professional standards of quality.DStandard survey26 Apr 2022
24 Mar 2022F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard survey26 Apr 2022
24 Mar 2022F0693Ensure 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.DStandard survey26 Apr 2022
24 Mar 2022F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey26 Apr 2022
24 Mar 2022F0698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard survey26 Apr 2022
24 Mar 2022F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard survey26 Apr 2022
24 Mar 2022F0759Ensure medication error rates are not 5 percent or greater.DStandard survey26 Apr 2022
24 Mar 2022F0803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.EStandard survey26 Apr 2022
24 Mar 2022F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.DStandard survey26 Apr 2022
24 Mar 2022F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard survey26 Apr 2022
24 Mar 2022F0881Implement a program that monitors antibiotic use.DStandard survey26 Apr 2022
24 Mar 2022F0911Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.BStandard survey26 Apr 2022
24 Mar 2022F0912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.BStandard survey26 Apr 2022

The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report

Penalties

A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.

Penalties of Montrose Springs Skilled Nursing & Wellness Center in the CMS penalties file
DateTypeFineDays without payment
20 Feb 2025Fine$32,139
10 May 2024Payment denial6

Staffing

Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.

Nurse staffing hours per resident per day at Montrose Springs Skilled Nursing & Wellness Center
StaffThis homeCalifornia medianCalifornia average (CMS)
All nurse staff3.924.204.52
Registered nurses (RN)0.470.500.67
Licensed practical nurses (LPN)0.881.20
Nurse aides2.572.65
All nurse staff, weekends3.723.804.09
Nurse staff turnover in a year
No data
Nurse staff turnover, California median
36.4%
RN turnover in a year
No data
Administrators who left in a year
No data

Homes report the hours to CMS in the Payroll-Based Journal.

Quality measures

A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.

Quality measures of Montrose Springs Skilled Nursing & Wellness Center, average of four quarters (2025Q2-2026Q1)
Measure (CMS text)ResidentsThis homeCalifornia medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay8.0%8.9%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay1.1%0.3%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay2.0%0.7%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay0.7%1.3%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay1.4%0.8%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay3.7%8.6%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay2.2%3.6%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay22.1%9.1%13.4%

For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure

Ownership

An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.

Ownership type
For-profit, limited liability company
Legal business name
Verdugo Valley Skilled Nursing & Wellness Centre, LLC
Chain
Pacific Healthcare Holdings (15 homes in the CMS chain file)
Organisations in the CMS ownership record of Montrose Springs Skilled Nursing & Wellness Center
OrganisationRole in the CMS recordInterestSince
Pacific Healthcare Holdings, Inc.5% or greater direct ownership interest88%31 Aug 2007
Corporate Interface Services LLCOperational/managerial control18 Mar 2024
Rockport Administrative Services, LLCOperational/managerial control15 Jan 2008
Corporate Interface Services LLCAdp of the snf10 Apr 2025
Rockport Administrative Services, LLCAdp of the snf10 Apr 2025

The site shows organisations only. It does not show the names of persons.

Other homes in Los Angeles County

The 12 nearest other nursing homes in Los Angeles County, California
Nursing homeCityOverall ratingCitations, latest cycleFinesLast standard survey
La Crescenta Healthcare CenterLa Crescenta5 of 510$17,1228 May 2026
Montrose Healthcare CenterMontrose3 of 515$030 Apr 2026
Oakpark Healthcare CenterTujunga5 of 513$09 Apr 2026
Golden Haven Care CenterGlendale1 of 512$74,60216 Jan 2026
Dreier's Nursing Care CenterGlendale2 of 516$48,70018 Jun 2025
Autumn Hills Health Care CenterGlendale3 of 519$14,38726 Jun 2026
Glendale Post Acute CenterGlendale1 of 524$161,9824 Dec 2025
Glendale Adventist Medical Center DP/SNFGlendale5 of 54$015 Aug 2025
Broadway Manor Care CenterGlendale2 of 516$36,09012 Feb 2026
Royal Palms Post AcuteGlendale2 of 538$79,9809 Apr 2026
North Valley Nursing CenterTujunga1 of 512$139,91222 May 2026
Ararat Convalescent HospitalLos Angeles4 of 515$10,03919 Nov 2025

All 369 nursing homes in Los Angeles County

Official channels

Cite this page

Centers for Medicare & Medicaid Services, Care Compare. Record of Montrose Springs Skilled Nursing & Wellness Center (CCN 056322). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/montrose-springs-skilled-nursing-wellness-center-montrose-ca-056322/

Provenance

Licence
US government work, public domain
CMS processed the data on

A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.

Questions

When was Montrose Springs Skilled Nursing & Wellness Center last inspected?
The latest inspection with a citation in the CMS record was on 1 Jul 2026. It was a complaint investigation. It gave 3 citations. The standard survey before the last one was on 12 Jul 2024.
Who operates Montrose Springs Skilled Nursing & Wellness Center?
The CMS record gives the ownership type as for-profit, limited liability company. CMS lists the home in the chain Pacific Healthcare Holdings. The CMS ownership file names Corporate Interface Services LLC and Rockport Administrative Services, LLC for operational or managerial control. This site does not show the names of persons.
Is Montrose Springs Skilled Nursing & Wellness Center a Special Focus Facility?
No. The CMS provider file lists no Special Focus status for this home. CMS lists 5 homes in California as Special Focus Facilities and 31 as candidates.
Where does the data on this page come from?
The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.