Montrose Springs Skilled Nursing & Wellness Center

2635 Honolulu Ave, Montrose, CA 91020 · (818) 248-6856
For profit - Limited Liability company · 109 certified beds

Montrose Springs Skilled Nursing & Wellness Center has a 3-star overall rating from Medicare, out of 5. Its last standard inspection, in July 2025, found 15 citations (the California average is 15.6). It was fined 1 time in the last three years, $32,139 in all.

Medicare ratings

How to read a nursing home's star ratings

Most recent health inspection

The standard health inspection on July 3, 2025 found 15 citations. What an inspection citation means

• Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.July 3, 2025 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.July 3, 2025 · F0550 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure that residents are fully informed and understand their health status, care and treatments.July 3, 2025 · F0552 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Honor the resident's right to organize and participate in resident/family groups in the facility.July 3, 2025 · F0565 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• 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.July 3, 2025 · F0578 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.July 3, 2025 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide 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.July 3, 2025 · F0688 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.July 3, 2025 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.July 3, 2025 · F0690 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide enough food/fluids to maintain a resident's health.July 3, 2025 · F0692 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide medically-related social services to help each resident achieve the highest possible quality of life.July 3, 2025 · F0745 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide and implement an infection prevention and control program.July 3, 2025 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Make sure that a working call system is available in each resident's bathroom and bathing area.July 3, 2025 · F0919 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.July 3, 2025 · F0911 · Level of harm: Potential for minimal harm · Residents affected: Some
• Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.July 3, 2025 · F0912 · Level of harm: Potential for minimal harm · Residents affected: Some

Complaint inspections, last three years

Inspections after complaints found 32 citations.

• Ensure each resident receives an accurate assessment.July 23, 2026 · F0641 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.July 23, 2026 · F0657 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide appropriate treatment and care according to orders, resident’s preferences and goals.July 23, 2026 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.July 23, 2026 · F0690 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.July 23, 2026 · F0805 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure that residents are fully informed and understand their health status, care and treatments.July 1, 2026 · F0552 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide appropriate treatment and care according to orders, resident’s preferences and goals.July 1, 2026 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide timely, quality laboratory services/tests to meet the needs of residents.July 1, 2026 · F0770 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.April 20, 2026 · F0842 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.April 7, 2026 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.February 26, 2026 · F0580 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.February 26, 2026 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide appropriate treatment and care according to orders, resident’s preferences and goals.February 26, 2026 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.January 22, 2026 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.January 22, 2026 · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.July 3, 2025 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.May 1, 2025 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.March 28, 2025 · F0600 · Level of harm: Actual harm · Residents affected: Few
• Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.March 28, 2025 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.March 12, 2025 · F0600 · Level of harm: Actual harm · Residents affected: Few
• Plan the resident's discharge to meet the resident's goals and needs.February 20, 2025 · F0660 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.May 17, 2024 · F0557 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Reasonably accommodate the needs and preferences of each resident.May 17, 2024 · F0558 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide doctor's orders for the resident's immediate care at the time the resident was admitted.May 10, 2024 · F0635 · Level of harm: Actual harm · Residents affected: Few
• Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.May 10, 2024 · F0711 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Reasonably accommodate the needs and preferences of each resident.April 9, 2024 · F0558 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure residents have reasonable access to and privacy in their use of communication methods.April 9, 2024 · F0576 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide care and assistance to perform activities of daily living for any resident who is unable.April 9, 2024 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.March 6, 2024 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide appropriate treatment and care according to orders, resident’s preferences and goals.March 6, 2024 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.February 27, 2024 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.November 29, 2023 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few

Fines and payment denials

• Fine of $32,139February 20, 2025
• Medicare payment denial for 6 daysStarting June 8, 2024

Nurse staffing

Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.

About this home