| Montclair Manor Care Center | |
| 5119 Bandera St, Montclair, California 91763 | |
| (909) 626-1294 | |
| Name | Montclair Manor Care Center |
|---|---|
| Location | 5119 Bandera St, Montclair, California |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 59 |
| Occupancy Rate | 76.44% |
| Medicare ID (CCN) | 055718 |
| Legal Business Name | Montclair Manor Care Center LLC |
| Ownership Type | For Profit - Individual |
| Chain | Eva Care Group (9 nursing homes) |
| Chain Average Overall Rating | 3.4 out of 5 |
| NPI Number | 1689661357 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Montclair Manor Care Center, LLC |
| Address | 5119 Bandera St, Montclair, CA 91763 |
| Phone Number | 909-626-1294 |
| Ratings from Surveys (Inspections): | |
| Ratings from Quality Measures: | |
| Ratings from Staffing Data: | |
| Overall Rating: |
|---|
| Staffing Measure | Provider | National Avg. |
|---|---|---|
| Total nurse staff hours per resident per day | 4.2 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.49 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 1.07 | 0.86 |
| Nurse aide hours per resident per day | 2.64 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 3.98 | 3.42 |
| RN hours per resident per day on the weekend | 0.37 | 0.48 |
| Physical therapist hours per resident per day | 0.13 | 0.07 |
| Total nursing staff turnover | 35% | 45.8% |
| Registered nurse turnover | 28.6% | 42.9% |
| Number of administrators who have left the nursing home | 0 | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | No |
| Number of Fines | 0 |
| Total Amount of Fines in Dollars | $0 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 0 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Apr 30, 2025 | Let each resident or the resident's legal representative access or purchase copies of all the resident's records. F0573, Resident Rights, Complaint inspection | Potential for harm, isolated | Corrected by May 13, 2025 |
| Apr 4, 2025 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, widespread | Corrected by Apr 28, 2025 |
| Apr 4, 2025 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. F0925, Environmental, Standard inspection | Potential for harm, widespread | Corrected by Apr 28, 2025 |
| Apr 4, 2025 | Provide enough food/fluids to maintain a resident's health. F0692, Quality of Life and Care, Standard inspection | Potential for harm, pattern | Corrected by Apr 28, 2025 |
| Apr 4, 2025 | Ensure 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. F0803, Nutrition and Dietary, Standard inspection | Potential for harm, pattern | Corrected by Apr 28, 2025 |
| Apr 4, 2025 | Keep residents' personal and medical records private and confidential. F0583, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Apr 28, 2025 |
| Apr 4, 2025 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Apr 28, 2025 |
| Apr 4, 2025 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. F0690, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Apr 28, 2025 |
| Apr 4, 2025 | Provide safe, appropriate dialysis care/services for a resident who requires such services. F0698, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Apr 28, 2025 |
| Apr 4, 2025 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. F0806, Nutrition and Dietary, Standard inspection | Potential for harm, isolated | Corrected by Apr 28, 2025 |
| Apr 4, 2025 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, isolated | Corrected by Apr 28, 2025 |
| Apr 4, 2025 | Keep all essential equipment working safely. F0908, Environmental, Standard inspection | Potential for harm, isolated | Corrected by Apr 28, 2025 |
| Apr 4, 2025 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. F0912, Environmental, Standard inspection | Minimal harm potential, pattern | Corrected by Apr 28, 2025 |
| Apr 18, 2024 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. F0756, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by May 15, 2024 |
| Apr 18, 2024 | 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. F0761, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by May 15, 2024 |
| Apr 18, 2024 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by May 15, 2024 |
| Apr 18, 2024 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. F0912, Environmental, Standard inspection | Minimal harm potential, pattern | Corrected by May 15, 2024 |
| Oct 7, 2022 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, widespread | Corrected by Nov 1, 2022 |
| Oct 7, 2022 | Dispose of garbage and refuse properly. F0814, Nutrition and Dietary, Standard inspection | Potential for harm, widespread | Corrected by Nov 1, 2022 |
| Oct 7, 2022 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842, Resident Assessment and Care Planning, Standard inspection | Potential for harm, pattern | Corrected by Nov 1, 2022 |
| Oct 7, 2022 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, pattern | Corrected by Nov 1, 2022 |
| Oct 7, 2022 | Ensure each resident receives an accurate assessment. F0641, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Nov 1, 2022 |
| Oct 7, 2022 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Nov 1, 2022 |
| Oct 7, 2022 | 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. F0688, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Nov 1, 2022 |
| Oct 7, 2022 | 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. F0693, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Nov 1, 2022 |
| Oct 7, 2022 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Nov 1, 2022 |
| Oct 7, 2022 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. F0912, Environmental, Standard inspection | Minimal harm potential, pattern | Corrected by Nov 1, 2022 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 8.96 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 2.24 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.26 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 2.21 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 0 | 12.8 |
| Percentage of long-stay residents who were physically restrained | 0 | 0.13 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 97.79 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.01 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 6.18 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 10.74 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 98.44 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 2.83 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 2.23 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 4 | 15.38 |
Community Extended Care Hospital of Montclair Location: 9620 Fremont Ave, Montclair, California 91763 Phone: (909) 621-4751 |