| Montrose Springs Skilled Nursing & Wellness Center | |
| 2635 Honolulu Ave, Montrose, California 91020 | |
| (818) 248-6856 | |
| Name | Montrose Springs Skilled Nursing & Wellness Center |
|---|---|
| Location | 2635 Honolulu Ave, Montrose, California |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 109 |
| Average Residents per Day | 122.3 |
| Medicare ID (CCN) | 056322 |
| Legal Business Name | Verdugo Valley Skilled Nursing & Wellness Centre, LLC |
| Ownership Type | For Profit - Limited Liability Company |
| Chain | Pacific Healthcare Holdings (15 nursing homes) |
| Chain Average Overall Rating | 1.9 out of 5 |
| NPI Number | 1447444856 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Verdugo Valley Skilled Nursing & Wellness Centre, LLC |
| Doing Business As | Montrose Springs Skilled Nursing & Wellness Center |
| Address | 2635 Honolulu Ave, Montrose, CA 91020 |
| Phone Number | 323-634-1940 |
| 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 | 3.92 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.47 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.88 | 0.86 |
| Nurse aide hours per resident per day | 2.57 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 3.72 | 3.42 |
| RN hours per resident per day on the weekend | 0.32 | 0.48 |
| Physical therapist hours per resident per day | 0.1 | 0.07 |
| Total nursing staff turnover | Not available: the staffing data did not meet CMS's criteria for this measure | 45.8% |
| Registered nurse turnover | Not available: the staffing data did not meet CMS's criteria for this measure | 42.9% |
| Number of administrators who have left the nursing home | Not available: the staffing data did not meet CMS's criteria for this measure | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | No |
| Number of Fines | 1 |
| Total Amount of Fines in Dollars | $32,139 |
| Number of Payment Denials | 1 |
| Total Number of Penalties | 2 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Jul 1, 2026 | Ensure that residents are fully informed and understand their health status, care and treatments. F0552, Resident Rights, Complaint inspection | Potential for harm, isolated | No plan of correction |
| Jul 1, 2026 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | No plan of correction |
| Jul 1, 2026 | Provide timely, quality laboratory services/tests to meet the needs of residents. F0770, Administration, Complaint inspection | Potential for harm, isolated | No plan of correction |
| Apr 20, 2026 | 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, Complaint inspection | Potential for harm, isolated | Corrected by May 8, 2026 |
| Apr 7, 2026 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Corrected by Apr 24, 2026 |
| Feb 26, 2026 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580, Resident Rights, Complaint inspection | Potential for harm, isolated | Corrected by Mar 20, 2026 |
| Feb 26, 2026 | 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, Complaint inspection | Potential for harm, isolated | Corrected by Mar 20, 2026 |
| Feb 26, 2026 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Corrected by Mar 20, 2026 |
| Jan 22, 2026 | 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, Complaint inspection | Potential for harm, isolated | Corrected by Feb 14, 2026 |
| Jan 22, 2026 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755, Pharmacy Service, Complaint inspection | Potential for harm, isolated | Corrected by Feb 14, 2026 |
| Jul 3, 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, pattern | Corrected by Jul 25, 2025 |
| Jul 3, 2025 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Jul 25, 2025 |
| Jul 3, 2025 | Ensure that residents are fully informed and understand their health status, care and treatments. F0552, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Jul 25, 2025 |
| Jul 3, 2025 | Honor the resident's right to organize and participate in resident/family groups in the facility. F0565, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Jul 25, 2025 |
| Jul 3, 2025 | 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. F0578, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Jul 25, 2025 |
| Jul 3, 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 Jul 25, 2025 |
| Jul 3, 2025 | 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 Jul 25, 2025 |
| Jul 3, 2025 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Jul 25, 2025 |
| Jul 3, 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 Jul 25, 2025 |
| Jul 3, 2025 | Provide enough food/fluids to maintain a resident's health. F0692, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Jul 25, 2025 |
| Jul 3, 2025 | Provide medically-related social services to help each resident achieve the highest possible quality of life. F0745, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Jul 25, 2025 |
| Jul 3, 2025 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, isolated | Corrected by Jul 25, 2025 |
| Jul 3, 2025 | Make sure that a working call system is available in each resident's bathroom and bathing area. F0919, Environmental, Standard inspection | Potential for harm, isolated | Corrected by Jul 25, 2025 |
| Jul 3, 2025 | Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. F0911, Environmental, Standard inspection | Minimal harm potential, pattern | Corrected by Jul 25, 2025 |
| Jul 3, 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 Jul 25, 2025 |
| May 1, 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, Complaint inspection | Potential for harm, isolated | Corrected by May 22, 2025 |
| Mar 28, 2025 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Actual harm, isolated | Corrected by Apr 5, 2025 |
| Mar 28, 2025 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Potential for harm, isolated | Corrected by Apr 5, 2025 |
| Mar 12, 2025 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Actual harm, isolated | Corrected by Apr 9, 2025 |
| Feb 20, 2025 | Plan the resident's discharge to meet the resident's goals and needs. F0660, Resident Assessment and Care Planning, Complaint inspection | Potential for harm, isolated | Corrected by Mar 14, 2025 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 7.97 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 8.02 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.07 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 2.02 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 40.68 | 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 | 0.67 | 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 | 100 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.35 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 3.71 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 15.02 | 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 | 100 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 2.15 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 1.61 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 22.12 | 15.38 |
Montrose Healthcare Center Location: 2123 Verdugo Blvd., Montrose, California 91020 Phone: (818) 249-3925 |