Data / Nursing homes / California / Montrose Springs Skilled Nursing & Wellness Center
Montrose Springs Skilled Nursing & Wellness Center, Montrose, CA: 2 star rating, fined $32,139 across 1 fine and had 1 payment denial
Montrose Springs Skilled Nursing & Wellness Center in Montrose, CA is owned by Pacific Healthcare Holdings, Inc., is rated 2 of 5 stars by Medicare, and was fined $32,139 across 1 fine and had 1 payment denial in the three years to October 1, 2026. CMS lists 85 health citations from inspections in that time, the latest survey on July 24, 2026, and 3 of them found actual harm or immediate jeopardy.
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- Address
- 2635 Honolulu Ave, Montrose, CA 91020
- Overall rating
- 2 of 5 stars
- Health inspection rating
- 1 of 5
- Staffing rating
- 3 of 5
- Quality measure rating
- 5 of 5
- Certified beds
- 109
- Residents per day
- 125 on average
- Ownership type
- For profit, limited liability company
- Legal business name
- Verdugo Valley Skilled Nursing & Wellness Centre, LLC
- Chain
- Pacific Healthcare Holdings, 15 facilities
- Fines
- $32,139 across 1 fine, three years to October 1, 2026
- Payment denials
- 1
- Health citations
- 85, of which 3 with actual harm or immediate jeopardy
- Latest survey
- July 24, 2026
- CMS Certification Number
- 056322
- On Care Compare
- Medicare Care Compare
Fines and payment denials
Every fine and payment denial CMS lists for this facility in the three years, newest first.
| Date | Type | Fine amount | Denial starts | Denial days | Source |
|---|---|---|---|---|---|
| February 20, 2025 | Fine | $32,139 | Not listed | data.cms.gov | |
| May 10, 2024 | Payment denial | Not listed | June 8, 2024 | 6 | data.cms.gov |
Recent health citations
Citations from health inspections, newest first.
| Survey date | Tag | What CMS cited | Scope and severity | Status | Corrected on | Source |
|---|---|---|---|---|---|---|
| July 24, 2026 | F912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | B: pattern, minimal harm potential | Corrected | August 17, 2026 | data.cms.gov |
| July 24, 2026 | F911 | Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. | B: pattern, minimal harm potential | Corrected | August 17, 2026 | data.cms.gov |
| July 24, 2026 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | August 17, 2026 | data.cms.gov |
| July 24, 2026 | F825 | Provide or get specialized rehabilitative services as required for a resident. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | August 17, 2026 | data.cms.gov |
| July 24, 2026 | F814 | Dispose of garbage and refuse properly. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | August 17, 2026 | data.cms.gov |
| July 24, 2026 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | August 17, 2026 | data.cms.gov |
| July 24, 2026 | F690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | August 17, 2026 | data.cms.gov |
| July 24, 2026 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | August 17, 2026 | data.cms.gov |
| July 24, 2026 | F688 | 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. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | August 17, 2026 | data.cms.gov |
| July 24, 2026 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | August 17, 2026 | data.cms.gov |
| July 24, 2026 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | August 17, 2026 | data.cms.gov |
| July 24, 2026 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | August 17, 2026 | data.cms.gov |
| July 24, 2026 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | August 17, 2026 | data.cms.gov |
| July 24, 2026 | F637 | Assess the resident when there is a significant change in condition | D: isolated, no actual harm, potential for more than minimal harm | Corrected | August 17, 2026 | data.cms.gov |
| July 24, 2026 | F584 | Honor 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. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | August 17, 2026 | data.cms.gov |
| July 24, 2026 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | August 17, 2026 | data.cms.gov |
| July 24, 2026 | F578 | 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. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | August 17, 2026 | data.cms.gov |
| July 23, 2026 | F805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | August 14, 2026 | data.cms.gov |
| July 23, 2026 | F690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | August 14, 2026 | data.cms.gov |
| July 23, 2026 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | August 14, 2026 | data.cms.gov |
| July 23, 2026 | F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | August 14, 2026 | data.cms.gov |
| July 23, 2026 | F641 | Ensure each resident receives an accurate assessment. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | August 14, 2026 | data.cms.gov |
| July 1, 2026 | F770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | July 24, 2026 | data.cms.gov |
| July 1, 2026 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | July 24, 2026 | data.cms.gov |
| July 1, 2026 | F552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | July 24, 2026 | data.cms.gov |
| April 20, 2026 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | May 8, 2026 | data.cms.gov |
| April 7, 2026 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | April 24, 2026 | data.cms.gov |
| February 26, 2026 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | March 20, 2026 | data.cms.gov |
| February 26, 2026 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | March 20, 2026 | data.cms.gov |
| February 26, 2026 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | March 20, 2026 | data.cms.gov |
| January 22, 2026 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | February 14, 2026 | data.cms.gov |
| January 22, 2026 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | February 14, 2026 | data.cms.gov |
| July 3, 2025 | F919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | July 25, 2025 | data.cms.gov |
| July 3, 2025 | F912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | B: pattern, minimal harm potential | Corrected | July 25, 2025 | data.cms.gov |
| July 3, 2025 | F911 | Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. | B: pattern, minimal harm potential | Corrected | July 25, 2025 | data.cms.gov |
| July 3, 2025 | F880 | Provide and implement an infection prevention and control program. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | July 25, 2025 | data.cms.gov |
| July 3, 2025 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | July 25, 2025 | data.cms.gov |
| July 3, 2025 | F745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | July 25, 2025 | data.cms.gov |
| July 3, 2025 | F692 | Provide enough food/fluids to maintain a resident's health. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | July 25, 2025 | data.cms.gov |
| July 3, 2025 | F690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | July 25, 2025 | data.cms.gov |
| July 3, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | July 25, 2025 | data.cms.gov |
| July 3, 2025 | F688 | 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. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | July 25, 2025 | data.cms.gov |
| July 3, 2025 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | July 25, 2025 | data.cms.gov |
| July 3, 2025 | F578 | 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. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | July 25, 2025 | data.cms.gov |
| July 3, 2025 | F565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | July 25, 2025 | data.cms.gov |
| July 3, 2025 | F552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | July 25, 2025 | data.cms.gov |
| July 3, 2025 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | July 25, 2025 | data.cms.gov |
| May 1, 2025 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | May 22, 2025 | data.cms.gov |
| March 28, 2025 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G: isolated, actual harm | Corrected | April 5, 2025 | data.cms.gov |
| March 28, 2025 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | April 5, 2025 | data.cms.gov |
| March 12, 2025 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G: isolated, actual harm | Corrected | April 9, 2025 | data.cms.gov |
| February 20, 2025 | F660 | Plan the resident's discharge to meet the resident's goals and needs. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | March 14, 2025 | data.cms.gov |
| July 12, 2024 | F919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | August 5, 2024 | data.cms.gov |
| July 12, 2024 | F912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | B: pattern, minimal harm potential | Corrected | August 5, 2024 | data.cms.gov |
| July 12, 2024 | F911 | Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. | B: pattern, minimal harm potential | Corrected | August 5, 2024 | data.cms.gov |
| July 12, 2024 | F880 | Provide and implement an infection prevention and control program. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | August 5, 2024 | data.cms.gov |
| July 12, 2024 | F803 | 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. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | August 5, 2024 | data.cms.gov |
| July 12, 2024 | F802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | August 5, 2024 | data.cms.gov |
| July 12, 2024 | F761 | 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. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | August 5, 2024 | data.cms.gov |
| July 12, 2024 | F759 | Ensure medication error rates are not 5 percent or greater. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | August 5, 2024 | data.cms.gov |
| July 12, 2024 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | August 5, 2024 | data.cms.gov |
| July 12, 2024 | F745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | August 5, 2024 | data.cms.gov |
| July 12, 2024 | F732 | Post nurse staffing information every day. | B: pattern, minimal harm potential | Corrected | August 5, 2024 | data.cms.gov |
| July 12, 2024 | F730 | Observe each nurse aide's job performance and give regular training. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | August 5, 2024 | data.cms.gov |
| July 12, 2024 | F697 | Provide safe, appropriate pain management for a resident who requires such services. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | August 5, 2024 | data.cms.gov |
| July 12, 2024 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | August 5, 2024 | data.cms.gov |
| July 12, 2024 | F690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | August 5, 2024 | data.cms.gov |
| July 12, 2024 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | August 5, 2024 | data.cms.gov |
| July 12, 2024 | F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | August 5, 2024 | data.cms.gov |
| July 12, 2024 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | August 5, 2024 | data.cms.gov |
| July 12, 2024 | F583 | Keep residents' personal and medical records private and confidential. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | August 5, 2024 | data.cms.gov |
| July 12, 2024 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | August 5, 2024 | data.cms.gov |
| July 12, 2024 | F558 | Reasonably accommodate the needs and preferences of each resident. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | August 5, 2024 | data.cms.gov |
| July 12, 2024 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | August 5, 2024 | data.cms.gov |
| May 17, 2024 | F558 | Reasonably accommodate the needs and preferences of each resident. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | June 14, 2024 | data.cms.gov |
| May 17, 2024 | F557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | June 14, 2024 | data.cms.gov |
| May 10, 2024 | F635 | Provide doctor's orders for the resident's immediate care at the time the resident was admitted. | G: isolated, actual harm | Corrected | June 3, 2024 | data.cms.gov |
| May 10, 2024 | F711 | Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | June 3, 2024 | data.cms.gov |
| April 9, 2024 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | April 29, 2024 | data.cms.gov |
| April 9, 2024 | F576 | Ensure residents have reasonable access to and privacy in their use of communication methods. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | April 29, 2024 | data.cms.gov |
| April 9, 2024 | F558 | Reasonably accommodate the needs and preferences of each resident. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | April 29, 2024 | data.cms.gov |
| March 6, 2024 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | March 22, 2024 | data.cms.gov |
| March 6, 2024 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | March 22, 2024 | data.cms.gov |
| February 27, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | March 20, 2024 | data.cms.gov |
| November 29, 2023 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | December 26, 2023 | data.cms.gov |
Owners and managers
Organizations CMS lists as owners or managers of this facility, as CMS names them. CMS also lists 7 individual or personal trusts (3 managers, 1 officers, directors or trustees, 3 other disclosable parties). Their names are not shown on this page.
| Organization | Role | Share | Since | Source |
|---|---|---|---|---|
| Pacific Healthcare Holdings, Inc. | Direct owner | 88% | August 31, 2007 | data.cms.gov |
| Corporate Interface Services LLC | Operational or managerial control | Not listed | March 18, 2024 | data.cms.gov |
| Rockport Administrative Services, LLC | Operational or managerial control | Not listed | January 15, 2008 | data.cms.gov |
| Corporate Interface Services LLC | Additional disclosable party | Not listed | April 10, 2025 | data.cms.gov |
| Rockport Administrative Services, LLC | Additional disclosable party | Not listed | April 10, 2025 | data.cms.gov |
Also on SpecStream
- All nursing homes in California
- Every nursing home Pacific Healthcare Holdings, Inc. owns or manages
- Every nursing home Corporate Interface Services LLC owns or manages
- Every nursing home Rockport Administrative Services, LLC owns or manages
- This facility on Medicare Care Compare
Updated November 7, 2026. Read from CMS Provider Data Catalog, nursing homes. Open data from the Centers for Medicare & Medicaid Services (US government work). Fines and citations are as CMS lists them on the date this page was read and can change after an appeal. The CMS files are joined on the CMS Certification Number. CMS gives owners no ID, so an owner page groups facilities by the owner name as CMS spells it. Names of individual owners and managers are not shown. This page uses CMS data and is not endorsed or certified by CMS. Free to reuse with credit to SpecStream under CC BY 4.0. Spot a wrong value? Write to [email protected] with the link to this page.