Nursing HomeInspections

Montrose Springs Skilled Nursing & Wellness Center

Nursing home in Montrose, CA

Medicare & Medicaid certified2★ overall (CMS)

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Public-record details

Address
2635 Honolulu Ave, Montrose, CA 91020
Phone
(818) 248-6856
Listed under
For-profit
Medicare CCN
056322
Overall star rating
2 of 5 ★★☆☆☆
Health inspection rating
1 of 5
Staffing rating
3 of 5
Quality measures rating
5 of 5
Certified beds
109
Average residents per day
125
Ownership
For-profit, limited Liability company
Legal business name
Verdugo Valley Skilled Nursing & Wellness Centre, LLC
Chain
Pacific Healthcare Holdings (15 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Dec 23, 1974
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident and family councils
Sprinklers in all required areas
Yes

CMS certification number 056322. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-11-07.

Inspection record

Most recent standard health inspection: Jul 24, 2026. CMS lists 85 health citations for this facility across its last three standard inspection cycles and complaint inspections (Nov 29, 2023 to Jul 24, 2026): 32 from complaint inspections, 3 at the “actual harm” level or higher.

InspectionCitationSeverity
Jul 24, 2026Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.
Environmental		B
Potential for minimal harm, pattern
Jul 24, 2026Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Environmental		B
Potential for minimal harm, pattern
Jul 24, 2026Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights		D
Potential for more than minimal harm, isolated
Jul 24, 2026Honor 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.
Resident Rights		D
Potential for more than minimal harm, isolated
Jul 24, 2026Assess the resident when there is a significant change in condition
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Jul 24, 2026Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Jul 24, 2026Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Jul 24, 2026Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Jul 24, 2026Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Jul 24, 2026Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Jul 24, 2026Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Jul 24, 2026Honor 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…
Resident Rights		E
Potential for more than minimal harm, pattern

Showing the 12 most recent of 85. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Oct 1, 2026.

Fines and payment denials

CMS records 1 fine totalling $32,139 and 1 denial of Medicare payment for new admissions in the last three years.

Feb 20, 2025Fine: $32,139
May 10, 2024Payment denial for 6 days from Jun 8, 2024

Source: CMS Penalties file, processed Oct 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
4.00 hours
Registered nurse (RN) time per resident per day
0.53 hours
Nurse aide time per resident per day
2.61 hours
Total nurse staffing on weekends
3.76 hours

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

Other nursing homes in Montrose

Montrose Healthcare Center2123 Verdugo Blvd. · Montrose, CA 91020 · (818) 249-3925 · For-profit40 health citations in 3 inspection cycles · last standard inspection Apr 30, 2026 · no CMS fines in 3 yrsMedicare & Medicaid certified4★ overall (CMS)

All 2 in Montrose →

Public record, not an endorsement. This listing was compiled from public records as of 2026-11-07 and may be incomplete or out of date. Nursing Home Inspections does not vet, employ, recommend or guarantee nursing homes; a badge reflects only what the public record showed on that date. Confirm current details with the official record before you decide. The information on Nursing Home Inspections is not medical advice and does not replace a doctor, nurse, discharge planner or other qualified professional. Do not use it to make decisions about diagnosis or treatment. If you have a medical emergency, call 911. Full disclaimer · Report an error