Monte Vista Healthcare Center in Duarte, CA has an overall 2-star rating, with 2 stars for health inspections and 3 stars for staffing and quality measures. It reports nurse staffing of 4.20 hours per resident per day, slightly above the federal benchmark of 4.1, with $0 in fines in the last 24 months; recent inspection issues included care planning, following treatment orders, and food storage/serving standards.
Last inspection: April 24, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.2002.
Staffing detail
Registered nurses
0.37
Licensed practical nurses
1.40
Nurse aides
2.43
Weekend nursing
3.71
Hours per resident per day.
Total staff turnover: 48%
Registered nurse turnover: 33%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Last yrNowTrend
Long-stay residents on antipsychotic medication
6.1%7.9%Worsening
Residents with a fall causing major injury
3.9%4.3%No change
Residents with pressure ulcers (bedsores)
4.1%5%Worsening
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
4.4%2.9%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
4.9%16.2%Worsening
Residents whose ability to walk got worse
—11.1%—
Long-stay residents on antianxiety or sleep medication
10.9%4.9%Improving
Short-stay residents newly given an antipsychotic
2.5%0%Improving
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
16.2%17.4%Worsening
Residents with depressive symptoms
2.2%0%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%97.8%Worsening
Short-stay residents given the seasonal flu vaccine
—100%—
Short-stay residents given the pneumonia vaccine
100%100%No change
What the inspectors found
The nursing home failed to develop and carry out a complete care plan that met each resident’s needs with clear steps and timelines. Cited April 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: E
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited April 2026 — limited pattern, potential for harm.
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F-Tag 684 — 42 CFR §483.25 — S/S: E
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited April 2026 — limited pattern, potential for harm.
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F-Tag 812 — 42 CFR §483.60(i) — S/S: E
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited April 2026 — limited pattern, potential for harm.
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F-Tag 880 — 42 CFR §483.80(a) — S/S: E
The home failed to provide safe and appropriate breathing care when a resident needed it. Cited February 2025 — limited pattern, potential for harm.
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F-Tag 695 — 42 CFR §483.25(i) — S/S: E
Recent history
STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
INSPECTION
Health inspection found 12 health deficiencies.
See what inspectors found
STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
INSPECTION
Health inspection found 2 health deficiencies.
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INSPECTION
Health inspection found 1 health deficiency.
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INSPECTION
Health inspection found 3 health deficiencies.
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Operator & ownership
Ownership
For profit - Limited Liability company
Chain
Part of CAMBRIDGE HEALTHCARE SERVICES · 32 homes · 2.5 stars avg
Occupancy
61.7 residents on an average day (89% of 69 beds)
Resident voice
Resident council
Medicare history
Certified for 58 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.