Montrose Health Center has a 3 out of 5 overall rating, with weaker health inspection results (2/5) but stronger staffing (4/5) and quality measures (5/5). It reported 3.34 nurse staffing hours per resident per day versus the 4.1 federal benchmark, and it had $25,740 in fines in the last 24 months with a recent federal penalty.
Last inspection: March 26, 2026Penalties, last 24 months: $25,740recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.3416.
Staffing detail
Registered nurses
0.80
Licensed practical nurses
0.33
Nurse aides
2.21
Weekend nursing
2.77
Hours per resident per day.
Total staff turnover: 48%
Registered nurse turnover: 50%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
19.8%Improving
Residents with a fall causing major injury
2.4%Worsening
Residents with pressure ulcers (bedsores)
12.8%Worsening
Residents with a urinary tract infection
0%Steady
Residents who lost too much weight
3.7%Worsening
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
7.6%Worsening
Residents whose ability to walk got worse
12.3%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
17.6%Steady
Short-stay residents newly given an antipsychotic
0%Steady
Residents with a long-term catheter
0.5%Steady
Residents with new or worsening incontinence
22.2%Worsening
Residents with depressive symptoms
6.7%Improving
Long-stay residents given the seasonal flu vaccine
100%Steady
Long-stay residents given the pneumonia vaccine
99.2%Improving
Short-stay residents given the seasonal flu vaccine
97.3%Steady
Short-stay residents given the pneumonia vaccine
99.3%Worsening
What the inspectors found
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited April 2024 — isolated incident, immediate jeopardy to residents.
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F-Tag 684 — 42 CFR §483.25 — S/S: J
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited September 2024 — isolated incident, actual harm.
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F-Tag 689 — 42 CFR §483.25(d) — S/S: G
The home failed to provide safe, appropriate pain management for a resident who needed it. Cited April 2024 — isolated incident, actual harm.
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F-Tag 697 — 42 CFR §483.25(k) — S/S: G
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited April 2024 — isolated incident, actual harm.
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F-Tag 686 — 42 CFR §483.25(b) — S/S: G
The nursing home failed to protect residents from abuse and neglect by others. Cited April 2024 — limited pattern, potential for harm.
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F-Tag 600 — 42 CFR §483.12 — S/S: E
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 1 health deficiency.
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INSPECTION
Health inspection found 1 health deficiency.
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PENALTY
A federal fine of $25,740 was recorded.
INSPECTION
Health inspection found 4 health deficiencies.
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Penalties & enforcement
On record with Medicare: 3 fines · $49,309 in total fines.
Federal fine
Sep 19, 2024
$25,740
Federal fine
Apr 25, 2024
$17,339
Federal fine
May 24, 2023
$6,230
Operator & ownership
Ownership
For profit - Corporation
Occupancy
40.1 residents on an average day (91% of 44 beds)
Resident voice
Resident council
Medicare history
Certified for 29 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.