The home failed to properly label and securely store medications and biologicals. Cited April 2025 — limited pattern, potential for harm.
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F-Tag 761 — 42 CFR §483.45(g) — S/S: E
Nursing home report
MONTROSE HEALTHCARE CENTER
MONTROSE, CA · Medicare-certified · 59 beds
In good standing
For-profitChain member
4 of 5 overall
Montrose Healthcare Center has a 4 out of 5 overall rating, with 4-star scores for health inspections, staffing, and quality measures. It has had no fines in the last 24 months, and its reported nurse staffing is 4.05 hours per resident per day versus the federal benchmark of 4.1.
Facility ratings
Health inspections
Staffing
4.0528 hrs/resident/day
Quality measures
Last inspection: July 1, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.0528.
Staffing detail
- Registered nurses
- 0.51
- Licensed practical nurses
- 1.13
- Nurse aides
- 2.41
- Weekend nursing
- 3.74
Hours per resident per day.
Total staff turnover: 34%
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
10.2%Worsening
Residents with a fall causing major injury
5.2%Worsening
Residents with pressure ulcers (bedsores)
6.4%Improving
Residents with a urinary tract infection
2.5%Worsening
Residents who lost too much weight
2.6%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
8.6%Improving
Residents whose ability to walk got worse
11.2%Worsening
Show all measures
Long-stay residents on antianxiety or sleep medication
16.5%Worsening
Short-stay residents newly given an antipsychotic
1.3%Improving
Residents with a long-term catheter
0.5%Improving
Residents with new or worsening incontinence
4.1%Worsening
Residents with depressive symptoms
0%Steady
Long-stay residents given the seasonal flu vaccine
95.8%Steady
Long-stay residents given the pneumonia vaccine
100%Steady
Short-stay residents given the seasonal flu vaccine
80.6%Steady
Short-stay residents given the pneumonia vaccine
82%Worsening
What the inspectors found
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited April 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: E
The nursing home failed to reasonably accommodate each resident’s needs and preferences. Cited April 2024 — limited pattern, potential for harm.
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F-Tag 558 — 42 CFR §483.10 — S/S: E
The home failed to ensure residents had a safe, clean, comfortable, homelike environment and daily care supports were provided safely. Cited April 2024 — limited pattern, potential for harm.
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F-Tag 584 — 42 CFR §483.10 — S/S: E
The nursing home failed to post its nurse staffing information every day, so families could not easily see daily staffing levels. Cited April 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 732 — 42 CFR §483.35(i) — 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.
See what inspectors found
- INSPECTION
Health inspection found 11 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 13 health deficiencies.
See what inspectors found
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of LONGWOOD MANAGEMENT CORPORATION · 38 homes · 2.3 stars avg
- Occupancy
- 56.6 residents on an average day (96% of 59 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 49 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.