CareSentinel

Federal Nursing-Home Survey Record

MONTE VISTA HEALTHCARE CENTER

CCN 055817 · 802 BUENA VISTA STREET, DUARTE, CA, 91010

Record as of May 2026 · Updated monthly from CMS · Data incorrect? Contact records@caregiverhelpnow.com

Does MONTE VISTA HEALTHCARE CENTER have a federal violation or abuse history?

According to the public federal record on file with the Centers for Medicare & Medicaid Services (CMS), MONTE VISTA HEALTHCARE CENTER (CCN 055817), in DUARTE, CA, has federal inspection findings on its record.

In its current inspection cycle, CMS cited the facility for 27 deficiencies; the most serious carries scope/severity E on CMS's A–L scale — CMS's "potential for harm" tier, below actual harm. Citations from earlier inspection cycles appear in the dated timeline below as historical findings, not current ones. CMS has $10,488 in civil money penalties on file against the facility. This page restates the federal record as published by CMS and draws no conclusion of its own. Federal nursing-home surveys are conducted on a recurring cycle by state survey agencies acting on CMS's behalf, and the figures on this page are compiled from CMS's published provider data, as on file with CMS; the federal record may understate what actually occurred, and inspection findings are point-in-time survey results, not a determination that any specific resident was harmed.

The Federal Record

CMS has $10,488 in civil money penalties on file against this facility.

Below is this facility's federal survey record as on file with CMS.

Scope & Severity — current cycle

ANo Harm
BNo Harm
CNo Harm
DPotential
EPotential
FPotential
GActual Harm
HActual Harm
IActual Harm
JImm. Jeopardy
KImm. Jeopardy
LImm. Jeopardy

CMS's own A–L scope/severity grid. Plotted cells mark this facility's most recent (current-cycle) citations, as on file with CMS.

Civil money penalties on file

$10,488

CMS has $10,488 in civil money penalties on file against this facility.

Overall CMS star rating: this facility vs the CMS-published state average

This facility: 2  ·  CMS state average: 3.2

Side-by-side with the CMS-published Overall CMS star rating for this state. This is the government's own published state average — not a CareSentinel-computed figure or delta.

Deficiency timeline — full federal history

2026-03-04
CURRENT CYCLE
F656S/S E

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

2026-03-04
CURRENT CYCLE
F880S/S D

Provide and implement an infection prevention and control program.

2026-02-17
CURRENT CYCLE
F607S/S D

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

2026-01-09
CURRENT CYCLE
F609S/S D

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

2026-01-09
CURRENT CYCLE
F610S/S D

Respond appropriately to all alleged violations.

2026-01-09
CURRENT CYCLE
F684S/S D

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

2025-07-23
CURRENT CYCLE
F812S/S D

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

2025-07-23
CURRENT CYCLE
F814S/S D

Dispose of garbage and refuse properly.

2025-02-21
CURRENT CYCLE
F921S/S E

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

2025-02-21
CURRENT CYCLE
F684S/S E

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

2025-02-21
CURRENT CYCLE
F686S/S E

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

2025-02-21
CURRENT CYCLE
F584S/S E

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.

2025-02-21
CURRENT CYCLE
F803S/S E

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.

2025-02-21
CURRENT CYCLE
F812S/S E

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

2025-02-21
CURRENT CYCLE
F761S/S E

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.

2025-02-21
CURRENT CYCLE
F759S/S E

Ensure medication error rates are not 5 percent or greater.

2025-02-21
CURRENT CYCLE
F695S/S E

Provide safe and appropriate respiratory care for a resident when needed.

2025-02-21
CURRENT CYCLE
F880S/S E

Provide and implement an infection prevention and control program.

2025-02-21
CURRENT CYCLE
F656S/S D

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

2025-02-21
CURRENT CYCLE
F554S/S D

Allow residents to self-administer drugs if determined clinically appropriate.

2025-02-21
CURRENT CYCLE
F550S/S D

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

2025-02-21
CURRENT CYCLE
F689S/S D

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

2025-02-21
CURRENT CYCLE
F690S/S D

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

2025-02-21
CURRENT CYCLE
F693S/S D

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

2025-02-21
CURRENT CYCLE
F804S/S D

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

2025-02-21
CURRENT CYCLE
F919S/S D

Make sure that a working call system is available in each resident's bathroom and bathing area.

2025-02-21
CURRENT CYCLE
F925S/S D

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

19 citations from earlier inspection cycles — historical, not current (expand)
2024-02-11
HISTORICAL
F759S/S E

Ensure medication error rates are not 5 percent or greater.

2024-02-11
HISTORICAL
F656S/S E

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

2024-02-11
HISTORICAL
F685S/S E

Assist a resident in gaining access to vision and hearing services.

2024-02-11
HISTORICAL
F677S/S E

Provide care and assistance to perform activities of daily living for any resident who is unable.

2024-02-11
HISTORICAL
F641S/S D

Ensure each resident receives an accurate assessment.

2024-02-11
HISTORICAL
F880S/S D

Provide and implement an infection prevention and control program.

2024-02-11
HISTORICAL
F732S/S D

Post nurse staffing information every day.

2023-05-26
HISTORICAL
F880S/S D

Provide and implement an infection prevention and control program.

2021-11-12
HISTORICAL
F880S/S K

Provide and implement an infection prevention and control program.

2021-11-12
HISTORICAL
F867S/S E

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

2021-11-12
HISTORICAL
F726S/S E

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

2021-11-12
HISTORICAL
F921S/S E

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

2021-11-12
HISTORICAL
F690S/S E

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

2021-11-12
HISTORICAL
F812S/S E

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

2021-11-12
HISTORICAL
F698S/S D

Provide safe, appropriate dialysis care/services for a resident who requires such services.

2021-11-12
HISTORICAL
F552S/S D

Ensure that residents are fully informed and understand their health status, care and treatments.

2021-11-12
HISTORICAL
F756S/S D

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

2021-11-12
HISTORICAL
F758S/S D

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

2021-11-12
HISTORICAL
F732S/S B

Post nurse staffing information every day.

Each citation below is a federal survey finding, dated and labeled with its CMS deficiency tag, as on file with CMS. Older inspection cycles are de-emphasized; only the most recent cycle is current.

Document what happened

Have a concern about care at MONTE VISTA HEALTHCARE CENTER?

Share a few details to put your inquiry on file. CareSentinel is an independent service that compiles the public CMS record and does not provide legal advice. As qualified attorneys join our network in your area, one may reach out — we can’t guarantee contact yet, so we encourage you to consult a qualified attorney promptly on your own as well. There is no cost, and your information is handled with care.

Strict time limits can apply to taking legal action — consider consulting a qualified attorney promptly.

Step 1 of 3 · What happened

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Loss

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