CareSentinel

Federal Nursing-Home Survey Record

MONTROSE SPRINGS SKILLED NURSING & WELLNESS CENTER

CCN 056322 · 2635 HONOLULU AVE, MONTROSE, CA, 91020

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

Does MONTROSE SPRINGS SKILLED NURSING & WELLNESS CENTER have a federal violation or abuse history?

According to the public federal record on file with the Centers for Medicare & Medicaid Services (CMS), MONTROSE SPRINGS SKILLED NURSING & WELLNESS CENTER (CCN 056322), in MONTROSE, CA, has federal inspection findings on its record.

In its current inspection cycle, CMS cited the facility for 21 deficiencies; the most serious carries scope/severity E — 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 $32,139 in civil money penalties on file against the facility. This page restates the federal record 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 $32,139 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

$32,139

CMS has $32,139 in civil money penalties on file against this facility. CMS also records 6 day(s) of payment denial.

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

2026-02-26
CURRENT CYCLE
F580S/S D

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

2026-02-26
CURRENT CYCLE
F684S/S D

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

2026-02-26
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.

2026-01-22
CURRENT CYCLE
F755S/S D

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

2026-01-22
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.

2025-07-03
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.

2025-07-03
CURRENT CYCLE
F552S/S D

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

2025-07-03
CURRENT CYCLE
F880S/S D

Provide and implement an infection prevention and control program.

2025-07-03
CURRENT CYCLE
F565S/S D

Honor the resident's right to organize and participate in resident/family groups in the facility.

2025-07-03
CURRENT CYCLE
F550S/S D

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

2025-07-03
CURRENT CYCLE
F578S/S D

Honor 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 directive.

2025-07-03
CURRENT CYCLE
F919S/S D

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

2025-07-03
CURRENT CYCLE
F745S/S D

Provide medically-related social services to help each resident achieve the highest possible quality of life.

2025-07-03
CURRENT CYCLE
F692S/S D

Provide enough food/fluids to maintain a resident's health.

2025-07-03
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.

2025-07-03
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.

2025-07-03
CURRENT CYCLE
F689S/S D

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

2025-07-03
CURRENT CYCLE
F688S/S D

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

2025-07-03
CURRENT CYCLE
F911S/S B

Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.

2025-07-03
CURRENT CYCLE
F912S/S B

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

2025-05-01
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.

39 citations from earlier inspection cycles — historical, not current (expand)
2025-03-28
HISTORICAL
F600S/S G

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

2025-03-28
HISTORICAL
F609S/S D

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

2025-03-12
HISTORICAL
F600S/S G

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

2025-02-20
HISTORICAL
F660S/S D

Plan the resident's discharge to meet the resident's goals and needs.

2024-07-12
HISTORICAL
F759S/S E

Ensure medication error rates are not 5 percent or greater.

2024-07-12
HISTORICAL
F802S/S E

Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

2024-07-12
HISTORICAL
F730S/S E

Observe each nurse aide's job performance and give regular training.

2024-07-12
HISTORICAL
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.

2024-07-12
HISTORICAL
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.

2024-07-12
HISTORICAL
F755S/S E

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

2024-07-12
HISTORICAL
F919S/S D

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

2024-07-12
HISTORICAL
F550S/S D

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

2024-07-12
HISTORICAL
F558S/S D

Reasonably accommodate the needs and preferences of each resident.

2024-07-12
HISTORICAL
F580S/S D

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

2024-07-12
HISTORICAL
F583S/S D

Keep residents' personal and medical records private and confidential.

2024-07-12
HISTORICAL
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.

2024-07-12
HISTORICAL
F880S/S D

Provide and implement an infection prevention and control program.

2024-07-12
HISTORICAL
F657S/S D

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

2024-07-12
HISTORICAL
F686S/S D

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

2024-07-12
HISTORICAL
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.

2024-07-12
HISTORICAL
F695S/S D

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

2024-07-12
HISTORICAL
F697S/S D

Provide safe, appropriate pain management for a resident who requires such services.

2024-07-12
HISTORICAL
F745S/S D

Provide medically-related social services to help each resident achieve the highest possible quality of life.

2024-07-12
HISTORICAL
F912S/S B

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

2024-07-12
HISTORICAL
F911S/S B

Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.

2024-07-12
HISTORICAL
F732S/S B

Post nurse staffing information every day.

2024-05-17
HISTORICAL
F557S/S D

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

2024-05-17
HISTORICAL
F558S/S D

Reasonably accommodate the needs and preferences of each resident.

2024-05-10
HISTORICAL
F635S/S G

Provide doctor's orders for the resident's immediate care at the time the resident was admitted.

2024-05-10
HISTORICAL
F711S/S D

Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.

2024-04-09
HISTORICAL
F677S/S D

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

2024-04-09
HISTORICAL
F576S/S D

Ensure residents have reasonable access to and privacy in their use of communication methods.

2024-04-09
HISTORICAL
F558S/S D

Reasonably accommodate the needs and preferences of each resident.

2024-03-06
HISTORICAL
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.

2024-03-06
HISTORICAL
F684S/S D

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

2024-02-27
HISTORICAL
F689S/S D

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

2023-11-29
HISTORICAL
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.

2023-06-13
HISTORICAL
F578S/S D

Honor 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 directive.

2023-06-07
HISTORICAL
F610S/S D

Respond appropriately to all alleged violations.

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 MONTROSE SPRINGS SKILLED NURSING & WELLNESS 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

Your relationship to the resident
What happened? Select all that apply.

Physical injury

Skin & wounds

Medical & clinical

Safety & abuse

Loss

Something else

The resident is…