MONTROSE SPRINGS SKILLED NURSING & WELLNESS CENTER
State inspectors recorded 3 citation(s) in the last three years where CMS determined a resident was actually harmed.
Serious inspection findings
2025-03-28 — ACTUAL HARM (tag F0600, severity G)
Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
2025-03-12 — ACTUAL HARM (tag F0600, severity G)
Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
2024-05-10 — ACTUAL HARM (tag F0635, severity G)
Resident Assessment and Care Planning Deficiencies · correction not recorded in CMS data
Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
Staffing, from payroll records
Nursing hours / resident / day
3.70
state median 3.94
Weekend staffing gap
−1%
fewer nursing hours on weekends · state median −5%
RN hours / resident / day
0.33
registered nurses only
Contract (agency) staff
0%
share of all nursing hours
Keep an eye on this facility
Penalties and enforcement
2 enforcement action(s), totaling $32,139 in fines.
| Date | Type | Amount |
|---|---|---|
| 2025-02-20 | Fine | $32,139 |
| 2024-05-10 | Payment Denial | payment denial |
Ownership
Ownership type: For profit - Limited Liability company. Part of the PACIFIC HEALTHCARE HOLDINGS chain.
Other facilities under the same ownership, with their CMS overall ratings:
- VERNON HEALTHCARE CENTER (LOS ANGELES, CA) —
- THE PAVILION AT OCEAN POINT (SAN DIEGO, CA) —
- BRIGHTON PLACE SPRING VALLEY (SPRING VALLEY, CA) —
- BRIGHTON PLACE SAN DIEGO (SAN DIEGO, CA) —
- AMAYA SPRINGS HEALTH CARE CENTER (SPRING VALLEY, CA) —
- OSAGE HEALTHCARE & WELLNESS CENTRE (INGLEWOOD, CA) —
- CENTINELA SKILLED NURSING & WELLNESS CENTRE WEST (INGLEWOOD, CA) —
- CALIFORNIA NURSING & REHABILITATION CENTER (PALM SPRINGS, CA) —
Full citation history
| Survey date | Tag | Category | Severity | Corrected |
|---|---|---|---|---|
| 2026-04-20 | F0842 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2026-04-07 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2026-02-26 | F0580 | Resident Rights Deficiencies | D | not recorded |
| 2026-02-26 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2026-02-26 | F0684 | Quality of Life and Care Deficiencies | D | not recorded |
| 2026-01-22 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2026-01-22 | F0755 | Pharmacy Service Deficiencies | D | not recorded |
| 2025-07-03 | F0550 | Resident Rights Deficiencies | D | not recorded |
| 2025-07-03 | F0552 | Resident Rights Deficiencies | D | not recorded |
| 2025-07-03 | F0565 | Resident Rights Deficiencies | D | not recorded |
| 2025-07-03 | F0578 | Resident Rights Deficiencies | D | not recorded |
| 2025-07-03 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-07-03 | F0688 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-07-03 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-07-03 | F0690 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-07-03 | F0692 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-07-03 | F0745 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-07-03 | F0812 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2025-07-03 | F0880 | Infection Control Deficiencies | D | not recorded |
| 2025-07-03 | F0911 | Environmental Deficiencies | B | not recorded |
| 2025-07-03 | F0912 | Environmental Deficiencies | B | not recorded |
| 2025-07-03 | F0919 | Environmental Deficiencies | D | not recorded |
| 2025-05-01 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-03-28 | F0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | G | not recorded |
| 2025-03-28 | F0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2025-03-12 | F0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | G | not recorded |
| 2025-02-20 | F0660 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-07-12 | F0550 | Resident Rights Deficiencies | D | not recorded |
| 2024-07-12 | F0558 | Resident Rights Deficiencies | D | not recorded |
| 2024-07-12 | F0580 | Resident Rights Deficiencies | D | not recorded |
| 2024-07-12 | F0583 | Resident Rights Deficiencies | D | not recorded |
| 2024-07-12 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-07-12 | F0657 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-07-12 | F0686 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-07-12 | F0690 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-07-12 | F0695 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-07-12 | F0697 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-07-12 | F0730 | Nursing and Physician Services Deficiencies | E | not recorded |
| 2024-07-12 | F0732 | Nursing and Physician Services Deficiencies | B | not recorded |
| 2024-07-12 | F0745 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-07-12 | F0755 | Pharmacy Service Deficiencies | E | not recorded |
| 2024-07-12 | F0759 | Pharmacy Service Deficiencies | E | not recorded |
| 2024-07-12 | F0761 | Pharmacy Service Deficiencies | E | not recorded |
| 2024-07-12 | F0802 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2024-07-12 | F0803 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2024-07-12 | F0880 | Infection Control Deficiencies | D | not recorded |
| 2024-07-12 | F0911 | Environmental Deficiencies | B | not recorded |
| 2024-07-12 | F0912 | Environmental Deficiencies | B | not recorded |
| 2024-07-12 | F0919 | Environmental Deficiencies | D | not recorded |
| 2024-05-17 | F0557 | Resident Rights Deficiencies | D | not recorded |
| 2024-05-17 | F0558 | Resident Rights Deficiencies | D | not recorded |
| 2024-05-10 | F0635 | Resident Assessment and Care Planning Deficiencies | G | not recorded |
| 2024-05-10 | F0711 | Nursing and Physician Services Deficiencies | D | not recorded |
| 2024-04-09 | F0558 | Resident Rights Deficiencies | D | not recorded |
| 2024-04-09 | F0576 | Resident Rights Deficiencies | D | not recorded |
| 2024-04-09 | F0677 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-03-06 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-03-06 | F0684 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-02-27 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-11-29 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2022-03-24 | F0557 | Resident Rights Deficiencies | D | not recorded |
| 2022-03-24 | F0584 | Resident Rights Deficiencies | D | not recorded |
| 2022-03-24 | F0644 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2022-03-24 | F0655 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2022-03-24 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2022-03-24 | F0657 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2022-03-24 | F0658 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2022-03-24 | F0686 | Quality of Life and Care Deficiencies | D | not recorded |
| 2022-03-24 | F0693 | Quality of Life and Care Deficiencies | D | not recorded |
| 2022-03-24 | F0695 | Quality of Life and Care Deficiencies | D | not recorded |
| 2022-03-24 | F0698 | Quality of Life and Care Deficiencies | D | not recorded |
| 2022-03-24 | F0755 | Pharmacy Service Deficiencies | D | not recorded |
| 2022-03-24 | F0759 | Pharmacy Service Deficiencies | D | not recorded |
| 2022-03-24 | F0803 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2022-03-24 | F0812 | Nutrition and Dietary Deficiencies | D | not recorded |
| 2022-03-24 | F0842 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2022-03-24 | F0881 | Infection Control Deficiencies | D | not recorded |
| 2022-03-24 | F0911 | Environmental Deficiencies | B | not recorded |
| 2022-03-24 | F0912 | Environmental Deficiencies | B | not recorded |