Montrose Health Center
State inspectors recorded 1 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.
Serious inspection findings
2024-09-19 — ACTUAL HARM (tag F0689, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2024-04-25 — ACTUAL HARM (tag F0697, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide safe, appropriate pain management for a resident who requires such services.
2024-04-25 — ACTUAL HARM (tag F0686, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
2024-04-25 — IMMEDIATE JEOPARDY (tag F0684, severity J)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Staffing, from payroll records
Nursing hours / resident / day
2.81
state median 3.10
Weekend staffing gap
−6%
fewer nursing hours on weekends · state median −7%
RN hours / resident / day
0.42
registered nurses only
Contract (agency) staff
0%
share of all nursing hours
Nursing staff turnover
44%
per year, per CMS
Keep an eye on this facility
Penalties and enforcement
2 enforcement action(s), totaling $43,079 in fines.
| Date | Type | Amount |
|---|---|---|
| 2024-09-19 | Fine | $25,740 |
| 2024-04-25 | Fine | $17,339 |
Ownership
Ownership type: For profit - Corporation.
Full citation history
| Survey date | Tag | Category | Severity | Corrected |
|---|---|---|---|---|
| 2026-03-26 | F0725 | Nursing and Physician Services Deficiencies | D | not recorded |
| 2025-10-02 | F0693 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-09-19 | F0640 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-09-19 | F0657 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-09-19 | F0658 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-09-19 | F0689 | Quality of Life and Care Deficiencies | G | not recorded |
| 2024-04-25 | F0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | E | not recorded |
| 2024-04-25 | F0641 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-04-25 | F0684 | Quality of Life and Care Deficiencies | J | not recorded |
| 2024-04-25 | F0686 | Quality of Life and Care Deficiencies | G | not recorded |
| 2024-04-25 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-04-25 | F0690 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-04-25 | F0697 | Quality of Life and Care Deficiencies | G | not recorded |
| 2024-04-25 | F0760 | Pharmacy Service Deficiencies | D | not recorded |
| 2024-04-25 | F0940 | Administration Deficiencies | D | not recorded |