Nursing homes › California › Monte Vista Healthcare Center
802 Buena Vista Street, Duarte, CA 91010 · 6263598141 · 69 certified beds
Per CMS filings, this facility is affiliated with Cambridge Healthcare Services, a group operating 32 facilities in 1 states. Group record: average rating 2.5/5, 1 abuse citation icons, 1 facilities on the Special Focus list, $1,091,988 in federal fines. This facility rates below its group average (2.5/5).
Total nurse staffing: 4.20 (California median: 4.24). RN hours: 0.37. Weekend total: 3.71. Nursing staff turnover: 48%.
All-time on record: 46 deficiency citations. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-04-24 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Health | corrected 2026-05-17 |
| 2026-04-24 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Health | corrected 2026-05-17 |
| 2026-04-24 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Health | corrected 2026-05-17 |
| 2026-04-24 | Provide and implement an infection prevention and control program. | E | Health | corrected 2026-05-17 |
| 2026-04-24 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Health | corrected 2026-05-17 |
| 2026-04-24 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Health | corrected 2026-05-17 |
| 2026-04-24 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Health | corrected 2026-05-17 |
| 2026-04-24 | 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. | D | Health | corrected 2026-05-17 |
| 2026-04-24 | Provide safe and appropriate respiratory care for a resident when needed. | D | Health | corrected 2026-05-17 |
| 2026-04-24 | Post nurse staffing information every day. | D | Health | corrected 2026-05-17 |
| 2026-04-24 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Health | corrected 2026-05-17 |
| 2026-04-24 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | D | Health | corrected 2026-05-17 |
| 2026-03-04 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | complaint | corrected 2026-03-27 |
| 2026-03-04 | Provide and implement an infection prevention and control program. | D | complaint | corrected 2026-03-27 |
| 2026-02-17 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | complaint | corrected 2026-03-06 |
| 2026-01-09 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2026-02-05 |
| 2026-01-09 | Respond appropriately to all alleged violations. | D | complaint | corrected 2026-02-05 |
| 2026-01-09 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | complaint | corrected 2026-02-05 |
| 2025-07-23 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | complaint | corrected 2025-08-15 |
| 2025-07-23 | Dispose of garbage and refuse properly. | D | complaint | corrected 2025-08-15 |
| 2025-02-21 | 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. | E | Health | corrected 2025-03-17 |
| 2025-02-21 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Health | corrected 2025-03-17 |
| 2025-02-21 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | E | Health | corrected 2025-03-17 |
| 2025-02-21 | Provide safe and appropriate respiratory care for a resident when needed. | E | Health | corrected 2025-03-17 |
| 2025-02-21 | Ensure medication error rates are not 5 percent or greater. | E | Health | corrected 2025-03-17 |
| 2025-02-21 | 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. | E | Health | corrected 2025-03-17 |
| 2025-02-21 | 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. | E | Health | corrected 2025-03-17 |
| 2025-02-21 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Health | corrected 2025-03-17 |
| 2025-02-21 | Provide and implement an infection prevention and control program. | E | Health | corrected 2025-03-17 |
| 2025-02-21 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Health | corrected 2025-03-17 |
| 2025-02-21 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Health | corrected 2025-03-17 |
| 2025-02-21 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Health | corrected 2025-03-17 |
| 2025-02-21 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Health | corrected 2025-03-17 |
| 2025-02-21 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Health | corrected 2025-03-17 |
| 2025-02-21 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Health | corrected 2025-03-17 |
| 2025-02-21 | 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. | D | Health | corrected 2025-03-17 |
| 2025-02-21 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | Health | corrected 2025-03-17 |
| 2025-02-21 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | Health | corrected 2025-03-17 |
| 2025-02-21 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | D | Health | corrected 2025-03-17 |
| 2024-02-11 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Health | corrected 2024-03-07 |
No federal fines or payment denials on record.
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| WIN WIN ENTERPRISES, LLC | 5% Or Greater Direct Ownership Interest | Organization | 45% | since 02/19/2003 |
| LAWLER, EMELYN | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 04/10/2024 |
| VIDALES, MIGUEL | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 03/01/2021 |
| WINTNER, JACOB | Corporate Officer | Individual | NOT APPLICABLE | since 02/19/2003 |
| CAMBRIDGE HEALTHCARE SERVICES LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 04/01/2014 |
| BUTENKO, JULIE | Operational/Managerial Control | Individual | NOT APPLICABLE | since 07/24/2023 |
| CAPELA, HEIDI | Operational/Managerial Control | Individual | NOT APPLICABLE | since 04/03/2023 |
| GAZARIAN, LEVON | Operational/Managerial Control | Individual | NOT APPLICABLE | since 09/09/2013 |
| HASSELL, LANCE | Operational/Managerial Control | Individual | NOT APPLICABLE | since 04/25/2022 |
| LAWLER, EMELYN | Operational/Managerial Control | Individual | NOT APPLICABLE | since 04/10/2024 |
| LUTZ, LINDA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 02/01/2012 |
| SALAZAR, PAULINA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 12/14/2020 |
| SMEDRA, IRA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 03/25/2003 |
| VENTANILLA, DIANNE | Operational/Managerial Control | Individual | NOT APPLICABLE | since 08/26/2024 |
| VIDALES, MIGUEL | Operational/Managerial Control | Individual | NOT APPLICABLE | since 03/01/2021 |
| WINTNER, JACOB | Operational/Managerial Control | Individual | NOT APPLICABLE | since 02/19/2003 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 055817. Corrections: data@carerecords.org.