Nursing homes › California › Montrose Springs Skilled Nursing & Wellness Center
2635 Honolulu Ave, Montrose, CA 91020 · 8182486856 · 109 certified beds
Per CMS filings, this facility is affiliated with Pacific Healthcare Holdings, a group operating 15 facilities in 1 states. Group record: average rating 2.1/5, 1 abuse citation icons, 1 facilities on the Special Focus list, $739,563 in federal fines. This facility rates above its group average (2.1/5).
Total nurse staffing: 3.92 (California median: 4.24). RN hours: 0.47. Weekend total: 3.72.
All-time on record: 79 deficiency citations. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-04-20 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | complaint | corrected 2026-05-08 |
| 2026-04-07 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | complaint | corrected 2026-04-24 |
| 2026-02-26 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | complaint | corrected 2026-03-20 |
| 2026-02-26 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | complaint | corrected 2026-03-20 |
| 2026-02-26 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | complaint | corrected 2026-03-20 |
| 2026-01-22 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | complaint | corrected 2026-02-14 |
| 2026-01-22 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | complaint | corrected 2026-02-14 |
| 2025-07-03 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Health | corrected 2025-07-25 |
| 2025-07-03 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Health | corrected 2025-07-25 |
| 2025-07-03 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Health | corrected 2025-07-25 |
| 2025-07-03 | Honor the resident's right to organize and participate in resident/family groups in the facility. | D | Health | corrected 2025-07-25 |
| 2025-07-03 | 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. | D | Health | corrected 2025-07-25 |
| 2025-07-03 | 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 2025-07-25 |
| 2025-07-03 | 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. | D | Health | corrected 2025-07-25 |
| 2025-07-03 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | complaint | corrected 2025-07-25 |
| 2025-07-03 | 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 2025-07-25 |
| 2025-07-03 | Provide enough food/fluids to maintain a resident's health. | D | Health | corrected 2025-07-25 |
| 2025-07-03 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | D | Health | corrected 2025-07-25 |
| 2025-07-03 | Provide and implement an infection prevention and control program. | D | Health | corrected 2025-07-25 |
| 2025-07-03 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | Health | corrected 2025-07-25 |
| 2025-07-03 | Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. | B | Health | corrected 2025-07-25 |
| 2025-07-03 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | B | Health | corrected 2025-07-25 |
| 2025-05-01 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | complaint | corrected 2025-05-22 |
| 2025-03-28 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | complaint | corrected 2025-04-05 |
| 2025-03-28 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2025-04-05 |
| 2025-03-12 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | complaint | corrected 2025-04-09 |
| 2025-02-20 | Plan the resident's discharge to meet the resident's goals and needs. | D | complaint | corrected 2025-03-14 |
| 2024-07-12 | Observe each nurse aide's job performance and give regular training. | E | Health | corrected 2024-08-05 |
| 2024-07-12 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Health | corrected 2024-08-05 |
| 2024-07-12 | Ensure medication error rates are not 5 percent or greater. | E | Health | corrected 2024-08-05 |
| 2024-07-12 | 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 2024-08-05 |
| 2024-07-12 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | E | Health | corrected 2024-08-05 |
| 2024-07-12 | 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 2024-08-05 |
| 2024-07-12 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Health | corrected 2024-08-05 |
| 2024-07-12 | Reasonably accommodate the needs and preferences of each resident. | D | Health | corrected 2024-08-05 |
| 2024-07-12 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Health | corrected 2024-08-05 |
| 2024-07-12 | Keep residents' personal and medical records private and confidential. | D | Health | corrected 2024-08-05 |
| 2024-07-12 | 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 2024-08-05 |
| 2024-07-12 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Health | corrected 2024-08-05 |
| 2024-07-12 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Health | corrected 2024-08-05 |
| Date | Type | Amount |
|---|---|---|
| 2025-02-20 | Fine | $32,139 |
| 2024-05-10 | Payment Denial | 6 days payment denial |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| PACIFIC HEALTHCARE HOLDINGS, INC. | 5% Or Greater Direct Ownership Interest | Organization | 88% | since 08/31/2007 |
| RECHNITZ, SHLOMO | Corporate Officer | Individual | NOT APPLICABLE | since 08/31/2007 |
| CORPORATE INTERFACE SERVICES LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 03/18/2024 |
| ROCKPORT ADMINISTRATIVE SERVICES, LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 01/15/2008 |
| AGHAJANYAN, ANI | Operational/Managerial Control | Individual | NOT APPLICABLE | since 06/12/2017 |
| KARAKASHIAN, GARO | Operational/Managerial Control | Individual | NOT APPLICABLE | since 02/01/2017 |
| RECHNITZ, SHLOMO | Operational/Managerial Control | Individual | NOT APPLICABLE | since 08/31/2007 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 056322. Corrections: data@carerecords.org.