What is the overall CMS rating of MONTE VISTA HEALTHCARE CENTER?

MONTE VISTA HEALTHCARE CENTER has a 2-star overall rating from CMS, based on health inspections, staffing, and quality measures.

How many deficiency citations does MONTE VISTA HEALTHCARE CENTER have?

MONTE VISTA HEALTHCARE CENTER has 43 health inspection citations recorded across the most recent three CMS inspection cycles. 1 are classified as "immediate jeopardy" (the most serious CMS severity level).

Has MONTE VISTA HEALTHCARE CENTER been fined by CMS?

MONTE VISTA HEALTHCARE CENTER has accumulated $10,488 in CMS fines across 3 separate penalties in the current three-year window.

Who owns MONTE VISTA HEALTHCARE CENTER?

MONTE VISTA HEALTHCARE CENTER is affiliated with the CAMBRIDGE HEALTHCARE SERVICES chain, which operates 32 facilities nationally. See the facility's ownership section for the full CMS Form 855A ownership disclosure.

Starfile / California

MONTE VISTA HEALTHCARE CENTER

802 BUENA VISTA STREET, DUARTE, CA 91010 · CCN 055817

Ratings

Overall: ★★☆☆☆ 2
Health inspection: ★★☆☆☆ 2
Quality measures: ★★☆☆☆ 2
Staffing: ★★☆☆☆ 2

Facility

Ownership type: For profit - Corporation
Certified beds: 69
Avg residents/day: 61.3
Phone: 6263598141

Inspection history vs California & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle	Inspection date	This facility	California avg	National avg	vs state
1	2025-02-21	24	15.6	9.5	+8.4 worse
2	2024-02-11	7	17.4	9.8	-10.4 better
3	2021-11-12	12	17.1	9.3	-5.1 better

Cycle 1 deficiencies by category

Category	Deficiencies
Abuse, neglect, exploitation	2
Quality of life and care	7
Resident assessment and care planning	1
Resident rights	3
Nutrition and dietary	5
Pharmacy service	2
Environmental	3
Infection control	1

Staffing (hours per resident per day)

Metric	This facility	Turnover
Total nurse staffing (reported)	4.06	42.7%
RN staffing (reported)	0.33	55.6%
Total nurse staffing (adjusted)	3.86	—

Fines & penalties

Total fines: $10,488
Number of fines: 3
Number of penalties: 3
Payment denials: 0

Chain

Chain: CAMBRIDGE HEALTHCARE SERVICES
Facilities in chain: 32
Chain avg overall: 2.60 / 5

Inspection citations (43)1 immediate jeopardy

DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2026-01-09 · Health
Potential for more than minimal harm
DF0610Respond appropriately to all alleged violations.2026-01-09 · Health
Potential for more than minimal harm
DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2026-01-09 · Health
Potential for more than minimal harm
DF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-07-23 · Health · corrected 2025-08-15
Potential for more than minimal harm
DF0814Dispose of garbage and refuse properly.2025-07-23 · Health · corrected 2025-08-15
Potential for more than minimal harm
DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-02-21 · Health · corrected 2025-03-17
Potential for more than minimal harm
DF0554Allow residents to self-administer drugs if determined clinically appropriate.2025-02-21 · Health · corrected 2025-03-17
Potential for more than minimal harm
EF0584Honor 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.2025-02-21 · Health · corrected 2025-03-17
Potential for more than minimal harm
DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-02-21 · Health · corrected 2025-03-17
Potential for more than minimal harm
EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-02-21 · Health · corrected 2025-03-17
Potential for more than minimal harm
EF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-02-21 · Health · corrected 2025-03-17
Potential for more than minimal harm
DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-02-21 · Health · corrected 2025-03-17
Potential for more than minimal harm
DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2025-02-21 · Health · corrected 2025-03-17
Potential for more than minimal harm
DF0693Ensure 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.2025-02-21 · Health · corrected 2025-03-17
Potential for more than minimal harm
EF0695Provide safe and appropriate respiratory care for a resident when needed.2025-02-21 · Health · corrected 2025-03-17
Potential for more than minimal harm
EF0759Ensure medication error rates are not 5 percent or greater.2025-02-21 · Health · corrected 2025-03-17
Potential for more than minimal harm
EF0761Ensure 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.2025-02-21 · Health · corrected 2025-03-17
Potential for more than minimal harm
EF0803Ensure 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.2025-02-21 · Health · corrected 2025-03-17
Potential for more than minimal harm
DF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2025-02-21 · Health · corrected 2025-03-17
Potential for more than minimal harm
EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-02-21 · Health · corrected 2025-03-17
Potential for more than minimal harm
EF0880Provide and implement an infection prevention and control program.2025-02-21 · Health · corrected 2025-03-17
Potential for more than minimal harm
DF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2025-02-21 · Health · corrected 2025-03-17
Potential for more than minimal harm
EF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2025-02-21 · Health · corrected 2025-03-17
Potential for more than minimal harm
DF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.2025-02-21 · Health · corrected 2025-03-17
Potential for more than minimal harm
DF0641Ensure each resident receives an accurate assessment.2024-02-11 · Health · corrected 2024-03-07
Potential for more than minimal harm
EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-02-11 · Health · corrected 2024-03-07
Potential for more than minimal harm
EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-02-11 · Health · corrected 2024-03-07
Potential for more than minimal harm
EF0685Assist a resident in gaining access to vision and hearing services.2024-02-11 · Health · corrected 2024-03-07
Potential for more than minimal harm
DF0732Post nurse staffing information every day.2024-02-11 · Health · corrected 2024-03-07
Potential for more than minimal harm
EF0759Ensure medication error rates are not 5 percent or greater.2024-02-11 · Health · corrected 2024-03-07
Potential for more than minimal harm
DF0880Provide and implement an infection prevention and control program.2024-02-11 · Health · corrected 2024-03-07
Potential for more than minimal harm
DF0880Provide and implement an infection prevention and control program.2023-05-26 · Health · corrected 2023-06-23
Potential for more than minimal harm
DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2021-11-12 · Health · corrected 2022-01-11
Potential for more than minimal harm
EF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2021-11-12 · Health · corrected 2022-02-07
Potential for more than minimal harm
DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2021-11-12 · Health · corrected 2022-01-11
Potential for more than minimal harm
EF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2021-11-12 · Health · corrected 2022-01-11
Potential for more than minimal harm
BF0732Post nurse staffing information every day.2021-11-12 · Health · corrected 2022-01-11
Potential for minimal harm
DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2021-11-12 · Health · corrected 2022-01-11
Potential for more than minimal harm
DF0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.2021-11-12 · Health · corrected 2022-01-11
Potential for more than minimal harm
EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2021-11-12 · Health · corrected 2022-01-11
Potential for more than minimal harm
EF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2021-11-12 · Health · corrected 2022-01-11
Potential for more than minimal harm
KF0880Provide and implement an infection prevention and control program.2021-11-12 · Health · corrected 2022-02-07
Immediate jeopardy
EF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2021-11-12 · Health · corrected 2022-01-11
Potential for more than minimal harm

Ownership

Owner	Type	Role	Percent	Since
IRA E SMEDRA LIVING TRUST	Organization	5% OR GREATER DIRECT OWNERSHIP INTEREST	45%	2020-12-31
WIN WIN ENTERPRISES, LLC	Organization	5% OR GREATER DIRECT OWNERSHIP INTEREST	45%	2003-02-19
SMEDRA, IRA	Individual	5% OR GREATER INDIRECT OWNERSHIP INTEREST	45%	2003-03-25
BH ALLIANCE	Organization	5% OR GREATER DIRECT OWNERSHIP INTEREST	10%	2020-12-31
GAZARIAN, LEVON	Individual	OPERATIONAL/MANAGERIAL CONTROL	—	2013-09-09
HASSELL, LANCE	Individual	OPERATIONAL/MANAGERIAL CONTROL	—	2022-04-25
LAWLER, EMELYN	Individual	OPERATIONAL/MANAGERIAL CONTROL	—	2024-04-10
LUTZ, LINDA	Individual	OPERATIONAL/MANAGERIAL CONTROL	—	2012-02-01
SALAZAR, PAULINA	Individual	OPERATIONAL/MANAGERIAL CONTROL	—	2020-12-14
SMEDRA, IRA	Individual	OPERATIONAL/MANAGERIAL CONTROL	—	2003-03-25
VENTANILLA, DIANNE	Individual	OPERATIONAL/MANAGERIAL CONTROL	—	2024-08-26
VIDALES, MIGUEL	Individual	OPERATIONAL/MANAGERIAL CONTROL	—	2021-03-01
WINTNER, JACOB	Individual	OPERATIONAL/MANAGERIAL CONTROL	—	2003-02-19
WINTNER, JACOB	Individual	CORPORATE OFFICER	—	2003-02-19
CAMBRIDGE HEALTHCARE SERVICES LLC	Organization	OPERATIONAL/MANAGERIAL CONTROL	—	2014-04-01
BUTENKO, JULIE	Individual	OPERATIONAL/MANAGERIAL CONTROL	—	2023-07-24
CAPELA, HEIDI	Individual	OPERATIONAL/MANAGERIAL CONTROL	—	2023-04-03

Other facilities in DUARTE

Name	Overall	Beds
ROYAL TERRACE HEALTHCARE	★★★★☆	58
MONROVIA POST ACUTE	★★★☆☆	82
COMMUNITY CARE CENTER	★★★☆☆	145
ROYAL OAKS MANOR-BRADBURY OAKS	★★★☆☆	48

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.