MONTEBELLO CARE CENTER
1035 W BEVERLY BLVD, MONTEBELLO, CA 90640 · CCN 055153
Ratings
- Overall
- ★☆☆☆☆ 1
- Health inspection
- ★☆☆☆☆ 1
- Quality measures
- ★★★☆☆ 3
- Staffing
- ★★☆☆☆ 2
Facility
- Ownership type
- For profit - Limited Liability company
- Certified beds
- 99
- Avg residents/day
- 93.0
- Phone
- 3237241315
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 | 2025-04-04 | 22 | 15.6 | 9.5 | +6.4 worse |
| 2 | 2024-04-25 | 22 | 17.4 | 9.8 | +4.6 worse |
| 3 | 2023-03-24 | 23 | 17.1 | 9.3 | +5.9 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 8 |
| Resident assessment and care planning | 4 |
| Resident rights | 2 |
| Nutrition and dietary | 3 |
| Pharmacy service | 4 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.79 | 29.5% |
| RN staffing (reported) | 0.33 | 33.3% |
| Total nurse staffing (adjusted) | 3.58 | — |
Fines & penalties
- Total fines
- $28,592
- Number of fines
- 1
- Number of penalties
- 1
- Payment denials
- 0
Chain
- Chain
- GENESIS HEALTHCARE
- Facilities in chain
- 193
- Chain avg overall
- 2.40 / 5
Inspection citations (67)2 immediate jeopardy1 actual harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-07-18 · Health · corrected 2025-07-19
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-07-18 · Health · corrected 2025-07-19
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-06-27 · Health · corrected 2025-07-01
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.2025-05-16 · Health · corrected 2025-05-22
Potential for more than minimal harm
- DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-05-16 · Health · corrected 2025-05-22
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.2025-04-22 · Health · corrected 2025-05-01
Potential for more than minimal harm
- EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-04-04 · Health · corrected 2025-04-24
Potential for more than minimal harm
- DF0558Reasonably accommodate the needs and preferences of each resident.2025-04-04 · Health · corrected 2025-04-24
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2025-04-04 · Health · corrected 2025-04-24
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.2025-04-04 · Health · corrected 2025-04-24
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-04-04 · Health · corrected 2025-04-24
Potential for more than minimal harm
- EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-04-04 · Health · corrected 2025-04-24
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.2025-04-04 · Health · corrected 2025-04-24
Potential for more than minimal harm
- DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2025-04-04 · Health · corrected 2025-04-24
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-04-04 · Health · corrected 2025-04-24
Potential for more than 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.2025-04-04 · Health · corrected 2025-04-24
Potential for more than minimal harm
- DF0759Ensure medication error rates are not 5 percent or greater.2025-04-04 · Health · corrected 2025-04-24
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.2025-04-04 · Health · corrected 2025-04-24
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.2025-04-04 · Health · corrected 2025-04-24
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.2025-04-04 · Health · corrected 2025-04-24
Potential for more than minimal harm
- DF0814Dispose of garbage and refuse properly.2025-04-04 · Health · corrected 2025-04-24
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2025-04-04 · Health · corrected 2025-04-24
Potential for more than minimal harm
- EF0692Provide enough food/fluids to maintain a resident's health.2024-08-30 · Health · corrected 2024-09-09
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.2024-08-01 · Health · corrected 2024-08-15
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-05-15 · Health · corrected 2024-05-17
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.2024-04-25 · Health · corrected 2024-05-14
Potential for more than minimal harm
- EF0558Reasonably accommodate the needs and preferences of each resident.2024-04-25 · Health · corrected 2024-05-14
Potential for more than minimal harm
- DF0578Honor 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.2024-04-25 · Health · corrected 2024-05-16
Potential for more than minimal harm
- DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-04-25 · Health · corrected 2024-05-14
Potential for more than minimal harm
- EF0641Ensure each resident receives an accurate assessment.2024-04-25 · Health · corrected 2024-05-14
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-04-25 · Health · corrected 2024-05-14
Potential for more than minimal harm
- DF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.2024-04-25 · Health · corrected 2024-05-14
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-04-25 · Health · corrected 2024-05-14
Potential for more than minimal harm
- EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-04-25 · Health · corrected 2024-05-14
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-04-25 · Health · corrected 2024-05-14
Potential for more than minimal harm
- BF0732Post nurse staffing information every day.2024-04-25 · Health · corrected 2024-05-14
Potential for minimal harm
- EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-04-25 · Health · corrected 2024-05-14
Potential for more than minimal harm
- EF0759Ensure medication error rates are not 5 percent or greater.2024-04-25 · Health · corrected 2024-05-14
Potential for more than minimal harm
- DF0760Ensure that residents are free from significant medication errors.2024-04-25 · Health · corrected 2024-05-14
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.2024-04-25 · Health · corrected 2024-05-14
Potential for more than minimal harm
- DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-04-25 · Health · corrected 2024-05-14
Potential for more than minimal harm
- FF0880Provide and implement an infection prevention and control program.2024-04-25 · Health · corrected 2024-05-14
Potential for more than minimal harm
- DF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2024-04-25 · Health · corrected 2024-05-14
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.2024-04-25 · Health · corrected 2024-05-14
Potential for more than minimal harm
- DF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2023-09-08 · Health · corrected 2023-10-04
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-08-30 · Health · corrected 2023-09-28
Potential for more than minimal harm
- EF0800Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.2023-08-29 · Health · corrected 2023-09-29
Potential for more than minimal harm
- EF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2023-08-16 · Health · corrected 2023-09-09
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.2023-06-23 · Health · corrected 2023-07-23
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-06-23 · Health · corrected 2023-07-23
Potential for more than minimal harm
- JF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-05-29 · Health · corrected 2023-06-21
Immediate jeopardy
- JF0658Ensure services provided by the nursing facility meet professional standards of quality.2023-05-29 · Health · corrected 2023-06-21
Immediate jeopardy
- EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-05-02 · Health · corrected 2023-05-25
Potential for more than minimal harm
- DF0583Keep residents' personal and medical records private and confidential.2023-03-24 · Health · corrected 2023-04-20
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-03-24 · Health · corrected 2023-04-20
Potential for more than minimal harm
- DF0625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.2023-03-24 · Health · corrected 2023-04-20
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.2023-03-24 · Health · corrected 2023-04-20
Potential for more than minimal harm
- DF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.2023-03-24 · Health · corrected 2023-04-20
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2023-03-24 · Health · corrected 2023-04-20
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.2023-03-24 · Health · corrected 2023-04-20
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-03-24 · Health · corrected 2023-04-20
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.2023-03-24 · Health · corrected 2023-04-20
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.2023-03-24 · Health · corrected 2023-04-20
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.2023-03-24 · Health · corrected 2023-04-20
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2023-03-24 · Health · corrected 2023-04-20
Potential for more than minimal harm
- DF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2023-03-24 · Health · corrected 2023-04-20
Potential for more than minimal harm
- GF0760Ensure that residents are free from significant medication errors.2023-03-01 · Health · corrected 2023-03-30
Actual harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| BQ OPERATIONS HOLDINGS LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2020-06-01 |
| 9560 PICO LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2020-06-01 |
| BOLD QUAIL HOLDINGS LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2020-06-01 |
| FC-GEN OPERATIONS INVESTMENT LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2025-06-01 |
| GEN BQ JV HOLDINGS LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2020-06-01 |
| GEN OPERATIONS I LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2020-06-01 |
| GEN OPERATIONS II LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2020-06-01 |
| GENESIS HEALTHCARE INC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2020-06-01 |
| GENESIS HEALTHCARE LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2020-06-01 |
| GENESIS HOLDINGS LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2020-06-01 |
| GHC HOLDINGS LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2020-06-01 |
| GHC JV HOLDINGS LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2020-06-01 |
| HCCF MANAGEMENT GROUP XI LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2015-02-02 |
| NEWGEN LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2020-06-01 |
| PICO AR LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2020-06-01 |
| SUN HEALTHCARE GROUP INC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2020-06-01 |
| ROBIN, AARON | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2020-06-01 |
| TRESS, AVROHOM | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2020-06-01 |
| WHITMAN, ARNOLD | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2015-02-02 |
| MIER, ARCADIA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-03-04 |
| OPPUS, JOAN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2015-02-01 |
| SHAW, PAMELA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2020-06-01 |
| ROBIN, AARON | Individual | CORPORATE OFFICER | — | 2020-06-01 |
| TRESS, AVROHOM | Individual | CORPORATE OFFICER | — | 2020-06-01 |
Other facilities in MONTEBELLO
| Name | Overall | Beds |
|---|---|---|
| RIO HONDO SUBACUTE & NURSING CENTER | — | 200 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.