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MONTE VISTA HEALTHCARE CENTER

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MONTE VISTA HEALTHCARE CENTER is a for profit - corporation facility in DUARTE, CA with 69 certified beds and a 2-star overall CMS rating. The facility has 40 deficiency records on file. Total penalties: $10K.

802 BUENA VISTA STREET, DUARTE, CA 91010

Phone: 6263598141

Overall Rating

2/5

Health Inspection

2/5

Staffing

2/5

Quality Measures

2/5

Long-Stay Quality

4/5

Facility Information

Provider Number
055817
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
Beds
69
Residents
61
In Hospital
No
County
Los Angeles
Last Inspection
Feb 21, 2025

Staffing Data

RN Hours
0.33 (nat'l avg: 0.68)
LPN Hours
1.32
CNA Hours
2.41
Total Nursing Hours
4.06 (nat'l avg: 3.89)
PT Hours
0.10
Nursing Turnover
42.7%
RN Turnover
55.6%

What the CMS Record Reveals About MONTE VISTA HEALTHCARE CENTER

MONTE VISTA HEALTHCARE CENTER operates 69 certified beds in DUARTE, CA with approximately 61 residents currently in care, and carries a CMS overall rating of 2 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (2★), staffing levels (2★), and quality measures (2★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone — a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

The inspection file contains 40 deficiency records from recent surveys, of which 1 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 3 penalties totaling $10K against this provider, a tangible indicator that regulators moved beyond citation into financial consequence. Staffing is reported at 4.06 total nursing hours per resident day (national average 3.89), with RN coverage at 0.33 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "For profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider, MONTE VISTA HEALTHCARE CENTER falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes — ratings and fines are lagging indicators of those upstream choices. Reported nursing turnover at this facility is 42.7%, within a range generally associated with stable care teams. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report — the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (40 most recent)

D — Isolated - Minimal harm Jul 23, 2025 Tag: 0814

Dispose of garbage and refuse properly.

Category: Nutrition and Dietary Deficiencies

Corrected: Aug 15, 2025

D — Isolated - Minimal harm Jul 23, 2025 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Aug 15, 2025

D — Isolated - Minimal harm Feb 21, 2025 Tag: 0925

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Category: Environmental Deficiencies

Corrected: Mar 17, 2025

E — Pattern - Minimal harm Feb 21, 2025 Tag: 0921

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Category: Environmental Deficiencies

Corrected: Mar 17, 2025

D — Isolated - Minimal harm Feb 21, 2025 Tag: 0919

Make sure that a working call system is available in each resident's bathroom and bathing area.

Category: Environmental Deficiencies

Corrected: Mar 17, 2025

E — Pattern - Minimal harm Feb 21, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Mar 17, 2025

E — Pattern - Minimal harm Feb 21, 2025 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Mar 17, 2025

D — Isolated - Minimal harm Feb 21, 2025 Tag: 0804

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Category: Nutrition and Dietary Deficiencies

Corrected: Mar 17, 2025

E — Pattern - Minimal harm Feb 21, 2025 Tag: 0803

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.

Category: Nutrition and Dietary Deficiencies

Corrected: Mar 17, 2025

E — Pattern - Minimal harm Feb 21, 2025 Tag: 0761

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.

Category: Pharmacy Service Deficiencies

Corrected: Mar 17, 2025

E — Pattern - Minimal harm Feb 21, 2025 Tag: 0759

Ensure medication error rates are not 5 percent or greater.

Category: Pharmacy Service Deficiencies

Corrected: Mar 17, 2025

E — Pattern - Minimal harm Feb 21, 2025 Tag: 0695

Provide safe and appropriate respiratory care for a resident when needed.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 17, 2025

D — Isolated - Minimal harm Feb 21, 2025 Tag: 0693

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.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 17, 2025

D — Isolated - Minimal harm Feb 21, 2025 Tag: 0690

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 17, 2025

D — Isolated - Minimal harm Feb 21, 2025 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 17, 2025

E — Pattern - Minimal harm Feb 21, 2025 Tag: 0686

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 17, 2025

E — Pattern - Minimal harm Feb 21, 2025 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 17, 2025

D — Isolated - Minimal harm Feb 21, 2025 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Mar 17, 2025

E — Pattern - Minimal harm Feb 21, 2025 Tag: 0584

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.

Category: Resident Rights Deficiencies

Corrected: Mar 17, 2025

D — Isolated - Minimal harm Feb 21, 2025 Tag: 0554

Allow residents to self-administer drugs if determined clinically appropriate.

Category: Resident Rights Deficiencies

Corrected: Mar 17, 2025

D — Isolated - Minimal harm Feb 21, 2025 Tag: 0550

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Category: Resident Rights Deficiencies

Corrected: Mar 17, 2025

D — Isolated - Minimal harm Feb 11, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Mar 7, 2024

E — Pattern - Minimal harm Feb 11, 2024 Tag: 0759

Ensure medication error rates are not 5 percent or greater.

Category: Pharmacy Service Deficiencies

Corrected: Mar 7, 2024

D — Isolated - Minimal harm Feb 11, 2024 Tag: 0732

Post nurse staffing information every day.

Category: Nursing and Physician Services Deficiencies

Corrected: Mar 7, 2024

E — Pattern - Minimal harm Feb 11, 2024 Tag: 0685

Assist a resident in gaining access to vision and hearing services.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 7, 2024

E — Pattern - Minimal harm Feb 11, 2024 Tag: 0677

Provide care and assistance to perform activities of daily living for any resident who is unable.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 7, 2024

E — Pattern - Minimal harm Feb 11, 2024 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Mar 7, 2024

D — Isolated - Minimal harm Feb 11, 2024 Tag: 0641

Ensure each resident receives an accurate assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Mar 7, 2024

D — Isolated - Minimal harm May 26, 2023 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Jun 23, 2023

E — Pattern - Minimal harm Nov 12, 2021 Tag: 0921

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Category: Environmental Deficiencies

Corrected: Jan 11, 2022

K — Pattern - Jeopardy Nov 12, 2021 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Feb 7, 2022

E — Pattern - Minimal harm Nov 12, 2021 Tag: 0867

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Category: Administration Deficiencies

Corrected: Jan 11, 2022

E — Pattern - Minimal harm Nov 12, 2021 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Jan 11, 2022

D — Isolated - Minimal harm Nov 12, 2021 Tag: 0758

Implement 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.

Category: Pharmacy Service Deficiencies

Corrected: Jan 11, 2022

D — Isolated - Minimal harm Nov 12, 2021 Tag: 0756

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Category: Pharmacy Service Deficiencies

Corrected: Jan 11, 2022

B — Pattern - No harm Nov 12, 2021 Tag: 0732

Post nurse staffing information every day.

Category: Nursing and Physician Services Deficiencies

Corrected: Jan 11, 2022

E — Pattern - Minimal harm Nov 12, 2021 Tag: 0726

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Category: Nursing and Physician Services Deficiencies

Corrected: Jan 11, 2022

D — Isolated - Minimal harm Nov 12, 2021 Tag: 0698

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Category: Quality of Life and Care Deficiencies

Corrected: Jan 11, 2022

E — Pattern - Minimal harm Nov 12, 2021 Tag: 0690

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Category: Quality of Life and Care Deficiencies

Corrected: Feb 7, 2022

D — Isolated - Minimal harm Nov 12, 2021 Tag: 0552

Ensure that residents are fully informed and understand their health status, care and treatments.

Category: Resident Rights Deficiencies

Corrected: Jan 11, 2022

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 7.8% Yes
Percentage of long-stay residents who lose too much weight Long Stay 9.0% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 1.1% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 0.0% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 1.1% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 1.5% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 100.0% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 99.1% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 2.2% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 9.4% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 8.6% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 100.0% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 100.0% No
Percentage of long-stay residents with pressure ulcers Long Stay 6.5% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 9.9% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 5.3% Yes

Penalty History 3 penalties totaling $10K

Date Type Amount
Jun 26, 2023 Fine $3K
Jun 20, 2023 Fine $2K
May 30, 2023 Fine $5K

Frequently Asked Questions

What is the overall CMS rating for MONTE VISTA HEALTHCARE CENTER?
MONTE VISTA HEALTHCARE CENTER has an overall CMS rating of 2 out of 5 stars. This rating combines health inspection results (2★), staffing levels (2★), and quality measures (2★).
What are the staffing levels at MONTE VISTA HEALTHCARE CENTER?
MONTE VISTA HEALTHCARE CENTER reports 4.06 total nursing hours per resident day (national average: 3.89). RN hours are 0.33 per resident day (national average: 0.68). Nursing staff turnover is 42.7%.
How many beds does MONTE VISTA HEALTHCARE CENTER have?
MONTE VISTA HEALTHCARE CENTER has 69 certified beds with approximately 61 residents. The facility is located at 802 BUENA VISTA STREET, DUARTE, CA 91010.
Does MONTE VISTA HEALTHCARE CENTER have any deficiencies on record?
Yes, MONTE VISTA HEALTHCARE CENTER has 40 deficiencies on record from recent inspections. Of these, 1 are classified as causing actual harm or jeopardy.
Has MONTE VISTA HEALTHCARE CENTER received any fines or penalties?
Yes, MONTE VISTA HEALTHCARE CENTER has received 3 penalties totaling $10K.
Who owns MONTE VISTA HEALTHCARE CENTER?
MONTE VISTA HEALTHCARE CENTER is classified as "For profit - Corporation" ownership. The facility type is "Medicare and Medicaid".
When was MONTE VISTA HEALTHCARE CENTER last inspected?
The most recent health inspection for MONTE VISTA HEALTHCARE CENTER was on Feb 21, 2025. The facility received a health inspection rating of 2 out of 5 stars.
What quality measures are tracked for MONTE VISTA HEALTHCARE CENTER?
MONTE VISTA HEALTHCARE CENTER is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.

Related

Data sourced from official U.S. government datasets. See our methodology for details. Retrieved and formatted by PlainNursing Editorial