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Nursing homeFAID #908

Monte Vista Healthcare Center

802 BUENA VISTA STREET, DUARTE, CA, 91010
(626) 359-8141
69 licensed beds
★★★★★2/5CMS Five-Star overall2/5 health inspections3/5 staffing3/5 quality measuresSource: CMS Care Compare

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What we can show you for free.
Bed capacity
69
CMS facility ID
055817
Care type
Nursing home
County
Los Angeles
Facility name
Monte Vista Healthcare Center
Street address
802 BUENA VISTA STREET
City / state / ZIP
Duarte, CA 91010
Phone
(626) 359-8141

Monte Vista Healthcare Center is a Medicare/Medicaid-certified skilled nursing facility in Duarte, California. It is licensed for 69 beds — below the median for skilled nursing facilities in California (98 beds).

It is one of 10 senior care facilities in Duarte and 1,165 skilled nursing facilities across California. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Monte Vista Healthcare Center 73 times across 11 inspections in the last three years, including 6 food-safety citations; no federal fines are on record. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

What the public record shows.

Ownership & operator

Parent company
Cambridge Healthcare Services
Ownership type
For profit - Limited Liability company

Registered owners & officers

Win Win Enterprises, Llc
Direct owner · Additional disclosable party — 45% stake — since 2003
802 Buena Vista Street, Llc
Additional disclosable party — since 2003
Bh Alliance
Additional disclosable party — since 2003
Butenko, Julie
Operational control · Additional disclosable party — since 2023
Cambridge Healthcare Services Llc
Operational control · Additional disclosable party — since 2014
Capela, Heidi
Operational control · Additional disclosable party — since 2023
Gazarian, Levon
Operational control · Additional disclosable party — since 2013
Hassell, Lance
Operational control · Additional disclosable party — since 2022
Lawler, Emelyn
Governing body · Operational control · Additional disclosable party — since 2024
Lutz, Linda
Operational control · Additional disclosable party — since 2012
Salazar, Paulina
Operational control · Additional disclosable party — since 2020
Smedra, Ira
Operational control · Additional disclosable party — since 2003
Ventanilla, Dianne
Operational control — since 2024
Vidales, Miguel
Governing body · Operational control · Additional disclosable party — since 2021
Wintner, Jacob
Officer · Operational control · Additional disclosable party — since 2003

Regulatory standing

Federal court records
2 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)
Licensed / certified since
1967-09-05
CMS overall rating
2 of 5 stars
Health deficiencies
19 at the last standard inspection
Federal fines
None on record
Last standard inspection
2026-04-24
Nurse staffing
4.2 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$403 per day (≈ $12,250/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
67% Medicaid · 17% Medicare · 16% private/other
Occupancy
92% (fiscal year 2023)
Vs. state median
22% below the CA median of $514/day — full state cost breakdown

Services & coverage

Licensed beds
69
Medicare
Accepted
Medicaid
Accepted
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-08-31. Facilities can submit a correction.
Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 6 food-safety citations on its three-year record — flagged below among the inspections.
2026-06-03Health inspectionComplaint-triggered1 citation
F-0842
D · No harm foundFrom a complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2026-06-27
2026-04-24Health inspection12 citations
F-0550
D · No harm found
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2026-05-17
F-0655
D · No harm found
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2026-05-17
F-0656
E · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2026-05-17
F-0684
E · No harm found
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2026-05-17
F-0689
D · No harm found
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2026-05-17
F-0693
D · No harm found
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.
Corrected 2026-05-17
F-0695
D · No harm found
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2026-05-17
F-0732
D · No harm found
Post nurse staffing information every day.
Corrected 2026-05-17
F-0755
D · No harm found
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2026-05-17
F-0812
E · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2026-05-17
F-0880
E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2026-05-17
F-0887
D · No harm found
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.
Corrected 2026-05-17
9 earlier / fire-safety inspections (60 citations)
2026-03-04Health inspectionComplaint-triggered2 citations
F-0656
E · No harm foundFrom a complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2026-03-27
F-0880
D · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2026-03-27
2026-02-17Health inspectionComplaint-triggered1 citation
F-0607
D · No harm foundFrom a complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2026-03-06
2026-01-09Health inspectionComplaint-triggered3 citations
F-0609
D · No harm foundFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2026-02-05
F-0610
D · No harm foundFrom a complaint
Respond appropriately to all alleged violations.
Corrected 2026-02-05
F-0684
D · No harm foundFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2026-02-05
2025-07-23Health inspectionComplaint-triggered2 citations
F-0812
D · No harm foundFood safetyFrom a complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-08-15
F-0814
D · No harm foundFood safetyFrom a complaint
Dispose of garbage and refuse properly.
Corrected 2025-08-15
2025-02-21Health inspection19 citations
F-0550
D · No harm found
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-03-17
F-0554
D · No harm found
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2025-03-17
F-0584
E · No harm found
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.
Corrected 2025-03-17
F-0656
D · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-03-17
F-0684
E · No harm found
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-03-17
F-0686
E · No harm found
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-03-17
F-0689
D · No harm found
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-03-17
F-0690
D · No harm found
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2025-03-17
F-0693
D · No harm found
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.
Corrected 2025-03-17
F-0695
E · No harm found
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-03-17
F-0759
E · No harm found
Ensure medication error rates are not 5 percent or greater.
Corrected 2025-03-17
F-0761
E · No harm found
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.
Corrected 2025-03-17
F-0803
E · No harm foundFood safety
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.
Corrected 2025-03-17
F-0804
D · No harm foundFood safety
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2025-03-17
F-0812
E · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-03-17
F-0880
E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2025-03-17
F-0919
D · No harm found
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2025-03-17
F-0921
E · No harm found
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2025-03-17
F-0925
D · No harm found
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected 2025-03-17
2024-02-11Health inspection7 citations
F-0641
D · No harm found
Ensure each resident receives an accurate assessment.
Corrected 2024-03-07
F-0656
E · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-03-07
F-0677
E · No harm found
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-03-07
F-0685
E · No harm found
Assist a resident in gaining access to vision and hearing services.
Corrected 2024-03-07
F-0732
D · No harm found
Post nurse staffing information every day.
Corrected 2024-03-07
F-0759
E · No harm found
Ensure medication error rates are not 5 percent or greater.
Corrected 2024-03-07
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2024-03-07
2026-04-24Fire-safety inspection16 citations
E-0009
C · No harm found
Include a process for Emergency Preparedness collaboration.
Corrected 2026-05-22
E-0023
C · No harm found
Establish policies and procedures for medical documentation.
Corrected 2026-05-22
E-0032
C · No harm found
Provide primary/alternate means for communication.
Corrected 2026-05-22
E-0036
C · No harm found
Establish emergency prep training and testing.
Corrected 2026-05-22
E-0039
C · No harm found
Conduct testing and exercise requirements.
Corrected 2026-05-22
K-0291
D · No harm found
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2026-05-22
K-0324
D · No harm found
Provide properly protected cooking facilities.
Corrected 2026-05-22
K-0345
F · No harm found
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2026-05-22
K-0351
D · No harm found
Install an approved automatic sprinkler system.
Corrected 2026-05-22
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2026-05-22
K-0355
F · No harm found
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2026-05-22
K-0363
D · No harm found
Install corridor and hallway doors that block smoke.
Corrected 2026-05-22
K-0511
E · No harm found
Have properly installed electrical wiring and gas equipment.
Corrected 2026-05-22
K-0712
E · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2026-05-22
K-0761
F · No harm found
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2026-05-22
K-0918
F · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2026-05-22
2025-02-21Fire-safety inspection4 citations
K-0351
E · No harm found
Install an approved automatic sprinkler system.
Corrected 2025-03-21
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-03-21
K-0920
E · No harm found
Ensure proper usage of power strips and extension cords.
Corrected 2025-03-21
K-0923
D · No harm found
Have proper medical gas storage and administration areas.
Corrected 2025-03-21
2024-02-11Fire-safety inspection6 citations
E-0037
F · No harm found
Establish staff and initial training requirements.
Corrected 2024-03-07
K-0223
E · No harm found
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Corrected 2024-03-07
K-0271
E · No harm found
Have exits that are accessible at all times.
Corrected 2024-03-07
K-0342
D · No harm found
Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.
Corrected 2024-03-07
K-0345
F · No harm found
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-03-07
K-0920
D · No harm found
Ensure proper usage of power strips and extension cords.
Corrected 2024-03-07
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 055817.
What unlocks when you order.

Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 73 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-08-31
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered