Nursing homeFAID #1141
Montrose Springs Skilled Nursing & Wellness Center
★★★★★3/5CMS Five-Star overall2/5 health inspections3/5 staffing5/5 quality measuresSource: CMS Care Compare
Photo via Google · Augustine Akioya
Public record summary
What we can show you for free.
Bed capacity
109
CMS facility ID
056322
Care type
Nursing home
County
Los Angeles
Facility name
Montrose Springs Skilled Nursing & Wellness Center
Street address
2635 HONOLULU AVE
City / state / ZIP
Montrose, CA 91020
Phone
(818) 248-6856
Website
About this facility — Montrose Springs Skilled Nursing & Wellness Center
Montrose Springs Skilled Nursing & Wellness Center is a Medicare/Medicaid-certified skilled nursing facility in Montrose, California. It is licensed for 109 beds — close to the median for skilled nursing facilities in California (98 beds).
It is one of 9 senior care facilities in Montrose 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 Montrose Springs Skilled Nursing & Wellness Center 89 times across 23 inspections in the last three years, including 5 food-safety citations, and CMS has imposed $32,139 in fines. 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.
Facility background
What the public record shows.
Ownership & operator
Parent company
Pacific Healthcare Holdings
Ownership type
For profit - Limited Liability company
Registered owners & officers
Pacific Healthcare Holdings, Inc.
Direct owner — 88% stake — since 2007
Aghajanyan, Ani
Operational control · Additional disclosable party — since 2017
Corporate Interface Services Llc
Operational control · Additional disclosable party — since 2024
Karakashian, Garo
Operational control · Additional disclosable party — since 2017
Rechnitz, Shlomo
Officer · Operational control · Additional disclosable party — since 2007
Rockport Administrative Services, Llc
Operational control · Additional disclosable party — since 2008
Regulatory standing
Federal court records
1 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)
Licensed / certified since
1974-12-23
CMS overall rating
3 of 5 stars
Health deficiencies
25 at the last standard inspection
Federal fines
$32,139 total
Last standard inspection
2025-07-03
Nurse staffing
3.9 hours per resident per day
Cost & payer profile (FY2023 cost report)
Average billed charges
$596 per day (≈ $18,120/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
67% Medicaid · 19% Medicare · 14% private/other
Occupancy
80% (fiscal year 2023)
Vs. state median
16% above the CA median of $514/day — full state cost breakdown
Services & coverage
Licensed beds
109
Medicare
Accepted
Medicaid
Accepted
Wheelchair accessible
entrance and parking
Visiting hours
Daily Open 24 hours
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report; hours/accessibility via Google · last verified 2026-08-31. Facilities can submit a correction.
Inspection record
Every citation, dated and graded.
Kitchen & food safety
Federal surveyors inspect the kitchen at every standard visit. This facility has 5 food-safety citations on its three-year record — flagged below among the inspections.
2026-07-01Health inspectionComplaint-triggered3 citations
F-0552
D · No harm foundFrom a complaint
Ensure that residents are fully informed and understand their health status, care and treatments.
F-0684
D · No harm foundFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F-0770
D · No harm foundFrom a complaint
Provide timely, quality laboratory services/tests to meet the needs of residents.
2026-04-20Health 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 2026-05-08
19 earlier / fire-safety inspections (85 citations)
2026-04-07Health inspectionComplaint-triggered1 citation
F-0689
D · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2026-04-24
2026-02-26Health inspectionComplaint-triggered3 citations
F-0580
D · No harm foundFrom a complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2026-03-20
F-0656
D · 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 2026-03-20
F-0684
D · No harm foundFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2026-03-20
2026-01-22Health inspectionComplaint-triggered2 citations
F-0656
D · 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 2026-02-14
F-0755
D · No harm foundFrom a complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2026-02-14
2025-07-03Health inspectionComplaint-triggered15 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 2025-07-25
F-0552
D · No harm found
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2025-07-25
F-0565
D · No harm found
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected 2025-07-25
F-0578
D · No harm found
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.
Corrected 2025-07-25
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 2025-07-25
F-0688
D · No harm found
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.
Corrected 2025-07-25
F-0689
D · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-07-25
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 2025-07-25
F-0692
D · No harm found
Provide enough food/fluids to maintain a resident's health.
Corrected 2025-07-25
F-0745
D · No harm found
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Corrected 2025-07-25
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 2025-07-25
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2025-07-25
F-0911
B · No harm found
Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.
Corrected 2025-07-25
F-0912
B · No harm found
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Corrected 2025-07-25
F-0919
D · No harm found
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2025-07-25
2025-05-01Health inspectionComplaint-triggered1 citation
F-0656
D · 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 2025-05-22
2025-03-28Health inspectionComplaint-triggered2 citations
F-0600
G · Actual harmFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-04-05
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 2025-04-05
2025-03-12Health inspectionComplaint-triggered1 citation
F-0600
G · Actual harmFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-04-09
2025-02-20Health inspectionComplaint-triggered1 citation
F-0660
D · No harm foundFrom a complaint
Plan the resident's discharge to meet the resident's goals and needs.
Corrected 2025-03-14
2024-07-12Health inspection22 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 2024-08-05
F-0558
D · No harm found
Reasonably accommodate the needs and preferences of each resident.
Corrected 2024-08-05
F-0580
D · No harm found
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2024-08-05
F-0583
D · No harm found
Keep residents' personal and medical records private and confidential.
Corrected 2024-08-05
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 2024-08-05
F-0657
D · No harm found
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2024-08-05
F-0686
D · No harm found
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-08-05
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 2024-08-05
F-0695
D · No harm found
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-08-05
F-0697
D · No harm found
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2024-08-05
F-0730
E · No harm found
Observe each nurse aide's job performance and give regular training.
Corrected 2024-08-05
F-0732
B · No harm found
Post nurse staffing information every day.
Corrected 2024-08-05
F-0745
D · No harm found
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Corrected 2024-08-05
F-0755
E · No harm found
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-08-05
F-0759
E · No harm found
Ensure medication error rates are not 5 percent or greater.
Corrected 2024-08-05
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 2024-08-05
F-0802
E · No harm foundFood safety
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Corrected 2024-08-05
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 2024-08-05
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2024-08-05
F-0911
B · No harm found
Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.
Corrected 2024-08-05
F-0912
B · No harm found
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Corrected 2024-08-05
F-0919
D · No harm found
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2024-08-05
2024-05-17Health inspectionComplaint-triggered2 citations
F-0557
D · No harm foundFrom a complaint
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected 2024-06-14
F-0558
D · No harm foundFrom a complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected 2024-06-14
2024-05-10Health inspectionComplaint-triggered2 citations
F-0635
G · Actual harmFrom a complaint
Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
Corrected 2024-06-03
F-0711
D · No harm foundFrom a complaint
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Corrected 2024-06-03
2024-04-09Health inspectionComplaint-triggered3 citations
F-0558
D · No harm foundFrom a complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected 2024-04-29
F-0576
D · No harm foundFrom a complaint
Ensure residents have reasonable access to and privacy in their use of communication methods.
Corrected 2024-04-29
F-0677
D · No harm foundFrom a complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-04-29
2024-03-06Health inspectionComplaint-triggered2 citations
F-0656
D · 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 2024-03-22
F-0684
D · No harm foundFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-03-22
2024-02-27Health inspectionComplaint-triggered1 citation
F-0689
D · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-03-20
2023-11-29Health inspectionComplaint-triggered1 citation
F-0656
D · 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 2023-12-26
2022-03-24Health inspection19 citations
F-0557
D · No harm found
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected 2022-04-26
F-0584
D · 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 2022-04-26
F-0644
D · No harm found
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2022-04-26
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 2022-04-26
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 2022-04-26
F-0657
D · No harm found
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2022-04-26
F-0658
D · No harm found
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2022-04-26
F-0686
D · No harm found
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2022-04-26
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 2022-04-26
F-0695
D · No harm found
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2022-04-26
F-0698
D · No harm found
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2022-04-26
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 2022-04-26
F-0759
D · No harm found
Ensure medication error rates are not 5 percent or greater.
Corrected 2022-04-26
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 2022-04-26
F-0812
D · 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 2022-04-26
F-0842
D · No harm found
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2022-04-26
F-0881
D · No harm found
Implement a program that monitors antibiotic use.
Corrected 2022-04-26
F-0911
B · No harm found
Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.
Corrected 2022-04-26
F-0912
B · No harm found
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Corrected 2022-04-26
2025-07-03Fire-safety inspection2 citations
K-0920
D · No harm found
Ensure proper usage of power strips and extension cords.
Corrected 2025-07-25
K-0923
D · No harm found
Have proper medical gas storage and administration areas.
Corrected 2025-07-25
2024-07-12Fire-safety inspection3 citations
K-0321
D · No harm found
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2024-08-12
K-0342
D · No harm found
Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.
Corrected 2024-08-12
K-0741
D · No harm found
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2024-08-12
2022-03-24Fire-safety inspection2 citations
K-0351
E · No harm found
Install an approved automatic sprinkler system.
Corrected 2022-04-19
K-0741
E · No harm found
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2022-04-19
Federal penalties
2025-02-20Fine$32,139
2024-05-10Medicare payment denial — 6 days
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 056322.
Visitor reviews
What people say on Google.
3.8★★★★★75 ratings on Google
★★★★★Augustine Akioya · 2022-04-06 · via Google“Very nice and clean place. Management very helpful. Excellent Patient Care. I will recommend this place to any one in need of Skilled Nursing or Post Acute Care.”
★★★★★Kathy Gooley · 2025-06-27 · via Google“Verdugo Hills Montrose Skilled Nursing Facility has a very caring and compassionate staff. The medical professionals are very knowledgeable on their area of medical expertise. They knew how to comfort their patients psychologically, spiritually, and they lift the patients up to increase how the patients feel about themselves. The center is always very clean and my patient tells me that he really l…”
★★★★★Emily Vencat · 2025-03-01 · via Google“The staff here are incredibly thoughtful and kind. It’s not easy having a loved one in a home for any amount of time- but the kindness of the staff here make it so much better. In addition to that, I always have tons of questions, and the staff are always happy to answer my questions thoughtfully and completely. I never feel like I’m bothering them. A nice touch is that they have balloons and ribb…”
Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google
Inside your report
What unlocks when you order.
Ownership & corporate history
Primary tierPrior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more
Inspection citations — last 5 years
LockedThe 89 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 onlyActive civil suits
#
Federal dockets
CDC infection data
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
Original records
Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-08-31
Source
Google Business Profile
Photos, reviews & hours
Displayed with attribution · refreshed on re-run
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