Establishment profile
MONTROSE SPRINGS SKILLED NURSING & WELLNESS CENTER
2635 HONOLULU AVE, MONTROSE, CA, 91020
Operated by PACIFIC HEALTHCARE HOLDINGS · 1 of 13 establishments
Summary
MONTROSE SPRINGS SKILLED NURSING & WELLNESS CENTER has no OSHA inspection history on file. Federal records covering wage, environmental, labor relations, and other agencies are noted below where present.
The most recent federal enforcement activity was recorded 0 days ago.
Federal records were found in 1 of 15 sources. Sources without matching records returned empty for this establishment.
Agency coverage
MONTROSE SPRINGS SKILLED NURSING & WELLNESS CENTER appears in CMS nursing home enforcement record only. No matching records were found in OSHA workplace safety, WHD wage enforcement, MSHA mine safety, EPA environmental compliance, NLRB labor relations, OFLC visa and labor certification (historical), FMCSA motor carrier registration, SAM.gov federal debarment, UVA Corporate Prosecution Registry, CPSC product recalls, or NHTSA vehicle recalls. Single-agency enforcement records typically indicate either a discrete incident-based inspection or a low-risk operational profile.
OSHA workplace safety
No OSHA inspections, citations, or accidents on file for MONTROSE SPRINGS SKILLED NURSING & WELLNESS CENTER. Verify directly with Occupational Safety and Health Administration →
Safety self-report (OSHA 300A)
No self-reported injury rates filed with OSHA's Injury Tracking Application for MONTROSE SPRINGS SKILLED NURSING & WELLNESS CENTER. Verify directly with OSHA Injury Tracking Application →
OSHA severe injury reports
No severe injury reports (hospitalization, amputation, or loss of an eye) on file under 29 CFR 1904.39 for MONTROSE SPRINGS SKILLED NURSING & WELLNESS CENTER. Verify directly with Occupational Safety and Health Administration →
Activity timeline
Most recent federal enforcement activity recorded 0 days ago. Data on this page is refreshed weekly.
Wage & Hour Division (WHD)
No WHD wage, overtime, or child-labor enforcement cases on file for MONTROSE SPRINGS SKILLED NURSING & WELLNESS CENTER. Verify directly with Wage and Hour Division →
Mine safety (MSHA)
No MSHA mine safety violations on file for MONTROSE SPRINGS SKILLED NURSING & WELLNESS CENTER. Verify directly with Mine Safety and Health Administration →
Labor relations (NLRB)
No NLRB unfair labor practice charges or union representation cases on file for MONTROSE SPRINGS SKILLED NURSING & WELLNESS CENTER. Verify directly with National Labor Relations Board →
Visa & labor certification (OFLC) — historical
No H-1B, H-2A, or H-2B labor condition applications on file (historical data only — DOL ended OFLC publication) for MONTROSE SPRINGS SKILLED NURSING & WELLNESS CENTER. Verify directly with Office of Foreign Labor Certification →
Environmental compliance (EPA)
No EPA inspections or formal enforcement actions on file for MONTROSE SPRINGS SKILLED NURSING & WELLNESS CENTER. Verify directly with Environmental Protection Agency →
CMS nursing-home record
CCN 056322 · Chain: PACIFIC HEALTHCARE HOLDINGS
Source: CMS Provider Data Catalog (Care Compare) — health-inspection deficiencies, fines, and ratings. Full nursing-home record →
CMS Care Compare deficiencies
Every Health Deficiency citation issued by CMS surveyors during this facility’s annual and complaint-triggered surveys. F-tags reference 42 CFR 483 regulatory requirements (resident rights, staffing, infection control, medication management, etc.). Scope-severity letters grade citations from A (isolated potential harm) through L (widespread immediate jeopardy); immediate-jeopardy citations are the critical signal. 83 citations across 18 surveys · 3 actual-harm · 28 complaint-triggered.
| Survey date | F-Tag | Severity | Description | Type | Corrected |
|---|---|---|---|---|---|
| Feb 2026 | 0580 | D | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies | Complaint | — |
| Feb 2026 | 0656 | D | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies | Complaint | — |
| Feb 2026 | 0684 | D | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies | Complaint | — |
| Jan 2026 | 0656 | D | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies | Complaint | — |
| Jan 2026 | 0755 | D | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies | Complaint | — |
| Jul 2025 | 0812 | E | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies | Standard | — |
| Jul 2025 | 0550 | D | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies | Standard | — |
| Jul 2025 | 0552 | D | Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies | Standard | — |
| Jul 2025 | 0565 | D | Honor the resident's right to organize and participate in resident/family groups in the facility. Resident Rights Deficiencies | Standard | — |
| Jul 2025 | 0578 | D | 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. Resident Rights Deficiencies | Standard | — |
| Jul 2025 | 0656 | D | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies | Standard | — |
| Jul 2025 | 0688 | D | 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. Quality of Life and Care Deficiencies | Standard | — |
| Jul 2025 | 0689 | D | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies | Complaint | — |
| Jul 2025 | 0690 | D | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies | Standard | — |
| Jul 2025 | 0692 | D | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies | Standard | — |
| Jul 2025 | 0745 | D | Provide medically-related social services to help each resident achieve the highest possible quality of life. Quality of Life and Care Deficiencies | Standard | — |
| Jul 2025 | 0880 | D | Provide and implement an infection prevention and control program. Infection Control Deficiencies | Standard | — |
| Jul 2025 | 0919 | D | Make sure that a working call system is available in each resident's bathroom and bathing area. Environmental Deficiencies | Standard | — |
| Jul 2025 | 0911 | B | Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. Environmental Deficiencies | Standard | — |
| Jul 2025 | 0912 | B | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Environmental Deficiencies | Standard | — |
| May 2025 | 0656 | D | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies | Complaint | — |
| Mar 2025 | 0600 | G (harm) | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies | Complaint | — |
| Mar 2025 | 0609 | D | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies | Complaint | — |
| Mar 2025 | 0600 | G (harm) | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies | Complaint | — |
| Feb 2025 | 0660 | D | Plan the resident's discharge to meet the resident's goals and needs. Resident Assessment and Care Planning Deficiencies | Complaint | — |
| Jul 2024 | 0730 | E | Observe each nurse aide's job performance and give regular training. Nursing and Physician Services Deficiencies | Standard | — |
| Jul 2024 | 0755 | E | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies | Standard | — |
| Jul 2024 | 0759 | E | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies | Standard | — |
| Jul 2024 | 0761 | E | 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. Pharmacy Service Deficiencies | Standard | — |
| Jul 2024 | 0802 | E | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. Nutrition and Dietary Deficiencies | Standard | — |
| Jul 2024 | 0803 | E | 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. Nutrition and Dietary Deficiencies | Standard | — |
| Jul 2024 | 0550 | D | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies | Standard | — |
| Jul 2024 | 0558 | D | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies | Standard | — |
| Jul 2024 | 0580 | D | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies | Standard | — |
| Jul 2024 | 0583 | D | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies | Standard | — |
| Jul 2024 | 0656 | D | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies | Standard | — |
| Jul 2024 | 0657 | D | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies | Standard | — |
| Jul 2024 | 0686 | D | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies | Standard | — |
| Jul 2024 | 0690 | D | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies | Standard | — |
| Jul 2024 | 0695 | D | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies | Standard | — |
| Jul 2024 | 0697 | D | Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies | Standard | — |
| Jul 2024 | 0745 | D | Provide medically-related social services to help each resident achieve the highest possible quality of life. Quality of Life and Care Deficiencies | Standard | — |
| Jul 2024 | 0880 | D | Provide and implement an infection prevention and control program. Infection Control Deficiencies | Standard | — |
| Jul 2024 | 0919 | D | Make sure that a working call system is available in each resident's bathroom and bathing area. Environmental Deficiencies | Standard | — |
| Jul 2024 | 0732 | B | Post nurse staffing information every day. Nursing and Physician Services Deficiencies | Standard | — |
| Jul 2024 | 0911 | B | Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. Environmental Deficiencies | Standard | — |
| Jul 2024 | 0912 | B | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Environmental Deficiencies | Standard | — |
| May 2024 | 0557 | D | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. Resident Rights Deficiencies | Complaint | — |
| May 2024 | 0558 | D | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies | Complaint | — |
| May 2024 | 0635 | G (harm) | Provide doctor's orders for the resident's immediate care at the time the resident was admitted. Resident Assessment and Care Planning Deficiencies | Complaint | — |
| May 2024 | 0711 | D | Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. Nursing and Physician Services Deficiencies | Complaint | — |
| Apr 2024 | 0558 | D | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies | Complaint | — |
| Apr 2024 | 0576 | D | Ensure residents have reasonable access to and privacy in their use of communication methods. Resident Rights Deficiencies | Complaint | — |
| Apr 2024 | 0677 | D | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies | Complaint | — |
| Mar 2024 | 0656 | D | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies | Complaint | — |
| Mar 2024 | 0684 | D | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies | Complaint | — |
| Feb 2024 | 0689 | D | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies | Complaint | — |
| Nov 2023 | 0656 | D | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies | Complaint | — |
| Jun 2023 | 0578 | D | 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. Resident Rights Deficiencies | Complaint | — |
| Jun 2023 | 0580 | D | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies | Complaint | — |
| Jun 2023 | 0610 | D | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies | Complaint | — |
| Jun 2023 | 0684 | D | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies | Complaint | — |
| Jun 2023 | 0698 | D | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies | Complaint | — |
| Jun 2023 | 0745 | D | Provide medically-related social services to help each resident achieve the highest possible quality of life. Quality of Life and Care Deficiencies | Complaint | — |
| Mar 2022 | 0803 | E | 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. Nutrition and Dietary Deficiencies | Standard | — |
| Mar 2022 | 0557 | D | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. Resident Rights Deficiencies | Standard | — |
| Mar 2022 | 0584 | D | 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. Resident Rights Deficiencies | Standard | — |
| Mar 2022 | 0644 | D | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies | Standard | — |
| Mar 2022 | 0655 | D | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies | Standard | — |
| Mar 2022 | 0656 | D | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies | Standard | — |
| Mar 2022 | 0657 | D | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies | Standard | — |
| Mar 2022 | 0658 | D | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies | Standard | — |
| Mar 2022 | 0686 | D | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies | Standard | — |
| Mar 2022 | 0693 | D | 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. Quality of Life and Care Deficiencies | Standard | — |
| Mar 2022 | 0695 | D | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies | Standard | — |
| Mar 2022 | 0698 | D | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies | Standard | — |
| Mar 2022 | 0755 | D | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies | Standard | — |
| Mar 2022 | 0759 | D | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies | Standard | — |
| Mar 2022 | 0812 | D | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies | Standard | — |
| Mar 2022 | 0842 | D | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies | Standard | — |
| Mar 2022 | 0881 | D | Implement a program that monitors antibiotic use. Infection Control Deficiencies | Standard | — |
| Mar 2022 | 0911 | B | Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. Environmental Deficiencies | Standard | — |
| Mar 2022 | 0912 | B | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Environmental Deficiencies | Standard | — |
Source: CMS Care Compare Health Deficiencies dataset. Standard survey citations come from routine annual inspections; complaint citations come from CMS investigations of resident or family complaints; infection control citations come from focused infection-prevention surveys. F-tag definitions are at cms.gov/medicare/quality-initiatives-patient-assessment-instruments/nursinghomequalityinits.
Federal criminal prosecution record
No federal criminal prosecutions, plea agreements, or deferred-prosecution agreements on file for MONTROSE SPRINGS SKILLED NURSING & WELLNESS CENTER. Verify directly with UVA Corporate Prosecution Registry →
In the news
Part of a larger organization
MONTROSE SPRINGS SKILLED NURSING & WELLNESS CENTER is one of 13 establishments rolled up under the parent organization PACIFIC HEALTHCARE HOLDINGS.
Federal enforcement records on this page represent activity at this specific establishment only. The full enforcement footprint of PACIFIC HEALTHCARE HOLDINGS across all 13 of its tracked locations is viewable on the parent profile.
Other locations under this parent
Other establishments operated by PACIFIC HEALTHCARE HOLDINGS, ordered by federal enforcement volume:
- VERNON HEALTHCARE CENTERLOS ANGELES, CA — 1 federal enforcement record
- LAS FLORES CONVALESCENT HOSPITALGARDENA, CA — 1 federal enforcement record
- NORWALK SKILLED NURSING & WELLNESS CENTRE, LLCNORWALK, CA — 1 federal enforcement record
- MAYWOOD SKILLED NURSING & WELLNESS CENTREMAYWOOD, CA — 1 federal enforcement record
Related searches
- All PACIFIC HEALTHCARE HOLDINGS locationsParent rollup
- Employers in CAState-wide enforcement data
About this data
This profile aggregates federal enforcement records on MONTROSE SPRINGS SKILLED NURSING & WELLNESS CENTER from every major federal compliance and enforcement source plus the UVA Corporate Prosecution Registry. OSHA workplace safety inspections, WHD wage cases, MSHA mine safety, EPA environmental enforcement, NLRB labor relations, OFLC visa/labor certification, FMCSA motor carrier registration, SAM.gov debarments, CMS nursing-home records, BLS industry safety benchmarks, OSHA ITA self-reported injury rates, SEC enforcement and financial disclosures, CPSC and NHTSA recalls.
Establishments are matched across agencies using normalized employer name, state, and ZIP code. This establishment resolves to the parent rollup PACIFIC HEALTHCARE HOLDINGS, which operates 13 establishments in our dataset.
OSHA citations typically appear 3–8 months after the inspection, so very recent enforcement actions may not yet be reflected. Profiles may be incomplete if the establishment operates under multiple legal names or files under variations our entity-matching rules don’t yet cover. To report a missing record or correction, email corrections@fastdol.com.
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Contact sales →Frequently asked
- What is MONTROSE SPRINGS SKILLED NURSING & WELLNESS CENTER's OSHA violation history?
- MONTROSE SPRINGS SKILLED NURSING & WELLNESS CENTER has no OSHA inspections on record.