Monte Vista Healthcare Center
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 35 Google reviews

Watch Monte Vista Healthcare Center
Get an email when new inspections, ratings, or penalties are published for this facility.
We’ll only email you about this — no spam, unsubscribe anytime.
Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low overall rating (2/5 stars)
- Low staffing rating (2/5 stars)
- Above-median deficiencies (24 vs median 13.0)
- High RN turnover (56%)
Below average in CA · Critically understaffed (RN) · Below chain average · $10,488 in fines
What this means for your family
This facility offers a very warm, clean, and culturally inclusive environment with highly praised nursing assistants. However, families must be extremely vigilant regarding medication management and ensure that the facility can meet your loved one's specific clinical needs, as there are documented instances of inadequate care for complex cases.
Google Reviews
Google Reviews
35 reviews on Google“Families considering Monte Vista Healthcare Center will find a facility praised for its compassionate nursing staff, particularly the CNAs, and its welcoming, clean environment. However, there are serious, recurring allegations regarding inadequate care, including instances of patients being left without food, water, or hygiene assistance, and concerns about the facility's ability to manage complex medication needs.”
Quality Themes
Tap a score for detailsStrengths
- Compassionate and attentive nursing staff
- Clean and well-maintained facilities
- Welcoming atmosphere for Spanish-speaking residents
- Effective physical therapy and rehabilitation services
Concerns
- Neglect regarding basic needs like feeding and hygiene (mentioned by 2 reviewers)
- Inability to manage complex medication or medical needs (mentioned by 2 reviewers)
- Staffing shortages and overworked employees (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 39 analyzed
How They Respond to Reviews
The owner uses highly templated responses, employing a standard script for 5-star ratings and a scripted, professional template to deflect negative feedback toward a phone call.
Questions for Your Tour
- 1I noticed some wonderful comments about the compassionate nursing staff and the welcoming atmosphere for Spanish-speaking families; how do you ensure that personalized care remains a priority for every resident?
- 2With the recent inspections, what specific steps is the facility taking to improve staffing levels and ensure employees aren't feeling overwhelmed?
- 3How does the nursing team manage complex medication schedules and ensure that every dose is administered accurately and on time?
- 4Can you walk me through your protocols for ensuring basic daily needs, like meal assistance and personal hygiene, are consistently met for every resident?
- 5What is the process for handling medical emergencies or sudden changes in a resident's health during the night or over the weekend?
- 6What kind of daily activities or social programs do you have in place to keep the residents engaged and active within the community?
Personalized based on this facility's data
Key Review Excerpts
“The nurses truly care about their patients and treat everyone with kindness and respect. You can feel the compassion in the way they provide care.”
“My Grandmother stayed for rehabilitation. This facility is very clean the CNAS are very nice and caring.”
“My mother was admitted today and she was left lying there with no food or water or care of any kind (bathroom?) for 7.5 hours until my brother came in to help her himself.”
Staffing
Staffing Hours
per resident/day · Medicare 2026RN hours are below the national benchmark. RNs handle complex medical needs and medication, so ask about coverage during your visit.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
11
measures
2
measures
4
measures
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents on antipsychotic medication
Residents on anti-anxiety or sleep medication
Residents whose bladder or bowel control got worse
Residents vaccinated for pneumonia
Residents whose walking got worse
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Recent complaint investigations revealed serious concerns about abuse reporting and resident care that remain uncorrected as of January 2026. The facility has persistent issues across multiple surveys with medication management, food safety, infection control, and safety systems. While most routine inspection violations show correction dates, the unresolved complaint-triggered deficiencies regarding abuse reporting and treatment failures are significant red flags requiring thorough investigation before placement.
Mar 4, 2026Complaint2
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Feb 17, 2026Complaint1
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Jan 9, 2026Complaint3
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Jul 23, 2025Complaint2
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
Dispose of garbage and refuse properly.
Feb 21, 2025Routine23
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Resident Rights Deficiencies
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.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies
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.
Nutrition and Dietary Deficiencies
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
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Smoke Deficiencies
Install an approved automatic sprinkler system.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
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
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.
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Environmental Deficiencies
Make sure that a working call system is available in each resident's bathroom and bathing area.
Environmental Deficiencies
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Feb 11, 2024Routine13
Emergency Preparedness Deficiencies
Establish staff and initial training requirements.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Assist a resident in gaining access to vision and hearing services.
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Egress Deficiencies
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Egress Deficiencies
Have exits that are accessible at all times.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Smoke Deficiencies
Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Federal Penalties
Fine
Jun 26, 2023
$2,797
Fine
Jun 20, 2023
$2,447
Ownership & Operations
Who Operates This Facility
Monte Vista Healthcare Center
for profit
Chain Affiliation
Cambridge Healthcare Services
32 facilities nationwide
Chain avg rating: 2.6/5 · Rank 16 of 31
Ownership & Management
Owners
Win Win Enterprises, LLC
Owner · Organization
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
35 reviews from families & visitors
Official Website
Visit montevistahcc.com
Medicare data downloads
Original nursing home datasets
EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.
Safer Alternatives Nearby
Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.
Henrietta's Leven Oaks
1.4 miAssisted Living · Monrovia, CA
Coast Care Convalescent Center
3.7 miNursing Home · Baldwin Park, CA
The Gardens of El Monte
3.8 miNursing Home · El Monte, CA
Arcadia Retirement Village
4.4 miAssisted Living · Arcadia, CA
The Kensington Sierra Madre
4.8 miAssisted Living · Sierra Madre, CA
West Covina Healthcare Center
5.3 miNursing Home · West Covina, CA