Montebello Care Center
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 101 Google reviews
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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low overall rating (1/5 stars)
- Low staffing rating (2/5 stars)
- Above-median deficiencies (22 vs median 13.0)
Bottom 25% in CA · Critically understaffed (RN) · Low staff turnover (stable workforce) · Worst in GENESIS HEALTHCARE chain · $28,592 in fines
What this means for your family
This facility offers an excellent rehabilitation program with highly skilled therapists that can significantly aid post-surgery recovery. However, families must be vigilant about night shift care and communication, as multiple reviewers have reported dangerous delays in response times and a lack of updates regarding medical changes.
Google Reviews
Google Reviews
101 reviews on Google“Families seeking rehabilitation services will find a highly-regarded physical and occupational therapy team that many reviewers praise for professional expertise. However, significant concerns exist regarding night shift responsiveness and communication gaps during medical changes. While many praise the daytime staff's warmth, several recent reviews highlight dangerous delays in call-light responses and issues with cleanliness.”
Quality Themes
Tap a score for detailsStrengths
- Excellent rehabilitation and physical therapy programs
- Warm and attentive daytime nursing staff
- Clean and well-maintained facility (noted by many)
- Professional and knowledgeable therapists
Concerns
- Slow response times from night shift staff (mentioned by 4 reviewers)
- Lack of communication regarding medical updates or medication changes (mentioned by 2 reviewers)
- Issues with facility cleanliness and hygiene (e.g., pests or odors) (mentioned by 3 reviewers)
- Inconsistent medication management or prescription errors (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 103 analyzed
How They Respond to Reviews
This facility rarely responds to reviews.
Questions for Your Tour
- 1I've heard wonderful things about your rehabilitation and physical therapy programs; could you tell me more about how the therapists work with residents to meet their mobility goals?
- 2How does the nursing team ensure that all medication changes or new prescriptions are communicated clearly to family members?
- 3What specific protocols are in place during the night shift to ensure residents receive timely assistance when they press their call lights?
- 4With the recent inspections, what specific steps has the facility taken to address and resolve the identified state violations and deficiencies?
- 5How does the facility manage cleanliness and hygiene, particularly in the common areas and resident rooms, to ensure a comfortable environment?
- 6Can you describe the daily schedule and what types of social activities or outings are available to keep residents engaged?
Personalized based on this facility's data
Key Review Excerpts
“My husband Daniel sarabia was in room 222b, and i want to thank all the staff for all your patience taking care of my husband. Special thanks to the P.T. staff for showing your knowledge and professionalism”
“The nurses here are the best! They’re very attentive and very caring with their patients, also rehab department are great!”
“There was no communication with me as the family member on what was going on with my mom. She developed UTI and multiple other issues being there and yet not one phone call from them.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
6
measures
4
measures
7
measures
Residents on anti-anxiety or sleep medication
Residents whose bladder or bowel control got worse
Residents vaccinated for pneumonia
Residents who lost too much weight
Residents whose walking got worse
Residents with pressure sores (bedsores)
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Families have filed multiple complaints resulting in 20 deficiencies, including serious incidents involving resident protection from abuse and neglect. The facility shows recurring problems with medication management, safety hazards, and care planning that persist across surveys despite corrections. While all violations have correction dates, the ongoing pattern of complaint-triggered deficiencies in critical areas warrants careful consideration during any visit.
Jul 18, 2025Complaint2
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
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Jun 27, 2025Complaint1
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
May 16, 2025Complaint2
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.
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Apr 22, 2025Complaint1
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.
Apr 4, 2025Routine20
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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.
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
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 appropriate pressure ulcer care and prevent new ulcers from developing.
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.
Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Nutrition and Dietary Deficiencies
Dispose of garbage and refuse properly.
Smoke Deficiencies
Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Aug 30, 2024Complaint1
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Federal Penalties
Fine
May 29, 2023
$28,592
Ownership & Operations
Who Operates This Facility
Montebello Care Center
for profit
Chain Affiliation
Genesis Healthcare
187 facilities nationwide
Chain avg rating: 2.4/5 · Rank 131 of 188 (Worst)
Ownership & Management
Owners
Genesis Healthcare LLC
Owner (parent company) · Organization
Tress, Avrohom
Owner (parent company)
Hccf Management Group Xi LLC
Owner (parent company) · Organization
Sundance Rehabilitation Holdco INC
Owner (parent company) · Organization
Zac Properties Xi LLC
Owner (parent company) · Organization
Fishman, Steven
Owner (parent company)
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
101 reviews from families & visitors
Official Website
Visit montebellocc.com
Medicare data downloads
Original nursing home datasets
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