Monterey Care Center
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 103 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 (2/5 stars)
- Low staffing rating (2/5 stars)
- Above-median deficiencies (20 vs median 8.0)
- High staff turnover (54%)
Bottom 25% in OH · Below recommended RN staffing · Above average staffing · Below chain average · No penalties on record
What this means for your family
This facility's physical therapy department is highly regarded and may be an excellent choice for short-term recovery. However, given the recurring reports of neglect and communication failures, we strongly advise families to visit frequently and maintain a visible presence to ensure your loved one's needs are met.
Google Reviews
Google Reviews
103 reviews on Google“Monterey Care Center receives highly polarized feedback, with many reviewers praising the physical therapy department and housekeeping staff for their dedication and cleanliness. However, a significant number of families report serious concerns regarding neglect, poor communication, and inconsistent nursing care, particularly regarding response times and basic patient needs. Prospective families should conduct a thorough, in-person tour and ask pointed questions about staffing ratios and communication protocols.”
Quality Themes
Tap a score for detailsStrengths
- Highly effective physical therapy department
- Clean and well-maintained facility
- Attentive and friendly housekeeping staff
- Helpful admissions team
Concerns
- Neglect and slow response times to call buttons (mentioned by 8 reviewers)
- Poor communication and difficulty reaching staff by phone (mentioned by 6 reviewers)
- Missing personal items and clothing (mentioned by 3 reviewers)
- Inconsistent or poor quality of food (mentioned by 3 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 105 analyzed
How They Respond to Reviews
This facility rarely responds to reviews.
Questions for Your Tour
- 1We've heard great things about your physical therapy department; could you tell us more about how the therapists work with residents to maintain their mobility?
- 2How do you ensure that call buttons are answered promptly, especially during the night or busy meal times?
- 3What systems do you have in place to help residents keep track of their personal belongings and clothing to prevent anything from getting lost?
- 4How does the nursing team communicate important medical updates or changes in condition to family members to ensure we are always in the loop?
- 5What kind of daily activities or social programs are available to keep residents engaged and connected with one another?
- 6Could you walk us through the protocol for handling medical emergencies or unexpected health changes after regular business hours?
Personalized based on this facility's data
Key Review Excerpts
“Their therapy department is top notch. Since I arrived in A”
“This facility gave my father a stage 4 pressure wound (bed sore) and disconnected him from his IV and feeding tube. Nurse Christy argued with me that people can go days without food.”
“The memory care unit is not up to standards, My brother's floor was so sticky that my shoes were stuck to it. I had to go tell them my brother needed his legs cleaned and bandaged because they were bleeding.”
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
9
measures
7
measures
1
measures
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents on anti-anxiety or sleep medication
Residents with pressure sores (bedsores)
Residents whose walking got worse
Residents needing more daily help over time
Residents vaccinated for pneumonia
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
Monterey Care Center has concerning patterns with families filing multiple complaint reports, including recent issues with accident prevention and resident abuse protection. The facility shows recurring problems across safety measures, food safety, and care quality that have persisted over several years despite corrections. Most deficiencies have correction plans, but the frequency of safety violations and complaint-triggered investigations suggests ongoing operational challenges that families should carefully consider.
Jul 9, 2025Complaint1
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Jun 10, 2025Complaint1
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Apr 1, 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
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Dec 17, 2024Complaint2
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Miscellaneous Deficiencies
Provide a written emergency evacuation plan.
Nov 24, 2024Routine24
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.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Miscellaneous Deficiencies
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
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
Provide activities to meet all resident's needs.
Egress Deficiencies
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Smoke Deficiencies
Construct fire resistant interior walls.
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Services Deficiencies
Install properly constructed and protected linen or trash chutes.
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
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
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
Assist a resident in gaining access to vision and hearing services.
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies
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
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 safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies
Provide care or services that was trauma informed and/or culturally competent.
Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Nutrition and Dietary Deficiencies
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Nutrition and Dietary Deficiencies
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Nov 14, 2023Complaint2
Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Ownership & Operations
Who Operates This Facility
Monterey Care Center
for profit
Chain Affiliation
Optalis Health & Rehabilitation
37 facilities nationwide
Chain avg rating: 2.5/5 · Rank 31 of 37
Ownership & Management
Owners
Om Holdco 3 LLC
Owner · Organization
Dunn, Charles
Owner (parent company)
Dunn, Charles
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Shah, Hemant
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
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
103 reviews from families & visitors
Official Website
Visit optalishealthcare.com
Medicare data downloads
Original nursing home datasets
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