Montevista Rehabilitation and Skilled Care
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 158 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 (1/5 stars)
- Above-median deficiencies (8 vs median 6.0)
- High staff turnover (70%)
- High RN turnover (88%)
Bottom 25% in OK · Critically understaffed (RN) · Worst in STONEGATE SENIOR LIVING chain · $27,782 in fines
What this means for your family
Montevista's physical therapy department is frequently cited as a major strength for recovery. However, families should be extremely cautious regarding daily care; we recommend visiting at different times of the day to monitor call light response times and hygiene, and specifically requesting a care plan meeting to ensure dietary and medication needs are met.
Google Reviews
Google Reviews
158 reviews on Google“Montevista Rehabilitation and Skilled Care presents a highly polarized experience for families. While many reviewers praise the physical therapy department and specific staff members like Amanda Singer for their compassionate care, a significant number of families report serious neglect, including slow response times to call lights, poor hygiene, and inconsistent communication. Prospective families should be aware that experiences appear to vary greatly depending on the specific shift and staff assigned to their loved one.”
Quality Themes
Tap a score for detailsStrengths
- Effective physical and occupational therapy programs
- Select highly dedicated and compassionate nursing assistants
- Attractive, clean facility lobby and common areas
- Responsive administrative staff for initial inquiries
Concerns
- Slow or non-existent response to call lights and patient needs (mentioned by 12 reviewers)
- Poor food quality, including cold meals and lack of dietary adherence (mentioned by 8 reviewers)
- Hygiene issues, including soiled bedding and lack of assistance with toileting (mentioned by 7 reviewers)
- Inconsistent communication and difficulty reaching staff by phone (mentioned by 5 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 198 analyzed
How They Respond to Reviews
This facility actively engages with reviewer feedback.
Questions for Your Tour
- 1Given the current staffing levels, what is the specific protocol for ensuring call lights are answered promptly, especially during evening and night shifts?
- 2Could you walk us through the process for how dietary preferences and specific medical nutrition plans are communicated from the clinical team to the kitchen staff to ensure meals are served hot and accurate?
- 3With the recent focus on facility cleanliness, what is your daily schedule for room sanitation and laundry services to ensure residents always have fresh, clean bedding?
- 4I noticed your team is active in responding to feedback online; what is the best way for family members to reach a staff member directly if they have urgent questions or concerns about their loved one's care?
- 5What specific steps are taken to ensure that residents receive consistent, hands-on assistance with daily hygiene and toileting needs throughout the day?
- 6How does your nursing team coordinate with the physical and occupational therapy departments to ensure that a resident’s progress is tracked and communicated to the family?
Personalized based on this facility's data
Key Review Excerpts
“The physical therapy program was exceptional. It took patients from “I can’t do this” to “I can do this.”” They took me from not being able to walk to circling the halls with my walker.”
“My 93 year old Father was in a serious auto accident after emergency room was referred to Montevista. We were so pleased with the excellent, compassionate care he received during his time at Montevista.”
“My mother has been there for a week. She's diabetic, unable to ambulate and has other medical issues. They've been feeding her tuna fish sandwiches with cookies for dinner! Had not had a vegetable or a piece of fresh fruit since she's been there.”
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
14
measures
2
measures
1
measures
Residents on anti-anxiety or sleep medication
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents whose bladder or bowel control got worse
Residents on antipsychotic medication
Residents whose walking got worse
Residents needing more daily help over time
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
This facility has faced frequent complaints from families (13 of 22 deficiencies), with recurring problems in care planning, quality of care, and food safety. Recent issues include failures to report suspected abuse, inadequate nursing staff coverage, and problems ensuring safe environments for residents. While the facility has corrected past violations, the pattern of ongoing complaints suggests persistent challenges in maintaining consistent care standards across multiple areas.
Mar 4, 2025Complaint5
Resident Assessment and Care Planning Deficiencies
Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Nursing and Physician Services Deficiencies
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
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.
Feb 6, 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.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Dec 10, 2024Complaint1
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Sep 6, 2024Routine3
Nursing and Physician Services Deficiencies
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Assessment and Care Planning Deficiencies
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
May 1, 2024Complaint1
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 2, 2024Complaint1
Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Federal Penalties
Fine
Apr 2, 2024
$10,033
Fine
Apr 2, 2024
$10,036
Fine
Jul 13, 2023
$7,713
Ownership & Operations
Who Operates This Facility
Montevista Rehabilitation and Skilled Care
nonprofit
Chain Affiliation
Stonegate Senior Living
24 facilities nationwide
Chain avg rating: 2.4/5 · Rank 20 of 24 (Worst)
Ownership & Management
Owners
Pf Lawton Snf Ops LLC
Owner · Organization
Sanctuary Ltc, LLC
Owner · Organization
Preservation Freehold Company
Owner (parent company) · Organization
Campbell, Scott
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Fisher, James
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Langdon, Thomas
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Mcgehee, William
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Taylor, John
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Key personnel
Contact
Get in Touch
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References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
158 reviews from families & visitors
Official Website
Visit montevistarehab.com
Medicare data downloads
Original nursing home datasets
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Safer Alternatives Nearby
Based on current clinical data, we identified 3 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.