Community Extended Care Hospital Of Montclair
9620 Fremont Ave
Montclair, CA, 91763
9096214751
CCN: 056444
4
Overall4
Health2
Staffing4
QualitySpecial FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
OIG Federal Exclusion Matches (2)
This facility's name matches one or more entities on the OIG List of Excluded Individuals/Entities (LEIE). Excluded parties are prohibited from participation in Medicare and Medicaid programs.
ALONDRA COMMUNITY HOSPITAL
1128b6
Excluded 1979-03-06
CENTRAL COMMUNITY SERVICE, INC
1128a1
Excluded 2005-10-20
Ownership
| Name | Role | % |
|---|---|---|
| THE BENTZION MANDELBAUM 2021 IRREVOCABLE GIFT TRUST NO. 2 | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 25% |
| THE JANET MANDELBAUM 2021 IRREVOCABLE GIFT TRUST NO 2 | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 10% |
| THE SIMCHA MANDELBAUM 2021 IRREVOCABLE GIFT TRUST NO. 2 | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 15% |
| PHAM, JULIE | CORPORATE OFFICER | NOT APPLICABLE |
| CASTRO-GARCIA, MARIA | CORPORATE OFFICER | NOT APPLICABLE |
| MANDELBAUM, JANET | CORPORATE OFFICER | NOT APPLICABLE |
| WILLIAMS, CLINTON | CORPORATE OFFICER | NOT APPLICABLE |
| DALIVA, JOHN | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| FERNANDEZ, ROBERTO | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| HIDALGO, ANALIZA | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| LANDINGIN, ANNE | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| MANDELBAUM, JANET | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| PHAM, JULIE | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| REAL, JOYCE | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| RIOS, CARLOS | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| SOLANO, ELIDEY | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| WILLIAMS, CLINTON | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| HANSEN | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| SKILLSERVE INC | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| CASTRO-GARCIA, MARIA | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| COSME, RODOLFO | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
Health Deficiencies (24)
2026-01-02 · Health
E
F757 · Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
2025-05-07 · Health
D
F573 · Resident Rights Deficiencies
Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
2024-11-15 · Health
D
F684 · Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
F550 · Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
2024-10-30 · Health
D
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2024-07-15 · Health
D
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2023-06-20 · Health
D
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2023-04-27 · Health
D
F558 · Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
2023-02-10 · Health
D
F919 · Environmental Deficiencies
Make sure that a working call system is available in each resident's bathroom and bathing area.
F
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
F803 · 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.
F
F802 · Nutrition and Dietary Deficiencies
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
D
F761 · 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.
D
F755 · Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
E
F693 · 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.
D
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
F676 · Quality of Life and Care Deficiencies
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
D
F641 · Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
D
F578 · Resident Rights Deficiencies
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.
2019-10-03 · Health
D
F919 · Environmental Deficiencies
Make sure that a working call system is available in each resident's bathroom and bathing area.
D
F842 · 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.
E
F761 · 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.
D
F685 · Quality of Life and Care Deficiencies
Assist a resident in gaining access to vision and hearing services.
D
F558 · Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day3.68
5.28
RN Hrs/Resident/Day0.54
0.51
LPN Hrs/Resident/Day0.81
2.14
CNA Hrs/Resident/Day2.33
2.62
PT Hrs/Resident/Day0.12
0.05
Data as of 2026-03-01