MONTE VISTA HEALTHCARE CENTER

802 BUENA VISTA STREET
DUARTE, CA, 91010
6263598141
CCN: 055817
2
Overall
2
Health
2
Staffing
2
Quality
ChainCAMBRIDGE HEALTHCARE SERVICES
Special FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
OIG Federal Exclusion Matches (5)
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.
CENTURION HEALTHCARE, INC
1128a1
Excluded 2013-04-18
HIGHLAND PARK HEALTHCARE CENTE
1128b8
Excluded 2004-01-20
SAINT JOSEPH HEALTH CENTER
1128b8
Excluded 2000-04-20
SOUTHGATE HEALTH CENTER
1128b8
Excluded 2000-04-20
SURGICAL LEASING COMPANY, LLC
1128b8
Excluded 2008-04-20
Ownership
NameRole%
BH ALLIANCE5% OR GREATER DIRECT OWNERSHIP INTEREST10%
IRA E SMEDRA LIVING TRUST5% OR GREATER DIRECT OWNERSHIP INTEREST45%
WIN WIN ENTERPRISES, LLC5% OR GREATER DIRECT OWNERSHIP INTEREST45%
SMEDRA, IRA5% OR GREATER INDIRECT OWNERSHIP INTEREST45%
WINTNER, JACOBCORPORATE OFFICERNOT APPLICABLE
BUTENKO, JULIEOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
CAPELA, HEIDIOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
GAZARIAN, LEVONOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
HASSELL, LANCEOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
LAWLER, EMELYNOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
LUTZ, LINDAOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
SALAZAR, PAULINAOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
SMEDRA, IRAOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
VENTANILLA, DIANNEOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
VIDALES, MIGUELOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
WINTNER, JACOBOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
CAMBRIDGE HEALTHCARE SERVICES LLCOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Penalties (3)
DateTypeAmount
2023-06-26Fine$3K
2023-06-20Fine$2K
2023-05-30Fine$5K
Health Deficiencies (43)
2026-01-09 · Health
D
F684 · Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
D
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
2025-07-23 · Health
D
F814 · Nutrition and Dietary Deficiencies
Dispose of garbage and refuse properly.
D
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.
2025-02-21 · Health
D
F925 · Environmental Deficiencies
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
E
F921 · Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
D
F919 · Environmental Deficiencies
Make sure that a working call system is available in each resident's bathroom and bathing area.
E
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
E
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.
D
F804 · Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
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.
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.
E
F759 · Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
E
F695 · Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
D
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
F690 · 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.
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.
E
F686 · Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
E
F684 · Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
F656 · 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.
E
F584 · 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.
D
F554 · Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
D
F550 · Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
2024-02-11 · Health
D
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
E
F759 · Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
D
F732 · Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
E
F685 · Quality of Life and Care Deficiencies
Assist a resident in gaining access to vision and hearing services.
E
F677 · Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
E
F656 · 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.
D
F641 · Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
2023-05-26 · Health
D
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
2021-11-12 · Health
E
F921 · Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
K
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
E
F867 · Administration Deficiencies
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
E
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.
D
F758 · Pharmacy Service Deficiencies
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
D
F756 · 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.
B
F732 · Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
E
F726 · 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.
D
F698 · Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
E
F690 · 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.
D
F552 · Resident Rights Deficiencies
Ensure that residents are fully informed and understand their health status, care and treatments.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day
4.06
3.68
RN Hrs/Resident/Day
0.33
0.54
LPN Hrs/Resident/Day
1.32
0.81
CNA Hrs/Resident/Day
2.41
2.33
PT Hrs/Resident/Day
0.10
0.12
Data as of 2026-03-01