Facility profile · CCN 165304
Montrose Health Center
15 federal citations on record , including 1 at the Immediate Jeopardy level, and 3 federal enforcement actions totaling $49,309.
Record summary
Federal record · Q1 202615
Total citations
15
Last 3 years
5
Actual harm+
3
Federal penalties
$49,309
Total fines
4
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
15 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Oct 2, 2025 | F693 | 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 | Standard |
| Sep 19, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Standard |
| Sep 19, 2024 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard |
| Sep 19, 2024 | F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard |
| Sep 19, 2024 | F640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | D | Standard |
| Apr 25, 2024 | F760 | Ensure that residents are free from significant medication errors. | D | Complaint |
| Apr 25, 2024 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Complaint |
| Apr 25, 2024 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | Complaint |
| Apr 25, 2024 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | E | Complaint |
| Apr 25, 2024 | F940 | Develop, implement, and/or maintain an effective training program for all new and existing staff members. | D | Standard |
| Apr 25, 2024 | F697 | Provide safe, appropriate pain management for a resident who requires such services. | G | Standard |
| Apr 25, 2024 | F690 | 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 | Standard |
| Apr 25, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard |
| Apr 25, 2024 | F641 | Ensure each resident receives an accurate assessment. | D | Standard |
| May 24, 2023 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Complaint |
Federal enforcement history
Federal regulators have imposed 3 enforcement actions against this facility, including 3 civil money penalties totaling $49,309 .
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Sep 19, 2024 | Fine | $25,740 | — |
| Apr 25, 2024 | Fine | $17,339 | — |
| May 24, 2023 | Fine | $6,230 | — |
About this record
A citation is a finding by a state survey team working under federal contract. It is not a court
judgment. The description above is drawn verbatim from federal public datasets. Facilities have
the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.
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