Montrose Healthcare Center

Name: Montrose Healthcare Center
Address: 2123 VERDUGO BLVD., Montrose, CA, 91020, US
Telephone: 8182493925

2123 Verdugo Blvd., Montrose, CA 91020 · Los Angeles County · 59 certified beds · avg 57 residents/day · certified since Dec 1, 1976

Part of chain: LONGWOOD MANAGEMENT CORPORATION (38 facilities, chain avg rating 2.2★)

3/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

4.45

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (41)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Jul 1, 2026	D · Potential for harm, one-off	The facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand. · from a complaint
Jul 1, 2026	D · Potential for harm, one-off	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint
May 29, 2026	D · Potential for harm, one-off	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. · from a complaint
Apr 30, 2026	E · Potential for harm, repeated	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Apr 30, 2026	E · Potential for harm, repeated	The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline.
Apr 30, 2026	E · Potential for harm, repeated	The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident.
Apr 30, 2026	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Apr 30, 2026	E · Potential for harm, repeated	The facility did not dispose of garbage and refuse properly.
Apr 30, 2026	E · Potential for harm, repeated	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards.
Apr 30, 2026	D · Potential for harm, one-off	The facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand.
Apr 30, 2026	D · Potential for harm, one-off	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
Apr 30, 2026	D · Potential for harm, one-off	The facility did not provide required paperwork or notices about a resident's needs, their right to appeal a transfer or discharge, or the facility's bed-hold policy (how long a bed is saved during a hospital stay).
Apr 30, 2026	D · Potential for harm, one-off	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
Apr 30, 2026	D · Potential for harm, one-off	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Apr 30, 2026	D · Potential for harm, one-off	The facility did not prepare and serve food in a form that meets each resident's individual needs — for example, chopped, pureed, or softened food for residents with chewing or swallowing problems.
Jul 1, 2025	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint
Apr 10, 2025	E · Potential for harm, repeated	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Apr 10, 2025	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Apr 10, 2025	D · Potential for harm, one-off	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights.
Apr 10, 2025	D · Potential for harm, one-off	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow.
Apr 10, 2025	D · Potential for harm, one-off	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own.
Apr 10, 2025	D · Potential for harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Apr 10, 2025	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Apr 10, 2025	D · Potential for harm, one-off	The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections.
Apr 10, 2025	D · Potential for harm, one-off	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Apr 10, 2025	D · Potential for harm, one-off	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards.
Apr 10, 2025	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Apr 21, 2024	E · Potential for harm, repeated	The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups.
Apr 21, 2024	E · Potential for harm, repeated	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
Apr 21, 2024	E · Potential for harm, repeated	The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day.
Apr 21, 2024	E · Potential for harm, repeated	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Apr 21, 2024	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Apr 21, 2024	D · Potential for harm, one-off	The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care.
Apr 21, 2024	D · Potential for harm, one-off	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow.
Apr 21, 2024	D · Potential for harm, one-off	The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections.
Apr 21, 2024	D · Potential for harm, one-off	The facility did not safely and appropriately administer IV fluids (fluids given through a vein) for residents who needed them.
Apr 21, 2024	D · Potential for harm, one-off	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
Apr 21, 2024	D · Potential for harm, one-off	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards.
Apr 21, 2024	D · Potential for harm, one-off	The facility did not properly inform residents or their representatives about arbitration agreements — contracts that give up the right to sue in court — including their right to refuse to sign.
Apr 21, 2024	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Aug 16, 2023	D · Potential for harm, one-off	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · from a complaint

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (11 → 12).

Year	Citations	Worst severity that year
2023	1	D
2024	13	E
2025	12	E
2026	15	E

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	California avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	4.45	4.31	3.95	top 31% in California; top 24% in the U.S.
Registered Nurse hours	0.72	0.61	0.69	top 22% in California; top 35% in the U.S.
Weekend total nurse staffing	4.01	3.90	3.50	top 33% in California; top 23% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.58	0.51	0.48	top 23% in California; top 25% in the U.S.
Total nursing staff turnover (%)	35.7	36.7	45.8	top 49% in California; top 26% in the U.S.
RN turnover (%)	62.5	38.1	42.9	bottom 13% in California; bottom 19% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.16, RN 0.67, weekend 3.75. Staffing rating: 4/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 4/5 · long-stay residents: 4/5 · short-stay residents: 5/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
Aaron Friedman Group a Business Assets Trust	Organization	Direct Ownership Interest	NOT APPLICABLE	06/30/2023
Devorah Danziger Group a Business Assets Trust	Organization	Direct Ownership Interest	NOT APPLICABLE	06/30/2023
Elka Kaplan Group a Business Assets Trust	Organization	Direct Ownership Interest	NOT APPLICABLE	06/30/2023
Esther Hoff Group a Business Assets Trust	Organization	Direct Ownership Interest	NOT APPLICABLE	06/30/2023
Friedman Family Trust	Organization	5% or Greater Direct Ownership Interest	18%	06/30/2023
Ira D Friedman 1991 Trust	Organization	5% or Greater Direct Ownership Interest	18%	06/30/2023
Ira David Friedman Group a Business Assets Trust	Organization	Direct Ownership Interest	NOT APPLICABLE	06/30/2023
Lehmann Family 1991 Trust	Organization	5% or Greater Direct Ownership Interest	18%	06/30/2023
Libby Friedman Lehmann Group a Business Assets Trust	Organization	Direct Ownership Interest	NOT APPLICABLE	06/30/2023
Mordechai Notis Group a Business Assets Trust	Organization	Direct Ownership Interest	NOT APPLICABLE	06/30/2023
Rachel Notis Group a Business Assets Trust	Organization	Direct Ownership Interest	NOT APPLICABLE	06/30/2023
Ruchel Friedman Klavan Group a Business Assets Trust	Organization	Direct Ownership Interest	NOT APPLICABLE	06/30/2023
Sarah Dunner Group a Business Assets Trust	Organization	Direct Ownership Interest	NOT APPLICABLE	06/30/2023
The Klavan Family Trust	Organization	5% or Greater Direct Ownership Interest	18%	06/30/2023
The Tzippy Friedman Notis 1990 Trust	Organization	5% or Greater Direct Ownership Interest	18%	06/30/2023
Yehoshua Notis Group a Business Assets Trust	Organization	Direct Ownership Interest	NOT APPLICABLE	06/30/2023
Yisroel Notis Group a Business Assets Trust	Organization	Direct Ownership Interest	NOT APPLICABLE	06/30/2023
Carrera, Rogelio	Individual	Operational/Managerial Control	NOT APPLICABLE	07/16/2009
Carrera, Rogelio	Individual	ADP of the SNF	NOT APPLICABLE	07/16/2009
Davidyan, Almara	Individual	Operational/Managerial Control	NOT APPLICABLE	03/10/2025

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"How do you explain health changes and treatment options to residents and their families?"
"How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
"How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
"Who completes resident assessments here, and how do you check them for accuracy?"
"What do you do daily to keep residents moving, and how do you help residents at risk of losing mobility?"
"How do you verify that your nurses and aides have the skills to care for residents with needs like my family member's?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"Can I see where garbage is stored and how often it's removed?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
Montrose Springs Skilled Nursing & Wellness Center	1.2 mi	Montrose, CA	★★★☆☆	2/5
La Crescenta Healthcare Center	2.0 mi	La Crescenta, CA	★★★★★	4/5
Oakpark Healthcare Center	3.6 mi	Tujunga, CA	★★★★★	3/5
Autumn Hills Health Care Center	3.8 mi	Glendale, CA	★★★☆☆	2/5
Golden Haven Care Center	3.9 mi	Glendale, CA	★☆☆☆☆	1/5
Glendale Adventist Medical Center DP/SNF	3.9 mi	Glendale, CA	★★★★★	5/5
Glendale Post Acute Center	4.0 mi	Glendale, CA	★☆☆☆☆	1/5
Dreier's Nursing Care Center	4.3 mi	Glendale, CA	★★☆☆☆	2/5
Golden Rose Care Center	4.4 mi	Pasadena, CA	★☆☆☆☆	1/5	SFF
Camellia Gardens Care Center	4.4 mi	Pasadena, CA	★★☆☆☆	3/5
Brighton Care Center	4.4 mi	Pasadena, CA	★★☆☆☆	2/5
Saint Vincent Healthcare	4.4 mi	Pasadena, CA	★★★☆☆	4/5

Compare this facility with the 3 closest →

All facilities in Montrose →

Facility data as of CMS processing date 2026-08-01. CCN 055135.

The Care File

Visit checklist — Montrose Healthcare Center

2123 Verdugo Blvd., Montrose, CA 91020 · 8182493925

Health inspection rating 3/5 · CMS overall 3/5· Fines (3y): $0

Questions for the administrator:

☐ "How do you explain health changes and treatment options to residents and their families?"
☐ "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
☐ "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
☐ "Who completes resident assessments here, and how do you check them for accuracy?"
☐ "What do you do daily to keep residents moving, and how do you help residents at risk of losing mobility?"
☐ "How do you verify that your nurses and aides have the skills to care for residents with needs like my family member's?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "Can I see where garbage is stored and how often it's removed?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 055135 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)