Montrose Springs Skilled Nursing & Wellness Center

Inspection history (85)

Records from March 2022 to April 2026.

• June 13, 2023 · D

  Citation F0578

  Federal surveyors cited this nursing home on 2023-06-13 under CMS tag F0578 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2023-06-29. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-06-13.GOV

• June 7, 2023 · D

  Citation F0610

  Federal surveyors cited this nursing home on 2023-06-07 under CMS tag F0610 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Respond appropriately to all alleged violations. The deficiency was recorded as corrected on 2023-06-15. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-06-07.GOV

• June 7, 2023 · D

  Citation F0580

  Federal surveyors cited this nursing home on 2023-06-07 under CMS tag F0580 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. The deficiency was recorded as corrected on 2023-06-15. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-06-07.GOV

• June 7, 2023 · D

  Citation F0684

  Federal surveyors cited this nursing home on 2023-06-07 under CMS tag F0684 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide appropriate treatment and care according to orders, resident’s preferences and goals. The deficiency was recorded as corrected on 2023-06-15. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-06-07.GOV

• June 2, 2023 · D

  Citation F0745

  Federal surveyors cited this nursing home on 2023-06-02 under CMS tag F0745 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide medically-related social services to help each resident achieve the highest possible quality of life. The deficiency was recorded as corrected on 2023-06-28. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-06-02.GOV

• June 2, 2023 · D

  Citation F0698

  Federal surveyors cited this nursing home on 2023-06-02 under CMS tag F0698 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide safe, appropriate dialysis care/services for a resident who requires such services. The deficiency was recorded as corrected on 2023-06-28. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-06-02.GOV

• March 24, 2022 · D

  Citation F0655

  Federal surveyors cited this nursing home on 2022-03-24 under CMS tag F0655 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted. The deficiency was recorded as corrected on 2022-04-26. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-03-24.GOV

• March 24, 2022 · D

  Citation F0658

  Federal surveyors cited this nursing home on 2022-03-24 under CMS tag F0658 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure services provided by the nursing facility meet professional standards of quality. The deficiency was recorded as corrected on 2022-04-26. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-03-24.GOV

• March 24, 2022 · D

  Citation F0693

  Federal surveyors cited this nursing home on 2022-03-24 under CMS tag F0693 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2022-04-26. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-03-24.GOV

• March 24, 2022 · D

  Citation F0812

  Federal surveyors cited this nursing home on 2022-03-24 under CMS tag F0812 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. The deficiency was recorded as corrected on 2022-04-26. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-03-24.GOV

• March 24, 2022 · B

  Citation F0911

  Federal surveyors cited this nursing home on 2022-03-24 under CMS tag F0911 (CMS scope/severity B: pattern, no actual harm, potential for minimal harm) for Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. The deficiency was recorded as corrected on 2022-04-26. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-03-24.GOV

• March 24, 2022 · D

  Citation F0881

  Federal surveyors cited this nursing home on 2022-03-24 under CMS tag F0881 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Implement a program that monitors antibiotic use. The deficiency was recorded as corrected on 2022-04-26. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-03-24.GOV

• March 24, 2022 · D

  Citation F0644

  Federal surveyors cited this nursing home on 2022-03-24 under CMS tag F0644 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. The deficiency was recorded as corrected on 2022-04-26. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-03-24.GOV

• March 24, 2022 · D

  Citation F0695

  Federal surveyors cited this nursing home on 2022-03-24 under CMS tag F0695 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide safe and appropriate respiratory care for a resident when needed. The deficiency was recorded as corrected on 2022-04-26. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-03-24.GOV

• March 24, 2022 · D

  Citation F0584

  Federal surveyors cited this nursing home on 2022-03-24 under CMS tag F0584 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2022-04-26. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-03-24.GOV

• March 24, 2022 · D

  Citation F0657

  Federal surveyors cited this nursing home on 2022-03-24 under CMS tag F0657 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. The deficiency was recorded as corrected on 2022-04-26. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-03-24.GOV

• March 24, 2022 · D

  Citation F0557

  Federal surveyors cited this nursing home on 2022-03-24 under CMS tag F0557 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. The deficiency was recorded as corrected on 2022-04-26. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-03-24.GOV

• March 24, 2022 · D

  Citation F0656

  Federal surveyors cited this nursing home on 2022-03-24 under CMS tag F0656 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. The deficiency was recorded as corrected on 2022-04-26. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-03-24.GOV

• March 24, 2022 · B

  Citation F0912

  Federal surveyors cited this nursing home on 2022-03-24 under CMS tag F0912 (CMS scope/severity B: pattern, no actual harm, potential for minimal harm) for Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. The deficiency was recorded as corrected on 2022-04-26. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-03-24.GOV

• March 24, 2022 · D

  Citation F0759

  Federal surveyors cited this nursing home on 2022-03-24 under CMS tag F0759 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure medication error rates are not 5 percent or greater. The deficiency was recorded as corrected on 2022-04-26. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-03-24.GOV

Penalties (2)

Total fines on file: $32,139

• February 20, 2025 · Fine

  Citation FINE-131197

  CMS recorded a civil money penalty of $32,139 against this nursing home on 2025-02-20 (Fine ID: 131197). Source: CMS Care Compare Penalties (as of 2026-07-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-02-20.GOV

• May 10, 2024 · Payment Denial

  Citation PAYDEN-2024-06-08

  CMS recorded a Medicare/Medicaid payment denial for new admissions starting 2024-06-08, lasting 6 days (triggered by inspection on 2024-05-10). Source: CMS Care Compare Penalties (as of 2026-07-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-05-10.GOV

Staffing

Latest: 3.92 nurse staffing hours per resident per day (2026Q1)

Ownership

For profit

1. Parent organization: Pacific Healthcare Holdings, INC.

   parent · PAC 8123124518

Recent changes to this listing

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Each line is a difference between two readings of a government file. It says what the source reported, not what the provider did.

1. Sep 1, 2026Ownership changed

   The source now records ownership as "For profit".

   Reported by CMS nursing homes (ownership)

2. Sep 1, 2026Ownership changed

   The source now records ownership as "For profit - Limited Liability company".

   Reported by CMS nursing homes (provider info)

3. Aug 6, 2026Ownership changed

   The source now records ownership as "For profit".

   Reported by CMS nursing homes (ownership)

4. Jul 24, 2026Ownership changed

   The source now records ownership as "For profit - Limited Liability company".

   Reported by CMS nursing homes (provider info)

5. Jul 24, 2026Ownership changed

   The source now records ownership as "For profit".

   Reported by CMS nursing homes (ownership)