Latest reports, citations, and penalties from CMS data
The facility reported a plan of correction and said the problem was fixed by June 19, 2026, eighteen days after inspectors walked out the door....
The deficiency was one of 28 cited during the same inspection, a total that points to problems running deeper than any single lapse....
Federal health inspectors documented that finding during a standard inspection completed June 1, 2026....
The inspection took place on May 31, 2026....
It also requires that once a tube is in place, the facility provides proper ongoing care for it....
Federal health inspectors cited the facility on June 1, 2026, for failing to assess residents when they experienced significant changes in their condition....
Federal health inspectors visited Montrose Healthcare Center on May 29, 2026, responding to a complaint....
The plans that existed did not meet all of a resident's needs....
The deficiency was one of 28 cited during the inspection....
One of those citations involved something foundational to nursing home care: whether residents are accurately assessed....
That finding, documented during a standard federal health inspection completed June 1, was one of 28 deficiencies inspectors cited at the facility....
Federal health inspectors cited the facility on May 29, 2026, for failing to provide care that was trauma-informed and culturally competent....
The violation was one of 28 deficiencies inspectors documented during that single visit....
The citation fell under a category regulators call resident assessment and care planning deficiencies....
The citation, issued May 29, 2026, falls under the category of nutrition and dietary deficiencies....
The dental citation fell under the category of Quality of Life and Care Deficiencies....
The unnecessary drug citation, recorded under pharmacy service deficiencies, was one of the more clinically direct findings in the June 1 inspection....
What the inspection report does not contain is almost as telling as what it does....
A level D finding does not mean nothing happened....
The finding fell under a category regulators call Quality of Life and Care Deficiencies....