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Verdugo Valley Skilled Nursing & Wellness Ct

📍 2635 Honolulu Ave, Montrose, CA 91020 📞 (818) 248-6856 🛏️ 138 beds

Inspection History Overview

Detailed Inspection Reports

No detailed inspection reports available yet. Check back soon as we're processing new reports daily.

Fines and Penalties by Year

2025 1 penalties totaling $49,445

$49,445
Feb 20, 2025

Fine

2022 1 penalties totaling $1,988

$1,988
Mar 28, 2022

Fine

2021 4 penalties totaling $4,581

$1,638
Dec 27, 2021

Fine

$1,310
Dec 20, 2021

Fine

$983
Dec 13, 2021

Fine

$650
Jul 5, 2021

Fine

2020 2 penalties totaling $64,820

$11,020
Nov 5, 2020

Fine

$53,800
Aug 19, 2020

Fine

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Health Violations by Year

2025 5 violations

Tag 0656 D May 1, 2025

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: May 22, 2025
Tag 0600 G Mar 28, 2025

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

✓ Corrected: Apr 5, 2025
Tag 0609 D Mar 28, 2025

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

✓ Corrected: Apr 5, 2025
Tag 0600 G Mar 12, 2025

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

✓ Corrected: Apr 9, 2025
Tag 0660 D Feb 20, 2025

Plan the resident's discharge to meet the resident's goals and needs.

✓ Corrected: Mar 14, 2025

2024 32 violations

Tag 0550 D Jul 12, 2024

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

✓ Corrected: Aug 5, 2024
Tag 0558 D Jul 12, 2024

Reasonably accommodate the needs and preferences of each resident.

✓ Corrected: Aug 5, 2024
Tag 0580 D Jul 12, 2024

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

✓ Corrected: Aug 5, 2024
Tag 0583 D Jul 12, 2024

Keep residents' personal and medical records private and confidential.

✓ Corrected: Aug 5, 2024
Tag 0656 D Jul 12, 2024

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Aug 5, 2024
Tag 0657 D Jul 12, 2024

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

✓ Corrected: Aug 5, 2024
Tag 0686 D Jul 12, 2024

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

✓ Corrected: Aug 5, 2024
Tag 0690 D Jul 12, 2024

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

✓ Corrected: Aug 5, 2024
Tag 0695 D Jul 12, 2024

Provide safe and appropriate respiratory care for a resident when needed.

✓ Corrected: Aug 5, 2024
Tag 0697 D Jul 12, 2024

Provide safe, appropriate pain management for a resident who requires such services.

✓ Corrected: Aug 5, 2024
Tag 0730 E Jul 12, 2024

Observe each nurse aide's job performance and give regular training.

✓ Corrected: Aug 5, 2024
Tag 0732 B Jul 12, 2024

Post nurse staffing information every day.

✓ Corrected: Aug 5, 2024
Tag 0745 D Jul 12, 2024

Provide medically-related social services to help each resident achieve the highest possible quality of life.

✓ Corrected: Aug 5, 2024
Tag 0755 E Jul 12, 2024

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

✓ Corrected: Aug 5, 2024
Tag 0759 E Jul 12, 2024

Ensure medication error rates are not 5 percent or greater.

✓ Corrected: Aug 5, 2024
Tag 0761 E Jul 12, 2024

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.

✓ Corrected: Aug 5, 2024
Tag 0802 E Jul 12, 2024

Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

✓ Corrected: Aug 5, 2024
Tag 0803 E Jul 12, 2024

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.

✓ Corrected: Aug 5, 2024
Tag 0880 D Jul 12, 2024

Provide and implement an infection prevention and control program.

✓ Corrected: Aug 5, 2024
Tag 0911 B Jul 12, 2024

Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.

✓ Corrected: Aug 5, 2024
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2023 7 violations

Tag 0656 D Nov 29, 2023

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Dec 26, 2023
Tag 0578 D Jun 13, 2023

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.

✓ Corrected: Jun 29, 2023
Tag 0580 D Jun 7, 2023

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

✓ Corrected: Jun 15, 2023
Tag 0610 D Jun 7, 2023

Respond appropriately to all alleged violations.

✓ Corrected: Jun 15, 2023
Tag 0684 D Jun 7, 2023

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Jun 15, 2023
Tag 0698 D Jun 2, 2023

Provide safe, appropriate dialysis care/services for a resident who requires such services.

✓ Corrected: Jun 28, 2023
Tag 0745 D Jun 2, 2023

Provide medically-related social services to help each resident achieve the highest possible quality of life.

✓ Corrected: Jun 28, 2023

2022 23 violations

Tag 0689 D Sep 8, 2022

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Oct 8, 2022
Tag 0684 D Jul 21, 2022

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Sep 15, 2022
Tag 0557 D Mar 24, 2022

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

✓ Corrected: Apr 26, 2022
Tag 0584 D Mar 24, 2022

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.

✓ Corrected: Apr 26, 2022
Tag 0644 D Mar 24, 2022

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

✓ Corrected: Apr 26, 2022
Tag 0655 D Mar 24, 2022

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

✓ Corrected: Apr 26, 2022
Tag 0656 D Mar 24, 2022

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Apr 26, 2022
Tag 0657 D Mar 24, 2022

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

✓ Corrected: Apr 26, 2022
Tag 0658 D Mar 24, 2022

Ensure services provided by the nursing facility meet professional standards of quality.

✓ Corrected: Apr 26, 2022
Tag 0686 D Mar 24, 2022

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

✓ Corrected: Apr 26, 2022
Tag 0693 D Mar 24, 2022

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.

✓ Corrected: Apr 26, 2022
Tag 0695 D Mar 24, 2022

Provide safe and appropriate respiratory care for a resident when needed.

✓ Corrected: Apr 26, 2022
Tag 0698 D Mar 24, 2022

Provide safe, appropriate dialysis care/services for a resident who requires such services.

✓ Corrected: Apr 26, 2022
Tag 0755 D Mar 24, 2022

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

✓ Corrected: Apr 26, 2022
Tag 0759 D Mar 24, 2022

Ensure medication error rates are not 5 percent or greater.

✓ Corrected: Apr 26, 2022
Tag 0803 E Mar 24, 2022

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.

✓ Corrected: Apr 26, 2022
Tag 0812 D Mar 24, 2022

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: Apr 26, 2022
Tag 0842 D Mar 24, 2022

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

✓ Corrected: Apr 26, 2022
Tag 0881 D Mar 24, 2022

Implement a program that monitors antibiotic use.

✓ Corrected: Apr 26, 2022
Tag 0911 B Mar 24, 2022

Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.

✓ Corrected: Apr 26, 2022
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2021 3 violations

Tag 0580 G Dec 23, 2021

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

✓ Corrected: Feb 1, 2022
Tag 0684 D Dec 23, 2021

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Feb 25, 2022
Tag 0880 E Jan 26, 2021

Provide and implement an infection prevention and control program.

2020 6 violations

Tag 0584 E Nov 24, 2020

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.

✓ Corrected: Dec 4, 2020
Tag 0580 E Nov 5, 2020

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

✓ Corrected: Nov 5, 2020
Tag 0580 G Nov 5, 2020

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

✓ Corrected: Nov 5, 2020
Tag 0684 E Nov 5, 2020

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Nov 5, 2020
Tag 0880 K Aug 19, 2020

Provide and implement an infection prevention and control program.

✓ Corrected: Sep 5, 2020
Tag 0921 F Aug 19, 2020

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

✓ Corrected: Sep 5, 2020
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2019 20 violations

Tag 0661 D Oct 10, 2019

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

✓ Corrected: Oct 22, 2019
Tag 0658 D Jun 27, 2019

Ensure services provided by the nursing facility meet professional standards of quality.

✓ Corrected: Jul 16, 2019
Tag 0880 D Jun 27, 2019

Provide and implement an infection prevention and control program.

✓ Corrected: Jul 16, 2019
Tag 0580 D Jun 7, 2019

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

✓ Corrected: Oct 10, 2019
Tag 0578 E May 3, 2019

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.

✓ Corrected: Jun 3, 2019
Tag 0580 D May 3, 2019

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

✓ Corrected: Jun 3, 2019
Tag 0582 D May 3, 2019

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

✓ Corrected: Jun 3, 2019
Tag 0641 D May 3, 2019

Ensure each resident receives an accurate assessment.

✓ Corrected: Jun 3, 2019
Tag 0684 D May 3, 2019

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Jun 3, 2019
Tag 0692 E May 3, 2019

Provide enough food/fluids to maintain a resident's health.

✓ Corrected: Jun 3, 2019
Tag 0695 D May 3, 2019

Provide safe and appropriate respiratory care for a resident when needed.

✓ Corrected: Jun 3, 2019
Tag 0698 D May 3, 2019

Provide safe, appropriate dialysis care/services for a resident who requires such services.

✓ Corrected: Jun 3, 2019
Tag 0757 D May 3, 2019

Ensure each resident’s drug regimen must be free from unnecessary drugs.

✓ Corrected: Jun 3, 2019
Tag 0758 E May 3, 2019

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.

✓ Corrected: Jun 3, 2019
Tag 0805 E May 3, 2019

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

✓ Corrected: Jun 3, 2019
Tag 0911 B May 3, 2019

Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.

✓ Corrected: Jun 3, 2019
Tag 0912 B May 3, 2019

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

✓ Corrected: Jun 3, 2019
Tag 0926 D May 3, 2019

Have policies on smoking.

✓ Corrected: Jun 3, 2019
Tag 0623 D Feb 21, 2019

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

✓ Corrected: Feb 26, 2019
Tag 0842 D Jan 25, 2019

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

✓ Corrected: Jan 31, 2019

2018 21 violations

Tag 0441 D Sep 28, 2018

Have a program that investigates, controls and keeps infection from spreading.

✓ Corrected: Oct 9, 2018
Tag 0657 D Sep 11, 2018

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

✓ Corrected: Sep 18, 2018
Tag 0689 D Jul 16, 2018

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Jul 23, 2018
Tag 0552 D May 24, 2018

Ensure that residents are fully informed and understand their health status, care and treatments.

✓ Corrected: Jul 9, 2018
Tag 0558 D May 24, 2018

Reasonably accommodate the needs and preferences of each resident.

✓ Corrected: Jul 9, 2018
Tag 0578 E May 24, 2018

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.

✓ Corrected: Jul 9, 2018
Tag 0584 E May 24, 2018

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.

✓ Corrected: Jul 9, 2018
Tag 0656 E May 24, 2018

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Jul 9, 2018
Tag 0675 D May 24, 2018

Honor each resident's preferences, choices, values and beliefs.

✓ Corrected: Jul 9, 2018
Tag 0684 D May 24, 2018

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Jul 9, 2018
Tag 0686 D May 24, 2018

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

✓ Corrected: Jul 9, 2018
Tag 0689 E May 24, 2018

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Jul 9, 2018
Tag 0695 D May 24, 2018

Provide safe and appropriate respiratory care for a resident when needed.

✓ Corrected: Jul 9, 2018
Tag 0740 D May 24, 2018

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

✓ Corrected: Jul 9, 2018
Tag 0742 D May 24, 2018

Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.

✓ Corrected: Jul 9, 2018
Tag 0758 D May 24, 2018

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.

✓ Corrected: Jul 9, 2018
Tag 0761 E May 24, 2018

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.

✓ Corrected: Jul 9, 2018
Tag 0812 E May 24, 2018

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: Jul 9, 2018
Tag 0911 E May 24, 2018

Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.

✓ Corrected: Jul 9, 2018
Tag 0912 E May 24, 2018

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

✓ Corrected: Jul 9, 2018
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2017 17 violations

Tag 0386 D Nov 2, 2017

Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing.

✓ Corrected: Nov 10, 2017
Tag 0257 E Jun 27, 2017

Maintain comfortable and safe temperature levels.

✓ Corrected: Jul 18, 2017
Tag 0456 E Jun 27, 2017

Keep all essential equipment working safely.

✓ Corrected: Jul 18, 2017
Tag 0157 D May 25, 2017

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

✓ Corrected: Jun 19, 2017
Tag 0246 E May 25, 2017

Reasonably accommodate the needs and preferences of each resident.

✓ Corrected: Jun 19, 2017
Tag 0272 D May 25, 2017

Conduct initial and periodic assessments of each resident's functional capacity.

✓ Corrected: Jun 19, 2017
Tag 0309 D May 25, 2017

Provide necessary care and services to maintain or improve the highest well being of each resident .

✓ Corrected: Jun 19, 2017
Tag 0315 D May 25, 2017

Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions.

✓ Corrected: Jun 19, 2017
Tag 0322 D May 25, 2017

Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible.

✓ Corrected: Jun 19, 2017
Tag 0323 D May 25, 2017

Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.

✓ Corrected: Jun 19, 2017
Tag 0328 D May 25, 2017

Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses.

✓ Corrected: Jun 19, 2017
Tag 0329 D May 25, 2017

Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.

✓ Corrected: Jun 19, 2017
Tag 0425 E May 25, 2017

Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.

✓ Corrected: Jun 19, 2017
Tag 0457 B May 25, 2017

Provide bedrooms that hold no more than 4 residents per room.

Tag 0458 B May 25, 2017

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

Tag 0500 D May 25, 2017

Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service.

✓ Corrected: Jun 19, 2017
Tag 0514 D May 25, 2017

Keep accurate, complete and organized clinical records on each resident that meet professional standards.

✓ Corrected: Jun 19, 2017
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