All citations for Montrose Health Center

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Montrose Health Center

Last standard health inspection on record

October 2, 2025

Showing 1 to 15 of 15 citations

  1. Immediate jeopardy to resident health or safety

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

    Isolated (one or a few residents). CMS level J.

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of April 25, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (May 10, 2024).

  2. Harm to a resident

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

    Isolated (one or a few residents). CMS level G.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of September 19, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 8, 2024).

  3. Harm to a resident

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

    Isolated (one or a few residents). CMS level G.

    Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of April 25, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (May 10, 2024).

  4. Harm to a resident

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

    Isolated (one or a few residents). CMS level G.

    Health citation F-0697, Quality of Life and Care Deficiencies. Inspection of April 25, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 10, 2024).

  5. No harm, with potential for more than minimal harm

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

    Pattern (more than a few residents). CMS level E.

    Health citation F-0600, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of April 25, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (May 10, 2024).

  6. No harm, with potential for more than minimal harm

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0725, Nursing and Physician Services Deficiencies. Inspection of March 26, 2026. Found during a complaint inspection.

    The home has a plan to correct it (April 22, 2026).

  7. No harm, with potential for more than minimal harm

    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.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0693, Quality of Life and Care Deficiencies. Inspection of October 2, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 9, 2025).

  8. No harm, with potential for more than minimal harm

    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0640, Resident Assessment and Care Planning Deficiencies. Inspection of September 19, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 8, 2024).

  9. No harm, with potential for more than minimal harm

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

    Isolated (one or a few residents). CMS level D.

    Health citation F-0657, Resident Assessment and Care Planning Deficiencies. Inspection of September 19, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 8, 2024).

  10. No harm, with potential for more than minimal harm

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

    Isolated (one or a few residents). CMS level D.

    Health citation F-0658, Resident Assessment and Care Planning Deficiencies. Inspection of September 19, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 8, 2024).

  11. No harm, with potential for more than minimal harm

    Ensure each resident receives an accurate assessment.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0641, Resident Assessment and Care Planning Deficiencies. Inspection of April 25, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 10, 2024).

  12. No harm, with potential for more than minimal harm

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

    Isolated (one or a few residents). CMS level D.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of April 25, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 10, 2024).

  13. No harm, with potential for more than minimal harm

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

    Isolated (one or a few residents). CMS level D.

    Health citation F-0690, Quality of Life and Care Deficiencies. Inspection of April 25, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 10, 2024).

  14. No harm, with potential for more than minimal harm

    Ensure that residents are free from significant medication errors.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0760, Pharmacy Service Deficiencies. Inspection of April 25, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (May 10, 2024).

  15. No harm, with potential for more than minimal harm

    Develop, implement, and/or maintain an effective training program for all new and existing staff members.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0940, Administration Deficiencies. Inspection of April 25, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 10, 2024).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of October 1, 2026. Inspection results describe the home at the time of each inspection.