SNF

MONTE VISTA HEALTHCARE CENTER

CCN: 055817 · DUARTE, CA 91010 · Los Angeles County

Overview

Address
802 BUENA VISTA STREET, DUARTE, CA 91010
Phone
6263598141
Certified beds
69
Avg daily residents
61 (89% of beds filled)
Ownership
For-profit corporation
Provider type
Medicare and Medicaid
Medicare/Medicaid since
1967-09-05
Setting
Urban
2 /5
★★★★★
CMS Overall Rating

CMS 5-Star Ratings

CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.

Overall Rating
Composite of Health Inspection, Staffing, and Quality Measures.
★★★★★ 2/5
Health Inspection
Based on the three most recent standard surveys, with more weight on recent results.
★★★★★ 2/5
Staffing
Weighted combination of RN and total nurse staffing hours per resident per day, case-mix adjusted.
★★★★★ 2/5
Quality Measures
15 resident-level quality measures split between long-stay and short-stay (post-acute) residents.
★★★★★ 2/5
Quality Measures breakdown
Long-Stay Quality Measures ★★★★★ 4/5
Short-Stay Quality Measures ★★★★★ 1/5

Staffing & Workforce

Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.

Role Reported Case-mix expected Adjusted Federal floor
Total nurse
All nursing staff combined: RN + LPN + Aide
 4.06 4.06 3.86 ≥ 3.48
Registered Nurse (RN)
Licensed RN hours. Strongest driver of clinical outcomes.
 0.33 0.71 0.32 ≥ 0.55 Below floor
Licensed Practical Nurse (LPN)
LPN/LVN hours. Often handles medication administration.
 1.32 0.90 1.25 —
Nurse aide
CNA hours. Bulk of direct resident care — bathing, feeding, mobility.
 2.41 2.45 2.29 —
Licensed (RN + LPN)
Combined licensed nurse coverage.
 1.65 — — —
Physical therapist
Rehabilitation therapist hours — important for post-acute / rehab admissions.
 0.10 — — —

Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.

Weekend staffing

Total nurse (weekend)
3.59
hrs / resident / day
RN (weekend)
0.18
hrs / resident / day
Total nurse (adjusted, weekend)
3.41
hrs / resident / day

Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.

Staff turnover

Total nursing staff turnover
42.7%
annual
RN turnover
55.6%
annual
Administrators departed
0
last 12 months

Resident acuity

Nursing Case-Mix Index
1.44
higher acuity than avg
Case-Mix Index Ratio
1.04
facility / state ratio

Health Inspections

CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.

Cycle Date Total defs. Standard Complaint Deficiency score Revisits Total score
Cycle 1 (most recent) 2025-02-21 24 19 5 136 1 136
Cycle 2/3 (prior) 2024-02-11 8 7 1 48 1 48
Total weighted health score
114.0
lower is better

Deficiencies (43)

Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).

1 A/B/C No actual harm — minor
41 D/E/F Actual harm — potential for minor
1 J/K/L Immediate jeopardy
Tag Description Scope/Severity Survey date Corrected
0609 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. D 2026-01-09 —
0610 Respond appropriately to all alleged violations. D 2026-01-09 —
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. D 2026-01-09 —
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. D 2025-07-23 2025-08-15
0814 Dispose of garbage and refuse properly. D 2025-07-23 2025-08-15
0550 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. D 2025-02-21 2025-03-17
0554 Allow residents to self-administer drugs if determined clinically appropriate. D 2025-02-21 2025-03-17
0584 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. E 2025-02-21 2025-03-17
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. D 2025-02-21 2025-03-17
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. E 2025-02-21 2025-03-17
0686 Provide appropriate pressure ulcer care and prevent new ulcers from developing. E 2025-02-21 2025-03-17
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. D 2025-02-21 2025-03-17
0690 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. D 2025-02-21 2025-03-17
0693 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. D 2025-02-21 2025-03-17
0695 Provide safe and appropriate respiratory care for a resident when needed. E 2025-02-21 2025-03-17
0759 Ensure medication error rates are not 5 percent or greater. E 2025-02-21 2025-03-17
0761 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. E 2025-02-21 2025-03-17
0803 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. E 2025-02-21 2025-03-17
0804 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. D 2025-02-21 2025-03-17
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. E 2025-02-21 2025-03-17
0880 Provide and implement an infection prevention and control program. E 2025-02-21 2025-03-17
0919 Make sure that a working call system is available in each resident's bathroom and bathing area. D 2025-02-21 2025-03-17
0921 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. E 2025-02-21 2025-03-17
0925 Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. D 2025-02-21 2025-03-17
0641 Ensure each resident receives an accurate assessment. D 2024-02-11 2024-03-07
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. E 2024-02-11 2024-03-07
0677 Provide care and assistance to perform activities of daily living for any resident who is unable. E 2024-02-11 2024-03-07
0685 Assist a resident in gaining access to vision and hearing services. E 2024-02-11 2024-03-07
0732 Post nurse staffing information every day. D 2024-02-11 2024-03-07
0759 Ensure medication error rates are not 5 percent or greater. E 2024-02-11 2024-03-07
0880 Provide and implement an infection prevention and control program. D 2024-02-11 2024-03-07
0880 Provide and implement an infection prevention and control program. D 2023-05-26 2023-06-23
0552 Ensure that residents are fully informed and understand their health status, care and treatments. D 2021-11-12 2022-01-11
0690 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. E 2021-11-12 2022-02-07
0698 Provide safe, appropriate dialysis care/services for a resident who requires such services. D 2021-11-12 2022-01-11
0726 Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. E 2021-11-12 2022-01-11
0732 Post nurse staffing information every day. B 2021-11-12 2022-01-11
0756 Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. D 2021-11-12 2022-01-11
0758 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. D 2021-11-12 2022-01-11
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. E 2021-11-12 2022-01-11
0867 Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. E 2021-11-12 2022-01-11
0880 Provide and implement an infection prevention and control program. K 2021-11-12 2022-02-07
0921 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. E 2021-11-12 2022-01-11

Penalties (3)

Fines issued
3
last 3 years
Total fines
$10,488
Date Type Fine amount
2023-06-20 Fine $2,447
2023-06-26 Fine $2,797
2023-05-30 Fine $5,244

Source: CMS Nursing Home Penalties.

Financial Health (FY 2023)

Payer mix (share of resident days)

Medicare 16.8% Medicaid 67.0% Other 16.1%

Operating performance

Operating Margin
1.1%
Total Margin
4.0%
Occupancy Rate
92.0%
Cost per Resident Day
$46

Revenue & costs

Net Patient Revenue
$9.5M
Total Costs
$1.1M
Net Income
$395K

Balance sheet

Total Assets
$1.8M
Total Liabilities
$1.1M
Fund Balance
$797K
Current Ratio
1.33

Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.

Ownership & Corporate Structure

Chain: CAMBRIDGE HEALTHCARE SERVICES

Chain ID
98
Facilities in chain
32
Legal business name
BVCV OPERATING COMPANY, LLC
Chain-average star ratings (for peer context)
Overall
2.6
Health
2.3
Staffing
3.0
QM
3.9

Owner / manager organizations (4)

Organization Role Association
BH ALLIANCE 5% OR GREATER DIRECT OWNERSHIP INTEREST since 12/31/2020
IRA E SMEDRA LIVING TRUST 5% OR GREATER DIRECT OWNERSHIP INTEREST since 12/31/2020
WIN WIN ENTERPRISES, LLC 5% OR GREATER DIRECT OWNERSHIP INTEREST since 02/19/2003
CAMBRIDGE HEALTHCARE SERVICES LLC OPERATIONAL/MANAGERIAL CONTROL since 04/01/2014

Owner / manager individuals (13)

Name Role Association
SMEDRA, IRA 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 03/25/2003
BUTENKO, JULIE OPERATIONAL/MANAGERIAL CONTROL since 07/24/2023
CAPELA, HEIDI OPERATIONAL/MANAGERIAL CONTROL since 04/03/2023
GAZARIAN, LEVON OPERATIONAL/MANAGERIAL CONTROL since 09/09/2013
HASSELL, LANCE OPERATIONAL/MANAGERIAL CONTROL since 04/25/2022
LAWLER, EMELYN OPERATIONAL/MANAGERIAL CONTROL since 04/10/2024
LUTZ, LINDA OPERATIONAL/MANAGERIAL CONTROL since 02/01/2012
SALAZAR, PAULINA OPERATIONAL/MANAGERIAL CONTROL since 12/14/2020
SMEDRA, IRA OPERATIONAL/MANAGERIAL CONTROL since 03/25/2003
VENTANILLA, DIANNE OPERATIONAL/MANAGERIAL CONTROL since 08/26/2024
VIDALES, MIGUEL OPERATIONAL/MANAGERIAL CONTROL since 03/01/2021
WINTNER, JACOB OPERATIONAL/MANAGERIAL CONTROL since 02/19/2003
WINTNER, JACOB CORPORATE OFFICER since 02/19/2003

Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.

Facility Features

CCRC
No
Hospital-based
No
Resident / family council
Resident
Sprinkler systems
Yes
Abuse citation flag
No
Methodology & sources

Full methodology →

All Data

Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.

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Show 113 rows
Source Metric Value Raw key
Cost Report Cost per Resident Day ($) $46 metrics.cost_per_resident_day
Cost Report Current Ratio 1.33 metrics.current_ratio
Cost Report fiscal_year 2,023 fiscal_year
Cost Report Medicaid Day Share (%) 67.0% metrics.medicaid_day_share
Cost Report Medicare Day Share (%) 16.8% metrics.medicare_day_share
Cost Report Net Income ($) $395,492 metrics.net_income
Cost Report Net Patient Revenue ($) $9,481,314 metrics.net_patient_revenue
Cost Report Occupancy Rate (%) 92.0% metrics.occupancy_rate
Cost Report Operating Margin (%) 1.1% metrics.operating_margin
Cost Report Total Assets ($) $1,847,734 metrics.total_assets
Cost Report Total Costs ($) $1,065,916 metrics.total_costs
Cost Report Total Fund Balances ($) $796,663 metrics.fund_balance
Cost Report Total Liabilities ($) $1,051,071 metrics.total_liabilities
Cost Report Total Margin (%) 4.0% metrics.total_margin
Provider Information Abuse Icon N Abuse Icon
Provider Information Adjusted LPN Staffing Hours per Resident per Day 1.25268 Adjusted LPN Staffing Hours per Resident per Day
Provider Information Adjusted Nurse Aide Staffing Hours per Resident per Day 2.28769 Adjusted Nurse Aide Staffing Hours per Resident per Day
Provider Information Adjusted RN Staffing Hours per Resident per Day 0.31635 Adjusted RN Staffing Hours per Resident per Day
Provider Information Adjusted Total Nurse Staffing Hours per Resident per Day 3.85673 Adjusted Total Nurse Staffing Hours per Resident per Day
Provider Information Adjusted Weekend Total Nurse Staffing Hours per Resident per Day 3.40807 Adjusted Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Administrator turnover footnote — Administrator turnover footnote
Provider Information Automatic Sprinkler Systems in All Required Areas Yes Automatic Sprinkler Systems in All Required Areas
Provider Information Average Number of Residents per Day 61.3 Average Number of Residents per Day
Provider Information Average Number of Residents per Day Footnote — Average Number of Residents per Day Footnote
Provider Information Case-Mix LPN Staffing Hours per Resident per Day 0.90155 Case-Mix LPN Staffing Hours per Resident per Day
Provider Information Case-Mix Nurse Aide Staffing Hours per Resident per Day 2.45020 Case-Mix Nurse Aide Staffing Hours per Resident per Day
Provider Information Case-Mix RN Staffing Hours per Resident per Day 0.71062 Case-Mix RN Staffing Hours per Resident per Day
Provider Information Case-Mix Total Nurse Staffing Hours per Resident per Day 4.06237 Case-Mix Total Nurse Staffing Hours per Resident per Day
Provider Information Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day 3.58055 Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Chain Average Health Inspection Rating 2.3 Chain Average Health Inspection Rating
Provider Information Chain Average Overall 5-star Rating 2.6 Chain Average Overall 5-star Rating
Provider Information Chain Average QM Rating 3.9 Chain Average QM Rating
Provider Information Chain Average Staffing Rating 3.0 Chain Average Staffing Rating
Provider Information Chain ID 98 Chain ID
Provider Information Chain Name CAMBRIDGE HEALTHCARE SERVICES Chain Name
Provider Information City/Town DUARTE City/Town
Provider Information CMS Certification Number (CCN) 055817 CMS Certification Number (CCN)
Provider Information Continuing Care Retirement Community N Continuing Care Retirement Community
Provider Information County/Parish Los Angeles County/Parish
Provider Information Date First Approved to Provide Medicare and Medicaid Services 1967-09-05 Date First Approved to Provide Medicare and Medicaid Services
Provider Information Geocoding Footnote — Geocoding Footnote
Provider Information Health Inspection Rating 2 Health Inspection Rating
Provider Information Health Inspection Rating Footnote — Health Inspection Rating Footnote
Provider Information Latitude 34.1432 Latitude
Provider Information Legal Business Name BVCV OPERATING COMPANY, LLC Legal Business Name
Provider Information Location 802 BUENA VISTA STREET,DUARTE,CA,91010 Location
Provider Information Long-Stay QM Rating 4 Long-Stay QM Rating
Provider Information Long-Stay QM Rating Footnote — Long-Stay QM Rating Footnote
Provider Information Longitude -117.98 Longitude
Provider Information Most Recent Health Inspection More Than 2 Years Ago N Most Recent Health Inspection More Than 2 Years Ago
Provider Information Number of administrators who have left the nursing home 0 Number of administrators who have left the nursing home
Provider Information Number of Certified Beds 69 Number of Certified Beds
Provider Information Number of Citations from Infection Control Inspections — Number of Citations from Infection Control Inspections
Provider Information Number of Facilities in Chain 32 Number of Facilities in Chain
Provider Information Number of Fines 3 Number of Fines
Provider Information Number of Payment Denials 0 Number of Payment Denials
Provider Information Nursing Case-Mix Index 1.43912 Nursing Case-Mix Index
Provider Information Nursing Case-Mix Index Ratio 1.04462 Nursing Case-Mix Index Ratio
Provider Information Overall Rating 2 Overall Rating
Provider Information Overall Rating Footnote — Overall Rating Footnote
Provider Information Ownership Type For profit - Corporation Ownership Type
Provider Information Physical Therapist Staffing Footnote — Physical Therapist Staffing Footnote
Provider Information Processing Date 2026-03-01 Processing Date
Provider Information Provider Address 802 BUENA VISTA STREET Provider Address
Provider Information Provider Changed Ownership in Last 12 Months N Provider Changed Ownership in Last 12 Months
Provider Information Provider Name MONTE VISTA HEALTHCARE CENTER Provider Name
Provider Information Provider Resides in Hospital N Provider Resides in Hospital
Provider Information Provider SSA County Code 200 Provider SSA County Code
Provider Information Provider Type Medicare and Medicaid Provider Type
Provider Information QM Rating 2 QM Rating
Provider Information QM Rating Footnote — QM Rating Footnote
Provider Information Rating Cycle 1 Health Deficiency Score 136 Rating Cycle 1 Health Deficiency Score
Provider Information Rating Cycle 1 Health Revisit Score 0 Rating Cycle 1 Health Revisit Score
Provider Information Rating Cycle 1 Number of Complaint Health Deficiencies 5 Rating Cycle 1 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 1 Number of Health Revisits 1 Rating Cycle 1 Number of Health Revisits
Provider Information Rating Cycle 1 Number of Standard Health Deficiencies 19 Rating Cycle 1 Number of Standard Health Deficiencies
Provider Information Rating Cycle 1 Standard Survey Health Date 2025-02-21 Rating Cycle 1 Standard Survey Health Date
Provider Information Rating Cycle 1 Total Health Score 136 Rating Cycle 1 Total Health Score
Provider Information Rating Cycle 1 Total Number of Health Deficiencies 24 Rating Cycle 1 Total Number of Health Deficiencies
Provider Information Rating Cycle 2 Number of Standard Health Deficiencies 7 Rating Cycle 2 Number of Standard Health Deficiencies
Provider Information Rating Cycle 2 Standard Health Survey Date 2024-02-11 Rating Cycle 2 Standard Health Survey Date
Provider Information Rating Cycle 2/3 Health Deficiency Score 48 Rating Cycle 2/3 Health Deficiency Score
Provider Information Rating Cycle 2/3 Health Revisit Score 0 Rating Cycle 2/3 Health Revisit Score
Provider Information Rating Cycle 2/3 Number of Complaint Health Deficiencies 1 Rating Cycle 2/3 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 2/3 Number of Health Revisits 1 Rating Cycle 2/3 Number of Health Revisits
Provider Information Rating Cycle 2/3 Total Health Score 48 Rating Cycle 2/3 Total Health Score
Provider Information Rating Cycle 2/3 Total Number of Health Deficiencies 8 Rating Cycle 2/3 Total Number of Health Deficiencies
Provider Information Registered Nurse hours per resident per day on the weekend 0.17983 Registered Nurse hours per resident per day on the weekend
Provider Information Registered Nurse turnover 55.6 Registered Nurse turnover
Provider Information Registered Nurse turnover footnote — Registered Nurse turnover footnote
Provider Information Reported Licensed Staffing Hours per Resident per Day 1.65090 Reported Licensed Staffing Hours per Resident per Day
Provider Information Reported LPN Staffing Hours per Resident per Day 1.31804 Reported LPN Staffing Hours per Resident per Day
Provider Information Reported Nurse Aide Staffing Hours per Resident per Day 2.40705 Reported Nurse Aide Staffing Hours per Resident per Day
Provider Information Reported Physical Therapist Staffing Hours per Resident Per Day 0.10200 Reported Physical Therapist Staffing Hours per Resident Per Day
Provider Information Reported RN Staffing Hours per Resident per Day 0.33286 Reported RN Staffing Hours per Resident per Day
Provider Information Reported Staffing Footnote — Reported Staffing Footnote
Provider Information Reported Total Nurse Staffing Hours per Resident per Day 4.05795 Reported Total Nurse Staffing Hours per Resident per Day
Provider Information Short-Stay QM Rating 1 Short-Stay QM Rating
Provider Information Short-Stay QM Rating Footnote — Short-Stay QM Rating Footnote
Provider Information Special Focus Status — Special Focus Status
Provider Information Staffing Rating 2 Staffing Rating
Provider Information Staffing Rating Footnote — Staffing Rating Footnote
Provider Information State CA State
Provider Information Telephone Number 6263598141 Telephone Number
Provider Information Total Amount of Fines in Dollars 10488.00 Total Amount of Fines in Dollars
Provider Information Total number of nurse staff hours per resident per day on the weekend 3.58588 Total number of nurse staff hours per resident per day on the weekend
Provider Information Total Number of Penalties 3 Total Number of Penalties
Provider Information Total nursing staff turnover 42.7 Total nursing staff turnover
Provider Information Total nursing staff turnover footnote — Total nursing staff turnover footnote
Provider Information Total Weighted Health Survey Score 114.000 Total Weighted Health Survey Score
Provider Information Urban Y Urban
Provider Information With a Resident and Family Council Resident With a Resident and Family Council
Provider Information ZIP Code 91010 ZIP Code