Montclair Manor Care Center
5119 Bandera Street · Montclair, CA · 91763 · 9096261294
59 certified beds For profit - Individual Chain: Eva Care Group
Why this verdict
- Inspection results are getting worse cycle over cycle, not better.
- Staffing hours comfortably above national benchmarks.
The composite number cleared 71 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 4 of 5 Inspections: 4 of 5 Staffing: 4 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 4.16 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.56 | 0.55–0.75 |
| Weekend hours / resident-day | 3.88 | ≈ weekday level |
| Nursing turnover / year | 27% | median 45% |
| Fines (3-yr window) | 1 · $2,098 |
Inspection citations (27 in the current record)
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Potential for harm · D April 30, 2025 · found via complaint
Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
Corrected May 13, 2025 · Resident Rights
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Potential for harm · D April 4, 2025
Keep residents' personal and medical records private and confidential.
Corrected April 28, 2025 · Resident Rights
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Potential for harm · D April 4, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected April 28, 2025 · Resident Assessment and Care Planning
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Potential for harm · D April 4, 2025
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 April 28, 2025 · Quality of Life and Care
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Potential for harm · E April 4, 2025
Provide enough food/fluids to maintain a resident's health.
Corrected April 28, 2025 · Quality of Life and Care
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Potential for harm · D April 4, 2025
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected April 28, 2025 · Quality of Life and Care
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Potential for harm · E April 4, 2025
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 April 28, 2025 · Nutrition and Dietary
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Potential for harm · D April 4, 2025
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected April 28, 2025 · Nutrition and Dietary
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Potential for harm · F April 4, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected April 28, 2025 · Nutrition and Dietary
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Potential for harm · D April 4, 2025
Provide and implement an infection prevention and control program.
Corrected April 28, 2025 · Infection Control
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Potential for harm · D April 4, 2025
Keep all essential equipment working safely.
Corrected April 28, 2025 · Environmental
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Potential for harm · F April 4, 2025
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected April 28, 2025 · Environmental
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No harm found · B April 4, 2025
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Corrected April 28, 2025 · Environmental
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Potential for harm · D April 18, 2024
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected May 15, 2024 · Pharmacy Service
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Potential for harm · D April 18, 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 May 15, 2024 · Pharmacy Service
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Potential for harm · D April 18, 2024
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected May 15, 2024 · Resident Assessment and Care Planning
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No harm found · B April 18, 2024
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Corrected May 15, 2024 · Environmental
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Potential for harm · D October 7, 2022
Ensure each resident receives an accurate assessment.
Corrected November 1, 2022 · Resident Assessment and Care Planning
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Potential for harm · D October 7, 2022
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected November 1, 2022 · Resident Assessment and Care Planning
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Potential for harm · D October 7, 2022
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected November 1, 2022 · Quality of Life and Care
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Potential for harm · D October 7, 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 November 1, 2022 · Quality of Life and Care
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Potential for harm · D October 7, 2022
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected November 1, 2022 · Pharmacy Service
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Potential for harm · F October 7, 2022
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected November 1, 2022 · Nutrition and Dietary
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Potential for harm · F October 7, 2022
Dispose of garbage and refuse properly.
Corrected November 1, 2022 · Nutrition and Dietary
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Potential for harm · E October 7, 2022
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected November 1, 2022 · Resident Assessment and Care Planning
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| June 26, 2023 | Fine | $2,098 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 055718 · certified since August 1, 1973. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.