Monte Vista Healthcare Center

    802 Buena Vista St, Duarte, CA, 91010
    4.0 · 29 reviews
    • Assisted living
    • Memory care
    • Skilled nursing
    AnonymousCurrent/former resident
    4.0

    Supportive staff but inconsistent care

    I had a mostly positive but mixed experience. I came for rehab after a fall and the small, homelike facility's friendly, bilingual and attentive staff - especially the CNAs and integrated therapy team - helped me recover; the food, clean rooms, and welcoming atmosphere gave me peace of mind. However, care can be inconsistent: I ran into limits on medication administration, poor communication at times, and an episode that required readmission; there are also reports of short-staffing and neglect. Overall I felt supported and would recommend it for recovery if you stay involved and monitor care closely.

    Pricing

    Schedule a Tour

    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    4.00 · 29 reviews

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      3.8
    • Staff

      3.9
    • Meals

      2.0
    • Amenities

      5.0
    • Value

      4.0

    Pros

    • Compassionate, attentive staff who often go above and beyond
    • Professional and thorough medical and administrative personnel
    • Clean, well-maintained facilities and renewed/updated spaces
    • Welcoming, homelike atmosphere with a strong sense of community
    • Family-like staff interactions and emotional support for residents
    • Clear communication and regular updates to families (reported by many)
    • Effective rehabilitation and integrated therapy services
    • Bilingual staff and many Spanish-speaking caregivers
    • Good, accommodating dining services and praised kitchen staff
    • Helpful admissions staff (specific praise for Hector)
    • Specific CNAs singled out for excellent care (e.g., Brianna Moran)
    • Beneficial activities and a comfortable small-size environment

    Cons

    • Serious allegations of neglect and abandonment (e.g., left in urine, ignored call lights)
    • Reports of residents denied meals or water for extended periods
    • Rude, unprofessional or uncaring nursing staff in some cases
    • Poor or inconsistent communication with families in some incidents
    • Short-staffing, overworked and underpaid staff leading to inconsistent care
    • Management issues and administrative failures (including failure to inform families)
    • Medication administration problems and lack of capability to manage some meds
    • Instances of residents requiring hospital readmission after stay
    • COVID-19 outbreak handling and related communication concerns
    • Allegations that care may be profit-driven/investor-owned with minimal standards
    • Markedly inconsistent quality of care — highly variable experiences
    • Occasional reports of basic resident cleanliness and feeding being neglected

    Summary review

    Overall sentiment in the review set is mixed but polarized: a substantial number of reviewers describe Monte Vista Healthcare Center as a compassionate, professional, and well-kept facility that provides effective rehabilitation, supportive therapy, and a homelike, community-oriented environment. These positive reviews repeatedly highlight caring CNAs and nurses who show patience and respect, administrators and medical staff who communicate clearly and thoroughly with families, clean and updated facilities, good food, and an integrated therapy team that helps residents recover after falls or other incidents. Multiple reviewers explicitly recommend the facility, note bilingual/Spanish-speaking staff as an asset, and single out individuals (such as admissions staff Hector and CNA Brianna Moran) for exceptional help and empathy.

    However, juxtaposed with those positive accounts are several serious and specific negative reports that cannot be overlooked. A number of reviewers allege neglectful behaviors — examples provided include a patient left in urine for more than five hours, residents reportedly going without food or water for 7.5 hours, call lights being ignored, and instances where residents were denied meals. Some describe rude or unprofessional nurses, shouting at patients, and a lack of compassion. There are also claims that management failed to inform families about hospital transfers and a COVID-19 outbreak, and that at least one resident had to be readmitted to a hospital because their pain or medication needs were not properly managed at the facility. These accounts indicate sporadic but severe breakdowns in basic care and communication for some residents.

    A recurring theme that helps reconcile these divergent impressions is inconsistency tied to staffing and management. Several reviewers praise staff as attentive and going the extra mile, while others attribute poor outcomes to being short-staffed, overworked, or inconsistently supervised. Comments about underpaid or overwhelmed staff suggest that quality may vary shift-to-shift or unit-to-unit. The presence of both very positive and very negative experiences points to variability in day-to-day care delivery rather than a uniformly high or low standard. Where teams are stable, well-trained, and communicative, families report strong outcomes and peace of mind; where staffing or oversight is lacking, reviewers report neglectful care and serious safety lapses.

    Facility-related items are mostly positive: reviewers frequently call Monte Vista clean, welcoming, and comfortable, with recent updates and a small, homelike scale that many find appealing. Therapy and rehabilitation services receive strong praise, as do activities and the overall environment that fosters dignity and respect. Dining is often noted as a strength — reviewers mention excellent and accommodating kitchen staff — yet this is contrasted by the few reports of meals being denied or neglected, again underscoring the variability in experiences.

    Communication is another split area. Multiple reviews applaud clear, regular updates and compassionate administrative communication; others recount failures to inform families about significant events (hospital transfers, COVID outbreak) and poor responsiveness. The presence of bilingual staff and many Spanish-speaking caregivers is a clear plus for Spanish-speaking families and is explicitly mentioned by several reviewers as a reason to consider the facility.

    In summary, Monte Vista Healthcare Center elicits both strong endorsements and serious criticisms. Key strengths are compassionate caregivers, professional therapy and medical staff, clean updated facilities, a family-like atmosphere, good food, and bilingual services. Key risks flagged by reviewers include serious neglect incidents, denied meals or hydration, medication and pain-management failures, inconsistent staffing, and management/communication lapses. Prospective families should consider both the positive testimonials and the serious negative allegations: visit in person, observe multiple shifts if possible, ask about current staffing levels, medication administration capabilities, infection-control communications, and protocols for hospital transfers, and ask for recent references to understand current consistency of care. The pattern in these reviews suggests that quality at Monte Vista may strongly depend on staffing stability and management oversight at any given time.

    Location

    Map showing location of Monte Vista Healthcare Center

    About Monte Vista Healthcare Center

    Monte Vista Healthcare Center sits at 802 Buena Vista St in Duarte, CA, and holds a 69-bed capacity which makes it feel close-knit, and if you go by the sign out front they call it a state-of-the-art nursing facility, with skilled nursing care given around the clock and a staff that includes folks like Maricel, Matthew, and Kimberly, who see to the broad range of care people may need when they're there, but you know, they also have physical therapy geared toward lower body strength and balance, and occupational therapy that works with arm and leg movement, plus speech therapy for those with trouble speaking or swallowing, which is important for some, and there's a dietary program too so residents get balanced meals according to doctor orders, with a registered dietitian doing regular reviews, and the courtyard-well, there are tables outside with shade structures so you can sit with others or by yourself and enjoy a bit of sun or a breeze, and transportation is handled by a van for rides to appointments or outings, which takes a load off families who worry about that, while custom activities fill the calendar with gentle, structured things for residents so they stay engaged at a level that suits them, and they make a point about having a family-oriented atmosphere where people can visit during suggested hours from 9 am to 5 pm, but what stands out maybe is the attention to social services during tough transitions or when unique needs show up during someone's stay, and people can even send in personalized ECards since they've got a way to hand-deliver those and make someone smile, all of which comes together under the watch of an experienced team that speaks English, with Monte Vista Healthcare Center itself earning a 5-star Medicare rating, and while you can ask about tours or reach out via email for business or administrative questions, the main thing is people receive skilled nursing, rehabilitation, some therapy, and a place with a bit of green outside.

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