Home / Washington / Montesano
Montesano Health-Rehab Center
800 N Medcalf Lane, Montesano, WA 98563 · Grays Harbor County · (360) 249-2273
94 certified beds, about 31 residents a day · For profit - Corporation · Medicare and Medicaid since 2025
CMS Care Compare ratings, data as of September 1, 2026 · CCN 505537 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on June 18, 2026, inspectors cited 13 health deficiencies (the Washington average is 15.8, the national average 9.2).
None of its 16 health citations since August 2025 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 5.57 hours per resident per day, against 4.36 across Washington and 3.86 nationally. Registered nurses accounted for 1.43 of those hours.
CMS links it to Genesis Healthcare, an affiliated group of 184 nursing homes.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 16 health citations on file.
July 27, 2026Complaint inspection · 1 citation
- D Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure beverage cups were thoroughly cleaned for 1 of 6 sampled residents (Resident 1) reviewed for dietary services. This failure placed residents at risk for exposure to unsanitary conditions that promote foodborne illness and a diminished quality of life.
June 18, 2026Standard inspection · 13 citations
- E Provide and implement an infection prevention and control program.
Inspectors wroteBased on interview and record review, the facility failed to conduct real time analysis of their infection control program for 10 of 10 months (August 2025 to May 2026) reviewed for monthly line listings and monthly maps summaries for the facility's surveillance program. These failures placed the facility at risk for failing to identify infection trends and implementing interventions that would prevent residents from acquiring facility related infections.
- D Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on observation, record review, and interview, the facility failed to provide care and services in a manner that maintained and promoted dignity when staff stood next to the resident while assisting with meals for 1 of 4 sampled residents (Resident 3) reviewed for resident rights. This failure placed residents at risk for diminished self-worth, self-esteem, and feelings of embarrassment.
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on interview and record review, the facility failed to include resident's representative in the care planning conference for 1 of 6 residents (Resident 51) who was moderately cognitively impaired and reviewed for care conferences. This failure placed residents at risk of unmet care needs and a diminished quality of life.
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on interview and record review, the facility failed to provide care with activities of daily living (ADL) for dependent residents to include bed baths and/or showers for 1 of 3 residents (Resident 36), reviewed for ADLs. This failure placed residents at risk of unmet care needs and a diminished quality of life.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on interview and record review, the facility failed to initiate bowel interventions for 1 of 5 residents (Resident 34) reviewed for constipation. This failure placed residents at risk of discomfort, experiencing health complications and a diminished quality of life.
- D Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure 1 of 2 sampled residents (Resident 42) reviewed for Pressure Ulcers (PUs), received appropriate pressure reducing measures and repositioning on a consistent basis. This failure placed residents at risk for PU development, and a diminished quality of life.
- D Provide safe, appropriate pain management for a resident who requires such services.
Inspectors wroteBased on interview, and record review, the facility failed to ensure physician orders were followed for 1 of 1 sampled resident (Resident 30) reviewed for pain medication. This failure placed residents risk of receiving unnecessary medications and a diminished quality of life.
- D Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Inspectors wroteBased on interview and record review, the facility failed to document/monitor targeted behaviors for 1 of 5 residents (Resident 49) reviewed for mood and behavior. This failure placed residents at risk for unmet psychosocial needs and a decreased quality of life.
- D Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure medications were administered by professional standards of practice for 1 of 2 sampled residents (Resident 36) reviewed for medication administration. This failure placed residents at risk for medication errors, negative outcomes, and a diminished quality of life.
- D Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure food items were labeled and dated when opened in 1 of 1 Resident Food Refrigerators. This failure placed residents at risk for food borne illness, and a diminished quality of life.
- D Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Inspectors wroteBased on interview and record review, the facility failed to ensure arbitration (a procedure used to settle a dispute using an independent person mutually agreed upon by both parties) agreements were explained in a form and manner understood by the resident and/or their representative for 1 of 3 residents (Resident 51) reviewed for arbitration. This failure placed residents at risk of lacking understanding of the legal document signed and a diminished quality of life.
- C Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Inspectors wroteBased on interview and record review, the facility failed to provide a Medicare Skilled Nursing Facility Advanced Beneficiary Notice (SNF ABN - provides information about services that may not be paid for by Medicare, making the resident financially responsible) for 2 of 3 sampled residents (Residents 39 & 40) reviewed for Beneficiary Notification. This failure deprived residents of their right to make an informed financial decision about continuing their care and the related charges.
- B Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.
Inspectors wroteBased on interview and record review, the facility failed to notify the state mental health authority coordinator of a significant change in physical condition, for 1 of 5 residents (Resident 25) reviewed for PASRR process (Preadmission Screening and Resident Review, a screening tool used to identify mental health needs). This failure placed the residents at risk for unmet care and a diminished quality of life.
March 17, 2026Complaint inspection · 1 citation
- D Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteBased on interview and record review, the facility failed to notify a physician of a choking event for 1 of 3 sampled residents (Resident 1) reviewed for physician notification. This failure placed residents at risk of unmet care needs, lack of physician oversight and interventions, and a diminished quality of life.
August 20, 2025Standard inspection · 1 citation
- B Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Inspectors wroteBased on interview and record review, the facility failed to explain the arbitration (a procedure used to settle a dispute using an independent person mutually agreed upon by both parties) agreement in a manner that the resident and/or representative understood for 1 of 3 residents (Resident 3) reviewed for arbitration agreement. This failure placed residents at risk of losing legal protection, forfeiture (loss or giving up of something) of the right to a jury or court, lack of understanding of the legal document signed, and a diminished quality of life. Findings Included. Record review of the facility's VOLUNTARY BINDING ARBITRATION AGREEMENT, undated, documented, .7. Right to Change Your Mind. [...]
Fire safety inspections
6 fire safety citations on file: 3 on June 18, 2026, 3 on August 20, 2025.
Every fire safety citation6 citations
- D Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- D Have restrictions on the use of highly flammable decorations.
- D Ensure proper usage of power strips and extension cords.
- F Inspect, test, and maintain automatic sprinkler systems.
- D Provide properly protected cooking facilities.
- D Ensure proper usage of power strips and extension cords.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Washington | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 5.57 | 4.36 | 3.86 |
| Registered nurses | 1.43 | 0.94 | 0.69 |
| All nursing staff on weekends | 4.87 | 3.80 | 3.42 |
| Nurse aides | 3.13 | ||
| Licensed practical nurses | 1.00 | ||
| Nursing staff turnover (share who left in a year) | not reported | 45.1% | 45.8% |
| Registered nurse turnover | not reported | 45.4% | 42.9% |
| Administrators who left | not reported |
CMS expects 3.66 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 5.84 on weekdays and 4.87 on weekends, 17% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 5.57 | 1.43 | 5.84 | 4.87 | 0.0% | 0 of 90 | 31 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Washington, Jan to Mar 2026 | 4.21 | 0.90 | 4.44 | 3.66 | 3.7% | 0.1% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
Staff pay at this home
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.
Official wage estimates for Washington
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Washington, all employers | |||
| CNAs (nursing assistants) | $23.65 | $22.59 to $27.85 | 30,270 |
| LPNs and LVNs | $39.98 | $36.98 to $45.18 | 6,780 |
| Registered nurses | $59.71 | $49.57 to $64.54 | 69,260 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Washington | US |
|---|---|---|---|
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 0.0 | 2.6 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 3.9 | 1.3 | 1.6 |
Short-term rehab results
For a stay to recover after a hospital visit, these are the results CMS publishes for Montesano Health-Rehab Center's Medicare short-stay residents. How to read these, and what Medicare pays for.
CMS reports none of these results for this home: The data for this measure is missing or was not submitted. Call the facility to discuss this quality measure.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Owners and operators
Legal business name: 800 MEDCALF LANE NORTH OPERATIONS LLC. CMS links this home to Genesis Healthcare, a group of 184 nursing homes averaging 2.3 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Bq Operations Holdings LLC | 5% or greater direct ownership interest | Organization | 100% | 02/01/2020 |
| Tress, Avrohom | Corporate director | Individual | 11/03/2025 | |
| Chheda, Neel | Operational/managerial control | Individual | 01/30/2025 | |
| Moeun, Andrea | Operational/managerial control | Individual | 05/28/2024 | |
| Robin, Aaron | Operational/managerial control | Individual | 02/01/2020 | |
| Rolfing, Megan | Operational/managerial control | Individual | 08/12/2024 | |
| Tress, Avrohom | Operational/managerial control | Individual | 02/01/2020 | |
| 800 Medcalf Lane North Property LLC | Adp of the SNF | Organization | 02/01/2020 | |
| 9560 Pico LLC | Adp of the SNF | Organization | 02/01/2020 | |
| Bold Quail Holdings LLC | Adp of the SNF | Organization | 02/01/2020 | |
| Bq Realty Holdings LLC | Adp of the SNF | Organization | 02/13/2026 | |
| Genesis Healthcare LLC | Adp of the SNF | Organization | 02/01/2020 | |
| Newgen Administrative Services, LLC | Adp of the SNF | Organization | 02/01/2020 | |
| Newgen LLC | Adp of the SNF | Organization | 02/01/2020 | |
| Pico Ar LLC | Adp of the SNF | Organization | 02/01/2020 | |
| Chheda, Neel | Adp of the SNF | Individual | 01/30/2025 | |
| Moeun, Andrea | Adp of the SNF | Individual | 05/28/2024 | |
| Robin, Aaron | Adp of the SNF | Individual | 02/01/2020 | |
| Rolfing, Megan | Adp of the SNF | Individual | 08/12/2024 | |
| Tress, Avrohom | Adp of the SNF | Individual | 02/01/2020 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 5 problems in this area, most recently on June 18, 2026: "Provide care and assistance to perform activities of daily living for any resident who is unable."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 3 problems in this area, most recently on June 18, 2026: "Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 2 problems in this area, most recently on July 27, 2026: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- When is the care plan meeting, and can family attend it?Inspectors cited 2 problems in this area, most recently on June 18, 2026: "Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals."
Other nursing homes nearby
- Grays Harbor Health & Rehabilitation Center Aberdeen, 12.3 mi · 4 of 5 stars · 24 citations
- Pacific Care and Rehabilitation Hoquiam, 12.8 mi · 5 of 5 stars · 8 citations
- Willapa Harbor Care Raymond, 22.9 mi · 4 of 5 stars · 30 citations
Washington contacts for a concern about a nursing home
These are the official offices in Washington. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Washington DSHS Aging and Long-Term Support Administration, Residential Care Services, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Washington State Long-Term Care Ombudsman Program, 1-800-562-6028. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
Common questions
- What is Montesano Health-Rehab Center's Medicare star rating?
- CMS rates Montesano Health-Rehab Center 5 out of 5 stars overall, with 4 for health inspections, 5 for staffing and no for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Montesano Health-Rehab Center get at its last inspection?
- 13 health deficiencies at the standard inspection on June 18, 2026. The Washington average is 15.8.
- Has Montesano Health-Rehab Center been fined?
- CMS lists no fines in the last three years.
- Does Montesano Health-Rehab Center accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Montesano Health-Rehab Center?
- CMS lists 20 owners and managers, and links the home to Genesis Healthcare. Legal business name: 800 MEDCALF LANE NORTH OPERATIONS LLC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.