ENSIGN MONTGOMERY LLC
SANTA ROSA, CA · Sonoma County · For profit - Limited Liability company · 116 certified beds
📍 3751 Montgomery Dr, Santa Rosa, CA 95405 · 📞 (707) 525-1250
Medicare ID: 056411 · Last Medicare inspection: Jan 30, 2026
This facility has been cited for potential issues related to abuse. CMS places this warning on facilities where inspectors identified concerns during their survey.
Score Breakdown
What the numbers mean
ENSIGN MONTGOMERY LLC scored 68 out of 100 — near the state average.
📋 Inspections: 21 citations over the last 36 months — 17 fewer than the state average (38). 1 was rated serious (G+) — an inspector determined it caused or risked harm to a resident. 2 findings recurred across inspection cycles — indicating a problem that was not fixed.
👥 Staffing: Staffing is within an acceptable range but not among the highest-performing facilities. Ask about nurse coverage on evenings, nights, and weekends when you visit.
⚖️ Penalties & enforcement: No significant federal fines or enforcement actions on record — a positive indicator of consistent regulatory compliance.
⚠️ Complaints: Above-average complaint activity. Complaint surveys are unannounced and targeted — they often surface problems that routine annual inspections miss. Ask management about the nature of complaints filed and how each was resolved.
💚 Resident quality outcomes: This facility's star-rated quality measures are in the strong range. Key indicators like fall rates, antipsychotic use, and vaccination coverage compare favorably to national benchmarks — a positive signal for day-to-day resident care.
What inspectors found (last 3 surveys)
Top concern areas
⚖ Penalties & Enforcement
Federal civil monetary penalties (CMPs) are only issued after a facility has failed two levels of regulatory review — meaning problems were found on inspection and the facility could not rebut the findings. This is a serious escalation beyond a standard citation.
📅 Per-action enforcement records (date, fine amount, and penalty type for each individual action) are sourced from a separate CMS enforcement dataset and will be added in a future data update.
Resident Wellbeing — Key Indicators
These are the measures families ask about most. They come from CMS clinical assessments of every resident — not just inspection reports. Stars (★) count toward the official CMS quality star rating.
Source: CMS MDS Quality Measures & Medicare claims data. Scores shown are the most recent 4-quarter averages for long-stay residents.
See every citation, score history, ownership, and get monthly alerts
Watch this facility for $14.99/year. Family plan covers 3 facilities for $29.99/year.