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Monte Vista Village occupies a large footprint in Lemon Grove: 219 beds across assisted living, independent living, and respite care, operated by Pacifica Monte Vista LLC and managed by Adrian Guillen with Maria Shetler as executive director. The address is 2211 Massachusetts Ave. The building’s been operating for 20 years. Current capacity is half-full at 51% occupancy (111 of 219 beds).
Walk Score 41 means some services within walking distance, but most require transportation. The facility sits 1.5 miles from downtown, with the nearest hospital at 3.3 miles.
The property lists comprehensively: library, games room, coffee bar, sitting areas, outdoor trails, cafe, dining room with chef-prepared meals, pool. Daily programming includes Tai-Chi, Technology 101, and outings. There’s a specific dementia care program with dedicated live-in staff. Pets are welcome.
There’s no admission fee. Financial planning services are available. This is a programmed community in the “full service senior living” category.
Over four years, 7 total citations with zero serious ones (ranked first in California on that measure). But those 7 citations are all moderate severity, running 75% above the state average. The real flag: 36 total regulatory visits (125% above the California average), including 25 complaint visits and 17 complaint investigations. That volume tells you something about how many residents or families filed formal complaints.
Substantiated failures around adequate care and supervision caused multiple resident falls and serious injury; the facility had no updated care plan and didn’t relocate the resident. Separately, substantiated failure to follow eviction procedures: missing the required 30-day written notice, appeal rights documentation, and discharge planning. Yet the most recent annual inspection in December 2025 found no deficiencies. Clean, sanitary, in good repair, met all standards.
This is a facility with adequate infrastructure and amenities that has demonstrably failed on care coordination, supervision, and resident protections in ways serious enough to be substantiated in formal investigations.
Lower than the California average: 72.8%Monte Vista Village is legally operated by Pacifica Monte Vista Llc; Monte Vista Mgr Llc, and administrated by Adrian Guillen.
Key information about the people who lead and staff this community.
In California, the Department of Social Services (for assisted living facilities) and the Department of Public Health (for nursing homes) conduct inspections to ensure resident safety and regulatory compliance.
A composite 0–100 score combining this facility's inspections, citations, complaints, and enforcement actions relative to the California state average. The score below shows how many points this facility sits above or below the typical California assisted living residence score (the benchmark); higher is better.
4 points below the California average for assisted living residences (81/100)
Rank #925 / 1401 in California Inspection Score — State benchmarked This home is ranked 925th out of 1401 homes in California. Shows this facility's inspection score compared to the California average among 1401 comparable communities in the ranking pool. Inspection score: 77 out of 100. Letter grade C+. 4 points below the California average for assisted living residences (81/100)
This scorecard compares key inspection, citation, and complaint metrics at this facility against the California state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Citations
| This Facility | CA Average | vs. CA Avg |
|---|---|---|---|
|
Total citations
Formal regulatory issues recorded by inspectors across all inspection types.
| 7 | 10 | This facility has 30% fewer total citations than a typical California assisted living residence (7 vs. CA avg 10).↓ 30% better |
|
Serious citations (Type A)
Violations that pose an immediate risk to resident health or safety. Type A citations are the most serious and typically require prompt corrective action.
| 0 | 3 | This facility has 100% fewer serious citations (type a) than a typical California assisted living residence (0 vs. CA avg 3).↓ 100% better Rank #1 / 1164 Serious citations (Type A) — State benchmarked This home is ranked 1st out of 1164 homes in California. Shows this facility's # of serious citations compared to the California average among 1164 comparable communities in the ranking pool. |
|
Moderate citations (Type B)
Violations that do not pose an immediate risk but still represent a departure from required care or operational standards.
| 7 | 4 | This facility has 75% more moderate citations (type b) than a typical California assisted living residence (7 vs. CA avg 4).↑ 75% worse |
|
Citations per year
Average citations per year since 2022.
| 1.8 | 2.5 | This facility has 28% fewer citations per year than a typical California assisted living residence (1.8 vs. CA avg 2.5).↓ 28% better |
|
Citations per inspection
Average citations per inspection.
| 0.2 | 3.3 | This facility has 94% fewer citations per inspection than a typical California assisted living residence (0.2 vs. CA avg 3.3).↓ 94% better |
Inspections & Visits
| This Facility | CA Average | vs. CA Avg |
|---|---|---|---|
|
Total visits
Combined count of complaint visits, other regulatory visits, and official scheduled inspections.
| 36 | 16 | This facility has 125% more total visits than a typical California assisted living residence (36 vs. CA avg 16).↑ 125% worse |
|
Complaint visits
On-site visits triggered by formal complaints filed by residents, families, or staff.
| 25 | 13 | This facility has 92% more complaint visits than a typical California assisted living residence (25 vs. CA avg 13).↑ 92% worse Rank #1207 / 1397 Complaint visits — State benchmarked This home is ranked 1207th out of 1397 homes in California. Shows this facility's # of complaint visits compared to the California average among 1397 comparable communities in the ranking pool. |
|
Other visits
Regulatory visits that are neither routine inspections nor complaint investigations — administrative check-ins, follow-up reviews, licensing-related visits.
| 8 | 7 | This facility has 14% more other visits than a typical California assisted living residence (8 vs. CA avg 7).↑ 14% worse |
|
Official inspections
Routine, scheduled inspections conducted by state regulators to evaluate whether the facility meets federal and state standards.
| 3 | 4 | This facility has 25% fewer official inspections than a typical California assisted living residence (3 vs. CA avg 4).↓ 25% better |
|
Complaint investigations
On-site investigations triggered by complaints filed with California regulators.
| 17 | 10 | This facility has 70% more complaint investigations than a typical California assisted living residence (17 vs. CA avg 10).↑ 70% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
1.5 miles from city center
Estimated distance in miles from Lemon Grove's city center to Monte Vista Village's address, calculated via Google Maps.
— 0.89 miles to nearest hospital (Synergy Research Centers)
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Monte Vista Village is located in Lemon Grove, California.
Here are the financial assistance programs available to residents in California.
The team at Monte Vista Village speaks ["english"].
The legal owner and operator of Monte Vista Village is Pacifica Monte Vista Llc; Monte Vista Mgr Llc.
Monte Vista Village has a walk score of 41. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
According to CA state health department records, Monte Vista Village's license number is 374604441.
Monte Vista Village's occupancy is 51%.
Adrian Guillen is the administrator of Monte Vista Village.
Monte Vista Village has 219 beds.
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