At this time, Montclair Manor is not releasing medical records to discharged residents or their legal representatives in person due to the current COVID-19 pandemic Public Health Emergency. However, we do offer other options for obtaining medical records.
Discharged residents may request a copy of their medical records verbally and/or by completing and submitting an Authorization for Release of Personal Health Information form.
You can download and complete the authorization form from our website to submit your medical record request by fax, email or mail. A Medical Records representative can also email you a form to compete, fax, email or mail back to the Center.
Verification of identity may be required. Acceptable forms of identification include driver’s license, state-issued ID, or a valid, current passport.
If you are requesting for copies of medical records, standardized copying charges will be applied in addition to any postal charges or CD ROM charges. Records will only be released via mail or picked up in person with an advanced appointment.
The Medical Records Department’s hours of operation are Monday – Friday, 8:30 a.m. – 5 p.m. The department is closed on weekends and major holidays. Please direct your inquiries to the Med Rec department for status updates or the Center Administrator.
Due to the current PHE, CMS modified the requirement at 42 CFR §483.10(g)(2)(ii) to allow LTC facilities 10 working days to provide a resident’s record rather than the standard two working days. If the requested information is located off-site or if the authorization form is not properly filled out, additional time may be required to process your request.
If you are requesting copies for someone other than yourself, you will need to provide legal documentation that verifies legal guardianship, power of attorney, executorships or next-of-kin relationship to a decedent.
The information below is updated regularly to help ensure residents, family, and resident representatives are kept up to date on our current COVID-19 status. In the event of a positive case, Montclair Manor has a mitigation plan in place to protect our healthy residents and team members. This includes immediately isolating residents with suspected or confirmed COVID-19. In addition, team members with suspected or confirmed COVID-19 are directed to stay at home until they are fully recovered.
Dear families, friends and employees,
The state has implemented the following process for all SNF: We must have all our residents and employees tested once a month unless we have a resident/employee test positive then testing will be done weekly until we have every employee and resident test negative. The facility started this process with designating around 30 employees from different departments and different shifts to be tested last week and we have received ( 0 ) zero positive cases. We will make sure that the management will follow the proper procedure where employees will be quarantined for the next 10 days then another test will be done before returning to work to be sure they test negative. At this time please don’t worry about your family as we’re taking good care of them as well as monitoring them for signs and symptoms of the COVID -19 on a daily basis by asking questions and taking their vital (temperature, blood pressure, pulse, and oxygen saturation). Please don’t hesitate to call me or Sarah any time including the weekends, my cell number is 714-932-4886. God Bless all of you and stay safe.
Montclair Manor Care Center
5119 Bandera St. Montclair, CA 91763