The Montera on Lake Murray Boulevard in La Mesa provides assisted living and memory care through a 100-bed campus operated by MBK Senior Living, a multi-state operator founded in 1990 with 38 communities across six western states. Alzheimer's and dementia residents receive structured programming within a secured memory care neighborhood, while assisted living residents manage ADLs with calibrated staff support — a care continuum that often begins with in-home services from agencies like Senior Helpers before transitioning to residential placement. MBK Fit delivers instructor-led wellness programming including Tai Chi, ability-focused personal training, and aquatic exercise in the on-site swimming pool, addressing fall-risk reduction and range-of-motion maintenance for aging residents. An executive chef prepares restaurant-style meals in a communal dining room, with texture-modified and therapeutic diet options accommodating residents on renal, cardiac, or dysphagia-specific meal plans. Medication management protocols coordinate multi-drug regimens across the assisted living population, with Village Rose Pharmacy dispensing many of those La Mesa prescriptions through blister-pack packaging for unit-dose administration. Highest-acuity services include high-acuity care plans for residents requiring two-person transfer assistance, nocturnal oxygen monitoring, and insulin administration under California Community Care Licensing Division oversight.