Starfile / California

VILLA DEL RIO

7002 GAGE AVENUE, BELL GARDENS, CA 90201 · CCN 555781

SFF Candidate

Inspection history vs California & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$155,218

Number of fines

5

Number of penalties

6

Payment denials

1

Chain

Chain

ROLLINS-NELSON HEALTHCARE MANAGEMENT

Facilities in chain

10

Chain avg overall

2.10 / 5

Inspection citations (95)2 immediate jeopardy3 actual harm

1. DF0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.2025-11-18 · Health · corrected 2025-11-26

   Potential for more than minimal harm

2. EF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-11-18 · Health · corrected 2025-11-26

   Potential for more than minimal harm

3. EF0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.2025-08-26 · Health · corrected 2025-09-16

   Potential for more than minimal harm

4. EF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2025-08-26 · Health · corrected 2025-09-16

   Potential for more than minimal harm

5. DF0693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.2025-08-26 · Health · corrected 2025-09-16

   Potential for more than minimal harm

6. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-08-26 · Health · corrected 2025-09-16

   Potential for more than minimal harm

7. JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-06-28 · Health · corrected 2025-07-23

   Immediate jeopardy

8. EF0880Provide and implement an infection prevention and control program.2025-06-28 · Health · corrected 2025-07-23

   Potential for more than minimal harm

9. EF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2025-06-28 · Health · corrected 2025-07-23

   Potential for more than minimal harm

10. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-05-28 · Health · corrected 2025-06-12

    Potential for more than minimal harm

11. DF0697Provide safe, appropriate pain management for a resident who requires such services.2025-05-28 · Health · corrected 2025-06-12

    Potential for more than minimal harm

12. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-05-28 · Health · corrected 2025-06-12

    Potential for more than minimal harm

13. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-04-24 · Health · corrected 2025-05-27

    Potential for more than minimal harm

14. EF0552Ensure that residents are fully informed and understand their health status, care and treatments.2025-04-24 · Health · corrected 2025-05-27

    Potential for more than minimal harm

15. DF0557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.2025-04-24 · Health · corrected 2025-05-27

    Potential for more than minimal harm

16. DF0558Reasonably accommodate the needs and preferences of each resident.2025-04-24 · Health · corrected 2025-05-27

    Potential for more than minimal harm

17. DF0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.2025-04-24 · Health · corrected 2025-05-27

    Potential for more than minimal harm

18. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2025-04-24 · Health · corrected 2025-05-27

    Potential for more than minimal harm

19. EF0641Ensure each resident receives an accurate assessment.2025-04-24 · Health · corrected 2025-05-27

    Potential for more than minimal harm

20. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-04-24 · Health · corrected 2025-05-27

    Potential for more than minimal harm

21. EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2025-04-24 · Health · corrected 2025-05-27

    Potential for more than minimal harm

22. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-04-24 · Health · corrected 2025-05-27

    Potential for more than minimal harm

23. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-04-24 · Health · corrected 2025-05-27

    Potential for more than minimal harm

24. EF0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.2025-04-24 · Health · corrected 2025-05-27

    Potential for more than minimal harm

25. EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-04-24 · Health · corrected 2025-05-27

    Potential for more than minimal harm

26. DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2025-04-24 · Health · corrected 2025-05-27

    Potential for more than minimal harm

27. DF0744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.2025-04-24 · Health · corrected 2025-05-27

    Potential for more than minimal harm

28. DF0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.2025-04-24 · Health · corrected 2025-05-27

    Potential for more than minimal harm

29. DF0760Ensure that residents are free from significant medication errors.2025-04-24 · Health · corrected 2025-05-27

    Potential for more than minimal harm

30. FF0813Have a policy regarding use and storage of foods brought to residents by family and other visitors.2025-04-24 · Health · corrected 2025-05-27

    Potential for more than minimal harm

31. EF0825Provide or get specialized rehabilitative services as required for a resident.2025-04-24 · Health · corrected 2025-05-27

    Potential for more than minimal harm

32. FF0880Provide and implement an infection prevention and control program.2025-04-24 · Health · corrected 2025-05-27

    Potential for more than minimal harm

33. DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2025-04-24 · Health · corrected 2025-05-27

    Potential for more than minimal harm

34. DF0943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.2025-04-24 · Health · corrected 2025-05-27

    Potential for more than minimal harm

35. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-01-16 · Health · corrected 2025-02-04

    Potential for more than minimal harm

36. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-01-16 · Health · corrected 2025-02-04

    Potential for more than minimal harm

37. DF0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.2025-01-11 · Health · corrected 2025-02-04

    Potential for more than minimal harm

38. EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-01-11 · Health · corrected 2025-02-04

    Potential for more than minimal harm

39. DF0551Give the resident's representative the ability to exercise the resident's rights.2024-12-11 · Health · corrected 2024-12-23

    Potential for more than minimal harm

40. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-12-11 · Health · corrected 2024-12-23

    Potential for more than minimal harm

41. GF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-09-18 · Health · corrected 2024-10-09

    Actual harm

42. EF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-09-18 · Health · corrected 2024-10-09

    Potential for more than minimal harm

43. EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2024-09-18 · Health · corrected 2024-10-09

    Potential for more than minimal harm

44. CF0732Post nurse staffing information every day.2024-09-18 · Health · corrected 2024-10-09

    Potential for minimal harm

45. EF0583Keep residents' personal and medical records private and confidential.2024-09-05 · Health · corrected 2024-09-23

    Potential for more than minimal harm

46. EF0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.2024-09-05 · Health · corrected 2024-09-23

    Potential for more than minimal harm

47. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2024-09-05 · Health · corrected 2024-09-23

    Potential for more than minimal harm

48. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-06-20 · Health · corrected 2024-07-02

    Potential for more than minimal harm

49. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-05-29 · Health · corrected 2024-06-05

    Potential for more than minimal harm

50. DF0558Reasonably accommodate the needs and preferences of each resident.2024-04-22 · Health · corrected 2024-05-20

    Potential for more than minimal harm

51. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-04-22 · Health · corrected 2024-05-20

    Potential for more than minimal harm

52. EF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-04-22 · Health · corrected 2024-05-20

    Potential for more than minimal harm

53. EF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-04-22 · Health · corrected 2024-05-20

    Potential for more than minimal harm

54. EF0610Respond appropriately to all alleged violations.2024-04-22 · Health · corrected 2024-05-20

    Potential for more than minimal harm

55. EF0638Assure that each resident’s assessment is updated at least once every 3 months.2024-04-22 · Health · corrected 2024-05-20

    Potential for more than minimal harm

56. EF0641Ensure each resident receives an accurate assessment.2024-04-22 · Health · corrected 2024-05-20

    Potential for more than minimal harm

57. DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2024-04-22 · Health · corrected 2024-05-20

    Potential for more than minimal harm

58. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-04-22 · Health · corrected 2024-05-20

    Potential for more than minimal harm

59. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-04-22 · Health · corrected 2024-06-13

    Potential for more than minimal harm

60. EF0675Honor each resident's preferences, choices, values and beliefs.2024-04-22 · Health · corrected 2024-05-20

    Potential for more than minimal harm

61. EF0685Assist a resident in gaining access to vision and hearing services.2024-04-22 · Health · corrected 2024-05-20

    Potential for more than minimal harm

62. GF0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.2024-04-22 · Health · corrected 2024-05-20

    Actual harm

63. EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-04-22 · Health · corrected 2024-05-20

    Potential for more than minimal harm

64. DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-04-22 · Health · corrected 2024-06-13

    Potential for more than minimal harm

65. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-04-22 · Health · corrected 2024-05-20

    Potential for more than minimal harm

66. EF0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.2024-04-22 · Health · corrected 2024-05-20

    Potential for more than minimal harm

67. DF0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.2024-04-22 · Health · corrected 2024-05-20

    Potential for more than minimal harm

68. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-04-22 · Health · corrected 2024-06-13

    Potential for more than minimal harm

69. FF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2024-04-22 · Health · corrected 2024-05-20

    Potential for more than minimal harm

70. FF0880Provide and implement an infection prevention and control program.2024-04-22 · Health · corrected 2024-06-13

    Potential for more than minimal harm

71. FF0881Implement a program that monitors antibiotic use.2024-04-22 · Health · corrected 2024-06-13

    Potential for more than minimal harm

72. EF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2024-04-22 · Health · corrected 2024-05-20

    Potential for more than minimal harm

73. FF0943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.2024-04-22 · Health · corrected 2024-05-20

    Potential for more than minimal harm

74. DF0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.2024-04-04 · Health · corrected 2024-04-05

    Potential for more than minimal harm

75. DF0908Keep all essential equipment working safely.2024-04-04 · Health · corrected 2024-04-05

    Potential for more than minimal harm

76. KF0880Provide and implement an infection prevention and control program.2023-09-28 · Health · corrected 2023-10-27

    Immediate jeopardy

77. DF0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.2023-07-06 · Health · corrected 2023-07-27

    Potential for more than minimal harm

78. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2023-06-28 · Health · corrected 2023-07-21

    Potential for more than minimal harm

79. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-06-28 · Health · corrected 2023-07-21

    Actual harm

80. FF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.2023-06-23 · Health · corrected 2023-07-22

    Potential for more than minimal harm

81. EF0732Post nurse staffing information every day.2023-04-10 · Health · corrected 2023-04-18

    Potential for more than minimal harm

82. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2022-02-11 · Health · corrected 2022-03-08

    Potential for more than minimal harm

83. DF0645PASARR screening for Mental disorders or Intellectual Disabilities2022-02-11 · Health · corrected 2022-03-08

    Potential for more than minimal harm

84. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2022-02-11 · Health · corrected 2022-03-08

    Potential for more than minimal harm

85. EF0658Ensure services provided by the nursing facility meet professional standards of quality.2022-02-11 · Health · corrected 2022-03-08

    Potential for more than minimal harm

86. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2022-02-11 · Health · corrected 2022-03-08

    Potential for more than minimal harm

87. FF0695Provide safe and appropriate respiratory care for a resident when needed.2022-02-11 · Health · corrected 2022-03-08

    Potential for more than minimal harm

88. DF0697Provide safe, appropriate pain management for a resident who requires such services.2022-02-11 · Health · corrected 2022-03-08

    Potential for more than minimal harm

89. DF0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.2022-02-11 · Health · corrected 2022-03-08

    Potential for more than minimal harm

90. EF0759Ensure medication error rates are not 5 percent or greater.2022-02-11 · Health · corrected 2022-03-08

    Potential for more than minimal harm

91. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2022-02-11 · Health · corrected 2022-03-08

    Potential for more than minimal harm

92. FF0838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.2022-02-11 · Health · corrected 2022-03-08

    Potential for more than minimal harm

93. FF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2022-02-11 · Health · corrected 2022-03-08

    Potential for more than minimal harm

94. FF0880Provide and implement an infection prevention and control program.2022-02-11 · Health · corrected 2022-03-08

    Potential for more than minimal harm

95. FF0882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.2022-02-11 · Health · corrected 2022-03-08

    Potential for more than minimal harm

Ownership

No ownership records.

Other facilities in BELL GARDENS

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.