Rio Hondo Subacute & Nursing Center

273 E Beverly Boulevard, Montebello, CA 90640 (opens Google Maps) · Los Angeles County · (323) 724-5100· 200 certified beds · avg 145 residents/day · certified since Oct 9, 1985 · Medicare and Medicaid certified

Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →

SFF

What Special Focus status means →

Part of chain: GENESIS HEALTHCARE (184 facilities, chain avg rating 2.4★)

—/5

Health inspection rating (on-site)

inspected Feb 10, 2026

Serious findings on record

most recent May 15, 2026

$411,481

Fines, last 3 years

3.96

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

New to these records? How to read an inspection report →

Health inspection rating: —/5 · CMS overall rating: —/5 · how star ratings work →

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and quality measures from resident assessments and claims.

Most serious findings (actual harm or immediate jeopardy) — showing 10 of 16

▲ Immediate jeopardy, isolated · Mar 28, 2025 · F-0684 · triggered by a complaint

The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.

Why it matters: Care that strays from doctor's orders or ignores the resident's wishes can lead to declining health and avoidable harm.

Severity (J): Immediate jeopardy to resident health or safety was cited. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: Apr 24, 2025 (Deficient, Provider has date of correction)

▲ Immediate jeopardy, isolated · Mar 30, 2024 · F-0689 · triggered by a complaint

The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.

Corrected: Apr 26, 2024 (Deficient, Provider has date of correction)

▲ Immediate jeopardy, isolated · Mar 30, 2024 · F-0740 · triggered by a complaint

The facility did not provide necessary behavioral health care and services — support for residents' mental and emotional wellbeing, including conditions like depression and anxiety.

Why it matters: A resident's untreated mental health needs can worsen and take a toll on their physical health too.

Corrected: Apr 26, 2024 (Deficient, Provider has date of correction)

▲ Immediate jeopardy, pattern · Sep 9, 2023 · F-0607 · triggered by a complaint

The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection.

Why it matters: Without working prevention policies, mistreatment is more likely to happen and less likely to be caught.

Severity (K): Immediate jeopardy to resident health or safety was cited. The scope was a pattern: more than a limited occurrence, without being widespread. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: Oct 6, 2023 (Deficient, Provider has date of correction)

▲ Immediate jeopardy, isolated · Sep 9, 2023 · F-0600 · triggered by a complaint

The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors.

Why it matters: Abuse and neglect cause direct physical and emotional harm and are among the most serious failures a nursing home can have.

Corrected: Oct 6, 2023 (Deficient, Provider has date of correction)

▲ Actual harm, isolated · May 15, 2026 · F-0689 · triggered by a complaint

The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.

Severity (G): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: May 18, 2026 (Deficient, Provider has date of correction)

▲ Actual harm, isolated · Jan 20, 2026 · F-0686 · triggered by a complaint

The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.

Why it matters: Bedsores are painful, can become deeply infected, and in serious cases can be life-threatening.

Corrected: Feb 8, 2026 (Deficient, Provider has date of correction)

▲ Actual harm, isolated · Jun 11, 2025 · F-0689 · triggered by a complaint

The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.

Corrected: Jun 15, 2025 (Deficient, Provider has date of correction)

▲ Actual harm, isolated · Jun 11, 2025 · F-0697 · triggered by a complaint

The facility did not provide safe and appropriate pain management for a resident who needed it.

Why it matters: Untreated pain causes needless suffering and can lead to depression, poor sleep, and declining health.

Corrected: Jun 15, 2025 (Deficient, Provider has date of correction)

▲ Actual harm, isolated · Mar 1, 2025 · F-0686 · triggered by a complaint

Why it matters: Bedsores are painful, can become deeply infected, and in serious cases can be life-threatening.

Corrected: Mar 24, 2025 (Deficient, Provider has date of correction)

Inspection findings in the public record

Showing the latest 3 of 196 inspection findings. Open the full record below to read every finding.

Jun 30, 2026E · Potential for more than minimal harm, pattern
The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint F-0755
Jun 30, 2026D · Potential for more than minimal harm, isolated
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint F-0689
Jun 30, 2026D · Potential for more than minimal harm, isolated
The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint F-0842

View all 196 inspection findingsShow only the latest 3 findings

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.

Date	Severity	What the facility was cited for
Jun 30, 2026	E · Potential for more than minimal harm, pattern	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint · F-0755
Jun 30, 2026	D · Potential for more than minimal harm, isolated	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint · F-0689
Jun 30, 2026	D · Potential for more than minimal harm, isolated	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint · F-0842
May 15, 2026	▲ G · Actual harm, isolated	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint · F-0689
May 15, 2026	D · Potential for more than minimal harm, isolated	The facility did not have doctor's orders in place for a resident's immediate care at the time the resident was admitted. · from a complaint · F-0635
May 15, 2026	D · Potential for more than minimal harm, isolated	The facility did not provide safe and appropriate pain management for a resident who needed it. · from a complaint · F-0697
May 15, 2026	D · Potential for more than minimal harm, isolated	The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · from a complaint · F-0760
Apr 24, 2026	D · Potential for more than minimal harm, isolated	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint · F-0689
Apr 22, 2026	D · Potential for more than minimal harm, isolated	The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly. · from a complaint · F-0585
Feb 10, 2026	E · Potential for more than minimal harm, pattern	The facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand. · F-0552
Feb 10, 2026	E · Potential for more than minimal harm, pattern	The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. · F-0558
Feb 10, 2026	E · Potential for more than minimal harm, pattern	The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. · F-0578
Feb 10, 2026	E · Potential for more than minimal harm, pattern	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · F-0761
Feb 10, 2026	E · Potential for more than minimal harm, pattern	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812
Feb 10, 2026	E · Potential for more than minimal harm, pattern	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · F-0842
Feb 10, 2026	E · Potential for more than minimal harm, pattern	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · F-0880
Feb 10, 2026	D · Potential for more than minimal harm, isolated	The facility did not provide required paperwork or notices about a resident's needs, their right to appeal a transfer or discharge, or the facility's bed-hold policy (how long a bed is saved during a hospital stay). · F-0628
Feb 10, 2026	D · Potential for more than minimal harm, isolated	The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable. · F-0655
Feb 10, 2026	D · Potential for more than minimal harm, isolated	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · F-0656
Feb 10, 2026	D · Potential for more than minimal harm, isolated	The facility allowed residents to lose the ability to do daily activities — like bathing, dressing, and eating — when there was no medical reason for the decline. Good care helps residents keep the abilities they have. · F-0676
Feb 10, 2026	D · Potential for more than minimal harm, isolated	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684
Feb 10, 2026	D · Potential for more than minimal harm, isolated	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · F-0686
Feb 10, 2026	D · Potential for more than minimal harm, isolated	The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. · F-0690
Feb 10, 2026	D · Potential for more than minimal harm, isolated	The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. · F-0698
Feb 10, 2026	D · Potential for more than minimal harm, isolated	The facility did not make sure residents actually saw their doctor face-to-face at all required visits. Doctors must examine nursing home residents in person on a regular schedule. · F-0712
Feb 10, 2026	D · Potential for more than minimal harm, isolated	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · F-0755
Feb 10, 2026	D · Potential for more than minimal harm, isolated	The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems. · F-0756
Jan 20, 2026	▲ G · Actual harm, isolated	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · from a complaint · F-0686
Jan 20, 2026	D · Potential for more than minimal harm, isolated	The facility did not honor residents' right to make their own choices about their daily lives, such as when to wake up, what to eat, or how to spend their time. · from a complaint · F-0561
Jan 20, 2026	D · Potential for more than minimal harm, isolated	The facility did not honor residents' right to receive the visitors they choose, at the times they choose. · from a complaint · F-0563
Jan 20, 2026	D · Potential for more than minimal harm, isolated	The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly. · from a complaint · F-0585
Jan 20, 2026	D · Potential for more than minimal harm, isolated	The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. · from a complaint · F-0607
Jan 20, 2026	D · Potential for more than minimal harm, isolated	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint · F-0609
Jan 20, 2026	D · Potential for more than minimal harm, isolated	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint · F-0689
Jan 20, 2026	D · Potential for more than minimal harm, isolated	The facility did not provide the social services residents need — such as counseling, help with adjustment, or connecting to outside resources — to achieve the best possible quality of life. · from a complaint · F-0745
Dec 23, 2025	D · Potential for more than minimal harm, isolated	The facility did not treat residents with respect and dignity, or did not let them keep and use their own personal belongings. · from a complaint · F-0557
Dec 11, 2025	D · Potential for more than minimal harm, isolated	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint · F-0656
Dec 8, 2025	D · Potential for more than minimal harm, isolated	The facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand. · from a complaint · F-0552
Dec 8, 2025	D · Potential for more than minimal harm, isolated	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint · F-0755
Dec 8, 2025	D · Potential for more than minimal harm, isolated	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint · F-0842
Dec 1, 2025	D · Potential for more than minimal harm, isolated	The facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests. · from a complaint · F-0925
Nov 13, 2025	E · Potential for more than minimal harm, pattern	The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day. · from a complaint · F-0732
Nov 13, 2025	D · Potential for more than minimal harm, isolated	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · from a complaint · F-0550
Nov 13, 2025	D · Potential for more than minimal harm, isolated	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint · F-0656
Nov 7, 2025	E · Potential for more than minimal harm, pattern	The facility did not provide safe and appropriate pain management for a resident who needed it. · from a complaint · F-0697
Aug 22, 2025	F · Potential for more than minimal harm, widespread	The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician. · F-0803
Aug 22, 2025	E · Potential for more than minimal harm, pattern	The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. · F-0690
Aug 22, 2025	E · Potential for more than minimal harm, pattern	The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems. · F-0756
Aug 22, 2025	E · Potential for more than minimal harm, pattern	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812
Aug 22, 2025	D · Potential for more than minimal harm, isolated	The facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand. · F-0552
Aug 22, 2025	D · Potential for more than minimal harm, isolated	The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. · F-0558
Aug 22, 2025	D · Potential for more than minimal harm, isolated	The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · F-0580
Aug 22, 2025	D · Potential for more than minimal harm, isolated	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · F-0584
Aug 22, 2025	D · Potential for more than minimal harm, isolated	The facility gave residents unnecessary mind-altering (psychotropic) medications, or used drugs in a way that restrained residents by dulling their ability to think, move, or function. · F-0605
Aug 22, 2025	D · Potential for more than minimal harm, isolated	The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services. · F-0645
Aug 22, 2025	D · Potential for more than minimal harm, isolated	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · F-0656
Aug 22, 2025	D · Potential for more than minimal harm, isolated	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · F-0658
Aug 22, 2025	D · Potential for more than minimal harm, isolated	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684
Aug 22, 2025	D · Potential for more than minimal harm, isolated	The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline. · F-0688
Aug 22, 2025	D · Potential for more than minimal harm, isolated	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689
Aug 22, 2025	D · Potential for more than minimal harm, isolated	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. · F-0695
Aug 22, 2025	D · Potential for more than minimal harm, isolated	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · F-0755
Aug 22, 2025	D · Potential for more than minimal harm, isolated	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · F-0842
Aug 9, 2025	F · Potential for more than minimal harm, widespread	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint · F-0880
Aug 9, 2025	D · Potential for more than minimal harm, isolated	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint · F-0689
Jun 30, 2025	D · Potential for more than minimal harm, isolated	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint · F-0755
Jun 30, 2025	D · Potential for more than minimal harm, isolated	The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. · from a complaint · F-0921
Jun 11, 2025	▲ G · Actual harm, isolated	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint · F-0689
Jun 11, 2025	▲ G · Actual harm, isolated	The facility did not provide safe and appropriate pain management for a resident who needed it. · from a complaint · F-0697
Jun 11, 2025	E · Potential for more than minimal harm, pattern	The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident. · from a complaint · F-0726
Jun 11, 2025	D · Potential for more than minimal harm, isolated	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint · F-0656
Jun 11, 2025	D · Potential for more than minimal harm, isolated	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint · F-0755
Jun 11, 2025	D · Potential for more than minimal harm, isolated	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · from a complaint · F-0761
May 15, 2025	D · Potential for more than minimal harm, isolated	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint · F-0842
May 15, 2025	D · Potential for more than minimal harm, isolated	The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. · from a complaint · F-0921
Apr 23, 2025	E · Potential for more than minimal harm, pattern	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. · from a complaint · F-0657
Apr 23, 2025	E · Potential for more than minimal harm, pattern	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · from a complaint · F-0686
Apr 23, 2025	E · Potential for more than minimal harm, pattern	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint · F-0880
Apr 23, 2025	D · Potential for more than minimal harm, isolated	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint · F-0609
Apr 23, 2025	D · Potential for more than minimal harm, isolated	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint · F-0689
Apr 23, 2025	D · Potential for more than minimal harm, isolated	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. · from a complaint · F-0695
Apr 23, 2025	D · Potential for more than minimal harm, isolated	The facility did not provide safe and appropriate pain management for a resident who needed it. · from a complaint · F-0697
Apr 3, 2025	E · Potential for more than minimal harm, pattern	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint · F-0689
Apr 3, 2025	D · Potential for more than minimal harm, isolated	The facility did not provide necessary behavioral health care and services — support for residents' mental and emotional wellbeing, including conditions like depression and anxiety. · from a complaint · F-0740
Mar 28, 2025	▲ J · Immediate jeopardy, isolated	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint · F-0684
Mar 28, 2025	D · Potential for more than minimal harm, isolated	The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint · F-0600
Mar 28, 2025	D · Potential for more than minimal harm, isolated	The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint · F-0610
Mar 28, 2025	D · Potential for more than minimal harm, isolated	The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes. · from a complaint · F-0693
Mar 28, 2025	D · Potential for more than minimal harm, isolated	The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. · from a complaint · F-0698
Mar 28, 2025	D · Potential for more than minimal harm, isolated	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint · F-0842
Mar 18, 2025	E · Potential for more than minimal harm, pattern	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint · F-0880
Mar 1, 2025	▲ G · Actual harm, isolated	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · from a complaint · F-0686
Mar 1, 2025	▲ G · Actual harm, isolated	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689
Mar 1, 2025	▲ G · Actual harm, isolated	The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. · F-0690
Mar 1, 2025	E · Potential for more than minimal harm, pattern	The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. · F-0558
Mar 1, 2025	E · Potential for more than minimal harm, pattern	The facility did not give residents the required written notice of their rights, the facility's rules, the services offered, and what those services cost. · F-0572
Mar 1, 2025	E · Potential for more than minimal harm, pattern	The facility did not make its inspection results easy for residents to see, or made it hard for residents to contact advocacy agencies like the ombudsman. · F-0577
Mar 1, 2025	E · Potential for more than minimal harm, pattern	The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. · F-0578
Mar 1, 2025	E · Potential for more than minimal harm, pattern	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · F-0656
Mar 1, 2025	E · Potential for more than minimal harm, pattern	The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care. · F-0725
Mar 1, 2025	E · Potential for more than minimal harm, pattern	The facility did not observe each nurse aide's job performance or provide regular training as required. · F-0730
Mar 1, 2025	E · Potential for more than minimal harm, pattern	The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. · F-0759
Mar 1, 2025	E · Potential for more than minimal harm, pattern	The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · F-0760
Mar 1, 2025	E · Potential for more than minimal harm, pattern	The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician. · F-0803
Mar 1, 2025	E · Potential for more than minimal harm, pattern	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812
Mar 1, 2025	E · Potential for more than minimal harm, pattern	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · F-0880
Mar 1, 2025	E · Potential for more than minimal harm, pattern	The facility did not regularly inspect bed frames, mattresses, and bed rails for safety, or the rails and mattresses were not attached safely to the frames. · F-0909
Mar 1, 2025	E · Potential for more than minimal harm, pattern	The facility did not have a working call system — the button or cord residents use to summon help — in each resident's bathroom and bathing area. · F-0919
Mar 1, 2025	D · Potential for more than minimal harm, isolated	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · F-0550
Mar 1, 2025	D · Potential for more than minimal harm, isolated	The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · F-0580
Mar 1, 2025	D · Potential for more than minimal harm, isolated	The facility did not keep residents' personal and medical information private and confidential. · F-0583
Mar 1, 2025	D · Potential for more than minimal harm, isolated	The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly. · F-0585
Mar 1, 2025	D · Potential for more than minimal harm, isolated	The facility did not reassess a resident after a significant change in their condition, such as a sudden decline in health. A full new assessment is required when a resident's condition changes in a major way. · F-0637
Mar 1, 2025	D · Potential for more than minimal harm, isolated	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. · F-0657
Mar 1, 2025	D · Potential for more than minimal harm, isolated	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · F-0677
Mar 1, 2025	D · Potential for more than minimal harm, isolated	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · F-0761
Mar 1, 2025	D · Potential for more than minimal harm, isolated	The facility did not provide or obtain laboratory tests when a doctor ordered them, or did not promptly report the results back to the doctor who ordered them. · F-0773
Mar 1, 2025	D · Potential for more than minimal harm, isolated	The facility did not have a policy covering how food brought in by family and visitors is used and stored safely. · F-0813
Mar 1, 2025	D · Potential for more than minimal harm, isolated	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · F-0842
Mar 1, 2025	D · Potential for more than minimal harm, isolated	The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them. · F-0867
Jan 24, 2025	▲ G · Actual harm, isolated	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · from a complaint · F-0686
Jan 24, 2025	E · Potential for more than minimal harm, pattern	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint · F-0842
Jan 24, 2025	E · Potential for more than minimal harm, pattern	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint · F-0880
Jan 8, 2025	▲ G · Actual harm, isolated	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint · F-0684
Dec 25, 2024	E · Potential for more than minimal harm, pattern	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint · F-0880
Dec 5, 2024	D · Potential for more than minimal harm, isolated	The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly. · from a complaint · F-0585
Nov 6, 2024	D · Potential for more than minimal harm, isolated	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint · F-0684
Oct 29, 2024	E · Potential for more than minimal harm, pattern	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint · F-0656
Oct 29, 2024	E · Potential for more than minimal harm, pattern	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint · F-0755
Oct 29, 2024	D · Potential for more than minimal harm, isolated	The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason. · from a complaint · F-0757
Oct 23, 2024	E · Potential for more than minimal harm, pattern	The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. · from a complaint · F-0607
Oct 23, 2024	E · Potential for more than minimal harm, pattern	The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care. · from a complaint · F-0725
Oct 23, 2024	D · Potential for more than minimal harm, isolated	The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly. · from a complaint · F-0585
Oct 23, 2024	D · Potential for more than minimal harm, isolated	The facility hired someone with an official finding of abuse, neglect, exploitation, or theft against them. Facilities are not allowed to employ people with such findings. · from a complaint · F-0606
Oct 8, 2024	▲ G · Actual harm, isolated	The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint · F-0600
Oct 8, 2024	▲ G · Actual harm, isolated	The facility did not provide safe and appropriate pain management for a resident who needed it. · from a complaint · F-0697
Oct 8, 2024	E · Potential for more than minimal harm, pattern	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint · F-0755
Oct 8, 2024	D · Potential for more than minimal harm, isolated	The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint · F-0580
Oct 8, 2024	D · Potential for more than minimal harm, isolated	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint · F-0584
Oct 8, 2024	D · Potential for more than minimal harm, isolated	The facility did not provide the social services residents need — such as counseling, help with adjustment, or connecting to outside resources — to achieve the best possible quality of life. · from a complaint · F-0745
Sep 27, 2024	D · Potential for more than minimal harm, isolated	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint · F-0689
Aug 20, 2024	D · Potential for more than minimal harm, isolated	The facility did not provide food that accounts for each resident's allergies, intolerances, and personal preferences, or did not offer appealing alternatives. · from a complaint · F-0806
Aug 2, 2024	E · Potential for more than minimal harm, pattern	The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident. · from a complaint · F-0726
Aug 2, 2024	E · Potential for more than minimal harm, pattern	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint · F-0755
Aug 2, 2024	D · Potential for more than minimal harm, isolated	The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. · from a complaint · F-0558
Aug 2, 2024	D · Potential for more than minimal harm, isolated	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · from a complaint · F-0677
Aug 2, 2024	D · Potential for more than minimal harm, isolated	The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems. · from a complaint · F-0756
Aug 2, 2024	D · Potential for more than minimal harm, isolated	The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. · from a complaint · F-0921
Jul 26, 2024	D · Potential for more than minimal harm, isolated	The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. · from a complaint · F-0607
Jul 26, 2024	D · Potential for more than minimal harm, isolated	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint · F-0656
Jul 26, 2024	D · Potential for more than minimal harm, isolated	The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. · from a complaint · F-0758
Jul 26, 2024	D · Potential for more than minimal harm, isolated	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint · F-0880
Jul 10, 2024	E · Potential for more than minimal harm, pattern	The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care. · from a complaint · F-0725
Jul 2, 2024	D · Potential for more than minimal harm, isolated	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint · F-0842
Jun 25, 2024	D · Potential for more than minimal harm, isolated	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint · F-0880
Jun 14, 2024	E · Potential for more than minimal harm, pattern	The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint · F-0600
Jun 14, 2024	D · Potential for more than minimal harm, isolated	The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly. · from a complaint · F-0585
Jun 14, 2024	D · Potential for more than minimal harm, isolated	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · from a complaint · F-0658
Jun 14, 2024	D · Potential for more than minimal harm, isolated	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint · F-0689
May 3, 2024	D · Potential for more than minimal harm, isolated	The facility did not have a policy covering how food brought in by family and visitors is used and stored safely. · from a complaint · F-0813
Apr 18, 2024	D · Potential for more than minimal harm, isolated	The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day. · from a complaint · F-0732
Apr 18, 2024	D · Potential for more than minimal harm, isolated	The facility did not provide the social services residents need — such as counseling, help with adjustment, or connecting to outside resources — to achieve the best possible quality of life. · from a complaint · F-0745
Mar 30, 2024	▲ J · Immediate jeopardy, isolated	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint · F-0689
Mar 30, 2024	▲ J · Immediate jeopardy, isolated	The facility did not provide necessary behavioral health care and services — support for residents' mental and emotional wellbeing, including conditions like depression and anxiety. · from a complaint · F-0740
Mar 30, 2024	D · Potential for more than minimal harm, isolated	The facility did not honor residents' right to receive the visitors they choose, at the times they choose. · from a complaint · F-0563
Mar 14, 2024	D · Potential for more than minimal harm, isolated	The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint · F-0600
Mar 14, 2024	D · Potential for more than minimal harm, isolated	The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. · from a complaint · F-0607
Mar 7, 2024	E · Potential for more than minimal harm, pattern	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint · F-0880
Feb 16, 2024	D · Potential for more than minimal harm, isolated	The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint · F-0600
Feb 16, 2024	D · Potential for more than minimal harm, isolated	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint · F-0609
Feb 16, 2024	D · Potential for more than minimal harm, isolated	The facility used bed rails without first trying safer alternatives, or without assessing the resident's safety risk, discussing the risks and benefits with the resident or family, getting consent, and installing the rails correctly. · from a complaint · F-0700
Jan 19, 2024	E · Potential for more than minimal harm, pattern	The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · from a complaint · F-0760
Jan 19, 2024	D · Potential for more than minimal harm, isolated	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · from a complaint · F-0686
Jan 19, 2024	D · Potential for more than minimal harm, isolated	The facility did not provide the social services residents need — such as counseling, help with adjustment, or connecting to outside resources — to achieve the best possible quality of life. · from a complaint · F-0745
Jan 19, 2024	D · Potential for more than minimal harm, isolated	The facility did not have an agreement with an approved laboratory to provide lab services, even though it doesn't offer lab services on site. · from a complaint · F-0772
Dec 22, 2023	E · Potential for more than minimal harm, pattern	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint · F-0684
Dec 22, 2023	E · Potential for more than minimal harm, pattern	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint · F-0755
Dec 22, 2023	D · Potential for more than minimal harm, isolated	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint · F-0656
Dec 22, 2023	D · Potential for more than minimal harm, isolated	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. · from a complaint · F-0657
Dec 22, 2023	D · Potential for more than minimal harm, isolated	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint · F-0880
Nov 22, 2023	D · Potential for more than minimal harm, isolated	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint · F-0755
Oct 25, 2023	D · Potential for more than minimal harm, isolated	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · from a complaint · F-0658
Oct 13, 2023	D · Potential for more than minimal harm, isolated	The facility did not provide safe and appropriate pain management for a resident who needed it. · from a complaint · F-0697
Oct 11, 2023	D · Potential for more than minimal harm, isolated	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · from a complaint · F-0550
Oct 2, 2023	E · Potential for more than minimal harm, pattern	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint · F-0755
Oct 2, 2023	E · Potential for more than minimal harm, pattern	The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · from a complaint · F-0760
Sep 28, 2023	D · Potential for more than minimal harm, isolated	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint · F-0689
Sep 12, 2023	E · Potential for more than minimal harm, pattern	The facility did not have doctor's orders in place for a resident's immediate care at the time the resident was admitted. · from a complaint · F-0635
Sep 12, 2023	D · Potential for more than minimal harm, isolated	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint · F-0656
Sep 9, 2023	▲ K · Immediate jeopardy, pattern	The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. · from a complaint · F-0607
Sep 9, 2023	▲ J · Immediate jeopardy, isolated	The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint · F-0600
Sep 9, 2023	E · Potential for more than minimal harm, pattern	The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care. · from a complaint · F-0725
Sep 9, 2023	E · Potential for more than minimal harm, pattern	The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them. · from a complaint · F-0867
Sep 9, 2023	D · Potential for more than minimal harm, isolated	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint · F-0609
Sep 9, 2023	D · Potential for more than minimal harm, isolated	The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline. · from a complaint · F-0688
Sep 9, 2023	D · Potential for more than minimal harm, isolated	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint · F-0842

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (18 → 18).

Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01

All citationsSerious citations (G–L)

2023

2024

2025

2026

All bars start at zero. Exact values and supporting details remain below.

Year	Citations	Serious (G–L)	Worst severity that year
2023	21	2	K ▲
2024	51	4	J ▲
2025	89	8	J ▲
2026	35	2	G ▲

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

How to file a complaint about care →

8 fines totaling $411,481, plus 4 Medicare payment denial periods.

Every penalty CMS publishes for this facility in the 3-year window is listed —none excluded. The count and the dollar total come from two different CMS datasets and agree for this facility. Penalties older than the window are dropped by CMS before publication, not by us.

Date	Type	Amount / length
Apr 22, 2026	Fine	$22,895
Jan 20, 2026	Fine	$82,250
Jun 11, 2025	Fine	$9,698
Mar 1, 2025	Fine	$129,784
Mar 1, 2025	Payment Denial	38 days from Mar 29, 2025
Jan 8, 2025	Fine	$47,405
Jan 8, 2025	Payment Denial	3 days from Feb 7, 2025
Sep 27, 2024	Fine	$45,625
Sep 27, 2024	Payment Denial	6 days from Nov 7, 2024
Mar 7, 2024	Fine	$39,299
Mar 7, 2024	Payment Denial	6 days from Apr 27, 2024
Sep 9, 2023	Fine	$34,525

Nurse staffing (from payroll records, adjusted for how much care residents need)

What these staffing numbers mean →

Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01

This facilityCalifornia averageU.S. average

Total nurse staffing (hours per resident per day)

3.96

4.31

3.95

Registered Nurse hours

0.42

0.61

0.69

Weekend total nurse staffing

3.45

3.90

3.50

All bars start at zero. Exact values and supporting details remain below.

Measure	This facility	California avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	3.96	4.31	3.95	bottom 38% in California; top 41% in the U.S.
Registered Nurse hours	0.42	0.61	0.69	bottom 37% in California; bottom 25% in the U.S.
Weekend total nurse staffing	3.45	3.90	3.50	bottom 26% in California; top 45% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.46	0.51	0.48	top 36% in California; top 38% in the U.S.
Total nursing staff turnover (%)	63.4	36.7	45.8	bottom 1% in California; bottom 12% in the U.S.
RN turnover (%)	75.9	38.1	42.9	bottom 5% in California; bottom 7% in the U.S.

Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.64, RN 0.49, weekend 4.04.Comparing with Medicare Care Compare? Care Compare shows the raw figure (4.64 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: —/5.

Quality measures: assessments & claims

Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.

Quality measures rating: —/5 · long-stay residents: —/5 · short-stay residents: —/5

Costs & payment

Price evidence · separate from quality

No verified facility-specific private-pay price is available in our data for Rio Hondo Subacute & Nursing Center. CMS inspection and staffing records do not tell us what this home will charge you.

Calculate a stay from a quote you receive

Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.

Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.

Before you compare prices

Request the room type, effective date and itemized daily rate in writing.
Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.

Understand who pays for care · How we handle price evidence · Report an incorrect price

Who owns this facility

How to read ownership records →

Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Bold Quail Holdings LLC	Organization	5% or Greater Indirect Ownership Interest	—	06/01/2020
BQ Operations Holdings LLC	Organization	5% or Greater Indirect Ownership Interest	—	06/01/2020
Fc-Gen Operations Investment LLC	Organization	5% or Greater Indirect Ownership Interest	—	06/01/2020
Fishman, Steven	Individual	Indirect Ownership Interest	NOT APPLICABLE	06/01/2020
Gen BQ JV Holdings LLC	Organization	5% or Greater Indirect Ownership Interest	—	06/01/2020
Gen Operations I LLC	Organization	5% or Greater Indirect Ownership Interest	—	02/02/2015
Gen Operations II LLC	Organization	5% or Greater Indirect Ownership Interest	—	06/01/2020
Genesis Healthcare INC	Organization	5% or Greater Indirect Ownership Interest	—	01/01/2016
Genesis Healthcare LLC	Organization	5% or Greater Indirect Ownership Interest	—	06/01/2020
Genesis Holdings LLC	Organization	5% or Greater Indirect Ownership Interest	—	06/01/2020
GHC Holdings LLC	Organization	5% or Greater Indirect Ownership Interest	—	06/01/2020
GHC JV Holdings LLC	Organization	5% or Greater Indirect Ownership Interest	—	06/01/2020
Newgen LLC	Organization	5% or Greater Indirect Ownership Interest	—	06/01/2020
Robin, Aaron	Individual	5% or Greater Indirect Ownership Interest	—	06/01/2020
Sun Healthcare Group INC	Organization	5% or Greater Indirect Ownership Interest	—	06/01/2020
Sundance Rehabilitation Holdco INC	Organization	Indirect Ownership Interest	NOT APPLICABLE	06/01/2020
Tress, Avrohom	Individual	5% or Greater Indirect Ownership Interest	—	06/01/2020
Welltower Op, LLC	Organization	Indirect Ownership Interest	NOT APPLICABLE	06/01/2020
Whitman, Arnold	Individual	5% or Greater Indirect Ownership Interest	—	06/01/2020
Zac Properties Xi LLC	Organization	Indirect Ownership Interest	NOT APPLICABLE	06/01/2020

Showing 20 of 34 parties CMS has on file for this facility; 14 are not displayed. The full list is in the CMS Ownership dataset.

Other facilities in the same chain

CMS lists this facility under the chain Genesis Healthcare — 184 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.

Sharon Care Center — Los Angeles, CA · overall 2/5
The Earlwood — Torrance, CA · overall 1/5
The Meadows on Sunset Post Acute — Los Angeles, CA · overall 1/5
Washington Center — San Leandro, CA · overall 5/5
Willows Post Acute — Willows, CA · overall 5/5
Woodland Care Center — Reseda, CA · overall 2/5SFF
Lofland Park Center — Seaford, DE · overall 4/5
Milford Center — Milford, DE · overall 2/5

Listed by state, then facility name — not a ranking. Showing 8 of the 183 others, continuing from this facility's own place in that list.

Questions to ask on your visit

Full visit checklist →

Print visit checklist

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"What mental health services do you provide on-site, and who delivers them?"
"What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
"Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
"How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
"How do you assess and manage residents' pain, especially for those who have trouble communicating?"
"How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"

Also worth asking anywhere

"Your weekend nurse staffing is reported below the California midpoint — how does the weekend schedule differ from a weekday?"
"Can I see the plan of correction for the findings in your most recent state inspection?"
"CMS reports 63% total nursing staff turnover here — who on the care team has been with you longest?"
"The ownership record on file lists 34 owning or managing parties — who makes the decisions about staffing levels?"
"CMS lists this facility under its Special Focus program — what is being done differently, and by when?"
"Can I visit again unannounced, at a mealtime or on a weekend?"

Nearby facilities (12 closest of 323 within 20 miles)

Facility	Distance	City	Overall	Inspection
Montebello Care Center	1.2 mi	Montebello, CA	★★☆☆☆	2/5
Pico Rivera Healthcare Center	1.2 mi	Pico Rivera, CA	★★★★★	4/5
El Rancho Vista Health Care Center	1.5 mi	Pico Rivera, CA	★★★★☆	3/5
Monterey Healthcare & Wellness Centre, LP	2.0 mi	Rosemead, CA	★★★☆☆	2/5
Green Acres Healthcare Center	2.1 mi	Rosemead, CA	★★★☆☆	4/5
San Gabriel Conv Center	2.1 mi	Rosemead, CA	★★★☆☆	3/5
Colonial Gardens Nursing Home	2.5 mi	Pico Rivera, CA	★☆☆☆☆	1/5
Socal Post-Acute Care	2.6 mi	Whittier, CA	★★★☆☆	3/5
Del Mar Convalescent Hospital	3.5 mi	Rosemead, CA	★★★★★	4/5
Riviera Healthcare Center	3.6 mi	Pico Rivera, CA	★☆☆☆☆	2/5
Greater el Monte Community Hos	3.7 mi	El Monte, CA	★★★★☆	4/5
Villa Del Rio Gardens	3.7 mi	Bell Gardens, CA	★★☆☆☆	3/5

Compare this facility with the 3 closest →

Other facilities in the same county

CMS records place this facility in Los Angeles, CA — 369 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.

Rose Villa Health Care Center — Bellflower, CA · overall 3/5
Rosecrans Care Center — Gardena, CA · overall 2/5
Rosemead Healthcare Center — El Monte, CA · overall 2/5
Royal Gardens Healthcare — Alhambra, CA · overall 1/5
Royal Oaks Manor-Bradbury Oaks — Duarte, CA · overall 4/5
Royal Palms Post Acute — Glendale, CA · overall 2/5
Royal Terrace Healthcare — Duarte, CA · overall 3/5

Listed by facility name — not a ranking. Homes already in the table above are not repeated here.

All facilities in Montebello →

Facility data as of CMS processing date 2026-08-01. CCN 056487.

Rio Hondo Subacute & Nursing Center

What health inspectors found (on-site government inspections — the most independent evidence available)

Most serious findings (actual harm or immediate jeopardy) — showing 10 of 16

Inspection findings in the public record

Inspection trend by year

Fines and enforcement (last 3 years)

Nurse staffing (from payroll records, adjusted for how much care residents need)

Quality measures: assessments & claims

Costs & payment

Before you compare prices

Who owns this facility

Other facilities in the same chain

Questions to ask on your visit

Also worth asking anywhere

Nearby facilities (12 closest of 323 within 20 miles)

Other facilities in the same county

Viewed & saved homes

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