Del Rosa Villa
2018 N Del Rosa Ave · San Bernardino, CA · 92404 · 9098853261
104 certified beds For profit - Limited Liability company Chain: Pacs Group
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
Cited under the freedom-from-abuse rule
Cited 2 times under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
RN staffing in the bottom 10% nationally
0.22 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 2 of 5 Staffing: 1 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.76 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.22 | 0.55–0.75 |
| Weekend hours / resident-day | 3.46 | ≈ weekday level |
| Nursing turnover / year | 51% | median 45% |
| Fines (3-yr window) | 1 · $43,930 |
Inspection citations (34 in the current record)
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Potential for harm · D February 12, 2026
Reasonably accommodate the needs and preferences of each resident.
Corrected March 4, 2026 · Resident Rights
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Potential for harm · D February 12, 2026
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected March 4, 2026 · Resident Assessment and Care Planning
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Potential for harm · D February 12, 2026
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected March 4, 2026 · Quality of Life and Care
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Potential for harm · D February 12, 2026
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 4, 2026 · Quality of Life and Care
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Potential for harm · D February 12, 2026
Provide safe and appropriate respiratory care for a resident when needed.
Corrected March 4, 2026 · Quality of Life and Care
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Potential for harm · D February 12, 2026
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected March 4, 2026 · Nutrition and Dietary
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Potential for harm · D February 12, 2026
Provide and implement an infection prevention and control program.
Corrected March 4, 2026 · Infection Control
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Potential for harm · D February 12, 2026
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected March 4, 2026 · Environmental
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Potential for harm · D September 10, 2025 · found via complaint
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Corrected September 22, 2025 · Resident Rights
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Potential for harm · D August 13, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected August 27, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 20, 2025 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected March 27, 2025 · Resident Rights
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Potential for harm · D February 27, 2025 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected March 20, 2025 · Resident Rights
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Potential for harm · D January 24, 2025
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected February 13, 2025 · Resident Rights
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Potential for harm · D January 24, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected February 12, 2025 · Pharmacy Service
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Potential for harm · E January 24, 2025
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected February 14, 2025 · Nutrition and Dietary
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Potential for harm · D January 24, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected February 14, 2025 · Nutrition and Dietary
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Potential for harm · D January 24, 2025
Provide and implement an infection prevention and control program.
Corrected February 12, 2025 · Infection Control
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Immediate jeopardy · J November 13, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected November 29, 2024 · Quality of Life and Care
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Potential for harm · D September 26, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected October 21, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D September 17, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected September 30, 2024 · Quality of Life and Care
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Potential for harm · D December 13, 2023
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Corrected January 8, 2024 · Resident Rights
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Potential for harm · D December 13, 2023
Keep residents' personal and medical records private and confidential.
Corrected January 8, 2024 · Resident Rights
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Potential for harm · D December 13, 2023
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected January 8, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D December 13, 2023
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected January 8, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D December 13, 2023
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected January 8, 2024 · Resident Assessment and Care Planning
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| November 13, 2024 | Fine | $43,930 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 555195 · certified since September 10, 1984. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.