Rio Hondo Subacute & Nursing Center
273 E Beverly Boulevard · Montebello, CA · 90640 · 3237245100
200 certified beds For profit - Limited Liability company Chain: Genesis Healthcare
Why this verdict
- On the federal Special Focus list of the most persistently poor performers.
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $314,762 in fines in the last 24 months.
- 10 citations involved actual harm to residents.
- Inspection results have improved across recent cycles.
Red flags
Special Focus Facility
CMS has designated this facility one of the most persistently poor performers in the country — it is under increased inspection and enforcement.
5 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
3 abuse-related citations at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
3 actual-harm citations in the most recent cycle
Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.
$314,762 in federal fines in the last 24 months
5 fines — CMS fines are reserved for verified, serious non-compliance.
63% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
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: not rated Inspections: not rated Staffing: not rated Quality measures: not rated
| Total nurse hours / resident-day | 4.25 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.48 | 0.55–0.75 |
| Weekend hours / resident-day | 3.74 | ≈ weekday level |
| Nursing turnover / year | 63% | median 45% |
| Fines (3-yr window) | 7 · $388,586 |
Inspection citations (193 in the current record)
-
Potential for harm · D April 24, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 25, 2026 · Quality of Life and Care
-
Potential for harm · D April 22, 2026 · found via complaint
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Deficient, Provider has no plan of correction · Resident Rights
-
Potential for harm · E February 10, 2026
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected February 17, 2026 · Resident Rights
-
Potential for harm · E February 10, 2026
Reasonably accommodate the needs and preferences of each resident.
Corrected February 16, 2026 · Resident Rights
-
Potential for harm · E February 10, 2026
Honor 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.
Corrected February 16, 2026 · Resident Rights
-
Potential for harm · D February 10, 2026
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected February 16, 2026 · Resident Rights
-
Potential for harm · D February 10, 2026
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected February 16, 2026 · Resident Assessment and Care Planning
-
Potential for harm · D February 10, 2026
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected February 16, 2026 · Resident Assessment and Care Planning
-
Potential for harm · D February 10, 2026
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected February 16, 2026 · Quality of Life and Care
-
Potential for harm · D February 10, 2026
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected February 16, 2026 · Quality of Life and Care
-
Potential for harm · D February 10, 2026
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected February 16, 2026 · Quality of Life and Care
-
Potential for harm · D February 10, 2026
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected February 16, 2026 · Quality of Life and Care
-
Potential for harm · D February 10, 2026
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected February 16, 2026 · Quality of Life and Care
-
Potential for harm · D February 10, 2026
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Corrected February 16, 2026 · Nursing and Physician Services
-
Potential for harm · D February 10, 2026
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected February 16, 2026 · Pharmacy Service
-
Potential for harm · D February 10, 2026
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected February 16, 2026 · Pharmacy Service
-
Potential for harm · E February 10, 2026
Ensure 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.
Corrected February 16, 2026 · Pharmacy Service
-
Potential for harm · E February 10, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected February 16, 2026 · Nutrition and Dietary
-
Potential for harm · E February 10, 2026
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected February 16, 2026 · Resident Assessment and Care Planning
-
Potential for harm · E February 10, 2026
Provide and implement an infection prevention and control program.
Corrected February 16, 2026 · Infection Control
-
Actual harm · G January 20, 2026 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected February 8, 2026 · Quality of Life and Care
-
Potential for harm · D January 20, 2026 · found via complaint
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected February 8, 2026 · Resident Rights
-
Potential for harm · D January 20, 2026 · found via complaint
Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.
Corrected February 8, 2026 · Resident Rights
-
Potential for harm · D January 20, 2026 · found via complaint
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected February 8, 2026 · Resident Rights
-
Potential for harm · D January 20, 2026 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected February 8, 2026 · Freedom from Abuse, Neglect, and Exploitation
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| January 20, 2026 | Fine | $82,250 |
| June 11, 2025 | Fine | $9,698 |
| March 1, 2025 | Fine | $129,784 |
| March 1, 2025 | Payment Denial | 38 days |
| January 8, 2025 | Fine | $47,405 |
| January 8, 2025 | Payment Denial | 3 days |
| September 27, 2024 | Fine | $45,625 |
| September 27, 2024 | Payment Denial | 6 days |
| March 7, 2024 | Fine | $39,299 |
| March 7, 2024 | Payment Denial | 6 days |
| September 9, 2023 | Fine | $34,525 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 056487 · certified since October 9, 1985. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.