Villa Del Rio

7002 Gage Avenue · Bell Gardens, CA · 90201 · 5629276586

12 certified beds For profit - Corporation Chain: Rollins-Nelson Healthcare Management

Why this verdict

  • Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
  • Inspection record is far worse than the national median (deficiency count and severity).
  • Federal penalties on record: $57,126 in fines in the last 24 months.
  • 3 citations involved actual harm to residents.
  • 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.

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Red flags

Special Focus Facility candidate

CMS lists this facility as a candidate for its Special Focus program for persistently poor inspection performance.

1 immediate-jeopardy citation in the most recent inspection cycle

Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.

Cited under the freedom-from-abuse rule

Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.

$57,126 in federal fines in the last 24 months

2 fines — CMS fines are reserved for verified, serious non-compliance.

RN staffing in the bottom 10% nationally

0.24 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.

Score breakdown

Inspection record 30% of score 10
Serious harm & abuse 20% 46
Staffing 20% 54
Federal penalties 15% 0
Trend 10% 81
Context 5% 10

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 1 of 5 Inspections: 1 of 5 Staffing: 3 of 5 Quality measures: 1 of 5

Total nurse hours / resident-day3.723.48 min · 4.1 strong
RN hours / resident-day0.240.55–0.75
Weekend hours / resident-day3.26≈ weekday level
Nursing turnover / year59%median 45%
Fines (3-yr window)5 · $155,218

Inspection citations (100 in the current record)

  • Potential for harm · D February 27, 2026 · found via complaint

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected March 20, 2026 · Resident Assessment and Care Planning

  • Potential for harm · E February 27, 2026 · found via complaint

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected March 20, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D February 11, 2026 · found via complaint

    Reasonably accommodate the needs and preferences of each resident.

    Corrected March 6, 2026 · Resident Rights

  • Potential for harm · D February 11, 2026 · 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 6, 2026 · Resident Rights

  • Potential for harm · D February 11, 2026 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected March 6, 2026 · Infection Control

  • Potential for harm · D February 11, 2026 · found via complaint

    Provide bedrooms that don't allow residents to see each other when privacy is needed.

    Corrected March 6, 2026 · Environmental

  • Potential for harm · D November 18, 2025 · found via complaint

    Honor 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.

    Corrected November 26, 2025 · Resident Rights

  • Potential for harm · E November 18, 2025 · found via complaint

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected November 26, 2025 · Resident Assessment and Care Planning

  • Potential for harm · E August 26, 2025 · found via complaint

    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

    Corrected September 16, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · E August 26, 2025 · found via complaint

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Corrected September 16, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D August 26, 2025 · found via complaint

    Ensure 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.

    Corrected September 16, 2025 · Quality of Life and Care

  • Potential for harm · D August 26, 2025 · found via complaint

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected September 16, 2025 · Pharmacy Service

  • Immediate jeopardy · J June 28, 2025 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected July 23, 2025 · Quality of Life and Care

  • Potential for harm · E June 28, 2025 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected July 23, 2025 · Infection Control

  • Potential for harm · E June 28, 2025 · found via complaint

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Corrected July 23, 2025 · Environmental

  • Potential for harm · D May 28, 2025 · found via complaint

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected June 12, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D May 28, 2025 · found via complaint

    Provide safe, appropriate pain management for a resident who requires such services.

    Corrected June 12, 2025 · Quality of Life and Care

  • Potential for harm · D May 28, 2025 · found via complaint

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected June 12, 2025 · Pharmacy Service

  • Potential for harm · D April 24, 2025

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected May 27, 2025 · Resident Rights

  • Potential for harm · E April 24, 2025

    Ensure that residents are fully informed and understand their health status, care and treatments.

    Corrected May 27, 2025 · Resident Rights

  • Potential for harm · D April 24, 2025

    Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

    Corrected May 27, 2025 · Resident Rights

  • Potential for harm · D April 24, 2025

    Reasonably accommodate the needs and preferences of each resident.

    Corrected May 27, 2025 · Resident Rights

  • Potential for harm · D April 24, 2025

    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 May 27, 2025 · Resident Rights

  • Potential for harm · D April 24, 2025

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Corrected May 27, 2025 · Resident Rights

  • Potential for harm · E April 24, 2025

    Ensure each resident receives an accurate assessment.

    Corrected May 27, 2025 · Resident Assessment and Care Planning

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
June 28, 2025Fine$45,078
September 5, 2024Fine$12,048
April 4, 2024Fine$67,649
April 4, 2024Payment Denial27 days
September 28, 2023Fine$22,253
June 23, 2023Fine$8,190

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 555781 · certified since January 1, 2002. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.