Villa Del Rio Gardens
7004 East Gage Avenue · Bell Gardens, CA · 90201 · 5629276586
84 certified beds For profit - Corporation Chain: Rollins-Nelson Healthcare Management
Why this verdict
- Staffing levels are well below research benchmarks for safe care.
- Inspection results are getting worse cycle over cycle, not better.
- No federal fines or payment denials in CMS’s 3-year window.
Red flags
No standard inspection in over 2 years
The inspection record here is older than usual — conditions may have changed since.
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: 3 of 5 Staffing: 1 of 5 Quality measures: not rated
| Total nurse hours / resident-day | — | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | — | 0.55–0.75 |
| Weekend hours / resident-day | — | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | none |
Inspection citations (28 in the current record)
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Actual harm · G February 10, 2022
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected March 24, 2022 · Quality of Life and Care
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Potential for harm · D February 10, 2022
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected March 24, 2022 · Resident Rights
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Potential for harm · D February 10, 2022
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected March 24, 2022 · Resident Assessment and Care Planning
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Potential for harm · E February 10, 2022
Ensure each resident receives an accurate assessment.
Corrected March 24, 2022 · Resident Assessment and Care Planning
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Potential for harm · D February 10, 2022
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected March 24, 2022 · Resident Assessment and Care Planning
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Potential for harm · D February 10, 2022
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected March 24, 2022 · Quality of Life and Care
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Potential for harm · D February 10, 2022
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
Corrected March 24, 2022 · Nursing and Physician Services
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Potential for harm · E February 10, 2022
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected March 24, 2022 · Pharmacy Service
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Potential for harm · F February 10, 2022
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected March 24, 2022 · Nutrition and Dietary
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Potential for harm · E February 10, 2022
Provide and implement an infection prevention and control program.
Corrected March 24, 2022 · Infection Control
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Potential for harm · D August 14, 2019
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected September 18, 2019 · Resident Rights
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Potential for harm · D August 14, 2019
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected September 18, 2019 · Resident Assessment and Care Planning
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Potential for harm · D August 14, 2019
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected September 18, 2019 · Nursing and Physician Services
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Potential for harm · D August 14, 2019
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected September 18, 2019 · Nutrition and Dietary
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Potential for harm · E August 14, 2019
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected September 18, 2019 · Nutrition and Dietary
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Potential for harm · D August 14, 2019
Implement a program that monitors antibiotic use.
Corrected September 18, 2019 · Infection Control
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Potential for harm · D August 14, 2019
Keep all essential equipment working safely.
Corrected September 18, 2019 · Environmental
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Potential for harm · D August 14, 2019
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected September 18, 2019 · Environmental
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No harm found · B August 14, 2019
Provide and implement an infection prevention and control program.
Corrected September 18, 2019 · Infection Control
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Potential for harm · E August 1, 2018
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected August 31, 2018 · Resident Rights
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Potential for harm · D August 1, 2018
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 August 31, 2018 · Resident Rights
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Potential for harm · E August 1, 2018
Keep residents' personal and medical records private and confidential.
Corrected August 31, 2018 · Resident Rights
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Potential for harm · D August 1, 2018
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected August 31, 2018 · Resident Assessment and Care Planning
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Potential for harm · D August 1, 2018
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected August 31, 2018 · Quality of Life and Care
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Potential for harm · D August 1, 2018
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected August 31, 2018 · Pharmacy Service
Showing the 25 most recent. The Safety Report includes every citation with full findings.
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.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 555780 · 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.