Villa Del Sol Post Acute
16910 Woodruff Ave. · Bellflower, CA · 90706 · 5628671761
99 certified beds For profit - Limited Liability company Chain: David Johnson
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- No federal fines or payment denials in CMS’s 3-year window.
The composite number cleared 71 points, but Recommended is gated: inspection record below the Recommended bar; CMS rates its health inspections "much below average". That rule is part of the published method.
Red flags
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.
Score breakdown
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: 4 of 5
| Total nurse hours / resident-day | 4.25 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.44 | 0.55–0.75 |
| Weekend hours / resident-day | 3.79 | ≈ weekday level |
| Nursing turnover / year | 41% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (79 in the current record)
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Potential for harm · D April 30, 2026 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected May 13, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D April 13, 2026 · 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 May 13, 2026 · Resident Rights
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Potential for harm · D April 13, 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 May 13, 2026 · Resident Assessment and Care Planning
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Potential for harm · E March 25, 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 April 18, 2026 · Resident Rights
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Potential for harm · D March 25, 2026 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected April 18, 2026 · Quality of Life and Care
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Potential for harm · D March 9, 2026 · found via complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected March 27, 2026 · Resident Rights
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Potential for harm · D December 4, 2025 · found via complaint
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected December 27, 2025 · Quality of Life and Care
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Potential for harm · D August 29, 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 25, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D July 8, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected August 1, 2025 · Infection Control
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Potential for harm · D June 5, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected June 28, 2025 · Quality of Life and Care
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Potential for harm · D May 29, 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 June 22, 2025 · Resident Rights
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Potential for harm · D April 4, 2025
Reasonably accommodate the needs and preferences of each resident.
Corrected May 4, 2025 · Resident Rights
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Potential for harm · D April 4, 2025
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected May 4, 2025 · Resident Assessment and Care Planning
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Potential for harm · E April 4, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected May 4, 2025 · Resident Assessment and Care Planning
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Potential for harm · D April 4, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected May 4, 2025 · Quality of Life and Care
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Potential for harm · D April 4, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected May 4, 2025 · Quality of Life and Care
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Potential for harm · D April 4, 2025
Provide safe, appropriate pain management for a resident who requires such services.
Corrected May 4, 2025 · Quality of Life and Care
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Potential for harm · E April 4, 2025
Observe each nurse aide's job performance and give regular training.
Corrected May 4, 2025 · Nursing and Physician Services
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Potential for harm · E April 4, 2025
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 May 4, 2025 · Pharmacy Service
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Potential for harm · E April 4, 2025
Ensure medication error rates are not 5 percent or greater.
Corrected May 4, 2025 · Pharmacy Service
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Potential for harm · E April 4, 2025
Ensure that residents are free from significant medication errors.
Corrected May 4, 2025 · Pharmacy Service
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Potential for harm · D April 4, 2025
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 May 4, 2025 · Pharmacy Service
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Potential for harm · D April 4, 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 May 4, 2025 · Nutrition and Dietary
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Potential for harm · E April 4, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected May 4, 2025 · Nutrition and Dietary
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Potential for harm · E April 4, 2025
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected May 4, 2025 · Administration
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
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 055918 · certified since February 1, 1985. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.