Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

VILLA DEL RIO GARDENS

BELL GARDENS, CA · 84 certified beds · Last Life Safety survey February 10, 2022

CMS Certification Number 555780 · first certified January 2002

Ownership

Independently operated (no chain recorded by CMS) · For profit - Corporation

No change of ownership on CMS record since January 1, 2016, when the records begin.

18
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
2
Tags cited more than once
Across separate surveys
5
Inspection & testing records
Of the citations on file

Position within CA

18 citations — more than 43% of the 1,165 certified nursing homes in CA. Compared within CA rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Slippingmore citations at the latest survey than at its earlier surveys in the window.

The latest survey found 8 citations; the earlier surveys in the window averaged 5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

Well past the typical window (February 2023 to August 2023), and past the point by which nine in ten CA facilities have been surveyed. This facility’s last Life Safety survey was February 2022. Facilities in CA are typically surveyed 12–18 months after the last one (median 14), measured over 1,766 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

Emergency preparedness

6 of the 18 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

6 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 18 Life Safety citations above. The Physical Environment Index

  • F-0880 Provide and implement an infection prevention and control program.
  • F-0908 Keep all essential equipment working safely.
  • F-0921 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
  • F-0584 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.

How that compares

Citations on file over three years

Compared with the median facility in CA, and nationally. Surveyors differ markedly between states, so the CA figure is the meaningful one.

This facility18CA median19National median11
Citations on file over three years, compared
MeasureCitations
This facility18
Median facility in CA19
Median facility nationally11

Survey history

Citations at each Life Safety survey
62018-0842019-0882022-02
Citations at each Life Safety survey
Survey dateCitations
August 1, 20186
August 14, 20194
February 10, 20228

Most-cited tags

Most-cited tags at this facility
E-00392K-07412K-03411K-03451K-03471K-03001K-03631E-00311
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
E-0039Conduct testing and exercise requirements.22019-08-14
K-0741Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.22022-02-10
K-0341Install a fire alarm system that can be heard throughout the facility.12019-08-14
K-0345Have approved installation, maintenance and testing program for fire alarm systems.12022-02-10
K-0347Properly provide smoke detection systems in areas open to corridors.12018-08-01
K-0300Meet other general requirements that are deficient.12022-02-10
K-0363Install corridor and hallway doors that block smoke.12018-08-01
E-0031Provide emergency officials' contact information.12022-02-10

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 7
  • Emergency Preparedness Deficiencies 6
  • Miscellaneous Deficiencies 3
  • Egress Deficiencies 1
  • Other 1
Citations by CMS category
CategoryCitations
Smoke Deficiencies7
Emergency Preparedness Deficiencies6
Miscellaneous Deficiencies3
Egress Deficiencies1
Gas, Vacuum, and Electrical Systems Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

February 10, 2022 — 8 citations

Citations issued on February 10, 2022
TagWhat the surveyor checksStatus
E-0004Develop and maintain an Emergency Preparedness Program (EP).Deficient, Provider has date of correction (March 15, 2022)
E-0013Develop Emergency Preparedness policies and procedures.Deficient, Provider has date of correction (March 15, 2022)
E-0031Provide emergency officials' contact information.Deficient, Provider has date of correction (March 15, 2022)
K-0300Meet other general requirements that are deficient.Deficient, Provider has date of correction (March 15, 2022)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (March 15, 2022)
K-0351Install an approved automatic sprinkler system.Deficient, Provider has date of correction (March 15, 2022)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (March 15, 2022)
K-0741Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.Deficient, Provider has date of correction (March 15, 2022)

August 14, 2019 — 4 citations

Citations issued on August 14, 2019
TagWhat the surveyor checksStatus
E-0039Conduct testing and exercise requirements.Deficient, Provider has date of correction (September 9, 2019)
K-0341Install a fire alarm system that can be heard throughout the facility.Deficient, Provider has date of correction (September 9, 2019)
K-0352Properly install and monitor supervisory attachments on automatic sprinkler systems.Deficient, Provider has date of correction (September 9, 2019)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (September 9, 2019)

August 1, 2018 — 6 citations

Citations issued on August 1, 2018
TagWhat the surveyor checksStatus
E-0039Conduct testing and exercise requirements.Deficient, Provider has date of correction (August 28, 2018)
E-0041Implement emergency and standby power systems.Deficient, Provider has date of correction (August 28, 2018)
K-0347Properly provide smoke detection systems in areas open to corridors.Deficient, Provider has date of correction (August 28, 2018)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (August 28, 2018)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (August 28, 2018)
K-0741Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.Deficient, Provider has date of correction (August 28, 2018)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.