| Del Rosa Villa | |
| 2018 N Del Rosa Ave, San Bernardino, California 92404 | |
| (909) 885-3261 | |
| Name | Del Rosa Villa |
|---|---|
| Location | 2018 N Del Rosa Ave, San Bernardino, California |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 104 |
| Occupancy Rate | 88.17% |
| Medicare ID (CCN) | 555195 |
| Legal Business Name | Del Rosa Villaidence Opco LLC |
| Ownership Type | For Profit - Limited Liability Company |
| Chain | Pacs Group (274 nursing homes) |
| Chain Average Overall Rating | 2.9 out of 5 |
| NPI Number | 1134527500 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Del Rosa Villaidence Opco, LLC |
| Doing Business As | Del Rosa Villa |
| Address | 2018 Del Rosa Ave, San Bernardino, CA 92404 |
| Phone Number | 909-885-3261 |
| Ratings from Surveys (Inspections): | |
| Ratings from Quality Measures: | |
| Ratings from Staffing Data: | |
| Overall Rating: |
|---|
| Staffing Measure | Provider | National Avg. |
|---|---|---|
| Total nurse staff hours per resident per day | 3.84 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.3 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 1.14 | 0.86 |
| Nurse aide hours per resident per day | 2.4 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 3.55 | 3.42 |
| RN hours per resident per day on the weekend | 0.27 | 0.48 |
| Physical therapist hours per resident per day | 0.17 | 0.07 |
| Total nursing staff turnover | 49.1% | 45.8% |
| Registered nurse turnover | 33.3% | 42.9% |
| Number of administrators who have left the nursing home | 1 | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | Yes |
| Number of Fines | 1 |
| Total Amount of Fines in Dollars | $43,930 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 1 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Jun 24, 2026 | Develop, implement, and/or maintain an effective training program for all new and existing staff members. F0940, Administration, Complaint inspection | Potential for harm, isolated | Corrected by Jul 7, 2026 |
| Feb 12, 2026 | Reasonably accommodate the needs and preferences of each resident. F0558, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Mar 4, 2026 |
| Feb 12, 2026 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Mar 4, 2026 |
| Feb 12, 2026 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Mar 4, 2026 |
| Feb 12, 2026 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Mar 4, 2026 |
| Feb 12, 2026 | Provide safe and appropriate respiratory care for a resident when needed. F0695, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Mar 4, 2026 |
| Feb 12, 2026 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. F0804, Nutrition and Dietary, Standard inspection | Potential for harm, isolated | Corrected by Mar 4, 2026 |
| Feb 12, 2026 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, isolated | Corrected by Mar 4, 2026 |
| Feb 12, 2026 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. F0925, Environmental, Standard inspection | Potential for harm, isolated | Corrected by Mar 4, 2026 |
| Sep 10, 2025 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. F0627, Resident Rights, Complaint inspection | Potential for harm, isolated | Corrected by Sep 22, 2025 |
| Aug 13, 2025 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Potential for harm, isolated | Corrected by Aug 27, 2025 |
| Mar 20, 2025 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550, Resident Rights, Complaint inspection | Potential for harm, isolated | Corrected by Mar 27, 2025 |
| Feb 27, 2025 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580, Resident Rights, Complaint inspection | Potential for harm, isolated | Corrected by Mar 20, 2025 |
| Jan 24, 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. F0803, Nutrition and Dietary, Standard inspection | Potential for harm, pattern | Corrected by Feb 14, 2025 |
| Jan 24, 2025 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. F0623, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Feb 13, 2025 |
| Jan 24, 2025 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Feb 12, 2025 |
| Jan 24, 2025 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, isolated | Corrected by Feb 14, 2025 |
| Jan 24, 2025 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, isolated | Corrected by Feb 12, 2025 |
| Nov 13, 2024 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Complaint inspection | Immediate jeopardy, isolated | Corrected by Nov 29, 2024 |
| Sep 26, 2024 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Potential for harm, isolated | Corrected by Oct 21, 2024 |
| Sep 17, 2024 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Corrected by Sep 30, 2024 |
| Dec 13, 2023 | Ensure medication error rates are not 5 percent or greater. F0759, Pharmacy Service, Standard inspection | Potential for harm, pattern | Corrected by Jan 8, 2024 |
| Dec 13, 2023 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. F0553, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Jan 8, 2024 |
| Dec 13, 2023 | Keep residents' personal and medical records private and confidential. F0583, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Jan 8, 2024 |
| Dec 13, 2023 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. F0607, Freedom from Abuse, Neglect, and Exploitation, Standard inspection | Potential for harm, isolated | Corrected by Jan 8, 2024 |
| Dec 13, 2023 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609, Freedom from Abuse, Neglect, and Exploitation, Standard inspection | Potential for harm, isolated | Corrected by Jan 8, 2024 |
| Dec 13, 2023 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. F0636, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Jan 8, 2024 |
| Dec 13, 2023 | Assure that each resident’s assessment is updated at least once every 3 months. F0638, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Jan 8, 2024 |
| Dec 13, 2023 | Ensure each resident receives an accurate assessment. F0641, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Jan 8, 2024 |
| Dec 13, 2023 | Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. F0646, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Jan 8, 2024 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 15.47 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 3.47 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 0 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 23.55 | 12.8 |
| Percentage of long-stay residents who were physically restrained | 0 | 0.13 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 99.62 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.7 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 7.19 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 19.06 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 99.36 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 4.34 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 0.4 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 3.8 | 15.38 |
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