Rio Hondo Subacute: Infection Control Failures - CA
Inspectors documented both failures during a complaint inspection completed August 9, 2025.
The grocery incident unfolded in plain sight. At 11:21 a.m. on August 8, inspectors watched Resident 14 sitting in her wheelchair in the facility's front lobby, in front of the receptionist's desk, sorting through multiple bags of groceries on the floor. She reached her hands into each bag, checking the contents. She lifted a box of yogurt from one bag, examined it, and placed it back. Then she handed two of the bags, including the one with the yogurt, to the receptionist on duty.
He walked away without gloves.
Resident 14 explained what she had been doing. She told inspectors she was going through each bag to make sure she had received everything she ordered and that all the items were correct. She had asked the receptionist to carry the bags to her room and to place items in the refrigerator, which is located in the activity room.
That refrigerator is not hers alone.
The receptionist confirmed he had been asked to store the groceries. He told inspectors the refrigerator in the activity room is available to any resident in the facility. By the time inspectors spoke with him at 11:27 a.m., he no longer had the bags in his hands. He had already put them away.
The inspection report cuts off before the full account of what the receptionist said next, but the sequence inspectors observed is not in dispute: a resident with rashes documented elsewhere in this same inspection had handled food, that food passed through her hands into bags now carried bare-handed by a staff member, and those bags went into a refrigerator shared by the entire resident population.
The rash tracking failure runs alongside all of it. Staff told inspectors the facility had no specific log to record when a resident's rash was first identified, which part of the body was affected, what treatment was provided, or whether that treatment did anything. The inspection report does not name a staff member who said this, but the statement is unambiguous: no log existed.
Without a log, there is no way to know whether a rash is new or worsening, whether a treatment is working or failing, or whether a pattern is developing across residents. The inspection cites the deficiency under F0880, the federal tag covering infection prevention and control, and lists the level of harm as minimal harm or potential for actual harm, with many residents affected.
That last phrase matters. The rash tracking gap does not apply to one resident. It applies across the population.
Rio Hondo Subacute and Nursing Center is a 180-bed skilled nursing facility in Montebello, in Los Angeles County. The inspection was triggered by a complaint, not a routine survey cycle.
What the report captures is a facility where the visible, everyday moments of care carry infection risk that staff are not equipped to catch. A receptionist whose job puts him in contact with residents and their belongings, handling shared food without protection. A nursing population with rashes that staff cannot trace back to a start date, cannot evaluate for treatment response, and cannot connect to any broader pattern because no one has been writing it down.
Resident 14 was doing something ordinary. She wanted to make sure her groceries arrived correctly. She checked the bags herself, the way anyone would, and she asked someone nearby to carry them for her. Nothing about that is unusual. What is unusual is that the person who took the bags from her hands, and walked them to a refrigerator used by every resident on the floor, did not think to put on gloves first.
Or did think about it, and didn't.
The inspection report does not say which.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Rio Hondo Subacute & Nursing Center from 2025-08-09 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
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Last verified: October 26, 2026 · Our methodology
RIO HONDO SUBACUTE & NURSING CENTER in MONTEBELLO, CA was cited for violations during a health inspection on August 9, 2025.
Inspectors documented both failures during a complaint inspection completed August 9, 2025.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.