Rio Hondo Subacute: Fly Infestation Ignored - CA
That is what federal inspectors found when they visited the facility on December 1, 2025, following a complaint.
A certified nursing assistant identified in inspection records as CNA 2 told inspectors she had reported the problem to the charge nurse and her supervisor more than once. She said she was not sure whether anything had been done about it. The answer, inspectors determined, was essentially nothing.
When inspectors spoke with the resident, identified as Resident 3, he told them the flies had been in his room for a while and that they would not go away.
The director of nursing, when interviewed that same afternoon, said he was not aware Resident 3 had flies in his room. He acknowledged that Resident 3 had a known hoarding behavior and that the resident had preferences about how his room was cleaned. The only intervention the facility had taken, the director said, was educating Resident 3 about cleanliness.
That was it. A lecture.
No pest control was called. No additional cleaning protocols were put in place. No follow-up was documented. A frontline worker had flagged the problem to her superiors, more than once, and the chain of communication stopped somewhere before it reached the person responsible for overseeing nursing care at the facility.
The inspection report classified the violation under F0925, which covers the requirement that facilities maintain a pest-free environment. The level of harm was noted as minimal harm or potential for actual harm, and the number of residents affected was listed as few. The citation was not an immediate jeopardy finding, the most serious category available to federal inspectors.
But the details tell a story that the regulatory shorthand does not fully capture. A man living in a nursing facility, dependent on staff for his care and environment, told an inspector that flies had been in his room for a while and they don't go away. A nursing assistant who saw the problem did what she was supposed to do. She told her charge nurse. She told her supervisor. She did it more than once. And still, two floors above her in the chain of command, the director of nursing sat unaware.
The facility's response to Resident 3's hoarding behavior, which management acknowledged played a role in the situation, was to tell Resident 3 to be cleaner. There is no indication in the inspection record that anyone considered whether a resident with a documented behavioral pattern might need a different approach, additional support, or more active environmental monitoring. The burden, as management framed it, rested with the resident.
Resident 3 had been living with flies in his room. He knew they were there. The aide who cleaned near his room knew they were there. Her supervisors knew they were there. And when inspectors arrived and started asking questions, the director of nursing learned about it for the first time.
Rio Hondo Subacute and Nursing Center is located in Montebello, in Los Angeles County.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Rio Hondo Subacute & Nursing Center from 2025-12-01 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.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: August 22, 2026 · Our methodology
RIO HONDO SUBACUTE & NURSING CENTER in MONTEBELLO, CA was cited for violations during a health inspection on December 1, 2025.
That is what federal inspectors found when they visited the facility on December 1, 2025, following a complaint.
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.