Rose Villa Health Care Center
ROSE VILLA HEALTH CARE CENTER in BELLFLOWER, CA — inspection on November 26, 2025.
Found 1 citation. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
During an interview on 11/26/2025, at 3:50 p.m. LVN 2 stated on 11/15/2025 she administered Resident 4's 9 am scheduled medications late due to the facility being short staffed that day. LVN 2 stated the facility policy states medications can be given up to one hour before or one hour after the scheduled time. LVN 2 stated administered medications after the scheduled time leads to potential risk of overdosage or underdosage of medication.
During an interview on 11/26/2025, at 4:05 p.m. LVN 3 stated on 11/19/2025 she administered Resident 4's 9 a.m. scheduled medications about three hours late due to being busy with other residents. LVN 3 stated she did not ask for help from her coworkers because everyone seemed busy.
During an interview on 11/26/2025, at 4 p.m., the DON stated when residents do not receive their medications on time as prescribed and scheduled, the resident is at risk for underdosage or overdosage if the medications are given too close together.
The DON stated that administering certain medications late that directly affect the heart rate and blood pressure can cause harm to the resident.
The DON stated, the although the licensed nurses are instructed to ask for help when they anticipate they are falling behind on administering medications, they often choose not to ask for assistance.
The DON stated that the facility will call in additional nurses to work to cover shifts that are short staffed.
The DON stated she was not aware of any short staffing on 11/15/2025 or 11/19/2025.During a review of the facility's Policy and Procedure (P&P) titled, Medications Administration, revised 2012, the P&P indicated medications are administered within 60 minutes of scheduled time, except before or after meals orders, which are administered based on mealtimes.
Facility ID: