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Health Inspection

Villa Del Sol Post Acute

April 4, 2025 · Bellflower, CA · 16910 Woodruff Ave.
Citations 3
CMS Rating 1/5
Beds 99
Provider ID 055918
Healthcare Facility
Villa Del Sol Post Acute
Bellflower, CA  ·  View full profile →
Inspection Summary

VILLA DEL SOL POST ACUTE in BELLFLOWER, CA — inspection on April 4, 2025.

Found 3 citations. 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.

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Inspection Findings

FF759
Minimal harm or medications due to be administered to Resident 25 at this time but there will be others due later. Some affected

The facility failed to hold blood pressure medication for Resident 46 and Resident 81 when blood pressure was lower than the ordered parameters (standards to measure set by physician, before administering medication).

These deficinet practices had the potential for Resident's 46 and Resident 8's blood pressure to drop causing dizziness, weakness or other medical emergencies.

45777

51860

A.

During an observation of medication administration on 4/2/25 at 8:02 AM with the Licensed Vocational Nurse (LVN 1), LVN 1 was observed preparing the following medications for Resident 25 by crushing and mixing them with a small amount of water for preparation to administer via gastrostomy tube (g-tube - a tube surgically inserted into the stomach for administration of medication and nutrition):

1.One tablet of metformin (a medication used to control blood sugar) 1000 milligrams (mg - a unit of measure for mass.)

2.One tablet of metoclopramide (a medication used to treat nausea) 10 mg.

During a concurrent observation and interview on 4/2/25 at 8:09 AM, LVN 1 stated Resident 25 also requests a medication to treat mild pain. LVN 1 was observed preparing the following medication additionally:

3.Two tablets of acetaminophen (a medication used to treat mild pain) 325 mg.

055918

Form Approved OMB

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.

Building 055918 B.

Wing 04/04/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Villa Del Sol Post Acute 16910 Woodruff Ave.

Bellflower, CA 90706

During a concurrent observation and interview on 4/2/25 at 8:09 AM, LVN 1 stated Resident 25 also requests a medication to treat mild pain. LVN 1 was observed preparing the following medication additionally:

3.Two tablets of acetaminophen (a medication used to treat mild pain) 325 mg.

055918

Form Approved OMB

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.

Building 055918 B.

Wing 04/04/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Villa Del Sol Post Acute 16910 Woodruff Ave.

Bellflower, CA 90706

During a phone interview on 4/3/2025, at 9:23 a.m., with Contracted Testing Company [NAME] President of Sales (CTCVP), CTCVP stated, he sent the letter on 3/15/2024 to inform the facility regarding scheduled testing on 4/23/2024 at 11 a.m., but previous Administrator cancelled the testing. CTCVP stated, he reminded him regarding water management program indicated annual testing even though it was not mandatory per Center for Medicare and Medicaid Services (CMS- the federal agency that provides health coverage to more than 160 million through Medicare, Medicaid, the Children's Health Insurance Program, and the Health Insurance Marketplace). CTCVP stated, most of the facilities did testing every three to six months with minimum of yearly testing for infection control surveillance (close observation) purpose.

055918

Form Approved OMB

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.

Building 055918 B.

Wing 04/04/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Villa Del Sol Post Acute 16910 Woodruff Ave.

Bellflower, CA 90706

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in BELLFLOWER, CA, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from VILLA DEL SOL POST ACUTE or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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