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Complaint Investigation

Rio Hondo Subacute & Nursing Center

March 28, 2025 · Montebello, CA · 273 E Beverly Boulevard
Citations 2
Beds 200
Provider ID 056487
Healthcare Facility
Rio Hondo Subacute & Nursing Center
Montebello, CA  ·  View full profile →
Inspection Summary

RIO HONDO SUBACUTE & NURSING CENTER in MONTEBELLO, CA — inspection on March 28, 2025.

Found 2 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

FF600
Minimal harm or Resident 3 was involved in a recent altercation with Resident 4 on 3/22/2025. The Evaluation indicated Few Resident 3 was reported by staff to show mild anxiety. affected

During a review of Resident 3's Admission Record (AR), the AR indicated Resident 3 was admitted to the facility on [DATE] with a diagnoses of heart failure, abnormalities of gait (walking) and mobility, and dysphagia (difficulty swallowing).

During a review of Resident 3's History and Physical (H&P) dated 3/15/25, the HPE indicated Resident 3 had the capacity to understand and make decisions.

During a review of Resident 3's Minimum Data Set (MDS- a resident assessment tool) dated 3/17/25, the MDS indicated Resident 3 required set up or clean up assistance with eating. Resident 3 required supervision (helper provided cues) with oral hygiene, upper body dressing and personal hygiene.

The MDS initiated Resident 3 required partial/moderate assistance (helper does less than half the effort) for toileting hygiene, shower, lower body dressing and putting on/taking off of footwear.

During a review of Resident 3's Situation Background, Action and Response (SBAR) dated 3/22/25, the SBAR indicated Resident 3 was allegedly hit by Resident 4 on the left elbow with Resident 4's wheelchair armrest.

During a review of Resident 3's Statement for Abuse/ Neglect Allegation, dated 3/22/25, the Statement indicated Resident 3 was hit on the left elbow by Resident 4 with Resident 4's wheelchair arm rest that was removed by Resident 4.

The Statement indicated that an assessment was conducted on Resident 3 with no signs of distress pain, and injuries.

The Statement indicated Resident 3 and Resident 4 were immediately separated.

During a review of Resident 3's Care Plan titled, Resident was allegedly hit by another patient, initiated on 3/22/25, the Care Plan indicated to monitor resident for 72 hours and for a wellness check by social services for 72 hours.

056487

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 056487 B.

Wing 03/28/2025

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

Rio Hondo Subacute & Nursing Center 273 E Beverly Boulevard Montebello, CA 90640

During a review of Resident 6's History and Physical Examination (HPE, a comprehensive physician's note regarding the assessment of the Patient's health status) dated 11/23/2024, the HPE indicated Resident 6 had the capacity to understand and make decisions.

During a review of Resident 6's Minimum Data Set (MDS, a comprehensive standardized assessment and screening tool) dated 2/14/2025, the MDS indicated the Resident 6's cognition (thought process) was intact.

During a review of Resident 6's Monthly Weights dated 2/5/2025, the Monthly Weights record did not have a documentation of Residents 8's weight upon admission to the facility on [DATE].

During a review of Resident 6's Nutritional assessment dated [DATE], written by Registered Dietitian (RD)1, the Assessment indicated Resident 6's post dialysis weight was 169.4 lbs.

During a review of Resident 6's Weights and Vitals Summary, the summary indicated that Resident 6's weight on 2/8/2025 was recorded as 169.4 lbs. from the Hemodialysis Communication Records Post Dialysis Treatment.

During a review of Resident 6's Hemodialysis Communication Records dated 3/3/2025, the Record indicated Resident 6's post dialysis weight was 167.6 lbs.

056487

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 056487 B.

Wing 03/28/2025

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

Rio Hondo Subacute & Nursing Center 273 E Beverly Boulevard Montebello, CA 90640

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 MONTEBELLO, 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 RIO HONDO SUBACUTE & NURSING CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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