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Complaint Investigation

Rio Hondo Subacute & Nursing Center

August 9, 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 August 9, 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

FF0689
Quality of Life and Care Deficiencies
Potential for More Than Minimal Harm

During a review of facility's Policies and Procedures (P&P) titled Fall Management, dated 5/26/2021 indicated that the purpose of this policy is to reduce the risk of falls and minimize the occurrence of falls by addressing potential injuries and providing appropriate care for residents who experience a fall.

The policy states that residents will be assessed for fall risk as part of the nursing assessment process.

Residents identified as being at risk for falls will receive appropriate interventions to reduce the risk of falls and minimize the potential for injury.

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

08/09/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Rio Hondo Subacute & Nursing Center

273 E Beverly Boulevard Montebello, CA 90640

SUMMARY STATEMENT OF DEFICIENCIES

During an observation on 8/8/2025 at 11:21 AM in the facility's front lobby, Resident 14 was observed sitting in her wheelchair in front of the receptionist's desk. Resident 14 was observed grabbing multiple bags of groceries and putting her hands inside of each bag. Resident 14 lifted a box of yogurt from one of the bags and placed it back inside of the bag. Resident 14 then handed 2 bags, including the bag with the yogurt, to Receptionist 1.

Receptionist 1 then walked away from Resident 14 with the bags in his hands without wearing gloves.

During an interview on 8/8/2025 at 11:26 AM with Resident 14 in the front lobby, Resident 14 stated the bags on the floor near the receptionist's desk are her groceries. Resident 14 stated that she looked through each bag to make sure she received all of her items and that they were all correct. Resident 14 stated that she handed the bag to Receptionist 1 to put in her room and into the refrigerator which is in the activity room of the facility.

During an interview on 8/8/2025 at 11:27 AM with Receptionist 1 in the hallway, Receptionist 1 was observed without grocery bags in his hands.

Receptionist 1 stated he was instructed by Resident 14 to put the grocery bags inside Resident 14's room and inside of the facility's refrigerator for residents.

Receptionist 1 stated the refrigerator was inside of the activity room and any resident in the facility may put food in it.

Receptionist 1 [TRUNCATED]

Facility ID:

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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