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Complaint Investigation

Rio Hondo Subacute & Nursing Center

Inspection Date: November 7, 2025
Total Violations 1
Facility ID 056487
Location MONTEBELLO, CA
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Inspection Findings

F-Tag F0697

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

F 0697 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some

FORM CMS-2567 (02/99) Previous Versions Obsolete

had pain on the right foot and refused to ambulate due to pain. During an interview on 11/21/2025 at 9:40 AM with the DON, the DON stated that according to Resident 1's nursing progress notes and the MAR, Resident 1 had zero level of pain and had no complaints of pain during assessment on 8/29/2025, 8/30/2025, 9/8/2025 and 9/14/2025. The DON stated he was not aware that Resident 1 had complaint of pain with ambulation according to the PT's PN. DON explained as documented, at the time the licensed staff assessed Resident 1 for pain on 8/29/2025, 8/30/2025, 9/8/2025 and 9/14/2025, Resident 1 did not report having pain. During an interview with the Physical Therapy Assistant (PTA) on 11/21/2025 at 10:40 AM, stated Resident 1 complained of right leg pain during Physical therapy on 9/8/2025, ambulation which

she reported to the nurse in charge of the resident on 9/8/25. During an interview on 11/21/2025 at 11:30 AM with the NP, stated the licensed nurses did not inform him about Resident 1's continued complaint of right leg pain during ambulation with the physical therapy on 8/5/2025, 8/29/2025, 8/30/2025, 9/8/2025 and 9/14/2025. NP stated if Resident 1 had continued right leg pain the resident should be evaluated for pain or sent to the hospital. NP started on 9/19/2025 during his visit, Resident 1 denied acute pain and he observed the right leg and ankle with a little bruise and was healing.

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📋 Inspection Summary

RIO HONDO SUBACUTE & NURSING CENTER in MONTEBELLO, CA inspection on recent inspection.

Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.

What this means: Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. All deficiencies must be corrected within required timeframes and are subject to follow-up verification.

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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