Rio Hondo Subacute & Nursing Center
Inspection Findings
F-Tag F0550
F 0550 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
During a concurrent interview and record review of the facility's P&P titled Quality of Life – Dignity, dated 2/2021, on 9/17/2025 at 3:45 PM with the ADM. The ADM stated that it is not appropriate for any staff to say derogatory names to residents such as stupid old man.
During an interview on 9/18/2025 at 9:22 AM with Scheduler 1, Scheduler 1 stated that she assisted in translating a foreign language for the Administrator (ADM) and Resident 4 on 9/9/2025. Scheduler 1 reported that Resident 4 stated that he overheard an unknown CNA in the hallway say, this old man.
Resident 4 also provided possible names and mentioned a name that was very close to CNA 2's name, as well as CNA 1's name and described the CNA's height and gender. Scheduler 1 stated that Resident 4 described the CNA's comment as disrespectful and noted that there was no prior situation that might have prompted the CNA's remark.
Event ID:
Facility ID:
If continuation sheet
Printed: 04/13/2026 Form Approved OMB No. 0938-0391
Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
B. Wing
A. Building
(X3) DATE SURVEY COMPLETED
11/13/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Rio Hondo Subacute & Nursing Center
273 E Beverly Boulevard Montebello, CA 90640
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F-Tag F0656
F 0656 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
one-to-one sitter on 9/16/2025 at 11:42 AM and on 9/17/2025 at 12:52 PM. During a concurrent record
review and interview on 9/17/2025 at 2:25PM with the Assistant Director of Nursing (ADON) 1, Resident 2's CP related to inappropriate behavior, dated 9/8/2025, was reviewed. The ADON 1 stated Resident 2 was placed on one-to-one supervision because Resident 2 was getting more confused. The ADON 1 stated, one-to-one supervision meant there was always a staff member with Resident 2. The ADON 1 stated, if the one-to-one sitter needs to step out, another staff member must relieve the sitter and stay with Resident 2 until the sitter comes back. The ADON 1 stated that Resident 2's CP was not implemented because Resident 2 did not always have a one-to-one sitter. During a concurrent record review and interview on 9/17/2025 at 2:35 PM with ADON 1, Resident 2's CP related to inappropriate behavior, dated 9/8/2025, was reviewed. ADON 1 stated Resident 2's CP to monitor for episodes of inappropriate touching was vague and was not specific to Resident 2's inappropriate behaviors. During a concurrent record review and interview
on 9/17/2025 at 2:35 PM with Assistant Director of Nursing (ADON) 1, Resident 2's care plan (CP) related to inappropriate behavior, dated 9/8/2025, was reviewed. ADON 1 stated that the care plan's directive to monitor for episodes of inappropriate touching was vague and not specific to Resident 2's actual behaviors.
Event ID:
Facility ID:
If continuation sheet
Printed: 04/13/2026 Form Approved OMB No. 0938-0391
Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
B. Wing
A. Building
(X3) DATE SURVEY COMPLETED
11/13/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Rio Hondo Subacute & Nursing Center
273 E Beverly Boulevard Montebello, CA 90640
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F-Tag F0732
F 0732
Post nurse staffing information every day.
Level of Harm - Minimal harm or potential for actual harm
Based on observations, interviews and record reviews, the facility failed to ensure that accurate and current nurse staffing data [total number and actual hours worked by licensed (Registered Nurses [RNs], License Vocational Nurses [LVNs]) and unlicensed nurses (Certified Nursing Assistant [CNAs])] were posted daily at
the beginning of each shift (11 PM - 7 AM, 7 AM - 3 PM, and 3 PM - 11 PM). These deficient practices of posting inaccurate and outdated nurse staffing data had the potential to mislead and prevent residents and families from verifying the facility's daily staffing levels. This could result in distrust and a perceived lack of accountability in maintaining accurate and adequate staffing necessary for timely resident care. Findings:
During a review of the facility's Policy and Procedure (P&P) Posting Direct Care Daily Staffing Number, with
a revision date of August 2022, the P&P indicated the following information: -The P&P indicated that within two hours of the beginning of each shift, the number of licensed nurses (RNs and LVNs) and the number of unlicensed nursing personnel (CNAs) directly responsible for the resident care is posted in a prominent location (accessible to residents and visitors) and in clear and readable format. -The P&P further indicated that the information recorded on the form must include among other details The actual time worked during that shift for each category and type of nursing staff. During an observation on 9/16/2025 at 9:30 AM, an untitled facility document dated 9/11/2025 (5 days prior to observation date) was observed posted in the facility's front lobby. The document posted in the front lobby indicated the Facility Census was 112. The facility document indicated the nursing staffing information according to licensed nurses and unlicensed nurses per category (RNs, LVNs, CNAs, Desk Nurse, etc.) directly responsible for resident care each shift (11 PM-7 AM, 7 AM-3 PM, 3 PM-11 PM). However, the document indicated the staffing information posted was the facility's daily projected nursing hours for licensed and unlicensed nursing hours for 9/11/2025. The document did not indicate the actual time worked on 9/11/2025, for each category and type of nursing staff.
During a concurrent interview and record review on 9/16/2025 at 9:30 AM with the Administrator (ADM), the ADM stated the facility Director of Staff Development (DSD) was out on leave since 9/27/2025 and in charge of updating and posting and filing the nursing staffing data by the facility's front lobby. The ADM stated she had not noticed that the nurse staffing data posted had not been updated since 9/11/2025.
During another interview on 9/16/2025 at 4:40 PM with the ADM, the ADM stated there was no other staff member specifically assigned to the responsibility to ensure the daily posting of nurse staffing data was updated daily each shift. The ADM stated since the DSD had gone on leave of absence, the ADM created her own staffing posting document to display the projected staffing hours at the facility lobby and not the actual time worked each shift.
Residents Affected - Some
FORM CMS-2567 (02/99) Previous Versions Obsolete
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RIO HONDO SUBACUTE & NURSING CENTER in MONTEBELLO, CA inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
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.