Rio Hondo Subacute & Nursing Center
Inspection Findings
F-Tag F0557
F 0557 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
(RN) 1 with Resident 2's fecal disimpaction. CNA 2 stated that prior to the procedure, RN 1 left the room to retrieve lubricant (a liquid agent used to reduce friction) and during that time, she engaged in a personal conversation with CNA 3 while inside Resident 2's room. During an interview with Resident 2 on 12/23/2025 at 10:05 AM, Resident 2 stated that on 12/18/2025, RN 1 and CNA 2 were performing fecal disimpaction on him (Resident 2). When RN 1 left the room to obtain lubricant, Resident 1 heard CNA 2 say aloud, What if you spit on it? Resident 2 stated that the comment made him feel uncomfortable and upset, which led him to yell at the staff. During an interview with CNA 3 on 12/23/2025 at 11:26 AM, CNA 3 stated that on 12/18/2025, she and CNA 2 were joking and discussing personal matters while waiting for RN 1 to return to Resident 2's room with lubricant. CNA 3 reported that she said, You can either hit it or quit it, to which CNA 2 responded, What if you spit on it? and laughed loudly. CNA 3 stated that Resident 2 appeared visibly upset upon hearing their conversation and began yelling at the staff. During an interview with the Director of Nursing (DON) on 12/23/2025 at 2:16 PM, the DON stated that inappropriate comments, such as those made by CNA 2, could be perceived as hurtful and offensive and may result in psychosocial harm.
The DON emphasized that staff were expected to demonstrate mutual respect toward residents and uphold their basic human dignity at all times.
Event ID:
Facility ID:
If continuation sheet
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.