San Bernardino, CA · Medicare-certified · 104 beds
Needs attention
Abuse citationFor-profitChain member
★★★★★2 of 5 overall
Del Rosa Villa has a 2-star overall rating, with low staffing at 1 star and nurse staffing below the federal benchmark (3.76 vs. 4.1 hours per resident per day). It also has a recent abuse citation and $43,930 in fines over the last 24 months, while quality measures are rated 5 stars.
Last inspection: February 12, 2026Penalties, last 24 months: $43,930recent abuse citation
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.7643.
Staffing detail
Registered nurses
0.22
Licensed practical nurses
1.20
Nurse aides
2.35
Weekend nursing
3.46
Hours per resident per day.
Total staff turnover: 51%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Last yrNowTrend
Long-stay residents on antipsychotic medication
11.8%2.9%Improving
Residents with a fall causing major injury
0%0%No change
Residents with pressure ulcers (bedsores)
2.1%4.7%Worsening
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
6.3%3%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
16.4%15.7%Improving
Residents whose ability to walk got worse
0%11.9%Worsening
Long-stay residents on antianxiety or sleep medication
21.6%15.8%Improving
Short-stay residents newly given an antipsychotic
0%1.5%Worsening
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
5.3%0%Improving
Residents with depressive symptoms
31.7%24.2%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—99.4%—
Short-stay residents given the pneumonia vaccine
99.3%99.2%No change
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited November 2024 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The home failed to ensure meals and menus were planned, updated, and followed to meet residents’ nutritional needs. Cited January 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 803 — 42 CFR §483.60 — S/S: E
The nursing home failed to keep medication mistakes below the allowed level. Cited December 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 759 — 42 CFR §483.45(f)(1) — S/S: E
The home failed to give an adequate reason and proper information when transferring or discharging a resident. Cited June 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 622 — 42 CFR §483.15 — S/S: E
The nursing home failed to reasonably accommodate each resident’s needs and preferences. Cited February 2026 — isolated incident, potential for harm.
View the original federal record
F-Tag 558 — 42 CFR §483.10 — S/S: D
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 8 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
PENALTY
A federal fine of $43,930 was recorded.
Penalties & enforcement
On record with Medicare: 1 fine · $43,930 in total fines.
Federal fine
Nov 13, 2024
$43,930
Operator & ownership
Ownership
For profit - Limited Liability company
Chain
Part of PACS GROUP · 279 homes · 3 stars avg
Occupancy
95.1 residents on an average day (91% of 104 beds)
Resident voice
Resident council
Medicare history
Certified for 41 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.