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Nursing home report

Del Rosa Villa

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.

Facility ratings

Health inspections

Staffing

3.7643 hrs/resident/day

Quality measures

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).

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).

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

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. INSPECTION

    Health inspection found 8 health deficiencies.

    See what inspectors found
  3. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  4. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  5. 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.