34 health deficiencies
Top issue: Quality of Life and Care (10 deficiencies)
14 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Bell Gardens, CA
1-star overall rating with 1-star inspections with Special Focus status with $155,218 in total fines with 34 recent health deficiencies with 14 fire-safety deficiencies in the latest cycle
7002 Gage Avenue, Bell Gardens, CA
(562) 927-6586
Overall
1 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
0 / 5
Resident outcomes and process measures
Quick facts
Beds
12
Certified beds
Average residents
169
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Rollins-Nelson Healthcare Management
Operator or chain grouping
Approved since
2002-01-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Staffing
RN hours / resident day
0.23
Registered nurse staffing
LPN hours / resident day
0.87
Licensed practical nurse staffing
Aide hours / resident day
2.55
Nurse aide staffing
Weekend hours
3.13
Weekend nurse staffing
RN turnover
38%
Annual RN turnover
Total nurse turnover
58%
Annual nurse turnover
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 4.1 |
2.3
1.8 pts worse
|
1.9
2.2 pts worse
|
Long Stay · 20240701-20250630 |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.1 |
1.6
0.5 pts better
|
1.8
0.7 pts better
|
Long Stay · 20240701-20250630 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
98.5%
1.5 pts better
|
93.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% |
98.2%
1.8 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0.4% |
1.6%
1.2 pts better
|
3.3%
2.9 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who have depressive symptoms | 4.6% |
6.8%
2.2 pts better
|
11.4%
6.8 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who lose too much weight | 1.3% |
4.1%
2.8 pts better
|
5.4%
4.1 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 20.7% |
13.7%
7 pts worse
|
19.6%
1.1 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.4%
0.4 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents whose ability to walk independently worsened | 4.1% |
11.0%
6.9 pts better
|
16.3%
12.2 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents whose need for help with daily activities has increased | 12.1% |
10.7%
1.4 pts worse
|
14.9%
2.8 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.2% |
1.0%
0.2 pts worse
|
1.0%
0.2 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with a urinary tract infection | 0.5% |
1.2%
0.7 pts better
|
1.7%
1.2 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 2.0% |
10.9%
8.9 pts better
|
19.8%
17.8 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with pressure ulcers | 4.3% |
4.7%
0.4 pts better
|
5.1%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
94.0%
6 pts better
|
81.7%
18.3 pts better
|
Short Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents who had an outpatient emergency department visit | 3.4% |
11.2%
7.8 pts better
|
12.0%
8.6 pts better
|
Short Stay · 20240701-20250630 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 97.4% |
93.2%
4.2 pts better
|
79.7%
17.7 pts better
|
Short Stay · 2024Q3-2025Q2 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 19.9% |
23.2%
3.3 pts better
|
23.9%
4 pts better
|
Short Stay · 20240701-20250630 |
Survey summary
Top issue: Quality of Life and Care (10 deficiencies)
14 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Top issue: Quality of Life and Care (11 deficiencies)
4 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Top issue: Quality of Life and Care (4 deficiencies)
10 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Fire safety
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-05-22
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-05-22
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2025-05-22
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2025-05-22
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2025-05-22
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2025-05-22
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2025-05-22
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2025-05-22
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2025-05-22
Fire Safety
Have restrictions on the use of highly flammable decorations.
Corrected 2025-05-22
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2025-05-22
Fire Safety
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
Corrected 2025-05-22
Fire Safety
Provide primary/alternate means for communication.
Corrected 2025-05-22
Fire Safety
Conduct testing and exercise requirements.
Corrected 2025-05-22
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-05-12
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2024-05-12
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2024-05-12
Fire Safety
Have power receptacles that are properly grounded.
Corrected 2024-05-12
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2022-03-15
Fire Safety
Meet other general requirements that are deficient.
Corrected 2022-03-15
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-03-15
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2022-03-15
Fire Safety
Develop Emergency Preparedness policies and procedures.
Corrected 2022-03-15
Fire Safety
Provide emergency officials' contact information.
Corrected 2022-03-15
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2022-03-15
Fire Safety
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Corrected 2022-03-15
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2022-03-15
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2022-03-15
Inspection history
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-11-26
Health
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2025-11-26
Health
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected 2025-09-16
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2025-09-16
Health
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected 2025-09-16
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-09-16
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-07-23
Health
Provide and implement an infection prevention and control program.
Corrected 2025-07-23
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2025-07-23
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-06-12
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2025-06-12
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-06-12
Health
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Corrected 2025-05-27
Health
Provide and implement an infection prevention and control program.
Corrected 2025-05-27
Health
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2025-05-27
Health
Ensure each resident receives an accurate assessment.
Corrected 2025-05-27
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-05-27
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2025-05-27
Health
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected 2025-05-27
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-05-27
Health
Provide or get specialized rehabilitative services as required for a resident.
Corrected 2025-05-27
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-05-27
Health
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected 2025-05-27
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2025-05-27
Health
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected 2025-05-27
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2025-05-27
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-05-27
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-05-27
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2025-05-27
Health
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Corrected 2025-05-27
Health
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected 2025-05-27
Health
Ensure that residents are free from significant medication errors.
Corrected 2025-05-27
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2025-05-27
Health
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Corrected 2025-05-27
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-02-04
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-02-04
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-02-04
Health
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2025-02-04
Health
Give the resident's representative the ability to exercise the resident's rights.
Corrected 2024-12-23
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2024-12-23
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-10-09
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-10-09
Health
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2024-10-09
Health
Post nurse staffing information every day.
Corrected 2024-10-09
Health
Keep residents' personal and medical records private and confidential.
Corrected 2024-09-23
Health
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2024-09-23
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2024-09-23
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-07-02
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-06-05
Health
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected 2024-05-20
Health
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2024-05-20
Health
Provide and implement an infection prevention and control program.
Corrected 2024-06-13
Health
Implement a program that monitors antibiotic use.
Corrected 2024-06-13
Health
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Corrected 2024-05-20
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-05-20
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-05-20
Health
Respond appropriately to all alleged violations.
Corrected 2024-05-20
Health
Assure that each resident’s assessment is updated at least once every 3 months.
Corrected 2024-05-20
Health
Ensure each resident receives an accurate assessment.
Corrected 2024-05-20
Health
Honor each resident's preferences, choices, values and beliefs.
Corrected 2024-05-20
Health
Assist a resident in gaining access to vision and hearing services.
Corrected 2024-05-20
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-05-20
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-05-20
Health
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected 2024-05-20
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-06-13
Health
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2024-05-20
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2024-05-20
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2024-05-20
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2024-05-20
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-05-20
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2024-06-13
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-06-13
Health
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected 2024-05-20
Health
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2024-04-05
Health
Keep all essential equipment working safely.
Corrected 2024-04-05
Health
Provide and implement an infection prevention and control program.
Corrected 2023-10-27
Health
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Corrected 2023-07-27
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-07-21
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2023-07-21
Health
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected 2023-07-22
Health
Post nurse staffing information every day.
Corrected 2023-04-18
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2022-03-08
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2022-03-08
Health
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Corrected 2022-03-08
Health
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2022-03-08
Health
Provide and implement an infection prevention and control program.
Corrected 2022-03-08
Health
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Corrected 2022-03-08
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2022-03-08
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2022-03-08
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2022-03-08
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2022-03-08
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2022-03-08
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2022-03-08
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2022-03-08
Health
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected 2022-03-08
Penalties and ownership
Fine · fine $45,078
Fine
Fine · fine $12,048
Fine
Fine · fine $67,649
Fine
Payment Denial · denial start 2024-05-17 · 27 days
27 day denial
Fine · fine $22,253
Fine
Fine · fine $8,190
Fine
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