Nursing homes › California › Rose Villa Health Care Center
9028 Rose Street, Bellflower, CA 90706 · 5629254252 · 53 certified beds
Per CMS filings, this facility is affiliated with The Ensign Group, a group operating 346 facilities in 17 states. Group record: average rating 3.2/5, 33 abuse citation icons, 9 facilities on the Special Focus list, $7,179,329 in federal fines. This facility rates below its group average (3.2/5).
Total nurse staffing: 4.07 (California median: 4.24). RN hours: 0.66. Weekend total: 3.56. Nursing staff turnover: 33%.
All-time on record: 50 deficiency citations. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-02-13 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | E | complaint | corrected 2026-03-17 |
| 2026-02-13 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | complaint | corrected 2026-03-17 |
| 2026-02-13 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | complaint | corrected 2026-03-17 |
| 2026-02-13 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | complaint | corrected 2026-03-17 |
| 2026-01-16 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | complaint | corrected 2026-02-07 |
| 2025-11-26 | Ensure that residents are free from significant medication errors. | E | complaint | corrected 2025-12-22 |
| 2025-04-24 | Ensure each resident receives an accurate assessment. | E | Health | corrected 2025-05-23 |
| 2025-04-24 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Health | corrected 2025-05-23 |
| 2025-04-24 | Implement a program that monitors antibiotic use. | E | Health | corrected 2025-05-23 |
| 2025-04-24 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | Health | corrected 2025-05-23 |
| 2025-04-24 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Health | corrected 2025-05-23 |
| 2025-04-24 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Health | corrected 2025-05-23 |
| 2025-04-24 | 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. | D | Health | corrected 2025-05-23 |
| 2025-04-24 | 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. | D | Health | corrected 2025-05-23 |
| 2025-04-24 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Health | corrected 2025-05-23 |
| 2025-04-24 | Provide and implement an infection prevention and control program. | D | Health | corrected 2025-05-23 |
| 2024-04-07 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Health | corrected 2024-05-07 |
| 2024-04-07 | 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. | E | Health | corrected 2024-05-07 |
| 2024-04-07 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | Health | corrected 2024-05-07 |
| 2024-04-07 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | E | Health | corrected 2024-05-07 |
| 2024-04-07 | 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. | E | Health | corrected 2024-05-07 |
| 2024-04-07 | 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. | E | Health | corrected 2024-05-07 |
| 2024-04-07 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Health | corrected 2024-05-07 |
| 2024-04-07 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | D | Health | corrected 2024-05-07 |
| 2024-04-07 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Health | corrected 2024-05-07 |
| 2024-04-07 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Health | corrected 2024-05-07 |
| 2024-04-07 | 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. | D | Health | corrected 2024-05-07 |
| 2024-04-07 | Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | D | Health | corrected 2024-05-07 |
| 2024-04-07 | Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. | D | Health | corrected 2024-05-07 |
| 2024-04-07 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | D | Health | corrected 2024-05-07 |
| 2024-04-07 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | D | Health | corrected 2024-05-07 |
| 2024-04-07 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Health | corrected 2024-05-07 |
| 2024-04-07 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | D | Health | corrected 2024-05-07 |
| 2024-03-05 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | complaint | corrected 2024-03-29 |
| 2023-10-13 | Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | D | complaint | corrected 2023-11-06 |
No federal fines or payment denials on record.
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| FLAGSTONE HEALTHCARE SOUTH LLC | Direct Ownership Interest | Organization | NOT APPLICABLE | since 01/30/2006 |
| THE ENSIGN GROUP INC | Indirect Ownership Interest | Organization | NOT APPLICABLE | since 01/30/2006 |
| HOWELL, DAVID | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 06/05/2013 |
| POLE, SHIVANAND | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 03/01/2024 |
| WILLITS, ADAM | Corporate Director | Individual | NOT APPLICABLE | since 04/29/2019 |
| BURNAM, SOON | Corporate Officer | Individual | NOT APPLICABLE | since 01/30/2006 |
| KEETCH, CHAD | Corporate Officer | Individual | NOT APPLICABLE | since 03/01/2011 |
| HOWELL, DAVID | Operational/Managerial Control | Individual | NOT APPLICABLE | since 06/05/2013 |
| POLE, SHIVANAND | Operational/Managerial Control | Individual | NOT APPLICABLE | since 03/01/2024 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 056104. Corrections: data@carerecords.org.