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Facility profile · CCN 555781

Villa Del Rio

95 federal citations on record , including 2 at the Immediate Jeopardy level, and 6 federal enforcement actions totaling $155,218.

Special Focus Status 2 Immediate Jeopardy

Record summary

Federal record · Q1 2026
95
Total citations
80
Last 3 years
5
Actual harm+
6
Federal penalties
$155,218
Total fines
1
Overall ★ rating

Most common violation categories here

Most common F-tags at this facility

Citation history

95 on record
SurveyF-TagViolationSeveritySource
Nov 18, 2025F658Ensure services provided by the nursing facility meet professional standards of quality.EComplaint
Nov 18, 2025F584Honor 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.DComplaint
Aug 26, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint
Aug 26, 2025F693Ensure 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.DComplaint
Aug 26, 2025F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.EComplaint
Aug 26, 2025F605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.EComplaint
Jun 28, 2025F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.EComplaint
Jun 28, 2025F880Provide and implement an infection prevention and control program.EComplaint
Jun 28, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JComplaint
May 28, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint
May 28, 2025F697Provide safe, appropriate pain management for a resident who requires such services.DComplaint
May 28, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Apr 24, 2025F943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.DComplaint
Apr 24, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EComplaint
Apr 24, 2025F883Develop and implement policies and procedures for flu and pneumonia vaccinations.DStandard
Apr 24, 2025F880Provide and implement an infection prevention and control program.FStandard
Apr 24, 2025F825Provide or get specialized rehabilitative services as required for a resident.EStandard
Apr 24, 2025F813Have a policy regarding use and storage of foods brought to residents by family and other visitors.FStandard
Apr 24, 2025F760Ensure that residents are free from significant medication errors.DStandard
Apr 24, 2025F758Implement 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.DStandard
Apr 24, 2025F744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.DStandard
Apr 24, 2025F698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard
Apr 24, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EStandard
Apr 24, 2025F688Provide 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.EStandard
Apr 24, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
Apr 24, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard
Apr 24, 2025F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.EStandard
Apr 24, 2025F641Ensure each resident receives an accurate assessment.EStandard
Apr 24, 2025F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard
Apr 24, 2025F578Honor 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.DStandard
Apr 24, 2025F558Reasonably accommodate the needs and preferences of each resident.DStandard
Apr 24, 2025F557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.DStandard
Apr 24, 2025F552Ensure that residents are fully informed and understand their health status, care and treatments.EStandard
Apr 24, 2025F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard
Jan 16, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Jan 16, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Jan 11, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EComplaint
Jan 11, 2025F584Honor 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.DComplaint
Dec 11, 2024F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Dec 11, 2024F551Give the resident's representative the ability to exercise the resident's rights.DComplaint
Sep 18, 2024F732Post nurse staffing information every day.CComplaint
Sep 18, 2024F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EComplaint
Sep 18, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.EComplaint
Sep 18, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.GComplaint
Sep 5, 2024F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DComplaint
Sep 5, 2024F584Honor 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.EComplaint
Sep 5, 2024F583Keep residents' personal and medical records private and confidential.EComplaint
Jun 20, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
May 29, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Apr 22, 2024F610Respond appropriately to all alleged violations.EComplaint
Apr 22, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.EComplaint
Apr 22, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.EComplaint
Apr 22, 2024F943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.FStandard
Apr 22, 2024F919Make sure that a working call system is available in each resident's bathroom and bathing area.EStandard
Apr 22, 2024F881Implement a program that monitors antibiotic use.FStandard
Apr 22, 2024F880Provide and implement an infection prevention and control program.FStandard
Apr 22, 2024F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.FStandard
Apr 22, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Apr 22, 2024F805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.DStandard
Apr 22, 2024F761Ensure 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.EStandard
Apr 22, 2024F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EStandard
Apr 22, 2024F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
Apr 22, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EStandard
Apr 22, 2024F688Provide 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.GStandard
Apr 22, 2024F685Assist a resident in gaining access to vision and hearing services.EStandard
Apr 22, 2024F675Honor each resident's preferences, choices, values and beliefs.EStandard
Apr 22, 2024F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
Apr 22, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Apr 22, 2024F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard
Apr 22, 2024F641Ensure each resident receives an accurate assessment.EStandard
Apr 22, 2024F638Assure that each resident’s assessment is updated at least once every 3 months.EStandard
Apr 22, 2024F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard
Apr 22, 2024F558Reasonably accommodate the needs and preferences of each resident.DStandard
Apr 4, 2024F908Keep all essential equipment working safely.DComplaint
Apr 4, 2024F584Honor 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.DComplaint
Sep 28, 2023F880Provide and implement an infection prevention and control program.KComplaint
Jul 6, 2023F622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.DComplaint
Jun 28, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint
Jun 28, 2023F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Jun 23, 2023F925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.FComplaint
Apr 10, 2023F732Post nurse staffing information every day.EComplaint
Feb 11, 2022F882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.FStandard
Feb 11, 2022F880Provide and implement an infection prevention and control program.FStandard
Feb 11, 2022F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.FStandard
Feb 11, 2022F838Conduct 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.FStandard
Feb 11, 2022F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
Feb 11, 2022F759Ensure medication error rates are not 5 percent or greater.EStandard
Feb 11, 2022F758Implement 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.DStandard
Feb 11, 2022F697Provide safe, appropriate pain management for a resident who requires such services.DStandard
Feb 11, 2022F695Provide safe and appropriate respiratory care for a resident when needed.FStandard
Feb 11, 2022F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
Feb 11, 2022F658Ensure services provided by the nursing facility meet professional standards of quality.EStandard
Feb 11, 2022F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Feb 11, 2022F645PASARR screening for Mental disorders or Intellectual DisabilitiesDStandard
Feb 11, 2022F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard

Federal enforcement history

Federal regulators have imposed 6 enforcement actions against this facility, including 5 civil money penalties totaling $155,218 and 1 payment-denial actions spanning 27 days.

DateTypeFinePayment denial
Jun 28, 2025Fine$45,078
Sep 5, 2024Fine$12,048
Apr 4, 2024Fine$67,649
Apr 4, 2024Payment DenialMay 17, 2024 · 27 days
Sep 28, 2023Fine$22,253
Jun 23, 2023Fine$8,190
About this record A citation is a finding by a state survey team working under federal contract. It is not a court judgment. The description above is drawn verbatim from federal public datasets. Facilities have the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.

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