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Nursing HomeMedicaid Investigative

Del Rosa Villa

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

2018 N Del Rosa Ave, Pacific · San Bernardino, CA 92404104 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
3.7/5

based on 125 Google reviews

5
4
3
2
1
Del Rosa Villa Nursing Home in San Bernardino, CA — Street View
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6/ 10
high Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Abuse citation on record
  • Low overall rating (2/5 stars)
  • Low staffing rating (2/5 stars)
  • High staff turnover (52%)

Below average in CA · Critically understaffed (RN) · Below chain average · $43,930 in fines · Abuse citation

Source: Medicare data

What this means for your family

This facility offers excellent physical therapy and a highly engaging activities program that can greatly improve a resident's quality of life. However, families must remain vigilant regarding call light responsiveness and hygiene, as multiple reports indicate that staff can be stretched too thin to respond promptly to urgent needs.

Google Reviews

Google Reviews

125 reviews on Google
Del Rosa Villa is highly regarded by many for its vibrant activities department and dedicated physical therapy team that aids in patient recovery. However, families should be aware of serious, recurring allegations regarding delayed response to call lights and inconsistent hygiene standards. While some recent reviews praise the cleanliness and new management, older and more recent critical reviews highlight significant concerns regarding staff responsiveness and neglect.

Quality Themes

Tap a score for details
Food4.0Staff5.0Clean5.0Activities9.0Meds2.0MemoryN/AComms3.0ValueN/A

Strengths

  • Engaging activities and social programs
  • Effective physical therapy and rehabilitation
  • Friendly and caring nursing assistants
  • Clean and well-maintained environment (in recent reviews)

Concerns

  • Delayed response to call lights and emergency cords (mentioned by 5 reviewers)
  • Inconsistent hygiene and cleanliness issues (mentioned by 4 reviewers)
  • Unprofessional or rude communication from administration/staff (mentioned by 4 reviewers)
  • Issues with medication management or administration (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

234'16(1)'18(5)'20(13)'22(29)'24(7)'26(4)

Distribution · 126 analyzed

5
73
4
11
3
2
2
6
1
34
15 reviews posted between Sep 1, 2019Sep 5, 2019 · 15 were 5-star

How They Respond to Reviews

17%response rate
Generic

The owner uses highly templated, repetitive responses that fail to address specific allegations such as medical neglect, cleanliness, or fraudulent reviews. Every response follows a rigid structure of thanking the user and providing a contact number or a standard polite phrase.

Questions for Your Tour

  • 1We've heard great things about your social programs; could you tell us more about the specific types of engaging activities planned for the residents each week?
  • 2With the focus on rehabilitation here, how does the physical therapy team work with residents to help them regain their independence?
  • 3How does the nursing team ensure that call lights and emergency cords are responded to promptly, especially during busy night shifts?
  • 4Could you walk us through your process for medication management to ensure everything is administered accurately and on schedule?
  • 5What steps is the administration taking to ensure consistent communication and updates for families regarding their loved one's care?
  • 6How does the facility manage dining services to ensure meals are both nutritious and enjoyable for the residents?

Personalized based on this facility's data


Key Review Excerpts

The gentleman in physical therapy is a true miracle worker. He was able to consistently work with my daughter an after a full yr was has been able to get herself out of bed and to the bathroom!

Long-term resident's family · 2023★★★★★

The activity department does very good with decorations for every holiday they cook different meals they are the best marketa take us out to the casino they have different activities for us to do they take us out shopping

Resident · 2025★★★★★

I was having some issues with my daughters care and he addressed it within 10 minutes.

Long-term resident's family · 2023★★★★★
Source: 125 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.22hrs
29%
Registered nurses for medical care
Total Nursing
3.76hrs
92%
All nurses + aides combined
Staff Turnover
51%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
5/ 5
Better Than Avg

14

measures

Worse Than Avg

3

measures

Long-Stay Residents
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility1.7%
Better than Avg
Here
1.7%
US
19.4%
CA
10.7%
San bernardino
8.5%
😔

Residents with depression symptoms

↓ Lower is better
This Facility23.9%
Worse than Avg
Here
23.9%
US
12.1%
CA
7.0%
San bernardino
10.2%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💊

Residents on antipsychotic medication

↓ Lower is better
This Facility5.6%
Better than Avg
Here
5.6%
US
15.4%
CA
11.6%
San bernardino
9.0%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility7.2%
Better than Avg
Here
7.2%
US
15.3%
CA
10.5%
San bernardino
10.7%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
CA
98.6%
San bernardino
98.8%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility19.5%
Worse than Avg
Here
19.5%
US
19.5%
CA
13.7%
San bernardino
17.1%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility99.4%
Better than Avg
Here
99.4%
US
79.7%
CA
93.2%
San bernardino
93.9%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility99.5%
Better than Avg
Here
99.5%
US
81.8%
CA
94.2%
San bernardino
97.1%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.3%
Better than Avg
Here
0.3%
US
1.6%
CA
1.5%
San bernardino
1.2%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

10deficiencies
1penalties
Near state avg (15.4)
8 complaint-triggered
$43,930 in fines

Del Rosa Villa shows concerning patterns with families filing multiple complaints about resident protection and care quality. The facility has recurring problems with safety hazards, resident rights violations, and medication management across multiple inspections. Most troubling, recent deficiencies from 2026 remain uncorrected, including basic safety issues and care planning failures, suggesting ongoing operational challenges that families should carefully evaluate.

Feb 12, 2026Routine
12
0223Potential for harm · WidespreadCorrected

Egress Deficiencies

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

0804Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0925Potential for harm · IsolatedCorrected

Environmental Deficiencies

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

0558Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

0353Potential for harm · IsolatedCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0363Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0923Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

Sep 10, 2025Complaint
1
0627Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

Aug 13, 2025Complaint
1
0600Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Mar 20, 2025Complaint
1
0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Feb 27, 2025Complaint
1
0580Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Jan 24, 2025Routine
9
0803Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

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.

0623Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

0755Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0812Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0161Potential for harm · IsolatedCorrected

Construction Deficiencies

Use approved construction type or materials.

0347Potential for harm · IsolatedCorrected

Smoke Deficiencies

Properly provide smoke detection systems in areas open to corridors.

0363Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0712Minimal · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

Federal Penalties

Fine

Nov 13, 2024

$43,930

Ownership & Operations

Who Operates This Facility

Owner / Operator

Del Rosa Villa

Organization Type

for profit

Chain Affiliation

Chain Name

Pacs Group

Chain Size

279 facilities nationwide

Chain avg rating: 2.9/5 · Rank 192 of 260

Ownership & Management

Owners

Providence Group of Southern California LLC

Owner · Organization

100%

Key personnel

Eskander, AshrafContracted Managing EmployeeJenkins, NicolettaW-2 Managing EmployeeApt, FrederickOfficer / DirectorHancock, MarkOfficer / DirectorJergensen, JoshuaOfficer / Director
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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