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Nursing HomeMedicaid Investigative

Rio Hondo Subacute & Nursing Center

On Medicare Special Focus status, a serious quality warning. Visit in person and ask tough questions before deciding.

273 E Beverly Boulevard, South Montebello · Montebello, CA 90640200 bedsLicensed & Active
Google rating
2.6/5

based on 76 Google reviews

5
4
3
2
1

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What this means for your family

This facility presents significant risks regarding medical safety and basic hygiene. While the rehabilitation therapists are often praised, the frequent reports of medication errors and unresponsive call lights are critical red flags. If you choose this facility, you must act as a constant, daily advocate for your loved one's medication and hygiene needs.

Google Reviews

Google Reviews

76 reviews on Google
Families considering Rio Hondo should exercise extreme caution due to frequent reports of severe medical neglect, including medication errors, failure to respond to call lights, and hygiene issues. While some individuals praise specific rehabilitation therapists and certain nursing staff for being kind, the prevailing sentiment highlights significant concerns regarding patient safety and basic care standards.

Quality Themes

Tap a score for details
Food2.0Staff2.0Clean2.0Activities5.0Meds1.0MemoryN/AComms2.0ValueN/A

Strengths

  • Kind and professional rehabilitation therapists
  • Clean appearance of the building exterior
  • Occasional highly attentive individual nurses

Concerns

  • Failure to respond to call lights and patient needs (mentioned by 8 reviewers)
  • Medication errors and mismanagement (mentioned by 3 reviewers)
  • Poor communication from administration and social workers (mentioned by 3 reviewers)
  • Unpleasant facility odors and cleanliness issues (mentioned by 3 reviewers)
  • Unprofessional or rude front desk/reception staff (mentioned by 3 reviewers)

Rating Trends

Tap a year to see what changed

234'13(1)'16(3)'18(4)'20(3)'22(6)'24(19)'26(9)

Distribution · 76 analyzed

5
27
4
3
3
2
2
4
1
40

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1We've heard wonderful things about the rehabilitation therapists here; could you tell us more about how the therapy team works with residents to meet their physical goals?
  • 2How does the nursing team manage call lights and ensure that residents' immediate needs are addressed promptly throughout the day and night?
  • 3What specific protocols are in place to ensure medication is administered accurately and managed safely for every resident?
  • 4Could you describe the daily dining experience, including how much input residents have in their meal options and how the cleanliness of the dining area is maintained?
  • 5How does the administration and social work team keep families updated on any changes in a resident's health or well-being?
  • 6What kind of daily activities or social programs are available to help residents stay engaged and connected with one another?

Personalized based on this facility's data


Key Review Excerpts

The staff which includes doctors, nurses, social workers, physical and occupational therapists were all extremely helpful and kind. I must single out two individuals that went above and beyond Dr. Taylor and RN Natalie.

Long-term resident's family · 2024★★★★★

My grandfather was there for one week and almost killed him by not. Giving him his insulin and when I asked when was the last time it was given they couldn't tell me he was...

Long-term resident's family · 2025☆☆☆☆

I'm a patient here at rio hondo and have been here a year and a half. There's this guy named Jesus he is retaliating against me and throwing away my personal food I purchase out of pocket.

Current resident · 2024☆☆☆☆
Source: 76 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.48hrs
64%
Registered nurses for medical care
Total Nursing
4.25hrs
OK
All nurses + aides combined
Staff Turnover
63%
Lower is better (< 30% = good)
RN Turnover
70%
Lower is better (< 30% = good)

RN hours are below the national benchmark. RNs handle complex medical needs and medication, so ask about coverage during your visit.

Quality Measures

Quality Measures

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

Better Than Avg

7

measures

Worse Than Avg

7

measures

Mixed Results

3

measures

Long-Stay Residents
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility74.4%
Worse than Avg
Here
74.4%
US
95.5%
CA
98.2%
Los angeles
97.8%
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.4%
Better than Avg
Here
0.4%
US
12.1%
CA
7.0%
Los angeles
8.7%

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

💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility9.4%
Better than Avg
Here
9.4%
US
19.5%
CA
13.7%
Los angeles
10.8%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility5.8%
Better than Avg
Here
5.8%
US
15.5%
CA
11.7%
Los angeles
11.4%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility90.9%
Worse than Avg
Here
90.9%
US
93.4%
CA
98.6%
Los angeles
99.1%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility7.7%
Better than Avg
Here
7.7%
US
14.4%
CA
10.4%
Los angeles
12.5%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility64.3%
Worse than Avg
Here
64.3%
US
81.8%
CA
94.2%
Los angeles
94.5%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility70.8%
Worse than Avg
Here
70.8%
US
79.8%
CA
93.2%
Los angeles
92.5%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility1.7%
Worse than Avg
Here
1.7%
US
1.6%
CA
1.5%
Los angeles
1.5%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

47deficiencies
11penalties
129 complaint-triggered
$388,586 in fines

This facility has a concerning pattern with 204 deficiencies across 57 surveys, with 132 complaints filed by families. Recurring problems include safety hazards and accident prevention, infection control, and medication management. While most issues appear to be corrected, recent 2026 violations including pressure ulcer care, resident rights, and abuse prevention policies remain uncorrected, suggesting ongoing serious problems that persist despite inspections.

Apr 24, 2026Complaint
1
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.

Apr 22, 2026Complaint
1
0585Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Feb 10, 2026Routine
24
0552Potential for harm · PatternCorrected

Resident Rights Deficiencies

Ensure that residents are fully informed and understand their health status, care and treatments.

0558Potential for harm · PatternCorrected

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

0578Potential for harm · PatternCorrected

Resident Rights Deficiencies

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.

0761Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

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.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

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

0842Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0353Potential for harm · PatternCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0914Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

0628Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

0655Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

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.

0676Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0686Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0690Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

0698Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate dialysis care/services for a resident who requires such services.

0712Potential for harm · IsolatedCorrected

Nursing and Physician Services Deficiencies

Ensure that the resident and his/her doctor meet face-to-face at all required visits.

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.

0756Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

0351Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install an approved automatic sprinkler system.

0761Potential for harm · IsolatedCorrected

Miscellaneous Deficiencies

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

0032Minimal · WidespreadCorrected

Emergency Preparedness Deficiencies

Provide primary/alternate means for communication.

0039Minimal · WidespreadCorrected

Emergency Preparedness Deficiencies

Conduct testing and exercise requirements.

Jan 20, 2026Complaint
8
0686Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0561Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

0563Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.

0585Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

0607Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

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.

0745Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide medically-related social services to help each resident achieve the highest possible quality of life.

Dec 23, 2025Complaint
1
0557Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

Dec 11, 2025Complaint
1
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.

Federal Penalties

Fine

Jan 20, 2026

$82,250

Fine

Jun 11, 2025

$9,698

Fine

Mar 1, 2025

$129,784

Payment Denial

Mar 1, 2025

38-day denial

Payment Denial

Jan 8, 2025

3-day denial

Fine

Jan 8, 2025

$47,405

Fine

Sep 27, 2024

$45,625

Payment Denial

Sep 27, 2024

6-day denial

Payment Denial

Mar 7, 2024

6-day denial

Fine

Mar 7, 2024

$39,299

Fine

Sep 9, 2023

$34,525

Ownership & Operations

Who Operates This Facility

Owner / Operator

Rio Hondo Subacute & Nursing Center

Organization Type

for profit

Chain Affiliation

Chain Name

Genesis Healthcare

Chain Size

187 facilities nationwide

Ownership & Management

Owners

9560 Pico LLC

Owner (parent company) · Organization

Bold Quail Holdings LLC

Owner (parent company) · Organization

Bq Operations Holdings LLC

Owner (parent company) · Organization

Gen Bq Jv Holdings LLC

Owner (parent company) · Organization

Gen Operations I LLC

Owner (parent company) · Organization

Gen Operations II LLC

Owner (parent company) · Organization

Genesis Healthcare INC

Owner (parent company) · Organization

Genesis Healthcare LLC

Owner (parent company) · Organization

Genesis Holdings LLC

Owner (parent company) · Organization

Ghc Jv Holdings LLC

Owner (parent company) · Organization

Newgen LLC

Owner (parent company) · Organization

Pico Ar LLC

Owner (parent company) · Organization

Sun Healthcare Group INC

Owner (parent company) · Organization

Robin, Aaron

Owner (parent company)

Tress, Avrohom

Owner (parent company)

Whitman, Arnold

Owner (parent company)

Sundance Rehabilitation Holdco INC

Owner (parent company) · Organization

Welltower Op, LLC

Owner (parent company) · Organization

Zac Properties Xi LLC

Owner (parent company) · Organization

Fishman, Steven

Owner (parent company)

Key personnel

Robin, AaronManaging Control - Governing BodyNewgen Administrative Services, LLCManagerDhawan, RahulManagerDor-Oscar, MarieManagerFung, JessicaManager
Source: Medicare provider data

Contact

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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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