California State Capitol building in Sacramento.
San Bernardino County

Del Rosa Villa Complaints, Violations and Inspection Records

Reviewed by Thomas Wallin, Young & Wallin

Data current as of the August 2026 CMS Care Compare release and the CDPH state enforcement dataset of August 27, 2024. State citation records cover July 1, 1997 through June 30, 2024.

What the public record shows

If you are looking into Del Rosa Villa in San Bernardino, whether a loved one lives there now or you are considering it, the public record is worth reading before you decide. It includes 2 citations in the state's two most serious classes, class A and class AA.

CMS overall rating 2 of 5 Health inspections 2 of 5
Nursing hours per resident per day 3.84 Compared with the California average below
California state citations 10 $55,075 in penalties
Federal fines $43,930 1 federal fine
CMS overall rating
CMS overall rating: 2 out of 5 stars.
Nursing hours per resident per day, against the California average
This facility reports 3.84 nursing hours per resident per day, below the California average of 4.52.
California state citations by year
California state citations by year, between 2003 and 2023: 10 citations on record, including 2 class A and 8 class B.

Here is what the record shows for this facility, drawn from CMS Care Compare and the California Department of Public Health:

  • CMS overall rating: 2 of 5 stars. The health inspection rating, the most independent of the three categories, is 2 of 5.
  • California state citations: 10 on record, including 2 class A and 8 class B, with $55,075 in assessed penalties.
  • Staffing: 3.84 nursing hours per resident per day; registered nurse turnover 33.3%.
  • Most recent standard inspection: 8 deficiencies cited on February 12, 2026. The most recent inspection since then was on June 24, 2026: 1 deficiency cited in the complaint inspection.
  • Federal enforcement: 1 federal fine totaling $43,930 in the reported period.
  • Ownership: Del Rosa Villaidence Opco LLC, for-profit, part of Pacs Group (274 facilities nationally).
Entrance of a California skilled nursing facility on a clear morning. Illustration on the page for Del Rosa Villa in San Bernardino, California.
Illustration. Not a photograph of Del Rosa Villa.

Del Rosa Villa ratings and staffing

Del Rosa Villa is located at 2018 N Del Rosa Ave in San Bernardino, San Bernardino County. It is a for-profit facility operated by Del Rosa Villaidence Opco LLC, part of Pacs Group, with 104 certified beds and an average of 91.7 residents a day. It accepts Medicare and Medicaid.

CMS rates every certified nursing home in three separate categories, and the overall star is a blend of them:

  • Health inspections, based on what state surveyors observe in person during unannounced visits. Weight this one most heavily, because it does not rely on data the facility reports about itself.
  • Staffing, drawn from payroll-based records of how much nursing time each resident actually receives.
  • Quality measures, built largely from data the facility submits. Read a high score here with more caution than the other two.

For Del Rosa Villa, those scores are: health inspections 2 of 5, staffing 2 of 5, quality measures 4 of 5.

Staffing. Del Rosa Villa reports 3.84 total nursing hours per resident per day, of which 0.30 are registered nurse hours. Over the reporting year, 49.1% of the nursing staff left. Registered nurses supervise aides, catch medication errors before they reach a resident, and notice when a person's condition is changing. Staffing is the single number that most reliably predicts whether a facility catches a problem early or lets it become a crisis.

Abuse warning. CMS currently flags Del Rosa Villa with its abuse icon, which marks facilities cited for abuse that led to harm, or for repeat abuse findings, in recent inspection cycles.

How this home compares in the public record

CMS publishes each home's star rating and its payroll-based staffing hours, and it publishes the federal fines it has imposed. The county and California figures beside each number are the averages across those same published records.

CMS overall rating 2 of 5 San Bernardino County average 3.81 of 5 across 54 rated homes. California average 3.16 of 5 across 1,154 rated homes
Nursing hours per resident per day 3.84 San Bernardino County average 4.63. California average 4.52
Federal fines $43,930 San Bernardino County average $8,100 per home. California average $24,666 per home

These figures are taken from public CMS Care Compare records as of August 2026 (the August 2026 release) and public CDPH records as of June 2024 (the state enforcement dataset of August 27, 2024). They are reported as published and are not a recommendation, endorsement or assessment of any facility by this firm. How these figures were assembled.

Homes in San Bernardino County with a higher CMS overall rating

CMS rates each of these homes above Del Rosa Villa on the overall star rating it publishes. The rating is one measure of a facility's record, and each page below carries that home's own inspection findings, staffing hours and citation history.

These figures are taken from public CMS Care Compare records as of August 2026 (the August 2026 release) and public CDPH records as of June 2024 (the state enforcement dataset of August 27, 2024). They are reported as published and are not a recommendation, endorsement or assessment of any facility by this firm. How these figures were assembled.

Federal inspection findings and penalties

Scope and severity A to C means no actual harm, with potential for minimal harm. Scope and severity D to F means no actual harm, with potential for more than minimal harm. Scope and severity G to I means actual harm that is not immediate jeopardy. Scope and severity J to L means immediate jeopardy to resident health or safety.

June 24, 2026, complaint inspection

1 deficiency cited. Surveyors cited the facility for develop, implement, and/or maintain an effective training program for all new and existing staff members.

  • F0940Develop, implement, and/or maintain an effective training program for all new and existing staff members. (scope and severity D)

February 12, 2026, standard inspection

8 deficiencies cited. Surveyors cited the facility for reasonably accommodate the needs and preferences of each resident, develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured, and provide care and assistance to perform activities of daily living for any resident who is unable.

  • F0558Reasonably accommodate the needs and preferences of each resident. (scope and severity D)
  • F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (scope and severity D)
  • F0677Provide care and assistance to perform activities of daily living for any resident who is unable. (scope and severity D)
  • F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (scope and severity D)
  • F0695Provide safe and appropriate respiratory care for a resident when needed. (scope and severity D)
  • F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. (scope and severity D)
  • F0880Provide and implement an infection prevention and control program. (scope and severity D)
  • F0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. (scope and severity D)

September 10, 2025, complaint inspection

1 deficiency cited. Surveyors cited the facility for ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

  • F0627Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. (scope and severity D)

August 13, 2025, complaint inspection

1 deficiency cited. Surveyors cited the facility for protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

  • F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (scope and severity D)

March 20, 2025, complaint inspection

1 deficiency cited. Surveyors cited the facility for honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

  • F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (scope and severity D)

February 27, 2025, complaint inspection

1 deficiency cited. Surveyors cited the facility for immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

  • F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (scope and severity D)

January 24, 2025, standard inspection

5 deficiencies cited. Surveyors cited the facility for 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, provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights, and provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

  • F0803Ensure 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. (scope and severity E)
  • F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. (scope and severity D)
  • F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (scope and severity D)
  • F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (scope and severity D)
  • F0880Provide and implement an infection prevention and control program. (scope and severity D)

November 13, 2024, complaint inspection

1 deficiency cited. Surveyors cited the facility for ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  • F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (scope and severity J)

September 26, 2024, complaint inspection

1 deficiency cited. Surveyors cited the facility for protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

  • F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (scope and severity D)

September 17, 2024, complaint inspection

1 deficiency cited. Surveyors cited the facility for provide appropriate treatment and care according to orders, resident’s preferences and goals.

  • F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals. (scope and severity D)

December 13, 2023, standard inspection

13 deficiencies cited. Surveyors cited the facility for ensure medication error rates are not 5 percent or greater, allow resident to participate in the development and implementation of his or her person-centered plan of care, and keep residents' personal and medical records private and confidential.

  • F0759Ensure medication error rates are not 5 percent or greater. (scope and severity E)
  • F0553Allow resident to participate in the development and implementation of his or her person-centered plan of care. (scope and severity D)
  • F0583Keep residents' personal and medical records private and confidential. (scope and severity D)
  • F0607Develop and implement policies and procedures to prevent abuse, neglect, and theft. (scope and severity D)
  • F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (scope and severity D)
  • F0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. (scope and severity D)
  • F0638Assure that each resident’s assessment is updated at least once every 3 months. (scope and severity D)
  • F0641Ensure each resident receives an accurate assessment. (scope and severity D)
  • F0646Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. (scope and severity D)
  • F0700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. (scope and severity D)
  • F0757Ensure each resident’s drug regimen must be free from unnecessary drugs. (scope and severity D)
  • F0880Provide and implement an infection prevention and control program. (scope and severity D)
  • F0883Develop and implement policies and procedures for flu and pneumonia vaccinations. (scope and severity D)

Penalties. Over the reported period, Del Rosa Villa received 1 federal fine totaling $43,930. Fines are imposed when a facility is cited for a serious violation or fails to correct a prior deficiency in time.

California state citations

California inspects and cites nursing homes separately from the federal government. The Department of Public Health issues three classes of citation. A class AA citation is a class A violation that the Department of Public Health determined was a direct proximate cause of a resident's death. A class A citation is a violation the Department determined presented an imminent danger of death or serious harm to residents, or a substantial probability that death or serious physical harm would result. A class B citation is a violation the Department determined had a direct or immediate relationship to residents' health, safety or security, other than a class AA or A violation.

State records show 10 citations against Del Rosa Villa between May 8, 2003 and July 24, 2023: 2 class A and 8 class B, with $55,075 in assessed penalties. 2 of these actions were connected to a resident's death.

  • July 24, 2023, class B, Patient Rights. $1,500 penalty.
  • May 3, 2017, class B, Patient Rights. $500 penalty.
  • September 1, 2011, class B, Patient Care. $1,000 penalty. Appealed.
  • March 4, 2010, class A, Patient Care. $25,000 penalty. Appealed. Death-related.
  • August 11, 2009, class A, Patient Care. $25,000 penalty. Appealed. Death-related.
  • December 2, 2008, class B, Patient Rights. $575 penalty. Appealed.
  • March 16, 2005, class B, Patient Rights. $425 penalty. Appealed.
  • October 26, 2004, class B, Patient Care. $375 penalty. Appealed.
  • October 3, 2003, class B, Patient Care. $300 penalty. Appealed.
  • May 8, 2003, class B, Patient Care. $400 penalty. Appealed.

Across San Bernardino County's 55 certified facilities, the average is about 8.7 state citations per facility. Del Rosa Villa's 10 is close to that average.

A citation marked "Appealed." is under appeal, so it is not a final determination. A citation records a determination by state surveyors. A citation does not by itself establish that any particular resident was injured or that the facility is liable to anyone.

Other nursing homes in San Bernardino

Families comparing options in San Bernardino often look at these facilities as well. Each link opens that facility's full public record:

See every facility in the San Bernardino County nursing home directory.

Other nursing homes in San Bernardino County

These are other nursing homes in San Bernardino County, listed by how close each home's ZIP code is to the ZIP code for Del Rosa Villa. The public record gives a street address but no coordinates, so distance is not measured; homes in the same ZIP code appear first. No rating or inspection figure is used to order this list.

This list is drawn from public CMS Care Compare records as of August 2026 (the August 2026 release) and public CDPH records as of June 2024 (the state enforcement dataset of August 27, 2024). It is ordered by location only and is not a recommendation, endorsement or assessment of any facility by this firm. How these figures were assembled.

Couple reading a nursing home inspection report together at home. Illustration on the page for Del Rosa Villa in San Bernardino, California.
Couple reading a nursing home inspection report together at home

What to do if you are worried about care at this facility

You will usually notice something is wrong before anyone official does, and you do not need proof before you act. If you are concerned about care at Del Rosa Villa, you can take these steps:

Write down what you see. Note dates, times, and specific concerns, and photograph anything relevant. A clear, contemporaneous record matters if an investigation follows.

File a complaint with the California Department of Public Health. CDPH licenses and inspects skilled nursing facilities and investigates complaints, and a serious complaint can trigger an on-site inspection. You can file online through CDPH's Cal Health Find system, which routes your complaint to the San Bernardino County licensing district office.

Contact the Long-Term Care Ombudsman. The ombudsman is a free advocate who will visit your loved one, look into your concerns, and press the facility on their behalf. San Bernardino County's ombudsman program can be reached at (800) 334-9473. This is often the fastest first step when the issue is care quality rather than an emergency.

For the full walkthrough, see How to report nursing home abuse in California.

Injuries that most often signal neglect

The injuries below are the ones most often at issue in California nursing home cases. Any one of them at Del Rosa Villa is a reason to ask what the facility's own records show:

Nursing home abuse claims in San Bernardino County

If a loved one was harmed at Del Rosa Villa, these pages explain how San Bernardino County families pursue the most common nursing home claims, each with local facility data and the county long-term care ombudsman:

You can also compare every home in the San Bernardino County nursing home directory.

Are There Lawsuits Against Del Rosa Villa?

This page reports federal and state inspection, complaint and enforcement records for Del Rosa Villa. Those records are separate from civil lawsuits: a government citation is not a lawsuit, and a facility can be sued without ever being cited. This site does not track civil court filings. Civil cases against California skilled nursing facilities are usually filed in the Superior Court of the county where the facility is located; records for San Bernardino County are searchable through the San Bernardino County Superior Court's online case records. If your family member was injured at Del Rosa Villa, the records that matter most are usually the resident's own: nursing notes, care plans, fall-risk assessments, wound records, medication administration records, physician orders and incident reports. Talk to us about what happened.

Family touring a California nursing home and asking staff questions. Illustration on the page for Del Rosa Villa in San Bernardino, California.
Family touring a California nursing home and asking staff questions

Frequently asked questions

Is Del Rosa Villa a good nursing home?
CMS gives Del Rosa Villa an overall rating of 2 of 5 stars, with a health inspection rating of 2 of 5 based on in-person state surveys. California has issued 10 state citations against the facility, including 2 in the state's two most serious classes, class A and class AA. A rating is a starting point, not a verdict. Read it alongside the inspection dates and what you see for yourself.
What should I do if my loved one was injured at Del Rosa Villa?
Document the injury with dated photos, request the care plan and treatment records, and report your concern to the California Department of Public Health and the San Bernardino County Long-Term Care Ombudsman. If the injury is serious, such as a bedsore, a fall, or an untreated infection, you can also speak with a nursing home attorney about whether you have a claim.
Has Del Rosa Villa been fined or cited for serious violations?
Public records show 1 federal fine totaling $43,930 and 10 California state citations with $55,075 in state penalties, including 2 class A citations.
How many state citations does Del Rosa Villa have?
The California Department of Public Health has issued 10 citations against Del Rosa Villa in San Bernardino between May 8, 2003 and July 24, 2023: 2 class A and 8 class B, with $55,075 in assessed penalties.
How do I report a problem at Del Rosa Villa?
File a complaint with CDPH through its Cal Health Find system, or contact the San Bernardino County Long-Term Care Ombudsman at (800) 334-9473. In an emergency, call Adult Protective Services or 911.

If your loved one was harmed

We came to this work from the other side. We spent years defending nursing homes, which means we know how a facility builds a file to protect itself and where the gaps in that file tend to be. Under California's Elder Abuse Act (Welfare and Institutions Code sections 15600 to 15675), a family that proves, by clear and convincing evidence, that neglect was committed with recklessness, oppression, fraud or malice can recover remedies beyond an ordinary injury claim, including attorney's fees (section 15657).

If your loved one was harmed at Del Rosa Villa, talk to our San Bernardino County nursing home abuse lawyers. We handle cases in San Bernardino and across California. The consultation is free and confidential, we are available around the clock, and you owe nothing unless we recover for you.

Call (888) 999-0169. Available 24/7. Free consultation. No fee unless we win.

Free Case Evaluation

Confidential. No obligation. Available 24/7.

By submitting, you agree to our Privacy Policy and Disclaimer, and you consent to Young & Wallin contacting you by phone, text, or email about your inquiry. Submitting this form does not create an attorney-client relationship.

Sources

  • Centers for Medicare & Medicaid Services, Care Compare: Del Rosa Villa provider record, CCN 555195. Ratings, staffing, and federal deficiency data processed August 1, 2026.
  • CMS Provider Data Catalog: Provider Information, Penalties, and Health Deficiencies datasets.
  • California Department of Public Health, Cal Health Find: Del Rosa Villa state license record, FACID 240000059, license 240000029.
  • California Department of Public Health, Health Facilities State Enforcement Actions dataset (CHHS Open Data), citations July 1, 1997 through June 30, 2024.

Disclaimer

The inspection data, ratings, citations, staffing figures, and ownership information on this page come from public sources, including the Centers for Medicare & Medicaid Services (medicare.gov) and the California Department of Public Health. This information is reported as published by those sources and may not reflect the most current findings or conditions at the facility. Deficiencies and citations listed may have been corrected or appealed since the date shown. Inclusion of Del Rosa Villa in this directory is not a statement, allegation, or suggestion that the facility has committed abuse, neglect, or any wrongdoing. This page is attorney advertising and an information resource. It is not legal advice, and using this site does not create an attorney-client relationship. Young & Wallin is not affiliated with Del Rosa Villa, and neither the facility nor any government agency endorses this page.

Ask a question

Don't Wait: Evidence Disappears Every Day

The longer a case waits, the harder records are to get and the more memories fade. Call for a free, confidential case evaluation. If we take your case, you pay nothing unless we win.

Get Your Free Case Evaluation(888) 999-0169
Call Now: (888) 999-0169