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Nursing homeFAID #1025

Rose Villa Health Care Center

9028 ROSE STREET, BELLFLOWER, CA, 90706
(562) 925-4252
ensignservices.net
53 licensed beds
★★★★★3/5CMS Five-Star overall3/5 health inspections3/5 staffing4/5 quality measuresSource: CMS Care Compare

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Public record summary

What we can show you for free.
Bed capacity
53
CMS facility ID
056104
Care type
Nursing home
County
Los Angeles
Facility name
Rose Villa Health Care Center
Street address
9028 ROSE STREET
City / state / ZIP
Bellflower, CA 90706
Phone
(562) 925-4252
Website
ensignservices.net

About this facility — Rose Villa Health Care Center

Rose Villa Health Care Center is a Medicare/Medicaid-certified skilled nursing facility in Bellflower, California. It is licensed for 53 beds — below the median for skilled nursing facilities in California (98 beds).

It is one of 20 senior care facilities in Bellflower and 1,165 skilled nursing facilities across California. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Rose Villa Health Care Center 61 times across 11 inspections in the last three years, including 2 food-safety citations; no federal fines are on record. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Parent company
The Ensign Group
Ownership type
For profit - Corporation

Registered owners & officers

Burnam, Soon
Officer · Additional disclosable party — since 2006
Caretrust Gp Llc
Additional disclosable party — since 2003
Caretrust Reit Inc
Additional disclosable party — since 2003
Ctr Partnership Lp
Additional disclosable party — since 2003
Ensign Bellflower Llc
Additional disclosable party — since 2003
Ensign Services Inc
Additional disclosable party — since 2011
Flagstone Healthcare South Llc
Direct owner — since 2006
Howell, David
Governing body · Operational control · Additional disclosable party — since 2013
Keetch, Chad
Officer — since 2011
Pole, Shivanand
Governing body · Operational control · Additional disclosable party — since 2024
Port, Barry
Owner of a disclosable party — since 2025
The Ensign Group Inc
Indirect owner — since 2006
Willits, Adam
Director — since 2019

Regulatory standing

Federal court records
11 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)
Licensed / certified since
1971-11-01
CMS overall rating
3 of 5 stars
Health deficiencies
16 at the last standard inspection
Federal fines
None on record
Last standard inspection
2025-04-24
Nurse staffing
4.1 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$755 per day (≈ $22,950/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
47% Medicaid · 48% Medicare · 5% private/other
Occupancy
88% (fiscal year 2023)
Vs. state median
47% above the CA median of $514/day — full state cost breakdown

Services & coverage

Licensed beds
53
Medicare
Accepted
Medicaid
Accepted
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-08-31. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 2 food-safety citations on its three-year record — flagged below among the inspections.
2026-02-13Health inspectionComplaint-triggered4 citations
F-0676
D · No harm foundFrom a complaint
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected 2026-03-17
F-0690
E · No harm foundFrom a complaint
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2026-03-17
F-0755
D · No harm foundFrom a complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2026-03-17
F-0842
D · No harm foundFrom a complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2026-03-17
2026-01-16Health inspectionComplaint-triggered1 citation
F-0656
E · No harm foundFrom a complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2026-02-07
8 earlier / fire-safety inspections (56 citations)
2025-11-26Health inspectionComplaint-triggered1 citation
F-0760
E · No harm foundFrom a complaint
Ensure that residents are free from significant medication errors.
Corrected 2025-12-22
2025-04-24Health inspection10 citations
F-0604
D · No harm found
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected 2025-05-23
F-0641
E · No harm found
Ensure each resident receives an accurate assessment.
Corrected 2025-05-23
F-0656
E · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-05-23
F-0690
D · No harm found
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2025-05-23
F-0755
D · No harm found
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-05-23
F-0758
D · No harm found
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.
Corrected 2025-05-23
F-0761
D · No harm found
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.
Corrected 2025-05-23
F-0842
D · No harm found
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-05-23
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2025-05-23
F-0881
E · No harm found
Implement a program that monitors antibiotic use.
Corrected 2025-05-23
2024-04-07Health inspection17 citations
F-0550
D · No harm found
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-05-07
F-0625
D · No harm found
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.
Corrected 2024-05-07
F-0656
E · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-05-07
F-0658
D · No harm found
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-05-07
F-0684
D · No harm found
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-05-07
F-0688
E · No harm found
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.
Corrected 2024-05-07
F-0693
D · No harm found
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.
Corrected 2024-05-07
F-0711
D · No harm found
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Corrected 2024-05-07
F-0756
E · No harm found
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2024-05-07
F-0757
E · No harm found
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2024-05-07
F-0758
E · No harm found
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.
Corrected 2024-05-07
F-0761
E · No harm found
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.
Corrected 2024-05-07
F-0776
D · No harm found
Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.
Corrected 2024-05-07
F-0803
D · No harm foundFood safety
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.
Corrected 2024-05-07
F-0868
D · No harm found
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected 2024-05-07
F-0883
D · No harm found
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2024-05-07
F-0887
D · No harm found
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.
Corrected 2024-05-07
2024-03-05Health inspectionComplaint-triggered1 citation
F-0656
D · No harm foundFrom a complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-03-29
2023-10-13Health inspectionComplaint-triggered1 citation
F-0626
D · No harm foundFrom a complaint
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
Corrected 2023-11-06
2022-04-08Health inspection15 citations
F-0677
D · No harm found
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2022-05-06
F-0679
D · No harm found
Provide activities to meet all resident's needs.
Corrected 2022-05-06
F-0688
D · No harm found
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.
Corrected 2022-05-06
F-0726
D · No harm found
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected 2022-05-06
F-0755
D · No harm found
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2022-05-06
F-0756
D · No harm found
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2022-05-06
F-0758
E · No harm found
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.
Corrected 2022-05-06
F-0760
D · No harm found
Ensure that residents are free from significant medication errors.
Corrected 2022-05-06
F-0761
D · No harm found
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.
Corrected 2022-05-06
F-0812
D · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2022-05-06
F-0825
D · No harm found
Provide or get specialized rehabilitative services as required for a resident.
Corrected 2022-05-06
F-0881
D · No harm found
Implement a program that monitors antibiotic use.
Corrected 2022-05-06
F-0883
D · No harm found
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2022-05-06
F-0907
E · No harm found
Provide enough space and equipment to meet each resident's needs
Corrected 2022-05-06
F-0908
E · No harm found
Keep all essential equipment working safely.
Corrected 2022-05-06
2025-04-24Fire-safety inspection9 citations
E-0025
C · No harm found
Create arrangements with other facilities to receive patients.
Corrected 2025-04-28
E-0032
C · No harm found
Provide primary/alternate means for communication.
Corrected 2025-04-28
K-0211
D · No harm found
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2025-04-28
K-0321
D · No harm found
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2025-04-28
K-0331
D · No harm found
Construct fire resistant interior walls.
Corrected 2025-04-28
K-0353
E · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-04-28
K-0363
E · No harm found
Install corridor and hallway doors that block smoke.
Corrected 2025-04-28
K-0511
D · No harm found
Have properly installed electrical wiring and gas equipment.
Corrected 2025-04-28
K-0920
E · No harm found
Ensure proper usage of power strips and extension cords.
Corrected 2025-04-28
2022-04-08Fire-safety inspection2 citations
K-0346
E · No harm found
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Corrected 2022-04-07
K-0354
E · No harm found
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Corrected 2022-04-07
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 056104.

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 61 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
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Original records

Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-08-31
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered