Del Rosa Villa
2018 N. Del Rosa Ave, San Bernardino, CA 92404
Citation Number: 240007017
Citation Date: 03/04/2010
Violation Date: 1/15/2008
Class: AA
Penalty: $ 100,000

On 1/15/08, an 86 year old resident died of malnutrition and dehydration about a month after being admitted to the facility in stable condition. According to facility records, she required full assistance with eating when she was admitted to the facility on 12/13/07. By the end of that month, tests indicated that she was suffering from dehydration, but the nursing and dietary staff did not assess or respond appropriately to the warning signs, which also included dark amber urine and increasingly poor meal consumption. Nor did they notify her family of the serious change in her condition. The resident lost 23.8 pounds during her 25-day stay at the facility, dropping from 120.8 pounds to 97 pounds. She was hospitalized on 1/7/08, where she was found to be suffering from severe dehydration, acute renal failure and malnutrition. She died 8 days later from these conditions. The facility was cited because it failed to ensure the resident received sufficient fluids, which led to her death.