The average 30-day stay at a California rehab costs families $40,000. It's expensive and often highly risky. The Russells [checked] their 19-year-old son, Teddy Russell, into Mountain Vista last summer. During intake, they had trouble with the blood pressure cuff and she said, 'No, I have no medical training at all,'" said Anne Russell, talking about the counselor at the rehab. Mountain Vista Farm is a state licensed residential detox facility, which in California is not required to have a doctor on site. Anne Russell believes the lack of medical support drastically changed the course of her family's life. "We trusted them to help him and our son trusted us and it was just a nightmare," she said. Detox centers must check on patients every 30 minutes for the critical first 72 hours but that didn't happen. Seven hours after being dropped off at Mountain Vista Farm, Teddy Russell was dead. The state has the power to suspend a rehab facility's license after a Class A deficiency. Teddy's death resulted in two of those. But the state didn't shut this place down. In fact, we've learned it rarely shuts any rehab down. Instead the penalty in Teddy's case was a $700 fine. Public records show Teddy's story is not unique. 190 people have died at other rehab facilities in California since 2010. We found dozens of deficiencies, from falsifying records, failing to report deaths, and employing unqualified staff to not monitoring patient vitals, like what happened to Teddy.