Mesa Glen Care Center

Special Focus Facility candidate · CMS abuse icon · Los Angeles · CA · For profit - Limited Liability company · 96 certified beds · CCN 555854 · MESA GLEN HOLDINGS LLC


Mesa Glen Care Center operates 96 certified beds in GLENDORA, California. Its Medicare and Medicaid certification dates to 2008-11-07. It averages 88.1 residents a day.

What harm was found in the violations cited at Mesa Glen Care Center?

CMS lists 144 health-inspection deficiencies for Mesa Glen Care Center, all of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is H; the most recent health inspection was 2026-05-28.

Survey dateTagDeficiencySeverity
2026-05-28F0573Let each resident or the resident's legal representative access or purchase copies of all the resident's records.D
2026-05-08F0558, F0641, F0656, F0686, F0690, F0694, F0695, F0732, F0812, F0814Reasonably accommodate the needs and preferences of each resident. / Ensure each resident receives an accurate assessment. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Provide for the safe, appropriate administration of IV fluids for a resident when needed. / Provide safe and appropriate respiratory care for a resident when needed. / Post nurse staffing information every day. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Dispose of garbage and refuse properly.E
2026-05-08F0583, F0584, F0604, F0657, F0676, F0688, F0692, F0698, F0700, F0726, F0756, F0759, F0760, F0842, F0924, F0925Keep residents' personal and medical records private and confidential. / Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. / Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. / 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. / Provide enough food/fluids to maintain a resident's health. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / Try 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. / 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. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / Ensure medication error rates are not 5 percent or greater. / Ensure that residents are free from significant medication errors. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Put firmly secured handrails on each side of hallways. / Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.D
2026-04-16F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D
2026-04-01F0880, F0919Provide and implement an infection prevention and control program. / Make sure that a working call system is available in each resident's bathroom and bathing area.E
2026-04-01F0584, F0684, F0836Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.D
2026-03-16F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.E
2026-02-03F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.E
2026-02-03F0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.D
2026-01-29F0600, F0656Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D
2026-01-05F0732Post nurse staffing information every day.E
2025-12-30F0656, F0689, F0812Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.D
2025-12-11F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D
2025-12-01F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D
2025-11-21F0550, F0552Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Ensure that residents are fully informed and understand their health status, care and treatments.E
2025-09-10F0600, F0609Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D
2025-09-05F0550, F0689, F0755, F0880Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Provide and implement an infection prevention and control program.E
2025-09-05F0580, F0583, F0684Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Keep residents' personal and medical records private and confidential. / Provide appropriate treatment and care according to orders, resident’s preferences and goals.D
2025-08-13F0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.D
2025-07-25F0580, F0689, F0697Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide safe, appropriate pain management for a resident who requires such services.D
2025-07-02F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D
2025-06-23F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D
2025-06-05F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D
2025-05-22F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D
2025-04-15F0550, F0656, F0684, F0726Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / 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.D
2025-03-25F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.G
2025-03-07F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G
2025-03-07F0578, F0584, F0656, F0684, F0686, F0697, F0725, F0755, F0758, F0759, F0760, F0801, F0812, F0880Honor 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. / Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Provide safe, appropriate pain management for a resident who requires such services. / Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / 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. / Ensure medication error rates are not 5 percent or greater. / Ensure that residents are free from significant medication errors. / Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Provide and implement an infection prevention and control program.E
2025-03-07F0550, F0552, F0558, F0609, F0640, F0690, F0692, F0695, F0698, F0699, F0726Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Ensure that residents are fully informed and understand their health status, care and treatments. / Reasonably accommodate the needs and preferences of each resident. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Provide enough food/fluids to maintain a resident's health. / Provide safe and appropriate respiratory care for a resident when needed. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / Provide care or services that was trauma informed and/or culturally competent. / 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.D
2025-03-07F0732Post nurse staffing information every day.B
2025-01-23F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D
2025-01-07F0656, F0684, F0689Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D
2024-12-11F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D
2024-12-03F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.E
2024-12-03F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D
2024-11-26F0624, F0660Prepare residents for a safe transfer or discharge from the nursing home. / Plan the resident's discharge to meet the resident's goals and needs.D
2024-11-20F0656, F0880Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide and implement an infection prevention and control program.E
2024-11-20F0622, F0623, F0842Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. / Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D
2024-08-09F0684, F0727Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.D
2024-08-02F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.H
2024-08-02F0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.D
2024-07-18F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D
2024-04-26F0580, F0600, F0656Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D
2024-04-11F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D
2024-03-23F0626Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.E
2024-03-22F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.E
2024-03-22F0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.D
2024-03-05F0558, F0578, F0582, F0636, F0638, F0656, F0686, F0726, F0757, F0758Reasonably accommodate the needs and preferences of each resident. / 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. / Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. / Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. / Assure that each resident’s assessment is updated at least once every 3 months. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / 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. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / 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.E
2024-03-05F0580, F0607, F0609, F0623, F0679, F0690, F0693, F0695, F0732Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Develop and implement policies and procedures to prevent abuse, neglect, and theft. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / Provide activities to meet all resident's needs. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / 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. / Provide safe and appropriate respiratory care for a resident when needed. / Post nurse staffing information every day.D
2023-10-08F0600, F0609, F0804Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.E
2023-10-08F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D

Why was Mesa Glen Care Center fined 2 times?

DateTypeAmount
2025-03-07Fine$66,576
2024-07-18Fine$36,504

Has Mesa Glen Care Center had payment denied by Medicare?

Payment denial startLength in days
2025-04-0433

How is Mesa Glen Care Center staffed relative to the CA average?

MeasureThis facilityCA average
Total nurse staffing hours per resident per day4.113394.51570
Total nursing staff turnover (%)63.236.7
Average number of residents per day88.187.9

Who owns Mesa Glen Care Center?

Mesa Glen Care Center is registered with CMS as For profit - Limited Liability company, operates under the legal business name MESA GLEN HOLDINGS LLC.

RoleOwnerAssociation date
5% OR GREATER DIRECT OWNERSHIP INTERESTFRIEDMAN, BERNARD, MAHAN, MARYLYNN, WEINBERGER, PHILIP, WEISS, HADASSAH, WOLMARK, DIANA, ZEFFREN, DAVIDsince 02/06/2023
MANAGING CONTROL - GOVERNING BODYURBINA, CHRISTIAN, WEINBERGER, PHILIPsince 01/27/2025
OPERATIONAL/MANAGERIAL CONTROLRENEW HEALTH CONSULTING SERVICES LLC, SHARMA, VATSALA, TOLENTINO, MA ROWENA, URBINA, CHRISTIAN, VELASQUEZ, JOSEsince 01/27/2025
ADP OF THE SNFGATEWAYS REHABILITATION CENTER II LLC, RENEW HEALTH CONSULTING SERVICES LLC, SHARMA, VATSALA, TOLENTINO, MA ROWENA, URBINA, CHRISTIAN, VELASQUEZ, JOSEsince 01/27/2025

Were you or a family member harmed at Mesa Glen Care Center?