Mesa Glen Care Center

Nursing Home · Glendora, CA

CMS overall rating 1/5 SFF candidate Abuse citation For profit - Limited Liability company

CMS certification number555854
CMS lists this nursing home as a Special Focus Facility candidate – one of the lowest-performing nursing homes in its state based on inspection history.
This facility was cited for abuse, neglect or exploitation in a recent inspection (CMS abuse icon).

Contact & location

638 E Colorado Avenue
Glendora, CA 91740
Los Angeles County
Phone
(626) 963-6091
ZIP code
91740 – all care providers

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Facility details

Certified beds
96
Residents per day
88.1 (92% occupied)
Ownership
For profit - Limited Liability company
Legal name
Mesa Glen Holdings LLC
Medicare certified since
November 7, 2008
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 1/5
State avg 3.2
Health inspections★★★★★ 1/5
State avg 2.8
Staffing★★★★★ 2/5
State avg 3.3
Quality measures★★★★★ 2/5
State avg 4.1
Long-stay quality★★★★★ 3/5
Short-stay quality★★★★★ 1/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
4.11 (state 4.52 · U.S. 3.86)
Registered nurses (RN)
0.30 (state 0.67 · U.S. 0.69)
Licensed practical nurses
1.13 (state 1.20 · U.S. 0.86)
Nurse aides
2.69 (state 2.65 · U.S. 2.32)
Weekend total
3.78 (state 4.09 · U.S. 3.42)
Nursing staff turnover
63.2 (state 36.7 · U.S. 45.8)%
RN turnover
83.3 (state 38.1 · U.S. 42.9)%
Administrators who left
2 in the last year

Inspections

Last standard inspection
May 8, 2026
Health deficiencies (last cycle)
56.0 (state 15.7 · U.S. 9.3)
From complaints
30
Citations on record (3 years)
68 health · 12 fire safety · includes actual harm
DateCitationSeverityStatus
2026-05-28 Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
F0573 · Resident Rights Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2026-06-20
2026-05-08 Reasonably accommodate the needs and preferences of each resident.
F0558 · Resident Rights Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2026-05-26
2026-05-08 Ensure each resident receives an accurate assessment.
F0641 · Resident Assessment and Care Planning Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2026-05-26
2026-05-08 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2026-05-25
2026-05-08 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2026-05-25
2026-05-08 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
F0690 · Quality of Life and Care Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2026-05-11
2026-05-08 Provide for the safe, appropriate administration of IV fluids for a resident when needed.
F0694 · Quality of Life and Care Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2026-05-11
2026-05-08 Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2026-05-25
2026-05-08 Post nurse staffing information every day.
F0732 · Nursing and Physician Services Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2026-05-11
2026-05-08 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2026-05-29
2026-05-08 Dispose of garbage and refuse properly.
F0814 · Nutrition and Dietary Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2026-05-26
2026-05-08 Keep residents' personal and medical records private and confidential.
F0583 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-06-01
2026-05-08 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.
F0584 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-05-29
2026-05-08 Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
F0604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-06-01
2026-05-08 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
F0657 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-06-01
2026-05-08 Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
F0676 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-06-01
2026-05-08 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.
F0688 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-06-01
2026-05-08 Provide enough food/fluids to maintain a resident's health.
F0692 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-06-01
2026-05-08 Provide safe, appropriate dialysis care/services for a resident who requires such services.
F0698 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-06-01
2026-05-08 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.
F0700 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-06-01
2026-05-08 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.
F0726 · Nursing and Physician Services Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-06-01
2026-05-08 Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
F0756 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-06-01
2026-05-08 Ensure medication error rates are not 5 percent or greater.
F0759 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-06-01
2026-05-08 Ensure that residents are free from significant medication errors.
F0760 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-06-01
2026-05-08 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F0842 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-05-12
2026-05-08 Put firmly secured handrails on each side of hallways.
F0924 · Environmental Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-05-29
2026-05-08 Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
F0925 · Environmental Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-05-26
2026-04-16 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F0842 · Resident Assessment and Care Planning Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2026-05-02
2026-04-01 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2026-04-24
2026-04-01 Make sure that a working call system is available in each resident's bathroom and bathing area.
F0919 · Environmental Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2026-04-24
2026-04-01 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.
F0584 · Resident Rights Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2026-04-24
2026-04-01 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2026-04-24
2026-04-01 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.
F0836 · Administration Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2026-04-24
2026-03-16 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
F0804 · Nutrition and Dietary Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2026-04-03
2026-02-03 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2026-02-04
2026-02-03 Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
F0604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2026-02-04
2026-01-29 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2026-02-21
2026-01-29 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2026-02-21
2026-01-05 Post nurse staffing information every day.
F0732 · Nursing and Physician Services Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2026-01-06
2025-12-30 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2026-01-23
2025-12-30 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2026-01-23
2025-12-30 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2026-01-23
2025-12-11 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-12-12
2025-12-01 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-12-10
2025-11-21 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550 · Resident Rights Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2025-12-15
2025-11-21 Ensure that residents are fully informed and understand their health status, care and treatments.
F0552 · Resident Rights Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2025-12-15
2025-09-10 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-09-16
2025-09-10 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-09-19
2025-09-05 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550 · Resident Rights Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2025-10-01
2025-09-05 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2025-09-25

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

3 penalties in the last three years, including $103,080 in fines.

DateTypeAmount
2025-03-07Payment Denial33 days payment denial
2025-03-07Fine$66,576
2024-07-18Fine$36,504

Ownership & management

NameRoleSince
Friedman, Bernard (individual)5%+ Direct Ownership Interest · 5%
Mahan, Marylynn (individual)5%+ Direct Ownership Interest · 10%
Weinberger, Philip (individual)5%+ Direct Ownership Interest · 10%
Weiss, Hadassah (individual)5%+ Direct Ownership Interest · 9%
Wolmark, Diana (individual)5%+ Direct Ownership Interest · 19%
Zeffren, David (individual)5%+ Direct Ownership Interest · 19%
Gateways Rehabilitation Center II LLC (organization)Administrator · NOT APPLICABLE
Renew Health Consulting Services LLC (organization)Administrator · NOT APPLICABLE
Sharma, Vatsala (individual)Administrator · NOT APPLICABLE
Tolentino, Ma Rowena (individual)Administrator · NOT APPLICABLE
Urbina, Christian (individual)Administrator · NOT APPLICABLE
Velasquez, Jose (individual)Administrator · NOT APPLICABLE
Urbina, Christian (individual)Managing Control - Governing Body · NOT APPLICABLE
Weinberger, Philip (individual)Managing Control - Governing Body · NOT APPLICABLE
Renew Health Consulting Services LLC (organization)Operational/managerial Control · NOT APPLICABLE
Sharma, Vatsala (individual)Operational/managerial Control · NOT APPLICABLE
Tolentino, Ma Rowena (individual)Operational/managerial Control · NOT APPLICABLE
Urbina, Christian (individual)Operational/managerial Control · NOT APPLICABLE
Velasquez, Jose (individual)Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of Mesa Glen Care Center?

Mesa Glen Care Center has a 1-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.2-star average in California.

How many beds does Mesa Glen Care Center have?

It has 96 certified beds and cares for about 88 residents per day.

Has Mesa Glen Care Center been fined?

Yes. CMS lists 3 penalties totaling $103,080 in the last three years.

What is the phone number of Mesa Glen Care Center?

(626) 963-6091. The facility is located at 638 E Colorado Avenue, Glendora, CA 91740.

Other nursing homes in Glendora

Compare all nursing homes in Glendora, CA →

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.