Arbor Glen Care Center
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 132 Google reviews
Watch Arbor Glen Care Center
Get an email when new inspections, ratings, or penalties are published for this facility.
We’ll only email you about this — no spam, unsubscribe anytime.
Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low overall rating (1/5 stars)
- Above-median deficiencies (26 vs median 13.0)
- High staff turnover (64%)
- High RN turnover (69%)
Bottom 25% in CA · Below recommended RN staffing · Above recommended total nurse staffing · Worst in THE ENSIGN GROUP chain
What this means for your family
This facility offers excellent rehabilitation services and a clean environment, which is ideal for post-surgery recovery. However, families must be extremely vigilant regarding medication management and nighttime staffing, as multiple reviewers have reported dangerous dosage errors and slow response times to call lights.
Google Reviews
Google Reviews
132 reviews on Google“Arbor Glen Care Center is highly regarded by many families for its professional rehabilitation services and a nursing staff that is frequently described as compassionate and attentive. However, there are serious, recurring allegations regarding medication errors, understaffing, and delayed response times to call lights. While many praise the facility's cleanliness and recent renovations, prospective families should be aware of documented concerns regarding clinical oversight and nighttime care.”
Quality Themes
Tap a score for detailsStrengths
- Compassionate and attentive nursing staff
- Effective rehabilitation and physical therapy programs
- Clean and well-maintained facility
- Professional administration and management
Concerns
- Medication administration errors and dosage inaccuracies (mentioned by 3 reviewers)
- Understaffing leading to slow response times (mentioned by 4 reviewers)
- Inadequate hygiene and cleanliness of patients (mentioned by 2 reviewers)
- Difficulty communicating with doctors and administration (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 133 analyzed
How They Respond to Reviews
The owner provides highly personalized and warm responses to 5-star reviews, often addressing specific staff members or family members mentioned. For negative reviews, they maintain a professional tone, acknowledging the issue and inviting direct communication to resolve the matter.
Questions for Your Tour
- 1I noticed some wonderful comments about the compassion of your nursing staff; how do you ensure that this level of attentive care is maintained during shift changes?
- 2What specific protocols are in place to ensure medication accuracy and prevent dosage errors?
- 3With the recent health inspections, what specific steps has the facility taken to address and resolve the identified deficiencies?
- 4How does the administration ensure that families are kept in the loop regarding changes in a resident's medical status or doctor's orders?
- 5Could you tell me more about the physical therapy programs and how they help residents maintain their mobility?
- 6What does a typical day of social activities and engagement look like for the residents here?
Personalized based on this facility's data
Key Review Excerpts
“After their hospital stay, my mom and dad were well taken care of. I truly appreciate the help and support from the administrator, case mngr, social worker, physical therapists, CNAs, nurses, housekeeping, and everyone who works here.”
“My friend’s medications were administered incorrectly or not at all. One example is her blood pressure RX, should have been 1/2 tablet daily. Instead she was given 1 tablet twice per day. This is extremely dangerous.”
“The nursing staff from RN,CNA,Phys. Therapy,Dietician,Caseworkers,Housekeeping, to maintenance personal, all provide great services. Leaving this place was bitter sweet!”
Staffing
Staffing Hours
per resident/day · Medicare 2026RN hours are below the national benchmark. RNs handle complex medical needs and medication, so ask about coverage during your visit.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
15
measures
1
measures
1
measures
Residents on anti-anxiety or sleep medication
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents on antipsychotic medication
Residents needing more daily help over time
Residents whose walking got worse
Residents whose bladder or bowel control got worse
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Arbor Glen Care Center shows a troubling pattern with 115 deficiencies across 24 surveys, including 41 complaint-triggered issues from families reporting concerns. The facility has persistent, recurring problems with resident rights, treatment and care quality, nursing staffing levels, medication management, and infection control. While most violations show correction dates, the repeated nature of these core issues across multiple years suggests ongoing systemic problems that families should carefully consider.
Feb 20, 2026Complaint3
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Jan 20, 2026Complaint1
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Dec 18, 2025Complaint3
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies
Honor the resident's right to organize and participate in resident/family groups in the facility.
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Apr 11, 2025Complaint2
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Mar 20, 2025Complaint3
Quality of Life and Care Deficiencies
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.
Nursing and Physician Services Deficiencies
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.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Feb 6, 2025Routine19
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
Implement a program that monitors antibiotic use.
Environmental Deficiencies
Make sure that a working call system is available in each resident's bathroom and bathing area.
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
Quality of Life and Care Deficiencies
Provide activities to meet all resident's needs.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Administration Deficiencies
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Environmental Deficiencies
Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Miscellaneous Deficiencies
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Smoke Deficiencies
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Smoke Deficiencies
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Federal Penalties
Payment Denial
Nov 6, 2024
26-day denial
Ownership & Operations
Who Operates This Facility
Arbor Glen Care Center
for profit
Chain Affiliation
The Ensign Group
338 facilities nationwide
Chain avg rating: 3.2/5 · Rank 304 of 328 (Worst)
Ownership & Management
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
132 reviews from families & visitors
Official Website
Visit arborglencare.com
Medicare data downloads
Original nursing home datasets
EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.
Safer Alternatives Nearby
Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.
Mesa Glen Care Center
1.5 miNursing Home · Glendora, CA
Glendora Canyon Transitional Care Unit
2.3 miNursing Home · Glendora, CA
Bayshire San Dimas Post-Acute
2.5 miNursing Home · San Dimas, CA
Emanate Health Inter-Community Hospital- D/p Snf
3.1 miNursing Home · Covina, CA
Covina Rehabilitation Center
3.2 miNursing Home · Covina, CA
Golden Haven Guest Home
3.5 miAssisted Living · Azusa, CA