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Nursing HomeMedicaid Investigative

Glendora Canyon Transitional Care Unit

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

401 W. Ada Ave., Glendora, CA 91741120 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
3.9/5

based on 113 Google reviews

5
4
3
2
1
Glendora Canyon Transitional Care Unit Nursing Home in Glendora, CA — Street View
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5/ 10
high Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Abuse citation on record
  • Low overall rating (1/5 stars)
  • Above-median deficiencies (21 vs median 13.0)

Bottom 25% in CA · Critically understaffed (RN) · Worst in ABRAHAM BAK & MENACHEM GASTWIRTH chain · No penalties on record · Abuse citation

Source: Medicare data

What this means for your family

This facility offers an exceptional physical and occupational therapy program that is highly recommended for post-surgical recovery. However, families must be vigilant regarding staffing levels and communication, as multiple recent reports indicate significant delays in medication, meals, and responsiveness to call lights.

Google Reviews

Google Reviews

113 reviews on Google
Families considering Glendora Canyon Transitional Care Unit will find a facility with highly praised physical and occupational therapy teams and several compassionate, long-term staff members. However, there are significant, recurring reports of severe understaffing, delayed medication administration, and poor communication regarding patient care and discharge planning.

Quality Themes

Tap a score for details
Food3.0Staff5.0Clean8.0Activities7.0Meds2.0MemoryN/AComms3.0ValueN/A

Strengths

  • Excellent physical and occupational therapy teams
  • Compassionate and dedicated nursing staff
  • Clean and well-maintained facility
  • Professional administration and admissions process

Concerns

  • Severe understaffing and slow response times (mentioned by 5 reviewers)
  • Poor communication from social workers and administration (mentioned by 4 reviewers)
  • Delays in medication administration and meal service (mentioned by 3 reviewers)
  • Issues with facility maintenance (broken elevators/showers/beds) (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

234'18(1)'20(9)'22(12)'24(45)'26(10)

Distribution · 140 analyzed

5
94
4
7
3
2
2
4
1
33
23 reviews posted between Oct 20, 2024Oct 25, 2024 · 21 were 5-star
11 reviews posted between Oct 8, 2024Oct 11, 2024 · 11 were 5-star

How They Respond to Reviews

100%response rate
Generic

The owner relies heavily on a single repetitive template ('Thank you so much for the review!') for almost all 5-star ratings. While they attempt to provide contact information for negative reviews, the responses lack substantive engagement with the specific issues raised.

Questions for Your Tour

  • 1I noticed some wonderful feedback regarding your physical and occupational therapy teams; could you tell me more about how those specialists work with residents on their daily mobility goals?
  • 2Since communication is so important for families, what is the best way for us to stay updated on our loved one's care and stay in touch with the social work team?
  • 3How does the nursing team manage medication schedules to ensure everything is administered accurately and on time throughout the day?
  • 4We want to make sure our loved one is well-nourished; could you describe the daily meal service and how you handle specific dietary needs or meal timing?
  • 5In the event of a medical emergency or a change in health status during the night, what is the protocol for notifying the family and providing immediate care?
  • 6What kind of daily activities or social programs are available to keep residents engaged and connected with one another?

Personalized based on this facility's data


Key Review Excerpts

The therapy team was excellent, helping her regain strength and mobility with great encouragement.

Rehab patient's spouse · 2025★★★★★

I was in this place for a week in June 2024, rehabilitating from a broken leg & arm. It was a nightmare! They are understaffed, the elevator was broken, the showers were broken, the TV didn’t work & patients were ignored & uncared for.

Rehab patient · 2025☆☆☆☆

The wound care team did a great job taking care of me. I'd like to give a special thanks to Lilian hernandez who would come late at night to ck on me and take of my wound.

Rehab patient · 2023★★★★★
Source: 113 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.40hrs
53%
Registered nurses for medical care
Total Nursing
3.97hrs
97%
All nurses + aides combined
Staff Turnover
40%
Lower is better (< 30% = good)
RN Turnover
20%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
3/ 5
Better Than Avg

11

measures

Worse Than Avg

3

measures

Mixed Results

3

measures

Long-Stay Residents
🚶

Residents whose walking got worse

↓ Lower is better
This Facility4.9%
Better than Avg
Here
4.9%
US
15.3%
CA
10.5%
Los angeles
9.5%
😔

Residents with depression symptoms

↓ Lower is better
This Facility3.2%
Better than Avg
Here
3.2%
US
12.1%
CA
7.0%
Los angeles
8.7%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility18.1%
Mixed vs Avgs
Here
18.1%
US
19.4%
CA
10.7%
Los angeles
9.7%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility12.2%
Mixed vs Avgs
Here
12.2%
US
19.5%
CA
13.7%
Los angeles
10.8%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility99.7%
Better than Avg
Here
99.7%
US
93.4%
CA
98.6%
Los angeles
99.1%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility8.2%
Better than Avg
Here
8.2%
US
14.4%
CA
10.4%
Los angeles
12.5%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility98.8%
Better than Avg
Here
98.8%
US
79.7%
CA
93.2%
Los angeles
92.5%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility96.0%
Better than Avg
Here
96.0%
US
81.8%
CA
94.2%
Los angeles
94.5%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility2.5%
Worse than Avg
Here
2.5%
US
1.6%
CA
1.5%
Los angeles
1.5%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

22deficiencies
Above state avg (15.4)
30 complaint-triggered

This facility shows significant quality concerns with 30% of deficiencies triggered by family complaints about resident abuse protection, infection control, and care planning. Most recurring problems involve resident rights violations, medication management errors, and inadequate care planning that persist across multiple surveys. While all cited deficiencies report correction dates, the pattern of repeated issues in core care areas, combined with substantiated complaints including abuse reporting failures, suggests ongoing operational challenges families should carefully evaluate before placement.

Mar 27, 2026Complaint
1
0842Potential for harm · IsolatedCorrected

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.

Feb 5, 2026Complaint
1
0745Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide medically-related social services to help each resident achieve the highest possible quality of life.

Jan 16, 2026Routine
22
0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0550Potential for harm · PatternCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0558Potential for harm · PatternCorrected

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

0656Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0686Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0690Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

0695Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

0700Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

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.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0842Potential for harm · PatternCorrected

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.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0925Potential for harm · PatternCorrected

Environmental Deficiencies

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

0345Potential for harm · PatternCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0511Potential for harm · PatternCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0920Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0552Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Ensure that residents are fully informed and understand their health status, care and treatments.

0578Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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.

0657Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0693Potential for harm · IsolatedCorrected

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.

0223Potential for harm · IsolatedCorrected

Egress Deficiencies

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

0321Potential for harm · IsolatedCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Sep 17, 2025Complaint
2
0600Actual harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Aug 26, 2025Complaint
2
0584Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Mar 21, 2025Complaint
1
0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Glendora Canyon Transitional Care Unit

Organization Type

for profit

Chain Affiliation

Chain Name

Abraham Bak & Menachem Gastwirth

Chain Size

16 facilities nationwide

Chain avg rating: 2.4/5 · Rank 16 of 16 (Worst)

Ownership & Management

Owners

Bagz Holdings, LLC

Owner (parent company) · Organization

Mcp Gv, LLC

Owner (parent company) · Organization

Gastwirth, Menachem

Owner (parent company)

Lehmann, Kenneth

Owner (parent company)

Abe and Rachel Bak Family Trust

Owner (parent company) · Organization

Helene Mayer 2007 Irrevocable Exempt Trust Fbo Aaron Mayer Dated Decem

Owner (parent company) · Organization

Helene Mayer 2007 Irrevocable Exempt Trust Fbo Abraham Mayer Dated Dec

Owner (parent company) · Organization

Helene Mayer 2007 Irrevocable Exempt Trust Fbo Akiva Mayer Dated Decem

Owner (parent company) · Organization

Helene Mayer 2007 Irrevocable Exempt Trust Fbo Aviva Mayer Dated Decem

Owner (parent company) · Organization

Helene Mayer 2007 Irrevocable Exempt Trust Fbo Talia Mayer Dated Decem

Owner (parent company) · Organization

Helene Mayer 2007 Irrevocable Exempt Trust Fbo Zachary Mayer Dated Dec

Owner (parent company) · Organization

Bak, Rachel

Owner (parent company)

Mayer, Helene

Owner (parent company)

Key personnel

Gastwirth, MenachemOfficer / DirectorBak, AbrahamManagerGastwirth, MenachemManagerGunnell, DavidManagerMehta, KrunalManager
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

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.

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